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
BACKGROUND:
The activities proposed for Fiscal Year (FY) 2008 are on-going activities that build upon a history of work
supported since 2003 by CDC/Haiti, and include funding from the President's Emergency Plan for AIDS
Relief (PEPFAR) in FY 2007. In 2003, at the request of CDC/Haiti NASTAD began working with partners in
support of revitalizing Haiti's national AIDS surveillance system and improving the surveillance capacity of
MSPP. Activities have been conducted with support and input from the Haitian Ministry of Health (MOH).
In FY 2007, MSPP requested NASTAD's assistance to coordinate various components of MSPP (UCC,
laboratory and epidemiology) to support HIV surveillance in country. In FY 2007 a surveillance situational
analysis was updated in collaboration with MSPP, a comprehensive surveillance plan developed, and a full-
time hire placed in country to assist with daily coordination and implementation of the plan. Activities in FY
2008 will continue to support the in-country hire and his/her work with MSPP to operationalize and support
the surveillance plan. In addition, NASTAD will continue to provide peer-to-peer technical assistance
through pairing of U.S. health department epidemiologists with their counterpart Haitian departmental
epidemiologists and epidemiologists within UCC and the MSPP in support of capacity enhancement in
epidemiology and surveillance.
ACTIVITIES AND EXPECTED RESULTS:
NASTAD will carry out three separate activities in support of capacity enhancement of the MSPP:
ACTIVITY 1: The first activity is to continue providing technical assistance for revitalizing the national
AIDS surveillance system. Based upon a surveillance situational analysis updated in FY 2007 to assess the
MSPP and departmental capacity for implementing and supporting a national surveillance system, the
NASTAD team will provide support to the MSPP to expand the surveillance system in a sustainable fashion
to voluntary counseling and testing (VCT) and preventing mother to child transmission (PMTCT) sites and to
ensure that analysis and application of the surveillance data occurs. Partners in this expansion process are
expected to include the departmental epidemiologists, the Child Health Institute (IHE), and CDC/Haiti.
Funding will support a full-time senior epidemiologist based in Port-au-Prince, peer-to-peer technical
assistance at the central and department level, and a delegation visit to the U.S. for Haitian counterparts to
observe U.S. health department surveillance programs. In FY 2007 NASTAD hosted three delegates from
the central government at a U.S. health department. The FY 2008 delegation visit will include four
department-level epidemiologists.
ACTIVITY 2: The second activity is to provide TA to central and departmental-level epidemiologists to
develop epidemiologic profiles. In FY 2007 an epidemiologic profile was developed using data from four
departments (Departement du Sud, Departement de la Grande Anse, Departement du Nippes, and
Departement du Sud-Est). In FY 2008, training materials will be developed and 10 trainings conducted for
epidemiologists and other department-level staff in all departments to replicate the process and to support
the use of data for decision-making.
ACTIVITY 3: NASTAD will develop surveillance training materials to support the regular collection,
reporting and synthesis of HIV data. A comprehensive surveillance module including training curricula and
materials will be developed by the in-country NASTAD hire and NASTAD Haiti Team members in close
collaboration with MSPP and with Tulane University (the lead for developing strategic information training
materials).
EMPHASIS AREAS:
HIV Surveillance Systems 100%
TARGETS:
Support a full-time NASTAD hire based in Port-au-Prince to provide daily support to MSPP in surveillance
and epidemiology.
Conduct a study tour to a U.S. Health Department with 4 MSPP department-level epidemiologists.
Provide technical assistance to departmental epidemiologists and other staff in 4 departments to develop an
epidemiologic profile.
Develop training curricula and materials to support epidemiologic profile development.
Conduct 10 trainings to support the replication of epidemiologic profiles and the use of data for decision-
making.
Develop training curricula and materials for a comprehensive surveillance module.
Provide on-site peer-to-peer technical assistance through pairing of U.S. health department epidemiologists
during 3 technical assistance trips.
TARGET POPULATIONS:
Host country government workers
National AIDS control program staff
Other MOH staff
Policy makers
KEY LEGISLATIVE ISSUES:
Not applicable
COVERAGE AREAS: Port-au-Prince (central government), Departement du Sud, Departement de la
Grande Anse, Departement du Nippes, and Departement du Sud-Est
