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: 2008 2009
Summary
Management Sciences for Health (MSH) recently won the TASC III award. This activity will support the
Government of Malawi's (GoM) goal of promoting reproductive health through informed choice and
integration with HIV/AIDS. The program has three main components: behaviour change and
communication; outreach; and health provider capacity building. The overall purpose of this task order is to
promote through informed choice, safer reproductive health practices by men, women and young people,
and increased use of high quality, accessible Family Planning/Reproductive Health (FP/RH) and HIV/AIDS
services.
Background
Integration of HIV and FP has proven to be an effective approach to stimulate new activities and meet
active demand for HIV Counseling and Testing (HCT) by overcoming constraints to accessing services. The
overall purpose of this task order is to promote integration of family planning and HIV/AIDS through
increased use of high quality, accessible FP/RH services, and HIV/AIDS services. The activities to be
implemented in FY 2008 are part of an initiative to be undertaken starting in October 2007 through TASC-III
in eight districts with Child Survival and Health Population funds (POP) and 2007 Emergency Plan (EP)
funding. In achieving the purpose, the program will undertake various activities in three programmatic areas
of other prevention, HCT, and systems strengthening to accomplish the following results: increased
community knowledge and interest in FP and HIV/AIDS services; improved social norms for
SRH/FP/HIV/AIDS; increased access and utilization of FP/HIV/AIDS services in communities; increased
integration of HIV issues into FP services and vice versa; improved linkages between point of service and
the community and household levels; and a strengthened enabling social environment for FP/RH and
HIV/AIDS services and behaviors. Achievement of these results shall be carried out principally through
partnerships with the district health offices in Malawi.
Cross cutting among health issues is the high fertility rate, which undermines the poverty reduction efforts,
contributes to high maternal and infant mortality levels, and exacerbates the AIDS-related orphan problem.
Considerable progress has been made over the last decade in reducing total fertility from 6.7 in 1992 to 6.0
in 2005. At the same time the contraceptive prevalence rate (CPR) for modern methods has raised from
7% in 1992 to 28% in 2004. FY 2008 HIV/AIDS funds will wrap around larger programs in Family
Planning/Reproductive Health which are funded with POP Child Survival and Health funds.
Activity 1: Dual Protection
TASC-III will integrate HIV/AIDS, family planning and sexually transmitted infections (STI's) prevention
through promotion of dual protection, encompassing condom promotion and other behavioral change efforts
to reduce pregnancy and STI/HIV risk. Integration of family planning counseling and services (or referral for
services) into HCT centers for women and men who wish to avoid future childbearing will include programs
focused on mother to child transmission.
Activity 2: Gender
TASC-III will incorporate a gender approach into family planning and HIV/AIDS services by training
providers to address gender-related barriers/issues, including identifying signs of gender-based violence
that should be addressed as part of family planning and HIV/AIDS counseling. Steps will be taken to ensure
that protocols address legal and support services in the community to mitigate impact (e.g. partner testing
and notification to support disclosure).
Activity 3: Behavior Change Communication
Behavior change communication (BCC) will be incorporated into TASC III activities and shall portray
adequately family planning and HIV testing and treatment as mainstream health interventions. BCC
messages should include those targeted at men as clients, allies/supportive partners, and agency of change
toward more positive norms.
Government of Malawi's goal of promoting reproductive health through informed choice and integration with
HIV/AIDS. The program has three main components: behavior change and communication, outreach, and
health provider capacity building. The overall purpose of this task order is to promote through informed
choice, safer reproductive health practices by men, women, and young people, including increased use of
high quality, accessible family Planning/Reproductive health (FP/RH) and HIV/AIDS services.
Integration of HIV/AIDS and FP has proven to be an effective approach to stimulate new demand as well as
meet active demand for HIV counseling and testing (HCT) by overcoming constraints to accessing services.
The overall purpose of this task order is to promote integration of family planning and HIV/AIDS through
increased use of high quality, accessible FP/RH and HIV/AIDS services. The activities to be implemented in
FY 2008 are part of an initiative to be undertaken starting in October 2007 through TASC III in eight districts
with USAID Child Survival Health Population funds (POP) and 2007 Emergency Plan (EP) funding. The
program will implement various activities in three program areas: Condoms and Other Prevention,
Counseling and Testing, and Other Policy and Systems Strengthening, to accomplish the following results:
•Community knowledge and interest in FP and HIV/AIDS services increased
•Social norms for SRH/FP/HIV/AIDS improved
•Access and utilization of FP/HIV/AIDS services in communities increased
•Increased integration of HIV issues into FP services and vice versa
•Linkages between point of service and the community and household levels improved
•An enabling social environment for FP/RH and HIV/AIDS services and behaviors strengthened.
Achievement of these results shall be carried out principally through partnerships with the district health
offices in Malawi.
Expansion of HCT is a critical step towards achieving Malawi's ambitious universal access targets of having
at least 250,000 patients with advanced HIV disease alive and on ART by 2010. Malawi's Universal Access
target for HCT is to attain a testing rate of 993,000 people per year by 2010. Although the country has
recorded a large increase of testing sites from 39 in 2001 to 351 in 2006, and a correspondingly sharp
increase in number of people tested annually from about 52,000 to 661,400; knowledge of HIV sero-status
among adults over 15 years is only 15%. The expansion of HCT services in Malawi still faces many
challenges including inadequate human resource capacity for program coordination at a national level,
shortage of trained counselors, and weak coordination of testing activities in medical settings. Other
challenges include low testing rate for couples and children.
Activity 1: Community Based Counseling and Testing
TASC III will initiate community-based family planning and CT services in eight districts and scale up
operations by expanding coverage, access, and consistent use of FP/RH and HIV services. The focus of
the expansion should be in rural and underserved areas and among high risk populations defined by high
unmet demand for services or marginalized groups. Consideration will be given to cost effectiveness and
potential health impact in identifying areas and population for expansion. TASC III will focus on consistent
family planning use and look for windows of opportunity to leverage increased access to HIV/AIDS services,
particularly in HIV counseling and testing and positive living as well as addressing gender related reasons
for lack of access such as women's limited financial resources and lack of partner support for contraceptive
use.
Activity 2: Post Test Clubs
TASC III will support post test clubs that are designed to decrease stigma and discrimination experienced
by PLWHA. Innovative approaches to expand use of HIV and other RH services available to women
through community-based distributors (CBDs) thereby increasing women's access to services in rural areas
shall be strengthened. CBDAs will include HIV/AIDS prevention messages, support testing, treatment
seeking, and adherence behaviors.
Government of Malawi (GoM) goal of promoting reproductive health through informed choice and
communication, outreach, and health provider capacity building. It is a wrap-around activity which will
promote linkages between HIV/AIDS and Reproductive Health (RH).
Integration of HIV and Family Planning (FP) has proven to be an effective approach to stimulate new, and
meet active, demand for HIV Testing and Counseling (HCT) by overcoming constraints to accessing
services. The overall purpose of this task order is to promote integration of family planning and HIV/AIDS
through increased use of high quality, accessible Family Planning/Reproductive health (FP/RH) and
HIV/AIDS services.
The activities to be implemented in FY 2008 are part of an initiative to be undertaken starting in October
2007 through TASC-III in eight districts with POP (CSH population funds) and 2007 Emergency Plan (EP)
funding. In achieving the purpose, the program shall undertake various activities in three programmatic
areas of other prevention, counseling and testing and systems strengthening to accomplish the following
results: Increased community knowledge and interest in FP and HIV/AIDS services; improved social norms
for SRH/FP/HIV/AIDS; increased access and utilization of FP/HIV/AIDS services in communities; increased
the community and household levels; and strengthened social environment for FP/RH and HIV/AIDS
services and behaviors. Achievement of these results shall be carried out principally through partnerships
with the district health offices in Malawi.
Activity 1: District Health Management Team (DHMT) Support
TASC-III will strengthen District and Community Provision and management of FP/RH and HIV and AIDS
services by supporting the district health management team (DHMT) so that they provide their mandated
supervisory and support functions to the health centers. By directing efforts towards the district level, the
program can create sustainable supervision and management capacity.
The TASC-III order activities will also focus on strengthening the capacity of the DHMT members to support
community based providers, as well as DHMT's capacity in performance monitoring and improvement as
related to HIV.
