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.
LEPRA Society Health in Action is a health and development organization working to restore health, hope and dignity to people affected by leprosy, TB, Malaria, HIV and AIDS, blindness and other health conditions exacerbated by stigma and discrimination. LEPRA works in 4 states covering a population of 12 million. LEPRA started Jyoti Project, (implementing mechanism name) supported by USG in Andra Pradesh (AP) in 2005, with a goal to establish a community-led approach for prevention of HIV and providing care and support to people living with HIV/AIDS (PLHIV). The geographic coverage of Jyoti Project is 23 districts of AP and one district in Orissa. The following are the major activities of the project in the year 2009-10.
Key ongoing Activities:
Providing technical assistance (TA) in mainstreaming HIV prevention in AP: This intervention empowers women by increasing knowledge and awareness, teaching negotiation skills to counter their vulnerability to STIs and HIV and trains them as peer educators and thereby increasing gender equity in HIV/AIDS programs. LEPRA and APSACS, provide TA to mainstream the HIV prevention activities into the Department of Rural Development's Indira Kranthi Padham (IKP) program to spread interventions to all female self help groups (SHGs_ in 23 districts throughout AP.
Positive Prevention Tool Kit (PPTK) training program: USG and India CLEN developed a tool kit to address the counseling needs of PLHIV beyond pre and post test counseling,. LEPRA with the support of Andhra Pradesh State AIDS Control Society (APSACS) and USG initiated PPTK by training the master trainers, peer counselors of positive network and counselors of integrated counseling and testing centers (ICTCs) using PPTK. In FY09 the project provided supportive supervision, conducted refresher trainings and facilitated advocacy and dissemination meetings for the scale up of the intervention.
Primary Health Centre Enhancement Project (PHCEP): LEPRA, through sub grantee Catholic Health Association of India (CHAI) and APSACS will continue to support nurse practitioners (NP) who provide comprehensive HIV/AIDS services in 10 districts and 266 ICTCs catering to 13 million. The services include counseling & testing (CT) for HIV, PMTCT, and community outreach in the villages. The project concentrates on improving the quality of services provided through refresher trainings, monitoring, and supportive supervision in the FY09. The NP at the PHC-ICTC is a unique model and first of its kind in India. In FY09 the project with APSACS and other stakeholders will be transitioning to the National Rural Health Mission, which would also strengthen the existing health care systems in providing comprehensive HIV/AIDS services in the rural and remote areas in AP.
Mobile CT services in east Godavari district, AP: East Godavari is one of the high HIV prevalent districts of AP. There are fixed ICTCs located in mostly limited to the urban and peri urban areas. This gap is bridged by MCT intervention. LEPRA will continue to provide TA to APSACS in functioning of MCTs, develop and operationalize standard operating procedures, document implementation and disseminate lessons learned and finally hand over the MCT to APSACS as this is the final year of the project.
TA to National AIDS Control Organization (NACO) for quality assurance testing: LEPRA, through its sub-grantee India CLEN, will continue to provide TA to NACO to set up national and state level quality assurance services (EQAS) laboratories.
Indian nurse specialist in HIV and AIDS and ART (INSHAA): LEPRA through its sub grantee CHAI in collaboration with USG, NACO, APSACS, Indian Nursing Council and I-TECH would be rolling out INSHAA a four week specialized training program for nurses working in ART and CCCs. The pilot will include participants from AP, Tamil Nadu, Karnataka, Maharashtra and Gujarat after which the curriculum would be finalized and more than 100 nurses will be trained from AP and other states in India.
Project Achievements and Innovations:
Mainstreaming HIV prevention with Department of Rural development in AP: LEPRA organized one state level training of trainers (TOT), three regional level TOTs and trained the 310 master trainers of IKP-SERP. The district level TOTs in turn trained 374 health activists. LEPRA organized 286 IKP staff on monitoring the HIV prevention mainstreaming activity. The trainings conducted by health activists at village levels have been monitored by LEPRA project staff.
Mobile CT services in east Godavari district, AP: Lepra provides TA to the district Collectorate of Hyderabad and APSACS in rolling out government MVCT services throughout AP. Lepra was also approached by APSACS to provide standard operating procedures for running MVCTs in AP.
Positive Prevention Tool Kit training (PPTK): The complex physical, psychological and social vulnerabilities associated with being a person who is HIV positive necessitate the integration of follow-up counseling and positive prevention strategies into the existing counseling infrastructure. USG developed a positive prevention follow-up counseling toolkit was for the first time successfully introduced in AP. The PPTK has been translated into local (Telugu) language and state level TOT was conducted and identified master trainers from various NGOs. The peer counselors of the positives network have been trained on PPTK in four batches and 95 peer counselors were trained so far working in various HIV related counseling centers.
Primary Health Centre Enhancement Project (PHCEP): For the first time in India through the PHCEP project comprehensive HIV/AIDS services were provided in the rural and remote areas. This project is one of the model projects for task shifting where traditionally nurses provide clinical and community health services were trained in counseling and testing and in providing comprehensive services in the primary health centers. With these innovations and successful results National AIDS Control Organization (NACO) is planning to scale up in other states in India.
Indian Nurse Specialist in HIV/AIDS and ART training program: This specialized training program for nurses working in ART and community care centers (CCCs) is first of its kind in India where USG and its partners are working with NACO. The project would be scaled up nationally after the pilot intervention.
