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
The Safeguard the Family (SGF) cooperative agreement aims to improve the quality and impact of current PMTCT service delivery (SD) systems and increase linkages with ART and other MCH and FP services. The project will target and safeguard the entire family- the HIV+ pregnant women, their partners, and HIV-exposed infants and children under five in Lilongwe, Ntcheu, Dedza, Mchinji and Dowa districts. SGF is expected to counsel and test 153,000 pregnant women and their families for HIV every year for 3 years within the entire catchment area; provide HIV care to 30,000 HIV+ women and their infants; and improve SD in all targeted facilities. SGF offers its services in one-stop shops thereby supporting the GHI principle of integrated support for SD. Additionally, SGF will focus on incorporating emerging technologies to increase patient retention rates and follow up and reduce infant diarrheal rates, decrease the MTCT transmission rate during delivery and breastfeeding, and reduce the time between eligibility for ART and initiation of treatment for mothers and their infants.
To achieve these goals, SGF will train and mentor MOH staff at the district and health center levels in the implementation, supervision, and quality assurance of the comprehensive PMTCT services to increase local ownership and ensure long-term sustainability. The activities directly contribute to priority areas of USG support under the Partnership Framework and GHI Strategy in the reduction of maternal, neonatal and child mortality and morbidity and, ultimately, the reduction of new HIV infections. Through its sub-grantee, the Elizabeth Glaser Pediatrics AIDS Foundation (EGPAF), SGF will implement a robust M&E system that will facilitate data collection, supervision and mentorship.
SGF is operating in 5 districts covering a total of 130 sites and targeting 153,000 women, their spouses and infants each year. Since the program started in February 2011, the number of sites covered has expanded from 41 to 130. The projects accomplishments to date include a health facilities assessment to identify issues and prioritize resources and interventions; scaling up interventions in the entire catchment area; training personnel in PMTCT/ART integration; and facilitating the introduction of HAART as part of the Option B+ strategy with the aim of providing universal ART to pregnant women and their children within the antenatal setting. The program has also been working to improve quality of life among those affected through the provision of nutritional support.
SGF targets for FY12 and FY13 are 150,370 and 165,407, respectively, pregnant women seeking antenatal care. In order to achieve these targets, the program will continue to provide training for health care workers in all target districts, strengthen collaboration with key partners on scaling up, intensifying mentoring and supervision of service providers to ensure quality service provision, intensify community mobilization activities including the need for male involvement and to extend the projects interventions beyond the level of facility. Communities will be engaged to take part as a way of ensuring service continuity.
Through participation in the technical working groups for PMTCT/ART, SGF will continue to build capacity at national and regional levels by continuing to train health care workers at zonal, district level and clinical site level. On a monthly basis, the program conducts clinical mentorship to all 130 sites. SGF will continue to offer its services in one-stop shops. PMTCT services are integrated within the maternal and child health program thereby reducing inefficiencies. The integration of PMTCT services with antenatal care, family planning, under-five care including vaccination, infant diagnosis and TB case finding reduces unit cost per patient.
