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.
The AIDSTAR-One program is a mechanism under the umbrella of the indefinite quantity contract (IQC) AIDS Support and Technical Assistance Resources (AIDSTAR) managed out of the Office of HIV/AIDS in USAID's Bureau for Global Health. The mechanism is implemented by a consortium of partners led by John Snow Inc. that includes BroadReach Healthcare (BRHC), EnCompass LLC, GMMB Inc., International Center for Research on Women (ICRW), MAP International (MAP), mothers2mothers (m2m), Social & Scientific Systems, Inc. (SSS), the University of Alabama at Birmingham (UAB), The White Ribbon Alliance for Safe Motherhood (WRA), and World Education, Inc. (WEI).
The primary focus of AIDSTAR-One is to provide technical assistance (TA) services to the Office of HIV/AIDS and PEPFAR country teams in knowledge management, technical leadership, program sustainability, strategic planning and program implementation support across the range of HIV/AIDS technical areas. The four major components of AIDSTAR-One are:
1. Knowledge Management: to create, synthesize, manage and disseminate a knowledge base of tested approaches and good and promising practices in HIV program implementation in support of PEPFAR goals.
2. HIV Prevention, Care and Treatment: to advance and support state-of-the-art program strategies to prevent HIV transmission, and provide care and treatment services to those infected and affected by HIV.
3. Policy, Systems Strengthening and Sustainability: to provide TA to strengthen systems, support policies and develop guidelines to promote sustainable HIV prevention, care and treatment programs at the country level, including modes of service delivery that are cost effective and sustainable.
4. Field Support-funded program implementation ( primarily for non-focus countries): to support USG country teams by implementing programs that help meet country-level targets and contribute to broader goals of PEPFAR.
Specific strategies and approaches that are implemented by the AIDSTAR-One team include:
Targeted surveying of HIV experts and implementers;
Innovative uses of new and existing technologies to disseminate information; and
Fostering collaborative technical leadership and knowledge management.
The program also facilitates the categorization of practices and programs by variables such as geographic region/country, epidemic stage, target population, service delivery type, as well as identifying it as a good, promising practice.
Additionally, the AIDSTAR-One Good and Promising Programmatic Practices database offers planners and managers access to information to design and implement effective programs, building on the experience of others. Technical briefs and case studies in key areas synthesize the program experience to date, with a focus on essential components of prevention programs that build toward effectiveness and scalability. Through the provision of short- and long-term TA, AIDSTAR-One enables USG-funded HIV/AIDS prevention programs and activities to work with their partners at the country level to develop their own evidence-driven strategies and implementation plans.
AIDSTAR-One also serves as a leading resource in HIV treatment for USAID and other USG agencies and partners. It provides a platform for global technical leadership and knowledge management in mental health, care and support integration, and evaluation of program efforts to integrate nutrition support into faith-based programs. Additionally, it supports plans to strengthen the programmatic content, quality and sustainability of service delivery in existing HIV treatment programs.
Other areas for TA include long- or short-term TA for:
Program implementation support in specialized HIV/AIDS technical areas;
In-country support for coordination and scale-up for HIV/AIDS activities in support of USG country strategies;
Documenting and disseminating successful innovative approaches and sustainable models, evidence-based best practices, and lessons learned; and
New approaches, tools and methodologies in HIV/AIDS programming.
SUMMARY
AIDSTAR-One with its mandate to provide short or long-term Technical Assistance (TA) in knowledge management, technical leadership, program sustainability, strategic planning and program implementation support across the range of HIV/AIDS technical areas will serve as a mechanism to strengthen the overall USG response to HIV/AIDS in India.
The third phase of the $2.5 billion National AIDS Control Plan III (NACP III; 2006-2011) is implemented by the National AIDS Control Organization (NACO). NACP III outlines an ambitious time-line to deliver large-scale outcomes, e.g., prevention interventions at over 2,000 sites for most at risk populations (MARPs) across 31 states; free antiretroviral (ARV) treatment through more than 200 centers; and counseling and testing(CT) services at more than 4,500 sites across India. The newly established District AIDS Control Units (DAPCUs) aim at decentralizing HIV/AIDS management and control to the district level. The USG team contributed to the design and implementation plan of NACP, III and is actively involved in its roll out. The USG participates in several national technical working groups (TWG) on prevention, care and treatment, laboratory strengthening, behavior change communication (BCC) and orphans and vulnerable children (OVC). The USG provides TA to strengthen health systems in India through a spectrum of activities that intersect virtually all technical areas. As NACP III is scaled up rapidly with high intensity of activities for implementation, there is a commensurate need for TA for scale-up, project management, quality of interventions and monitoring and evaluation. In addition, the initiation of operations at the district level and focus on decentralization has increased the need for targeted TA to assist NACO and SACS in building district level programs.
The primary audience for outcomes provided through this mechanism will be USAID in addition to other stakeholders such as NACO, the State AIDS Control Societies (SACS) of USG priority states and USG partners.
ACTIVITY1: Provide TA to NACO, SACS and USG partners in emerging technical areas.
The scale-up of the NACP III has highlighted the need for targeted TA in key technical areas of strategic information, institutional capacity building, human resources for health and convergence. Under this activity, the project will provide TA to strengthen systems, support policies and develop guidelines to promote sustainable HIV prevention, care and treatment programs at the country level, including modes of service delivery that are cost effective and sustainable. The TA will assist NACO, SACS, DAPCUs and USG partners in specific technical areas including improving quality assurance systems for delivery of HIV/AIDS related programming and services, including prevention. The NACP III has articulated the need for a greater engagement of the private sector in HIV/AIDS programming. The TA will also support the development of guidelines that facilitate private and commercial sector delivery of HIV/AIDS. Additionally, the TA will assist in developing an exit strategy for the USAID supported Technical Support Units (TSUs), which are tasked to build capacity of the various SACS in scaling the national program. This will include development of transition milestones as part of assessing the transfer of skills from the TSUs to the SACS in various program and technical areas such as:
Strategic planning, program management and monitoring and evaluation;
Community-based management of prevention, care and treatment programs;
Human resource management;
Financial management and procurement skills;
Evidence-based micro-planning for working with most-at-risk populations (MARPs);
Development of annual action plans at state level and district action plans in high-burden districts of USG-priority states based on data triangulation and evidence;
Assessment and improvement of quality of prevention and care and treatment programs; and
Monitoring and measurement data quality audits.
The project will also support the capacity building of state-level institutions in USG priority states in the development and utilization of strategic information for program planning, such as triangulation and implementation of behavioral surveillance among MARPs using bio-markers. Other areas will include assistance in strengthening existing HIV treatment programs specifically focusing on assessments of cotrimoxazole supply chain and assessment of program-based care and support monitoring and evaluation activities as well as supporting the expansion of palliative care activities at the facility-based care and support programs.
The mechanism will assist in conducting high quality operations research in areas related to social and behavioral research to fill critical gaps of knowledge and evidence at the national and state level. The topics selected will have implications for interventions and policies such as research to prevent or reduce alcohol use and sexual risk; assessment of private sector innovations in HIV/AID programming; and operational feasibility of convergence between selected functions and functionaries of two health systems of the National Rural Health Mission (NRHM) and NACP III.
ACTIVITY 2: Documentation of Good & Promising Programmatic Practices (G3Ps) of the India USG program
AIDSTAR-One is mandated to identify and categorize practices and programs related to HIV/AIDS prevention, treatment, care and support that include variables such as program content, geographic region/country, epidemic stage, target population, service delivery type, as well as identifying good and promising programmatic practices. In FY10, the project will assist in documentation of select programs supported by USG in India, which will also augment the requirements for their closeout. As part of its documentation, it will consolidate the lessons learned and plan a strategy for its nationwide dissemination. These inputs will also inform the India USAID mission in its preparation for a roadmap for high quality HIV/AID programming in the development of state and regional strategies as part of its strategic redesign. (See IMN and BC narrative under GH-TECH mechanism, also submitted for FY10 COP).
