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.
Updated April 2009 Reprogramming. Funding moved to EGPAF/Umbrella from TBD/Men as Partners.
1. ACTIVITY DESCRIPTION AND EMPHASIS AREAS
One of the key result areas for the PMTCT program is demand and utilization for PMTCT services, stigma
reduction and psychosocial support increased through community-level and mass media communications,
and greater involvement of mothers living with HIV and AIDS through Mentor Mothers, Prevention with
Positives (PwP) and male involvement through Men as Partners (MAP) model inculcating gender
dimensions.
There is need to build mechanisms at both facility level as well as community level that will ensure
adherence to the PMTCT messages and interventions to both the mothers and their HIV exposed infants.
These key interventions include primary prevention where in PMTCT settings focuses on skills as well as
information for mothers to practice safer sex which can be a challenge especially in the marriage setting.
Low levels of disclosure by mothers on their HIV status following HIV counseling and testing results in many
of this couples who may be in discordant relation ships to practice unsafe sex. This can be greatly
addressed if male partner participation and support is put in place. In many settings, married women often
have to refer to their male partners before making decisions e.g infant feeding as these have both economic
and social dimensions. Adherence to ARV prophylaxis and CTX prophylaxis will be greatly enhanced if the
woman has the support from the male partner. The CDC-TBD will work within the national MoH framework
(NASCOP and DRH) as well as PEPFAR technical agencies to develop a national strategy for the
implementation and roll out of the "men as Partners" initiative. This will involve advocacy with national
stakeholders, development of national instructional materials and other packages as well as monitoring and
evaluation. During 2009 COP, CDC-TBD will focus on developing the national framework, defining the
model, developing of training materials, national roll plan and will implement in selected facilities in Nyanza
province. In developing the technical strategy, CDC-TBD will clearly outline the activities for increasing male
participation and support for all the four PMTCT strategic approaches namely Primary Prevention, Access
to Family planning services, HIV testing and counseling for pregnant women and use of ARVs including
safer obstetric practices ( skilled delivery assistance) and finally HIV prevention and care to other family
members that includes partner testing, testing of infant and older children and linkage to ongoing care and
treatment. This initiative must also identify mechanisms for strengthening and increasing male partner
testing within PMTCT settings and establishment of support groups that include psychosocial support to the
men in particular and to the family unit. This activity will be implemented in collaboration with the other
PEPFAR funded activities in the country and Nyanza region. The program will target to train at least 60
health care workers including "men champions" on this strategy. Program emphasis areas are increasing
gender equity in HIV/AIDS by improving access to HIV testing for men as well as strengthening couple
counseling and testing. Activity also addresses male norms and behaviors through increasing male partner
support and involvement in PMTCT activity at both the facility level and community (as the men will support
the women to increase adherence to PMTCT interventions). Fear of disclosure of HIV status by the
pregnant mothers to their partners is a common reason for poor adherence to PMTCT interventions. This is
often attributed to male partner violence. Increasing male partner support and participation will greatly
contribute to reducing this violence at family level thereby contributing to increased uptake as well as
adherence to interventions.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will contribute to establishment of psychosocial networks and support, as well as increasing
male participation in PMTCT programs. It will also contribute to increasing the number of men who access
HIV testing and counseling services and linkage to ongoing HIV care services in line with PEPFAR goals.
3. LINKS TO OTHER ACTIVIES
This activity relates to the NASCOP PMTCT Program KEMRI PMTCT program, APHIA Nyanza II PMTCT;
IMC PMTCT; CARE PMTCT and NARESA PMTCT. The activity is linked to NASCOP in terms of
developing the national framework, training materials and other national level activities that will support the
country implementation plan. The activity links with the other PEPFAR PMTCT funded activities in Nyanza
as it will contribute to establishing the mechanisms for increasing male participation and support for PMTCT
activities.
4. POPULATIONS BEING TARGETED
The target population is adults, Discordant couples, people living with HIV/AIDS, and families affected by
HIV. This activity will increase access for couple HIV testing and counseling within PMTCT sites. It will also
increase access for HIV testing for male partners, thereby increasing prevention among couples who may
be discordant. Male partner support will also increase support to families to address the psychosocial
dimensions that may occur. Finally male partner support will result in increased adherence to PMTCT
interventions by the HIV +ve mother and her family.
5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key attributions in human capacity development through the training of health care
service providers peer counselors on PMTCT and other HIV prevention and care topics with a focus on
strengthening male partner involvement and support in PMTCT services.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Reducing violence and coercion
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $50,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
Updated April 2009 Reprogramming. New Umbrella was awarded to Catholic Relief Services and Elizabeth
Glaser Pediatric AIDS Foundation (EGPAF). Funding has therefore been split between the two partners.
Table 3.3.08:
$657,000 moved from CRS Umbrella to EGPAF Umbrella. EGPAF will continue to support treatment
activities for Community of St. Egidio in Eastern Province previously funded under CHF Umbrella. This
funding will also be used to identify and fund indegenious organizations in Nyanza Province and other
districts as agreed by the country team.
Table 3.3.09:
Table 3.3.10:
Table 3.3.11:
Table 3.3.12:
Updated April 2009 Reprogramming. Partnership Framework: Support to MoH labs
Table 3.3.16:
