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.
Implementing Mechanism Narrative
Project SEARCH (Supporting Evaluation and Research to combat HIV/AIDS) is a multiple award indefinite quantity contract (IQC) to support HIV/AIDS research and evaluation worldwide.
Project SEARCH Task Order for orphans and vulnerable children (OVC)-CARE aims to carry out research and evaluation to improve the coverage, quality and effectiveness of HIV/AIDS prevention, care and treatment programs worldwide. It also aims to strengthen local capacity in HIV/AIDS research and public health assessments.
This Task order focuses on improving coverage and quality of OVC programs in developing countries with the aim of filling critical gaps in OVC research and guiding the alignment of OVC programs to complement national level responses.
Rationale
Of the 2.31 million people living with HIV in India, children account for 3.5%. The third phase of the National AIDS Control Plan (NACP III) aims to halt and reverse the epidemic in India from 2007 to 2012. In addition to a focused prevention program, provision of care, support and treatment to a large number of people living with HIV/AIDS including children infected and affected by HIV/AIDS, is well articulated in the plan. In the long term, the goal is to achieve the highest quality of life for HIV-infected and affected children and their families through delivery of a comprehensive package of services. The Policy on Children and HIV/AIDS released by NACO and Ministry of Women and Child Development (MWCD) in 2007 provided a reference to the operational guidelines developed by the National Task Force for Children affected by HIV/AIDS . The Policy lays down a life cycle approach with a goal to provide a sustainable and integrated system of HIV prevention, counseling, testing, care and support to ensure that children who are most vulnerable to HIV infection or who are HIV positive or otherwise affected by HIV/AIDS. It aims to ensure that such children enjoy the same benefits and opportunities as all other children to develop their full potential.
However there is no system to estimate and track the number of OVC either for the country or the states that can inform programming and resource allocation. There is a need for a more scientific and accurate estimation of OVC. The OVC programming area is still evolving in India and there is an urgent need for OVC related research. The final research agenda will be further refined based on discussions between Boston University and PEFAR India teams.
USAID India will access Field Support through this task order. This will be a new a new mechanism and will be the first year of funding for BU.
SUMMARY
USG is planning to access the Field Support Mechanism for the Task Order for the OVC CARE Project which has been awarded to Boston University. USG is planning to use this Task Order to improve coverage and quality of Orphans and Vulnerable Children programs in India. The current lack of research and comprehensive evaluation of the effectiveness and efficiency of various types of OVC interventions in India will be filled to a large extent by this Task Order. The OVC programming area is still evolving in India and there is an urgent need for OVC related research in India. The final research agenda will be further refined based on discussions between BU and PEFAR India teams.
In FY10 quality assurance will be a priority in USG -OVC program planning and implementation. Under the Boston University CHID OVC Care project the following key activities will be carried out to fill critical gaps in the evidence based programming:
ACTIVITY 1: Conduct OVC evidence-based research to guide cost-effective programming of OVC resources.
OVC-CARE will ensure a comprehensive understanding of the needs of affected children and their families and better targeted responses by gathering evidence from the current USG OVC projects. The cost effectiveness of family centers care will be compared with child centered care. This body of evidence will include epidemiological data, such as prevalence and incidence rates of HIV. OVC CARE will also analyze data from DHS and other population- based surveys from sectors relevant to mitigating impacts of HIV/AIDS. Based on the findings of these assessments OVC programming will be redesigned and made more cost effective.
ACTIVITY 2: Identify strategies and approaches that will improve coverage, quality, effectiveness and impact of OVC programs
The assessments conducted by OVC-CARE will identify strategies and approaches that are promising practices achieving positive outcomes in child wellbeing. The project will identify replicable, cost -effective mechanisms that will prioritize family and house-hold centered approaches as well as focus on sustainable responses ensure the health, nutrition, psychosocial wellbeing, education, protection and economic support of orphans and vulnerable children.
