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.
DOD will complete PMTCT training for the MDF using previously approved PEPFAR funding. The Malawi Defense Force (MDF) is the only military force in the country. Under the authority of the Army Commander, the MDF is composed primarily of army units, but has a marine unit and an air wing. Currently smaller than the authorized strength of 10,000, the MDF is a highly professional and apolitical force and customarily earns praise for its performance, conduct, and contributions when participating in regional military exercises and training with U.S. troops. The annual military expenditure is $11.2 million, which is approximately 0.73% of GDP and 2% of the national budget.
The MDF operates in a unique HIV/AIDS environment when in Malawi and in diverse HIV/AIDS
environments during peacekeeping and humanitarian operations. Understanding such environments is of paramount importance when considering the risk exposure of soldiers and their dependants. Due to the fact that the MDF is largely located in the urban areas, its prevalence rate is estimated to be closer to that of the urban population. Available data shows that urban prevalence rate is 22.83% (NAC 2003) and 20.8% (GOM/MOH, 2003). Based on this data the MDF's Strategic Action Plan assumes the possible HIV prevalence rate for the MDF ranks between 20-25%.
Summary
Implementation of the USG plan in Malawi is a model of excellent partnership and collaboration, with sharing of tools and approaches at all levels. In this activity, DOD is expanding its role as a provider of prevention services to the Malawi Defense Force (MDF) by strengthening the PMTCT programs at 6 MDF bases, through partner University of North Carolina (UNC). PMTCT is a key linkage to DOD's AB and other prevention activities.
This is an initial PMTCT program area for the MDF • The target populations for this activity are spouses of MDF servicemen in all units and civilians in surrounding villages that are usually serviced by MDF's medical facilities. • University of North Carolina (UNC) will be the prime implementer the project • PMTCT (MTCT) activities are aimed at preventing mother-to-child HIV transmission including counseling and testing for pregnant women, ARV prophylaxis for HIV-infected pregnant women and newborns, counseling and support for maternal nutrition and safe infant feeding practices. Linkages
Implementation of PMTCT plan in MDF will be a model of collaboration, sharing tools and approaches to the extent that the MDF would use resources from already existing HIV programs like AB and C. For example, external local FBOs/CBOs are reproducing the kit messages and materials developed by partners which will continue to be used and scaled up by other groups. Another key linkage between AB and other prevention activities programs is the introduction of the PMTCT update pack in the community activities. The PMCTC pack by BRIDGE for example is designed to generate dialogue and positive support among communities for a spectrum of behaviors, including assessing information to understand the risk of contracting HIV, encouraging young women to know their HIV status and support towards HIV testing during pregnancy.
Background
According to statistics provided through UNC, 98% of Malawian women attending their first antenatal care
visit accept HIV testing. 15% are HIV-positive and all accept nevirapine prophylaxis (NVP). UNC provides services to over 20,000 women a year and is estimated to prevent transmission of HIV to over 2,500 babies per year. All exposed infants are given NVP prophylaxis and are followed up for 18 months. UNC's PMTCT program provides almost half of all PMTCT services offered in Malawi.
UNC's primary mission is to identify innovative, culturally acceptable and relatively inexpensive methods of reducing the risk of HIV and STD transmission through research, strengthen the local research capacity through training and technology transfers, and to improve patient care for people living with HIV and AIDS. In addition, PMTCT training will address issues of intergenerational and transactional sex as well as DOD's Other Prevention activities and Abstinence and Being Faithful activities.
The MDF has two sites providing antenatal and delivery services, Cobbe Barracks in Zomba and Kamuzu Barracks in Lilongwe. In addition, MDF provides antenatal services only at Chilumba garrison in Karonga, the Marine Unit in Mangochi, the Combat Support Battalion in Dowa, and the Malawi Armed Forces College (MAFCO) in Salima. MDF has plans to establish labor wards at the MAFCO and Combat Support Battalion clinics. All these sites are serving large civilian populations surrounding the facilities because government hospitals are not within reach. Since the MDF supports civilians in the surrounding communities, Ministry of Health (MoH) assigns at least one nurse or clinical officer in clinics that provide such services.
PFIP Year 1 Budget - $60,000 PFIP Year 2 Budget - $0
