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: 2010 2011 2012 2013 2014 2015
Banja La Mtsogolo (BLM) is a national family planning (FP) and sexual and reproductive health organization with static clinics in 22 of 28 districts in all three regions of the country. Under the Partnership Framework (PF) negotiated between PEPFAR and the Government of Malawi (GOM), BLM will target uncircumcised boys and HIV negative men between the ages of 10 and 29. National guidelines on informed and parental consent will apply and be strictly adhered to. This program will also provide referrals to organizations that support people living with HIV and AIDS (PWHIVs) and include strategies to increase access to FP services, financed by non-PEPFAR resources, among these and other underserved groups.
In the first two financial years, the comprehensive goals of this program are:
o Increase access to safe, voluntary male circumcision in Malawi o Increased engagement of men in pursuing sexual and reproductive health for themselves and their partners, with an emphasis on HIV prevention o Increase the access of men and their female partners to comprehensive SRH services including family planning with particular emphasis on increasing access among disadvantaged groups, including people living with HIV and AIDS.
The objectives of this one and a half-year period (April 2010-September 2011) include: o In-service training of 60 private providers operating under the BlueStar social franchise and 40 providers at Ministry of Health (MOH) and NGO facilities to provide a minimum package of male circumcision services o Provision of 52,500 voluntary male circumcisions in Malawi o Integration of male circumcision service provision into ANC, PMTCT, and neonatal care programs in collaboration with MOH
This program specifically addresses PF Goal I, the reduction of new HIV cases, by providing male circumcision services for the prevention of HIV. This program will address Goal I over the life of the award (four years). Furthermore, technical information generated during the implementation of this program and previous experience of MC service delivery in Malawi will aid the MOH in the development of a national MC policy, planned under key policy reforms.
In addition to Goal I, this program will assist Goal IV of the PF by providing training to MOH clinicians. In the first 18 months of implementation this program expects to provide in-service training in a minimum package of MC services to 100 clinicians nationally, including at least 40 working in MOH and other NGO facilities (e.g. Christian Health Association of Malawi (CHAM)). This training activity will include infection prevention, STI screening and treatment, minor surgical and suture techniques, client counseling (including HIV prevention methods such as condom use and partner reduction), and post-operative review. In addition, this program expects to make strategic facilities improvements (e.g. autoclaves, instrument sets) that will strengthen the capacity of clinics beyond MC service provision.
This program expects to achieve national coverage of MC services. Costs per procedure will be highest in the first 18 months as many costs (such as training and capital investments) largely appear in the first years and service delivery sites will begin offering services only after they have been trained and outfitted and therefore will not be providing services for the entire year. Cost per procedure will thus dramatically decrease as the program enters its subsequent years of activity, eventually dropping to under $25 per safe male circumcision over the four and a half years of funding. The cross cutting program to which this program is related is human resources strengthening and the
wrap around issue is family planning.
Both public and private providers will be integral to the implementation of this program. Providers will be trained in line with World Health organization (WHO) minimum package guidelines for MC using in- service training methods. Vouchers combined with onward referrals for MC services will be available from mobile and static HIV testing and counseling (HTC) sites thus ensuring that adult clients have been recently tested in the event that the MC service provider doesn't offer HTC. Vouchers will be sold at a subsidized rate in urban areas ensuring partial cost recovery and distributed for free in geographic areas where service uptake is depressed by poverty. BLM's experience implementing MC programs for HIV prevention in Malawi, and experience gained from similar programs across the MSI Global Partnership, will allow it to feed into policy dialogue and support the creation of the GOM MC policy.
Monitoring and evaluation will take place throughout the implementation period. Through the voucher reimbursments system, BLM will closely track the number of services delivered to clients through private, public and NGO providers. To prevent fraud, regular auditing and spot checking of providers will be undertaken to assure that all client numbers are genuine.
Partnership Framework Year 1 Budget - $611,965 Partnership Framework Year 2 Budget - $1,200,000
