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: 2011 2012 2013 2014
NASTAD has worked with the Haitian Ministry of Health (MSPP) to design and implement a case-based HIV/AIDS surveillance system which permits an un-duplicated count of Haitians infected with HIV, showing the true impact of the disease, allowing for targeted services, as well as related HIV surveillance studies, such as an Antenatal Clinic (ANC) Sero Surveillance Study, and an evaluation of PMTCT data for use a surveillance measure in the place of ANC data. NASTAD has positioned itself as a technical assistance (TA) provider and activity facilitator with the MSPP, with the long-term intent of full project management by the MSPP. NASTADs goal in these COP years is to transition guidance over and implementation of surveillance studies and initiatives to the MSPP; objectives are to implement a national HIV/AIDS surveillance strategic plan including special studies, generating data to support a second generation surveillance system, and supporting use of the generated data for public health improvement. NASTADs work supports all regions of Haiti, and all working in the field of HIV testing, treatment, and care. NASTAD works with MSPP staff at the National and Departmental levels, providing one-to-one and group-based TA in the concepts and application of surveillance an epidemiology, supportive supervision in surveillance program planning and staff leadership and management, and training in areas such as system use, data use, and data quality management. NASTAD also works directly with HIV testing and treatments sites for support in system use and data quality management, in partnership with Department MSPP staff if at all possible. NASTAD will lease one vehicle to support field-level supportive supervision of MSPP staff, and quality management initiatives with surveillance.
IN FY12 NASTAD proposes to : (i) expand the MESI/HASS platform to allow for case-based TB surveillance and hence contribute to the creation of a comprehensive second generation surveillance system, (ii) and along with the MSPP and the representative HIV Surveillance Working Group, will delineate specific surveillance study needs, and collaborate in the creation of Haiti-specific methodology, the study implementation, the data evaluation, and the timely publication of findings. Therefore NASTAD can and will provide assistance and oversight for the following surveillance studies:Implementation of case-based TB surveillance : NASTAD will: (I) Emphasize TB surveillance in HASS, in addition to HIV surveillance, in order to create a comprehensive second generation surveillance system. (II) Partner with and mentor the MSPP for the assessment, planning, re-design/expansion and implementation of the TB and TB/HIV surveillance system to ensure that it is a national system that can be transitioned to and managed by the MSPP (II) Assess and adapt the existing TB information systems and HASS to integrate variables on co-infection and to generate surveillance and case notification of TB/HIV co-infection (III) Define, design, and pilot a system for TB and TB/HIV case reporting, case matching, and public health surveillance feedback to the reporting site (iv) Support the development of an interface to allow case-based information to be shared between the TB and the HIV units on treatment progress and outcomes of co-infected individuals (v) Support a national database system on TB and HIV co-infection (vi) Mentor the MSPPs National TB Unit and the DELR in surveillance, epidemiology, HASS use, trend analysis, and evidence-based prevention, treatment, and care planning (vii Work with the MSPP to generate TB and TB/HIV surveillance reports that depict incidence, prevalence, co-infection, risk factors, geographic hotspots, treatment success, and over time, trends in infection, treatment, and prevention.- Implementation of Cohort study: In 2008, NASTAD and the MSPP published an HIV/AIDS epidemiologic profile for the Grand Sud region of Haiti; a follow-up point in time analysis was done in 2009 for Haiti. In both cases, a subset of data from people enrolled in HIV treatment and care programs was analyzed to evaluate the impact of the HIV systems in place. NASTAD and the MSPP will formalize a protocol to implement a long-term cohort study in FY11 (a retrospective and prospective evaluation of HIV treatment and care indicators and HIV progression), and will implement the study in FY12.Support to Data Triangulation: NASTAD will continue to reinforce Haitis public health staff to use surveillance data to demonstrate the impact of HIV/AIDS on their region, the impact of treatment and care programs, and to identify areas of need for program, funding, or policy change. NASTAD will support data triangulation of existing and available HIV/AIDS-related data sets (case surveillance (ongoing), ANC sero-surveillance (historic, and 2011/12), bio-behavioral surveillance among MARPs (2011/12), DHS (2005, 2012)) and UNAIDS estimates to refine Haitis HIV prevalence estimate, population size estimates (people with HIV/AIDS, MARPs), ART needs, and epidemiologic summary. NASTAD looks to support the MSPP in the creation of a national HIV/AIDS epidemiologic profile.
