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
PRATIBHA is an ongoing project to strengthen capacity of NACO and affiliated Indian organizations in lab management, with a focus on supporting lab accreditation, increased adoption of innovative technologies, and lab-related policy development and strategic planning. In FY12, CDC will continue and expand these lab capacity development activities. In addition, CDC proposes to leverage Project Concern International (PCI) expertise in additional areas, including community-based interventions to increase access to HIV services, particularly among women. The project will be implemented in districts where PCI has been supporting GOI agencies to integrate HIV with MCH services using existing community based platforms such as womens groups and NGO networks. PRATIBHA supports PEPFAR/Indias Strategy goals 1 (improved access to quality services), and 4 (health systems strengthening).
Geographic focus for lab strengthening is both national and regional, covering all 13 National and 118 State Reference Labs (NRL, SRL), and targeting technical and managerial staff from NRLs, SRLs, NACO and SACS. Gender initiatives will focus in Maharashtra state and target grassroots level healthcare workers, community members and pregnant women.
PRATIBHA leverages GOI infrastructure at national, state and district level, where PRATIBHA staff provide the TA for GOI-funded activities (e.g. serving as faculty for GOI-organized trainings). Staff placed regionally maximize mentoring and TA time to improve outcomes. During the project life, these activities will all be transitioned to the national health programs.
The projects results framework and M&E plan guide project M&E; computer based reporting formats and regular qualitative feedback from trainees and lab feed continuous improvement.
Based on the outcome of nationwide HIV laboratory assessments, and subsequent prioritization discussions with NACO, PRATIBHA will continue to focus on providing TA to the laboratory services commissioned under phase 3 of the National AIDS Control Program (NACP-III) by building on previous accomplishments and lessons learned. The project is expected to extend its support to additional HIV-related services including viral load and incidence testing, EID, and testing of Sexually Transmitted Infections (STIs) and reproductive tract infections (RTIs).
1. Regional and State level Technical Training: PRATIBHA will hold trainings for NRLs, SRLs, NACO and SACS officials. In addition, the PRATIBHA team will participate as faculty in trainings organized by NACO, SACS and other institutes to train healthcare workers and Technical Officers in lab-related activities.
2. TA to laboratory services commissioned under NACP-III: To strengthen quality assurance in laboratory services, PRATIBHA will conduct onsite visits and trainings. In addition, PRATIBHA will train program managers, laboratory-in-charges (Lab Directors) and medical officers through learning visits and TOTs.
3. Re-assessment of non-accredited labs: PRATIBHA together with NACO will conduct reassessment exercises for select labs to monitor progress towards accreditation.
4. Mentoring towards accreditation: In FY12, PRATIBHA will continue to provide mentoring, monitoring and TA to the NRLs and SRLs to undergo and maintain the accreditation with the National Accreditation Board for Testing and Calibration Laboratories (NABL). PRATIBHA will place technical specialists in different regions of the country that will conduct site visits and provide support and training to the NRL and SRL staff in implementation of and adherence to good laboratory practices and quality management systems. To support these activities, PRATIBHA will continue to facilitate development of SOPs, distribute job aids, and ensure access to centralized or SRL-based e-resource libraries for quality improvement tools and materials.
5. Resources for Quality Improvement: PRATIBHA will initiate activities to set up an e-resource (portal cum digital library) center to facilitate laboratory quality improvement interventions. In FY 12, the project will also establish 10 laboratory quality assurance resource centers within the SRLs to facilitate continuous training and e-certification courses.
6. Strategic Planning: PRATIBHA will provide TA to NACO to support policy development and strategic planning related to lab services by participating in the Technical Resource Group (TRG) meetings and consultations related to NACP.
7. Building capacity in NACO: In FY12, PRATIBHA will continue to provide TA to NACO on strengthening the laboratory services component of NACP. The project will place consultants within NACO laboratory services division to provide technical and administrative assistance on laboratory quality assurance processes. PRATIBHA will also support NACO laboratory staff to participate in national and international study tours, meetings, conferences, and short-term trainings.
Studies conducted in India consistently report that women are less knowledgeable about HIV and less likely to be HIV tested compared to men. In a new activity in FY12, PRATIBHA will provide TA to NACO to address gender related disparities within HIV programs through a demonstration project designed to improve access to HIV information and services by women of reproductive age. Specifically, the project through grassroots level interventions will address broader gender issues, cultural and societal norms that influence behaviors and outcomes of both males and females related to uptake of HIV services.
The project will address both demand and supply side issues. At the supply side (health systems), the project will implement training and sensitization programs for healthcare workers to equip them to decrease health system barriers to HIV service utilization by women. For example, Auxiliary Nurse Midwives (ANMs) will be trained to provide counseling about HIV testing for pregnant women. For cost effectiveness and sustainability, the project will complement and coordinate with activities being rolled out by NACO to integrate HIV with MCH and the National Rural Health Mission. Continued, detailed consultations with NACO and other ministries will further identify specific areas for synergy.
At the demand side (grassroots), PRATIBHA will address societal norms that shape community uptake of HIV testing. Specifically the project will address the norms that restrict womens access to HIV prevention, care and support services, including gender-based violence, which women often face with regard to HIV related issues. The project will collaborate with local NGOs to initiate grassroots level activities (community mobilization, dialogue among community members) to empower womens free and equitable access to quality HIV services.
The project will be implemented at Pune, Maharashtra, where the implementer (Project Concern International) has been supporting NACO to integrate HIV and MCH services through training ANMs in HIV rapid testing, and already has community based platforms such as womens groups and NGO network. PCIs community platforms and existing linkages with government and health infrastructure in Pune will support rapid roll-out of activities.
The full scope and scale of the activities will be defined following national level consultations with gender experts and the agencies implementing gender related HIV programming. PRATIBHAs final design will build on the lessons learned from ongoing work in other states, adapting resources and tools that have already been tested and implemented in other gender related projects. The project may be rolled out in an additional site, based on recommendations from the consultation workshops.
Implementing Mechanism Indicator InformationRedacted
