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: 2012 2013
A small but growing body of literature has identified linkages between water, sanitation, and hygiene and HIV/AIDS: opportunistic infections negatively impact PLWHAs quality of life and can speed the progression to AIDS. Frequency of infection is tied to water and sanitation services available to households and the hygiene practices of household members. Ensuring proper WASH practices benefits the entire HIV infected household by keeping people stronger, better nourished, and able to contribute to the household. The WASH-HIV Integration program in Kenya has two phases: 1) introduction of the program, development of integration materials, and build WASH-HIV integration capacity in Coast, Nyanza, and Western (Dec 2009-July 2011); and 2) train trainers and engage programs working at the community level to incorporate these materials and activities into their work (Aug 2011-July 2012).
Phase 2 focuses on scaling up activities to the remaining five provinces and NGOs as well as supporting the initial three provinces to further activities to include CHWs. Partners are being identified and engaged in these activities. Partners will be offered the WASH-HIV Integration kit to use in their own programs. Indicators within the government monitoring and evaluation system are being reviewed to ensure that WASH-HIV integration activities can be adequately monitored. This activity supports GHI/LLC and is completely funded with pipeline funds in this budget cycle.
FHI 360 is building capacity in support of the governments community health strategy. FHI 360 is also developing and distributing materials on WASH-HIV integration throughout the counties. Using a behavior change approach, FHI 360 has introduced the small doable action concept that community health and home-based care workers will use to negotiate with families on how to improve their individual practices in order to prevent diarrhea among people living with HIV and their families. The three practices to prevent diarrhea include: treating and safely storing drinking water, washing hands with soap, disposing of feces safely in both weak but mobile and bedridden clients, and menstrual management to prevent HIV transmission from an infected woman to a caregiver. FHI 360 is working closely with the GOK to integrate these practices into the national CHW training program as well as assuring that as policies and guidelines are developed and/or revised, they include more focused language on WASH-HIV integration.
The target audiences are people living with HIV, caregivers, and adult heads of households including women who can improve their own practices and transfer their knowledge to all family members. The program has national coverage, with an emphasis on counties where HIV prevalence is highest. The CHWs are the outreach workers targeted to receive training that they can then use to help families improve their WASH practices.
FHI 360 is working closely with the USAID/Kenya programs to extend training so that more CHWs are trained since they work directly with community members. This includes integrating WASH and HIV activities into existing programs, identifying and strengthening the capacity of current partners as well as building strong support at the national (Ministry of Public Health and Sanitation, National AIDS/STD Control Program (NASCOP), and Ministry of Medical Services), provincial, district/county levels.
FHI 360 is monitoring program inputs and outputs and working with the government systems to include questions that will capture WASH-HIV integration. At the end of this funding cycle, FHI 360 will conduct an assessment to measure uptake of improved practices among the target population.
