PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
This activity is linked to activity ID 18953.08.
SUMMARY: With FY 2008 funds, USAID's Central Contraceptive Logistics unit will continue to provide
condoms for both social marketing and free distribution that will complement the condom donations by
UNFPA to the MOH.
BACKGROUND: Data from the Demographic and Health Survey (DHS) 2005 shows that condom use in
Haiti has decreased. Indeed, data indicates that while 98% of never married women are sexually active,
condom use among this group is barely 30%. In addition, condom use among youth (15-24) is even lower,
putting them at risk for both HIV and unwanted pregnancy. Based on this evidence, USAID will continue to
procure condoms. The only other source of non-commercial condoms in the country is UNFPA, which
donates 24,000,000 per year for the MOH Family Planning Program. A recent assessment carried out by
the USAID-supported Deliver Project ascertained that 38,580,000 condoms will be needed in 2008 to satisfy
the needs of the national family planning and AIDS prevention programs. PEPFAR funds will be used to
make up the gap between what UNFPA donates and the projected need. Through a recently established
condom distribution working group at the MOH, collaboration with the United National Population Fund
(UNFPA) and the MOH will be strengthened to ensure that sufficient condoms are available through social
marketing outlets, public sector and NGO hospitals and clinics and NGO community support and care
programs. In related activities, PEPFAR provides funding to PSI for social marketing and demand creation
among at-risk populations and to other NGOs that create demand and distribute no-logo condoms.
ACTIVITY: 2,001,000 Pante-brand male condoms will be provided to Population Services International
(PSI), the NGO implementing condom social marketing in Haiti and 14,700,000 no-logo male condoms will
be provided for distribution to PEFPAR-supported public sector sites and NGOs. Additionally, 42,000
female condoms will be provided for both the social marketing project and for free distribution, primarily
among commercial sex workers, the primary population group that uses female condoms regularly.
Emphasis Areas:
Commodity Procurement
Development of Network/Linkages/Referral System
Information, Education, and Communication
Strategic Information (M&E, IT, Reporting)
Targets:
Number of targeted condom service outlets: 650
Number of individuals reached through community outreach that promotes HIV/AIDS prevention through
other behavior change beyond abstinence and/or being faithful
Number of individuals trained to promote HIV/AIDS prevention through other behavior change beyond
abstinence and/or being faithful
Target Populations:
Adults
Commercial Sex Workers
Discordant couples
Men who have sex with Men
Street Youth
Military Personnel
Mobile populations
Refugees/internally displaced persons
Truck Drivers
People living with HIV/AIDS
Seafarers/Port and dock workers
Secondary school students
University students
Migrants/migrant workers
Out-of-school youth
Partners/clients of CSW
Transgender individuals
Police officers/Uniformed services
Coverage Areas:
National
BACKGROUND: Data from the Behavior Surveillance Survey (BSS) 2006 shows that condom use among
the targeted at-risk populations in Haiti is still low. Indeed, the reported percentage of risky behavior
practiced in the past 12 months is as follows: 55% for female sex workers (SW), 70% for the group of men
having sex with men (MSM), 6% for men in uniform (Police), 5% for the migrants men, 3% for the male
street youth (YS). Percentages for migrant women and public vehicle drivers were less than 1%. Based
on this evidence, USAID will continue to procure condoms. A recent assessment carried out by the USAID-
supported Deliver Project ascertained that 38,580,000 condoms will be needed in 2008 to satisfy the needs
of the national family planning and AIDS prevention programs. UNFPA, The only other source of non-
commercial condoms in the country donates 24,000,000 per year for the MOH Family Planning Program.
PEPFAR funds will be used to make up the gap between what UNFPA donates and the projected need.
Some 14,700,000 no-logo male condoms will be provided for distribution to PEFPAR-supported public
sector sites and NGOs.
Through a recently established condom distribution working group at the MOH, collaboration with the United
National Population Fund (UNFPA) and the MOH will be strengthened to ensure that sufficient condoms are
available through social marketing outlets, public sector and NGO hospitals and clinics and NGO
community support and care programs. In related activities, PEPFAR provides funding to Population
Services International (PSI), the NGO implementing social marketing and demand creation among at-risk
populations and to other NGOs that create demand and distribute no-logo condoms.
2,001,000 Pante-brand male condoms and 42,000 female condoms will be provided for both the social
marketing project and for free distribution, primarily among commercial sex workers, the primary population
group that uses female condoms regularly.
ACTIVITY1: PEPFAR aims to provide some 4,000,000 no-logo male condoms for community based
prevention and awareness increase activities targeting especially the at-risk populations. No Pante-brand
male condoms will be financed as PSI current supply is estimated sufficient to cover the social marketing
program need. However, some 150,000 of female will be procured to assure uninterrupted availability at
the social marketing channel, for free distribution and at the commercial sex workers level.
ACTIVITY:
The USAID/Haiti estimated ICASS bill for support to PEPFAR staff for FY 2008 is $120,000, per estimates
received form the US Embassy Port-au-Prince Budget and Finance (B&F) staff. In April, 2008, USAID will
move to the New Embassy Compound being built to house the entire US Embassy, including all USG
agencies. At that point, there will be one consolidated General Services Office and ICASS support office for
all USG agencies. The ICASS services to be provided to support the USAID PEPFAR program include:
motor pool for US personnel, GSO housing and maintenance for US personnel, payroll and related HR
activities for LES personnel, diplomatic pouch services for US personnel, airport expediting services for US
personnel and visiting TDYers, accounting and vouchering for both US and LES personnel, provisioning of
drinking water and residential water for US personnel, mandatory armored shuttle service to/from office for
US personnel, and regional security support for US personnel and TDYers.
SUMMARY: In FY 2008 USAID/Haiti will continue to oversee the President's Emergency Plan for AIDS
Relief (PEPFAR) activities using its existing staff and Mission support functions. Virtually all staff in the
USAID Health Office contribute at least a portion of their time to the management and technical oversight of
the United States Government (USG) PEPFAR activities, although only four persons contribute 50% or
more of their time and two persons devote full-time to PEPFAR. This staffing pattern for PEPFAR at USAID
is an intentional strategy to foster integration of HIV/AIDS programming throughout the entire health
portfolio of the Mission and to ensure that PEPFAR activities achieve wrap-around impact wherever
possible. In the current 2007-2009 USAID Mission Strategy, in which technical offices are subsumed under
three Foreign Assistance program objectives, the Health Office is incorporated into the Investing in People
Program Objective, thus creating increased opportunities for cross-sector wrap-around programming. The
USAID Mission supports PEPFAR with strong in-country capacity in finance, program planning,
procurement and administrative support through its Financial Management, Program Support, Contracts
and Executive Offices to manage resources and ensure compliance with USG regulations. In addition to
PEPFAR funding, the USAID Health Office manages a $25 million annual program of maternal and child
health, family planning and other infectious diseases (tuberculosis) interventions to strengthen basic health
services in Haiti and provides a platform for PEPFAR activities through an active network of 30 non-
governmental organizations (NGOs) which run more than 100 health centers. PEPFAR resources are used
to complement the efforts of the Mission's $34 million Title II Food Security Program to reach HIV/AIDS
affected families through the Title II project partners, World Vision, Catholic Relief Services and
ACDI/VOCA that operate over 800 food distribution outlets and complementary maternal and child health
interventions countrywide. USAID achieves integration of HIV/AIDS into its overall development goals in
wrap around programs with Education (for both out-of-school youth and basic education programs),
Economic Growth (micro-finance support and job opportunities for families living with AIDS), Agriculture and
Trade (linking families living with HIV/AIDS to improved agriculture, market and trade opportunities.)
USAID and CDC, in a coordinated effort to ensure adequate technical coverage and avoid duplication of
human resources, have a complementary roster of technical advisors that is based on core institutional
competencies and experience. The USAID roster has technical advisors/program managers who provide
technical expertise in PMTCT, pediatric AIDS, prevention of sexual transmission, orphans and vulnerable
children (OVC), drug and commodity supply chain management and policy and systems strengthening.
There are two full-time technical advisors working on the PEPFAR program, the Senior HIV/AIDS Advisor
and the Technical Advisor for pediatric AIDS, OVC and community care and support. An additional nine
persons provide technical and program management support at less than 100% effort and another 17
persons provide program support, one at 100% and the rest at less than 100%. The total roster of USAID
staff contributing any amount of time includes: (2) US direct hires (USDH), the Health and Education Office
Chief who provides management oversight and the Health and Education Office Deputy Chief who serves
as technical advisor/program manager for the education activities; (1) US personal services contractor
(USPSC), the Senior HIV/AIDS Advisor who provides overall coordination, management and technical
leadership of USAID's PEPFAR program; (6) foreign service national (FSN) Technical Advisors/Program
Managers: (1) PMTCT Advisor, (1) Education Technical Advisor, (1) Maternal and Child Health Program
Manager, (1) Commodity Supply Chain Program Manager and (2) Public Health Program Managers in the
areas of prevention of sexual transmission and reproductive health; (14) FSN support staff: (1) Financial
Analyst, (2) administrative assistants, (3) Drivers and 2 persons each from the Contracting, Financial
Management, Program Planning and Executive Offices to provide on-going support when needed.
The PEPFAR Country Coordinator is hired as a USPSC under USAID. Salary and benefits for this position
are paid under the USAID USPSC contract. Other related costs (housing, travel and other allowances) are
provided for under CDC's Management & Staffing budget.
To supplement USAID Mission staff, funds are reserved for targeted technical assistance from USAID
Washington and from outside consultants, as needed, on a broad range of technical issues, policy
development, and documentation activities to bring more analytical and evidence-based design to the
PEPFAR Program. Funds are reserved for staff training and conferences, travel for field program
supervision and technical coordination in and outside of Haiti. Procurement includes purchase of additional
office equipment. Infrastructure expenses include security and related office upgrades and administrative
expenses. Logistics include staff overtime and vehicle maintenance, insurance and fuel.
The estimated amount for the IRM tax for FY 08 for USAID's PEPFAR program is $40,000.
