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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
In FY09, PSI will provide the Basic Care Package modeled after programs in Kenya and Uganda. In
addition to LLIN and SWS the Care Package will include condoms and IEC materials that deliver clear,
consistent messages on health and hygiene. Targets for this activity are atributed to implementing partners,
as IP are distribute these commodities as well as train households on use. Community care partners will
submit proposals to PSI describing how BCP will be distributed and impact will be monitored. Proposal must
also detail how duplication will be avoided with PMI and World Bank support for net distribution. BCP with
LLIN included will at a minimum reach 6260 women. The BCP will adjusted and distributed without LLIN if
the beneficiary received a net through another point of contact with a health facility, allowing for a greater
number of women to be reached with BCP. Targets are attributed to partners distributing the BCP.
August 08 Reprogramming: Funding reduction $150K.
This is a continuing activity with an update under COP08. PSI will provide PMTCT services in 22 sites,
increasing the number of pregnant women provided with a complete course of ARV prophylaxix to 6000 and
increasing the number of women tested and receiving their test results to 52,000. The large scale PMTCT
media campaign and promotion launched in FY07 will be continued in FY08 to ensure that pregnant
women, their partners and families, and all relevant groups in the community are aware of and understand
the importance of PMTCT clinical services, and promote a community norm of attendance by pregnant
women early in their pregnancies. Finally, PSI will be the primary source and distributor of Plumpy Nut to
pregnant and lactating women among PMTCT partners in Mozambique. The program will also partner with
WFP to support the nutritional needs of the most vulnerable PMTCT clients through provision of short-term
emergency food support. Please refer to the activity sheet for WFP for funding levels and targets.
The program will continue to foster linkages with the Child at Risk Consult (CCR) as well as treatment
services. The referral system between PMTCT, treatment services, and the CCR will be the first line of
approach, which has broad Governmental support. However, the program will also explore manners to
reinforce testing and treatment linkages with vaccination campaigns, well baby visits, and weighing stations.
Using COP 07 plus up funds, PSI will map existing PEPFAR and non-PEPFAR partner interventions in
PMTCT and overlay this map with mosquito net distribution data from the President's Malaria Initiative (PMI)
and other donors and partners (Malaria Consortium, Government of Japan, the Global Fund, etc). The
assessment will be a gaps analysis of where present activities under PEPFAR, PMI, and other partners are
taking place and where, geographically and programmatically speaking, more concerted and coordinated
action is needed by the consortia of actors. PEPFAR and PMI will leverage each others' resources with
PMI providing the vast amount of LLINs for distribution to pregnant and lactating mothers. However,
PEPFAR, through PSI, will provide a buffer stock of LLIN for PMTCT partners to ensure that all pregnant
women receive a mosquito net. Finally, PMTCT partners will be crucial partners to PMI for the routine
integration of at least two doses (of the recommended three) of SP.
The below narrative from FY2007 has not been updated.
Plus-up change: Utilizing plus up funds PSI will research, develop, and test new IEC and BCC campaign
materials surrounding PMTCT, male involvement in PMTCT, and male testing, emphasizing a family-
centered approach. PSI will also be responsible for creating and reproducing these new campaign
materials for nationwide distribution. Further, PSI will adjust their current PMTCT materials to reflect new
PMTCT policy guidance and reproduce these materials in Portuguese and two other national languages.
the IEC/BCC campaigns are costed at $700,000. This campaign should also be reproduced for nationwide
distribution. Finally, PSI will map existing PEPFAR and non-PEPFAR PMTCT interventions and overlay this
map with mosquito net distribution data from the President's Malaria Initiative (PMI) and other donors and
partners. This assessment will be a gaps analysis of where PEPFAR, PMI, and other partners are
complimentary and where, geographically speaking, more action is needed by the consortia of actors
($150,000).
This activity is related to other PSI activities in C&OP 9150 and CT 9114. PSI will continue to provide
technical support to MOH sites to scale up PMTCT activities in 3 provinces and Maputo City. PSI will deliver
a complete package of PMTCT services in line with MOH policies and protocols, including routine CT,
provision of Nevirapine to seropositive mothers and their newborns, and provision of integrated postnatal
services. PSI will renovate facilities, train counselors, and track seropositive mothers and their infants for 18
months postnatal. Additional focus will be placed on improving the delivery environment to increase the
number of institutional deliveries, and thus the number of seropositive mothers receiving nevirapine. Each
site will counsel and test at least 90% of first-time antenatal attendees. PSI will continue to support the 19
PMTCT sites initiated with USG funding between 2003 and 2006, and will add 3 additional sites through
training of nurses and counselors and in collaboration with the MOH. PSI will continue to implement
community-level activities to reduce fear and social stigma among seropositive pregnant women and
mothers, focusing on key decision-makers in their lives (e.g., husbands, mothers-in-law). Seropositive
pregnant women will be referred to the nearest HIV/AIDS care and treatment site for additional needed
services prior to delivery. PSI will continue to disseminate a package of PMTCT communications materials
developed with, and implemented through, the MOH and all PMTCT implementing partners, and in
coordination with the Johns Hopkins CCP USAID/PMTCT/9162 communication activity. Additionally, the
MOH has set ambitious targets for provision of bednets and IPT for ANC, and PMTCT will benefit from this
program. However, it will take some time for the malaria initiative to get up and running, and for bednets
and IPT to flow to all parts of the country. PSI should plan for a 3-6 month supply of bednets and IPT to
assure that the minimum package of PMTCT includes these malaria interventions.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14524
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14524 5280.08 U.S. Agency for Population 6856 3579.08 USAID- $1,714,000
International Services Population
Development International Services
International-
GHAI-Local
9141 5280.07 U.S. Agency for Population 5042 3579.07 USAID- $1,828,000
5280 5280.06 U.S. Agency for Population 3579 3579.06 $690,000
International Services
Development International
Emphasis Areas
Health-related Wraparound Programs
* Child Survival Activities
* Malaria (PMI)
* Safe Motherhood
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
Reprogramming April 2009-bridge funding for six month continuation of commercial sex worker night clinic
and targeted condom social marketing. This is piece 3 of a 3-piece bridge fund.
These funds will serve as 'bridge' funding to provide PSI with a costed extension until January 31, 2010 to
operate the activities listed above. The six month bridge period is between PSI's original July 31, 2009
close out and the start up of the new TBD Indefinite Quantity Contract (IQC) for MARPs, anticipated for
approximately January 2010. This funding supports activities with MARP such as sexworkers, mobile
populations and men in the workplace.
CONDOM SOCIAL MARKETING
PSI will continue to provide logistics and technical support for condom social marketing (CSM) targeting
most-at-risk groups, within the context of a number of behavior change communication (BCC) activities
targeting adults of reproductive age in all 11 provinces of Mozambique (including Maputo city). This
program is a key element of the comprehensive BCC program in Mozambique, that includes abstinence,
delayed sexual activity for youth, partner reduction among adults, and promotion of faithfulness. Prevention
activities using CSM are closely linked to PSI's work in PMTCT, CT, and promotion of timely clinical
treatment of STIs. The program ensures wide availability of condoms through large and small commercial
outlets and non-traditional outlets, interpersonal communications for risk reduction, mass media messages,
and design, production, and distribution of print materials for health workers and targeted high-risk
populations. PSI will maintain CSM distribution in outlets frequented by most-at-risk groups. BCC messages
on radio will encourage sexually active adults to remain faithful to one partner and otherwise to make
consistent use of condoms. Young couples and sexually active youth are encouraged to prevent both
unwanted pregnancies and transmission of STIs, including HIV, through condom use. PSI will continue to
implement program monitoring and assessment activities to ensure that target audiences are responding
appropriately to the BCC and CSM campaigns and reducing the number of high-risk sexual encounters.
Channels of communication include TV and radio broadcasts and print media, selected in different
provinces to match the demographic characteristics of urban and rural populations. Interactive peer
education techniques are used with special target groups including pregnant women, mobile youth, and
uniformed services personnel. PSI has developed several professional teams of local actors who use folk
media including drama and audience participation to achieve behavior change.
ACTIVITIES AND MAPUTO NIGHT CLINIC FOR COMMERCIAL SEX WORKERS AND CLIENTS
PSI will continue peer-based training and outreach to commercial sex workers with activities focused on risk
reduction through condom negotiation and condom use. This also include support of the Maputo port night
clinic aimed at CSW and clients.
Specifically, these six months of bridge funding will support:
-MARP Team staff in 3 provinces, counselor salaries and peer educator supervisor subsidies
-Female condoms, lubricant, HIV tests
-Warehousing, transport, & logistics within country
-Includes IEC materials production, printing, peer educator subsidies
-Training and support of peer educators, counselors and supervision
-Office and transport costs, etc
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.03:
ACTIVITY UNCHANGED FROM FY2008.
This is a new activity in COP08.
The military and their families are an important population to reach both in terms of universal coverage of
long life insecticide treated nets (LLIN) and prevention of co-infection with HIV and malaria. PEPFAR
Mozambique will target malaria prevention and reduction of co-infection at military bases identified as both
high prevalence for HIV and for malaria. Data will be used from the Mozambique Armed Forces and
Defense (FADM) HIV prevalence survey and from malaria statistics collected by the FADM in their health
surveillance system. Distribution of the LLIN will be included as a component of the ongoing PEPFAR
program with the military which includes prevention of sexual transmission of HIV, counseling and testing,
treatment and prevention with positives. Behavior change communication activities will add a unit on co-
infection of HIV and malaria, and IEC materials will be developed for all program components related to
malaria and HIV. LLIN will be provided based on participation in any component of the HIV programs rather
than on serostatus. Since military personnel have common sleeping quarters, distribution based on
serostatus alond could lead to stigma. The details of what participation is required in order to be given a
bednet will be worked out in implementation. Although the military is not currently included in the
Mozambique PMI program, discussions between PMI and PEPFAR are ongoing to determine the best way
to reach this population along with their families.
Continuing Activity: 16436
16436 16436.08 U.S. Agency for Population 6856 3579.08 USAID- $180,000
Table 3.3.08:
April09 Reprogramming: Reduced $180,000.
THIS IS A NEW ACTIVITY IN COP09.
consistent messages on health, hygiene, and positive prevention. IEC material will also cover malaria,
diarrhea, VCT, PMTCT, cotrimoxizole, nutrition, family planning, and mental and social well-being.
Implementing partners will be responsible for peer education, training, and other interpersonal
communications to promote the correct use of BCPs. Targets for this activity are atributed to implementing
partners, as IP are distribute these commodities as well as train households on use. Partners receiveing
BCP for distribution must submit a proposal to PSI detailing how duplication will be avoided with PMI and
World Bank support for net distribution. The BCP will adjusted and distributed without LLIN if the
beneficiary received a net through another point of contact with the health facility. BCP will be distributed to
100% of patients on TARV (134,000) and 30% (80,400) of pre-TARV patients. Pre-TARV target is
relatively conservative given the warehousing limitations at health facilities and the potential for pre-TARV
patients to receive nets through PMI and WB funded distributions. Targets are allocated to the
implementing partners distributing BCP
* Family Planning
* TB
Estimated amount of funding that is planned for Food and Nutrition: Commodities $70,868
Estimated amount of funding that is planned for Economic Strengthening $70,868
Estimated amount of funding that is planned for Water $141,736
This is a continuing activity under COP08.
PSI will continue to provide treatment partners with approximately 70,000 LLIN for new enrollees as well as
provide Safe Water Systems (SWS - "Certeza") to 100% of those on ART. The USG will now channel all
products through treatment partners to ensure more focused targeting of people on ART as well as
providing a reasonable incentive for people to return to the clinic, thus decreasing loss to follow up. PSI's
new activity centers around the provision of Plumpy Nut to those patients with a BMI of less than 16, which
has been looked upon favorably by the Ministry of Health. Plumpy Nut is a short to medium term solution
until longer term solutions can be implemented in Mozambique, such as implementing FANTA's
recommendations. It is anticipated that approximately 6,000 ART clients will receive plumply nut under
COP08.
This activity relates to HKID 9149 and all HKID and HBHC activities. This activity duplicates other activities
because water and nets will be provided to currents clients of OVC and ART services. Therefore, no
separate targets are provided.
PSI will continue to implement a program to make household-level Safe Water Systems (SWS) available to
4,000 OVC and their caregivers and 39,500 PLWHA on ART (at $.25 per bottle x 12 bottles per year). The
SWS consist of small bottle of solution to purify water for a one month period for a family. The program will
reach OVC and PLWHA on treatment and provide them with SWS through linking in to the HIV/AIDS care
and support services available in both clinic and community settings under the integrated networks (e.g.
home-based care, OVC services, PMTCT, ART).
Using traditional social marketing techniques, this activity will scale up marketing and distribution activities
in the six target provinces. As distribution is pushed out through wholesalers and smaller retail outlets, a
series of radio, billboard and other mass media campaigns to increase awareness of this new product will
be launched.
Simultaneously, the USG NGO partners working in OVC and Treatment services specifically aimed at
treatment adherence will be provided with a one-day training in which they will learn the essential facts
about diarrheal disease and transmission, its links to HIV/AIDS, the importance of prevention and treatment
of diarrhea, and correct use of the SWS.
The activity will also target the distribution of 27,000 ITN's to OVCs under five years of age and their
caregivers in PEPFAR target Provinces in addition to 85,000 PLWHA registered at Day Hospitals (at $8 per
net). The Ministry of Women and Social Action included ITNs in their costing exercise when determining
the average cost per client for caring for OVC and encourages NGOs, CBOs, PVOs to assist in the
provision and distribution of nets. The ITNs help ward off the threat of malaria which can be detrimental to
children, particularly those under five years of age. PSI will implement the program to make the nets
available to USG NGO partners implementing OVC and treatment adherence activities at the same time
providing training in usage and importance of protecting oneself against malaria which includes using nets,
cleaning up around the household and removing all stagnant water from surrounding areas.
Continuing Activity: 14528
14528 9166.08 U.S. Agency for Population 6856 3579.08 USAID- $1,309,500
9166 9166.07 U.S. Agency for Population 5042 3579.07 USAID- $881,200
Table 3.3.09:
THIS IS A CONTINUING ACTIVITY. ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAY
addition to LLIN and SWS the Care Package will include IEC materials that deliver clear, consistent
messages on health and hygiene. Targets for this activity are attributed to implementing partners, as IP
distribute these commodities as well as train households on use. Community care partners will submit
proposals to PSI describing how BCP will be distributed, monitored, and evaluated for impact. The
proposal must also describe how duplication will be avoided with the Presidential Malaria Initiative and
World Bank support for net distribution. The BCP will be adjusted and distributed without LLIN if the
beneficiary received a net through another point of contact with a health facility or community based net
distribution campaign. Targets allocated to partners who will distribute and train on use of kits.
This is a continuing activity under COP08. The program will continue working with USG OVC partners to
distribute 45,000 LLIN to OVC and provide 90,000 OVC with Safe Water Systems (SWS - "Certeza" for 12
months). Targets have not been attributed directly to this program as the distribution is done through other
USG OVC partners and counted as one of the six essential services that OVC receive.
PSI will also provide plumpy nut in a pilot program that will reach 1,500 OVC, who have been clinically
assessed as being malnourished. The partners working with the OVC will address the food insecurity of the
household/OVC by linking the former with food assistance support from WFP, Title II programs etc.
The increased funding and targeted number of OVC being reached under this activity reflects the increase
in targeted numbers of OVC receiving services under PEPFAR funding and the anticipated expansion of
existing USG partners working with OVC.
The FY2007 narrative below has not been updated.
This activity relates to another PSI activity in HIV treatment services, HTXS 9166.
This activity duplicates other activities because water and nets will be provided to currents clients of OVC
and ART services. Therefore, no separate targets are provided.
This activity contains two components: Safe Water Systems (SWS) and Insecticide Treated Nets (ITN).
In FY06, PSI is implementing a successful program to make household-level Safe Water Systems (SWS)
available to 2,208 OVC and their caregivers and 5,000 PLWHA (at $.25 per bottle x 12 bottles per year)
(under the treatment activity). This program will continue in FY07 reaching 4,000 OVC and their caregivers
and 85,000 PLWHA on ART. The SWS consist of small bottle of solution to purify water for a one month
period for a family. The program will reach OVC and PLWHA on treatment and provide them with SWS
through linking in to the HIV/AIDS care and support services available in both clinic and community settings
under the integrated networks (e.g. home-based care, OVC services, PMTCT, ART).
Using PSI traditional social marketing techniques, this activity will scale up marketing and distribution
activities in the six target provinces. As distribution is pushed out through wholesalers and smaller retail
outlets, a series of radio, billboard and other mass media campaigns to increase awareness of this new
product will be launched. This product will be available for anyone to buy on a regular basis.
Simultaneously, the USG NGO partners working in OVC and treatment services specifically aimed at
treatment adherence will be provided with a one-day training. They will learn the essential facts about
diarrheal disease and transmission, its links to HIV/AIDS, the importance of prevention and treatment of
diarrhea, and correct use of the SWS. The social marketing and availability of the product will minimize
stigma and discrimination of those that receive the product free.
The second component will target the distribution of 27,000 ITN's to OVCs under five years of age and their
caregivers in PEPFAR target provinces in addition to 85,000 PLWHA registered at Day Hospitals (at $8 per
net). PSI will implement the program by making the nets available to USG NGO partners implementing
OVC and treatment adherence activities outside of the PMI geographical areas. PSI will provide training in
usage of the nets and in the importance of protecting oneself against malaria. This includes consistent use
of nets, cleaning up around the household and removing all stagnant water from surrounding areas.
The Ministry of Women and Social Action (MAS) supports the use of nets for all children because of their
effectiveness to help ward off the threat of malaria which can be detrimental to children, particularly those
under five years of age. Because of their importance in deterring malaria, MMAS included ITNs as a
requisite item in their OVC costing exercise and encourages NGOs, CBOs, PVOs to assist in the provision
and distribution of nets. This activity will support a mere portion (27,000) of ITNs needed.
Continuing Activity: 15881
15881 5134.08 U.S. Agency for Population 6856 3579.08 USAID- $1,075,000
9149 5134.07 U.S. Agency for Population 5042 3579.07 USAID- $325,000
5134 5134.06 U.S. Agency for Population 3579 3579.06 $445,720
Estimated amount of funding that is planned for Water $400,000
Table 3.3.13:
This is a continuing activity under COP09.
ACTIVITY UNCHANGED FROM FY 2008.
PSI will expand its cousenling and testing sites located in the community and in the workplace and will
include the Counseling for Health Approach. Further, PSI will be chiefly responsible for promoting testing
among a wide variety of demographic groups (youth, men, pregnant women, MAARPS) in a variety of
different languages and in a multitude of forums including radio, billboards, pamphlets, stickers, and
possibly a multi-media event and/or series.
The activity narrative below from FY2007 has not been updated.
Plus-up: Utilizing plus up funds PSI will research, develop, and test new IEC campaign materials
surrounding the new testing and counselling for health strategy (ATS). The materials will also target the
new opt-out and integrated counselling and testing strategy, which is expected to positively enhance scale-
up opportunities. The strategy and approach is currently in the first phase of implementation so materials
will be reproduced on a limited basis to cover those areas where ATS is currently underway.
Original COP: This activity is related to C&OP 9150 and MTCT 9141.
PSI will continue to provide technical support to 27 existing CT sites in MOH health facilities, and will scale
up CT services in approximately 35 satellite sites. Both provider-initiated and client-initiated CT will be
implemented, as MOH staff receive planned training in provider-initiated CT. Satellite expansion will take
place primarily in the populous and high-prevalence Zambezia province. PSI will follow and support the
MOH's new policy, and work with the local health departments to implement a community CT program. PSI
will train counselors, rehabilitate facilities, and deliver a complete package of CT services in line with MOH
policies and protocols. PSI will work to reduce social stigma that affects PLWHA, and will train counselors
and make minor structural adjustments to accommodate "satellite" counseling in rural health facilities.
Through theatrical performances and radio spots, adults including uniformed services personnel and older
youth will be mobilized to take advantage of HIV CT. PSI also will continue to collaborate with the Ministry of
Defense to build capacity for providing CT (as well as other HIV/AIDS services) at military health facilities.
PSI will continue to provide CT services to military personnel at 7 sites established with FY06 funding, in
Maputo, Tete, Sofala, and Manica, Zambezia, Niassa, and Nampula provinces. With FY07 resources, two
new military CT sites will be established, in Cabo Delgado province and one to be determined with the
Ministries of Health and Defense. CT training will be carried out for military nurse-counselors. All military
health facilities also provide services to families of the troops and to civilians in nearby communities, so the
CT services at military sites reach a larger target population than the troops themselves. PSI will also
working with the Ministry of Defense to expand the satellite CT program to approximately two sites out of
each military hospital with a PSI-supported fixed site.
Through these efforts a total of 72 CT outlets will be established, 110,000 people will receive CT and 90
people will be trained.
Continuing Activity: 14527
14527 4978.08 U.S. Agency for Population 6856 3579.08 USAID- $2,159,954
9114 4978.07 U.S. Agency for Population 5042 3579.07 USAID- $1,595,927
4978 4978.06 U.S. Agency for Population 3579 3579.06 $1,670,000
Table 3.3.14:
