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
This is a continuing activity in COP09.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
This activity continues to provide procurement of male condoms for free distribution in Ministry of Health
facilities.
With a CY 2009 forecast of 59 million condoms, or roughly 6 condoms per Mozambican age 15-49, condom
demand and use is among the lowest in the region. During PEPFPAR I, USAID was the only donor
procuring male condoms for the public sector, and since COP 07, has gradually decreased condom
procurement funds. In CY 2008 UNFPA agreed to leverage remaining costs for public sector condoms.
Throughout PEPFAR I, USAID also supported national condom social marketing (CSM) activity for male
and female condoms and communications. Private sector male and female condoms are also supported
through the Common Fund and the Dutch Embassy.
The proposed funding amount of $735,000, a reduction of 23% from FY2008, will allow procurement of
approximately 13 million condoms, which, when combined with the balance of condoms from FY2008, is
estimated to cover 58% of the requirement for CY 2008 and to maintain a nine-month buffer stock for CY
2009.
COP 09 funding request for condoms has been reduced from last year's funding due in part to a decision in
country to reduce USG/PEPFAR's levels of contribution to the country's commodity supply and instead to
leverage other funding sources, such as UNFPA. In addition, although there is little data on the distribution
of condoms below the provincial warehouses, there is anecdotal evidence of the slow movement of
condoms at public health facilities. Reducing the budget and quantity of condoms procured in FY09 will
lower the risk of having large stocks of expiring product.
In COP 09, through another activity, JSI/DELIVER will develop a system to improve tracking of condom
distribution below provincial warehouses down to the health facility level. With an increased emphasis on
prevention, USG with technical support from JSI/DELIVER, will use these tools to routinely monitor condom
distribution in order to assess budgetary and supply needs, in collaboration with other donors.
The USG continues to work through the MOH and NAC Prevention Working Group to convince the
Government to use their resources to provide for some of their own condom needs. Commitment by the
Mozambican Government to address the need for procurement of condoms is critical because the Global
Fund and most donor funds are channeled through basket funding mechanisms to the MOH and NAC.
Currently, the Government of Mozambique is facing challenges with accessing and using the basket funding
for meeting their commodity needs. The USG will provide technical assistant support to the MOH in financial
management and reporting in order to ensure the capacity of the country to meet all of its commodity needs,
including condoms.
FY08 Narrative is below
PEPFAR/Mozambique continues to be the sole provider of condoms to the Ministry of Health for free
distribution through their systems, although we persist in seeking out additional funding sources for
procurement. The FY08 funding request did not increase substantially from last year because half of the 34
million condoms from FY07 have yet to be received. The proposed funding amount of $950,000 will allow
procurement of approximately 18 million condoms, which, when combined with the balance of condoms
from FY2007, is estimated to cover 58% of the requirement for CY 2008 and to maintain a nine-month
buffer stock. The USG continues to monitor the condom situation and work through the newly organized
MOH and NAC Prevention Working Group to convince the Government to use their resources to provide for
some of their own condom needs. Commitment by the Mozambican Government to address the need for
procurement of condoms is critical because the Global Fund and most donor funds are channeled through
basket funding mechanisms to the MOH and NAC. As a commodity procurement activity, no emphasis
areas have been selected.
The FY2007 narrative below has not been changed.
This activity is linked to C&OP 8578 and OHPS 8646.
FY07 funding will be used to procure condoms for HIV prevention via free distribution throughout the
Mozambique health system during calendar 2008. The National AIDS Council's target for free condom
distribution by MOH is 43 million per year by the end of 2007 and 60 million per year by the end of 2009.
The proposed amount of $867,000 will allow procurement of about 17.3 million condoms. The decision to
decrease Central Contraceptive Procurement funds by $200,000 from the level originally proposed for FY07
(i.e., from $1,067,000 to $867,000) was made during the January 2007 Prevention Technical Assistance
Team visit in order to begin to reduce the dependency of the Ministry of Health on USG funding for this
critical commodity and encourage increasing responsibility and sustainability by the Government of
Mozambique. The USG participates in the Condom Working Group that includes other donors and is led by
the National AIDS Council. New funding options are being sought through this working group. The condom
working group will also continue to seek ways to develop MOH capacity for better condom requirement
forecasting and procurement. It is estimated that $867,000 will be sufficient to cover 70% of the
requirement for CY 2008 and maintain a nine-month buffer stock. The condoms are distributed in venues
such as hospitals, clinics (PMTCT sites and HIV/AIDS Day Hospitals), and HIV counseling and testing
centers, as well as through community events by the National AIDS Council and civil society organizations.
These condoms are intended for both the general population and most-at-risk populations. In 2006, the
Minister of Health issued a directive allowing for the provision of free condoms through NGO HIV programs.
Prevention for positives through treatment services and communications activities are planned through
other activities. Thus, it is expected that the demand for the free condoms will increase. If demand
increases more slowly, the condoms procured through this activity will cover a longer time period.
There are no key legislative areas associated with this activity, and the sole emphasis area is commodity
procurement. The target indicators for condoms and other prevention do not apply to commodity
procurement, so no target numbers have been entered.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14276
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14276 5223.08 U.S. Agency for To Be Determined 6761 3649.08 Central
International Contraceptive
Development Procurement
9118 5223.07 U.S. Agency for To Be Determined 5046 3649.07 Central
5223 5223.06 U.S. Agency for Central 3649 3649.06 Central $1,317,000
International Contraceptive Contraceptive
Development Procurement Procurement
Table 3.3.03:
