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
The AIDS Prevention Communication Program PREVSIDA will provide technical assistance to Haitis political leadership in the implementation of the National Strategic Plan (20082012) for HIV and AIDS. The plan cites risk reduction through behavior change and the promotion and distribution of condoms as integral aspects of HIV prevention. It identifies Commercial Sex Workers (CSW), Men having Sex with Men (MSM), mobile populations and prisoners as key target groups. For FY12, PREVSIDA II will support a MARPs approach that seeks to: 1) understand the patterns and settings of risky sexual behaviors; 2) assess risk and condom use among MARPs; and 3) improve access to condoms, HIV, and other health services for MARPs. PrevSIDA II will play a key role in COP12 by coordinating and orienting VCT and referral services for MARPs in the place and location where they congregated to meet new sexual partners. PrevSIDA II will tailor specific and appropriate BCC messages to reach each MARPs category. This combined approach will help to increase the use of condoms, VCT services, TB screening and other health services for MARPs, while contributing to decrease the numbers of new concurrent sexual partners among MARPs. During FY2012 additional quantitative and qualitative behavioral surveys will be conducted, including prevalence testing with MSMs and CSWs. This information will be used to identify and address gaps in MARP targeted activities. This includes a profile for each MARP community, an estimated size of the group, locations where they congregate, and determinants of behavior and attitudes necessary to reinforce change. The overarching goal is to have a good knowledge of the drivers of the epidemic and use the collected information for startegic decision making.
The PrevSIDA II goal is to tranfer the management of the project to the Ministry of Health so it can feel in its regulatory role by coordinating, implementing and monitoring high-quality and cohesive services to the MARPs population. To that end, PSI and all its subpartners work closely under the Ministry of Health strategic vision in order to plan, implement and monitor all project's activities, including the surveys. PrevSIDA's approach in working with both the National and Department level communications clusters is to strengthen and build the capacity of the MOH to improve its leadership, coordination and supervision role during the implementation of the activities targeting MARPs. PrevSIDA II embedded Haitian professionals to the National AIDS Communication Program to reinfrce their capacity to respond the different technical assistance requests coming from its different partners in country.
During FY2012, PREVSIDA II will continue to embed local Haitian professionals to the National AIDS Communication Program based on the identified needs with an emphazis on three Departmental Directorates: Grande Anse, Nippes, and South East. Logistic and material support will alse be part of the overall assistance to the NACP for FY2012 which will facilitate dissemination of norms, behavior and communication change materials, training curricula and policies nationwide through the departmental offices of the National AIDS Control Program.
In FY2012, PREVSIDA will provide mobile voluntary counseling and testing and TB screening services out of Port-au-Prince including the Grand South of Haiti, and out of Cap Haitian including the Grand North of Haiti. PREVSIDA will continue to use the successful accompagnateur strategy whereby a trained counselor to track persons who tested positive and the project will work closely with other USG and non-USG partners to ensure that positive patients are actively referred to specific HIV and TB care and services providers in their community. PREVSIDA will follow national protocols for TB screening and voluntary counseling and testing services.
During FY2011, USG/PEPFAR partners have integrated HIV/AIDS prevention messages and voluntary counseling and testing services in their family planning and reproductive health services and made VCT serviecs available for couples and pregnant women at the sites level. This strategy will be refined, reinforced and expanded in other health services/programs for greater impact in FY2012. The PLACE survey results demonstrate the needs to provide VCT services and prevention messages in bar, brothels, public beaches, etc. The PrevSIDA VCT team will ensure that mobile VCT services and TB screening services are available in these areas on a regular basis while ensuring that positive people are properly referred for care and support.
In FY 2012, the PREVSIDA MARP team will compare the mapping of the different MARP's category, the geo-referenced data based that identifies condoms retail outlets and the PLACE survey results. The objective of this exercise is to determine whether or not condoms are available in communes and departments with high densities of MARPs and in hotspots where people congregated to meet new sexual partners. This analysis will be done semi-annually as part of the project monitoring process with the goal to share updated information with other USG partners on condoms needs to further inform them on existing condom effort distribution to avoid stochouts.
The PREVSIDA team will continue to support the Departmental Healt Directorates in their forecasting exercise in order to better plan for and manage condoms availability in their departments. These activities will also provide opportunities to seek feedbacks from MARPs about their preferences, condom's need and their overall experience with both generic and non-generic condoms. During FY2012 PrevSIDA will improve the coordination among other USG and non-USG partners to promote active referral and tracking of patients on ART to ensure that they remain adherent to ARV treatment while promoting prevention messages for positive person. In complementary to this approach the PrevSIDA team in FY2012 will supprt and work to facilitate the coordination of TB screening activities as well as TB educational messages among USG implementing partners within the PEPFAR netwroks.
In FY2012 PrevSIDA team's activities will target approximately 37,800 youth (15-24 years old) nationwide; 26,250 CSWs and their clients mainly in major urban areas; construction workers, displaced people living in camps, MSM and PLWHA.
