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
HIV/AIDS is a priority for the US Mission in India, with two Embassy-level committees addressing HIV/AIDS
issues. Under the leadership of the US Ambassador, the Deputy Chief of Mission (DCM) chairs the US
Mission's HIV/AIDS Coordination Committee. The committee promotes collaboration and coordination
among USG programs working in HIV, including USG Consulates, USAID, HHS/CDC, the Office of Defense
Cooperation and other offices of the Department of State. The Ambassador has delegated the leadership of
the President's Emergency Plan for AIDS Relief (PEPFAR) team in India to the DCM, who holds quarterly
meetings with the agency technical heads and the PEPFAR Coordinator to review policy and technical
issues.
The interagency PEPFAR team is comprised of agency technical heads, program managers and key
support staff from USAID, CDC, ODC, and a representative from the Department of State's Political Unit for
DOL. The Coordinator holds weekly DVC meetings for these staff, based in Delhi, Chennai, and Hyderabad,
to discuss programmatic, technical, and management issues. The team has recently set up State Technical
Working Groups, bringing together USG agency representatives to ensure a harmonized program in USG
focus states and unified communication with the State AIDS Control Societies (SACS) and the USG
Consuls General. Two Technical Working Groups (TWGs) on Prevention and on Treatment, Care and
Support, are being established; Scopes of Work, Operating Procedures for core and partner members and
identification of partner members will be finalized shortly. Day-to-day PEPFAR management is provided by
the PEPFAR Coordinator, the Strategic Information (SI) Officer, supported by a Program Management
Assistant.
ACTIVITY
The HHS/CDC AIDS Program is led by a USDH Country Director and a Deputy Director for Operations
based in New Delhi. This office has one FSN medical officer, one locally contracted technical consultant,
the PEPFAR SI officer, two FSN support staff and one driver. In Chennai, Tamil Nadu, two USDH positions
(one medical officer and one behavioral scientist) based at the US Consulate provide technical support to
CDC programs in south India, supported by two FSN technical officers (medical and scientific), one FSN
support staff and one driver. In Hyderabad, Andhra Pradesh (AP), there are two FSN technical officers
(medical and scientific), who are co-located with the AP State AIDS Control Society.
CDC requires staff with administrative and technical experience, often with a medical background and
strong expertise in training, CT, communication and behavior change, care and treatment, SI and laboratory
systems,. CDC provides technical consultants and support to NACO, the SACS, and input in several
technical areas, including ART rollout, CT, PMTCT, lab, care, M&E protocols, national guidelines and
training curricula. In the field, CDC is directly involved in designing and providing technical assistance to
partners to implement integrated prevention, care and treatment programs at the state and district level.
The budget under the Management and Staffing (M&S) category is $1,289,997. CDC non-salary costs for
all staff (including both staff included under M&S and under the technical areas are: head tax $252,948; and
ICASS: $301,070. Head tax costs under M&S are $130,020, and ICASS costs are $139,560.
After finalization of the budget and COP by the USG team in September, CDC/GAP in New Delhi was
asked by Atlanta headquarters to redirect approximately $133,824 of 2008 and 2007 PEPFAR funds to: 1)
fund an Atlanta-based IT initiative ($78,000 annually, requested 9/4/07); and 2) pay $55,824 in head tax for
the Health Attache (requested 9/24/07). The unexpected costs will result in a decrease in program activity
for 2008, due to the extremely tight CDC budget. The USG PEPFAR team will meet early in FY 2008, to
agree on which critical PEPFAR programs and activities will be decreased in 2008 to meet these
unexpected requirements. An appeal has been made to the CDC Atlanta headquarters. The HHS Health
Attache's office does not provide direct support to the PEPFAR program in India.
