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
Reprogramming August08: Funding decrease $97,000. HPI has reached its ceiling and will not be able to
absorb all of the funds planned for FY 08. $97,000 in HTXS will be reprogrammed into SCMS in order to
maintain planned levels for this mechanism after adjustments to the HKID program area, from which funds
were inadequately planned for SCMS.
This is a continuing activity under COP08.
HPI will continue work with the military to disseminate the anti-discrimination law, but also expand the
program to other workplace settings. Additionally, HPI will look for ways to join ARV treatment services with
OHPS funds to address private sector needs. HPI will work with the private sector, (as well as the MOH,
CNCS, PEPFAR treatment partners, USG agencies) and other stakeholders to strengthen HIV/AIDS
workplace programs that promote treatment adherence, treatment literacy and increased uptake of
treatment services. The focus of these efforts will be in Zambezia and Sofala provinces where the USG-
supported treatment services are expanding, as well as in Nampula Province, the third focus province in
COP08.
The FY2007 narrative below has not been updated
This activity is linked with the Prevention for Positives program HTXS 8592; HVCT 9114
and with the project for Developing a new Recruitment Policy OHPS COP 06 activity 4894.
It is known that disclosure of HIV status (if a person is seropositive) is still a problem due to stigma and
discrimination, especially in the military. Although the Military Hospital in Maputo is one of the largest HIV
treatment centers in the country, the vast majority of patients are civilians. To reverse this situation, DOD
will finance a partner through this USAID mechanism to work with police and military peer educators to
disseminate the law 5/2002 regarding HIV/AIDS in all military bases and police squadrons and promote
legal stand against stigma and discrimination. The targeted populations will know about this law which
protects whoever is HIV positive against stigma and discrimination of any kind. One of the expected impacts
of this activity will be an increase in the number of people deciding to be tested, disclose their status if found
to be HIV positive and seek care and treatment. Such behavior will eventually slow down the epidemic.
During the implementation of these activities, the partner will provide a additional information regarding the
importance of early detection of an HIV infection through voluntary counseling and testing which will enable
a person to be observed by specialized medical personnel and receive treatment as early as it is found that
he requires ARVs to improve the immune system.
With clear information about what surrounds HIV, the availability of treatment, and with the dissemination of
the aforementioned law, the targeted populations will more easily accept their condition or visit VCTs to find
out their status because they will know that there is a law that protects HIV infected people.
This activity will address stigma and discrimination, and in doing so, will reduce violence and coercion.
Targets have not been set because although increasing the likelihood that military personnel will be tested
and access treatment services, this activity will not directly result in increased numbers of military on ARV
treatment. These numbers, however, will be captured by the treatment partner working with the Military
facilities.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14530
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14530 9163.08 U.S. Agency for The Futures 6857 3686.08 Health Policy $0
International Group Initiative (ex-
Development International PDI)
9163 9163.07 U.S. Agency for The Futures 5044 3686.07 Health Policy $45,000
Table 3.3.09:
This is a continuing activity in COP09.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
The Health Policy Initiative (HPI) will continue to support surveillance training ( the latest round of studies on
the demographic impact of HIV was conducted in CY 08 and results are expected to be released by early
December) and will concentrate its efforts on strengthening the capacity of the Multisectoral Working
Groups (MTG) at the provincial level to mobilize donor and GOM resources.
The MTG is composed of key institutions (the National AIDS Council, National Institute of Statistics, Ministry
of Health, Eduardo Mondlane University and and others) that have technical expertise and whose technical
recommendations the government of Mozambique and the civil society generally follow. Technical tools,
such as SPECTRUM/AIM and RNM/GOALS, are key methodologies applied to help the government and
civil society define HIV programming priorities. HPI will continue to provide targeted TA to specialized
government departments and civil society organizations such as SAAJ, OMM, OJM to build their capacity,
focus their mission, and establish them as champions in specific technical areas.
Activities:
- Provide training and refresher training to the MTG and the Provincial Multisectorial Technical Group
members on analysis of surveillance data, impact projections, and other methodologies
- Support the participation of MTG members in strategic information fora and activities, including
maintenance and analysis of sentinel surveillance, updating impact projections as needed, and national
program monitoring
- Build institutional capacity of provincial technical groups (PTG) by providing TA to recruit members,
establish terms of reference, obtain official government recognition and mobilize financial resources
including from the provincial nuclei of the National AIDS Council.
- Assist PTGs to use local language materials for dissemination, advocacy and planning with district and
community leaders
- Develop and apply new analytic tools to enhance the reliability of existing data sources
- Provide training and technical assistance in the use of strategic information for advocacy and program
planning and implementation
Reprogramming August08: Funding decrease $40,000. HPI has reached its ceiling and will not be able to
take all of the funds planned for FY 08. $40,000 in HVSI funds will be reprogrammed to Measure III for
M&E assistance to new partners under the public-private partnerships to be put in place in CY 08
April08 Reporgramming Change: Reduced $150,000.
This is a continuing activity under COP08, funded at the same level since FY05, which provides support to
the multisectoral working group and produces data analysis reports and summaries.
The FY2007 narrative below has not been updated.
The Multisectoral Technical Group (MTG) is recognized by government and civil society as a forum for
discussion and production of official sources of strategic information, including provincial, regional and
national estimates of HIV prevalence rates and projections of impacts of HIV/AIDS. The MTG brings
together the Ministry of Health, the National Statistics Institute, National AIDS Council, two departments of
the Eduardo Mondlane University, and other line ministries. In addition, the central MTG stimulated the
formation of provincial technical groups (PTG) in Niassa and Manica provinces; these PTGs are officially
recognized by their respective provincial governors, include public and civil society members and receive
assistance from the central MTG.
Constella Group will strengthen the capacity of national and provincial analysts to implement surveillance
systems and population-based surveys, analyze and interpret results and apply findings to improve
HIV/AIDS programs.
• Provide training and refresher training to the MTG and PTG members on surveillance data and analysis,
impact projections, and other methodologies
• Support the participation of MTG members in strategic information fora and activities, including
• Provide local language material and training for their use by provincial, district and community leaders
• Develop and apply new analytic tools to enhance the reliability of existing data sources
Indicators and Targets:
Number of people trained in strategic information (50)
Number of organizations provided with technical assistance (5)
Provincial Technical Groups (PTG) are officially recognized by their respective provincial governors and
serve as a key entry point into both provincial and district directorates as well as into civil society networks
and institutions. HPI TO1 will assist the existing provincial technical groups in Niassa and Manica provinces
to establish new PTGs in Zambezia and Sofala, obtain official government recognition and strengthen their
capacity to better analyze data and interpret results and apply strategic information to advocacy, program
design and monitoring and evaluation. Because of geographic proximity and shared issues, it will be more
cost-effective for the existing PTGs to work with the new groups than to implement these activities from
Activity Narrative: Maputo.
• Provide technical assistance in recruiting members, establishing terms of reference, obtaining official
government recognition and mobilizing financial resources including from the provincial nuclei of the
National AIDS Council.
• Provide training and technical assistance in the use of strategic information for advocacy and program
Number of organizations provided with technical assistance (2 new groups)
Continuing Activity: 14531
14531 5304.08 U.S. Agency for The Futures 6857 3686.08 Health Policy $310,000
9116 5304.07 U.S. Agency for The Futures 5044 3686.07 Health Policy $500,000
5304 5304.06 U.S. Agency for The Futures 3686 3686.06 Health Policy $500,000
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $150,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.17:
This is a continuing activity under COP09.
With a reduced level of funding in FY 09, HPI will narrow the scope of its activities while keeping to quality
standards in workplace programming. The workplace sphere is a conducive space where HIV/AIDS, gender
activities, and poverty reduction programs could have an impact, either in the private or public sector. The
existing framework, that includes the creation of a taks-force involving NAC, HPI, ILO, AVANT project, trade
unions and EcoSIDA to coordinate and collaborate on HIV/AIDS in the private sector, shows the
government and business sectors' commitment to implement HIV/AIDS program and activities in the
workplace. Companies have information about employees' family status, which could help identify and
reach out to orphans as part of social responsibility programs. In addition, workplace programming is an
effective way of reaching men, and therefore addressing gender issues of male norms and behaviors and
gender based violence and coercion.
With FY 09 funds, Health Policy Initiative will:
- Provide training and TA to EcoSIDA affiliates and public and private sector employers to develop
HIV/AIDS workplace policies
- Provide TA to assist implementation of adopted HIV/AIDS workplace policies;
- Provide training and TA to labor unions to incorporate HIV/AIDS workplace policies and programs into
collective bargaining and labor contracts;
- Monitor the performance of workplace outreach programs and provide support as needed for quality
assurance and strengthening the ToTs;
- Build the capacity of EcoSIDA to monitor and implement quality assurance mechanisms for their
members;
- Integrate male norms and gender based violence issues into the workplace curriculum/activities, targeting
both current and new workplaces;
- Train, assist and/or provide sub-grants to Dunavant and other companies to implement and/or expand
HIV/AIDS prevention and mitigation activities into the communities in which they operate, with special
attention to rural areas; - Sub-grant Eco-SIDA to provide TA and assistance in implementing supportive
workplace policies and program, organizational capacity to manage funding and expand outreach among
affiliated members.
Deliverables:
- 17 local organizations implementing workplace policies;
- Improved stigma reduction programs.
Reprogramming August08: $110,000 will be reprogrammed to Abt Associates for assistance to the MOH in
managing Global Fund funds
April08 Reporgramming Change: Reduced $100,000.
This is a continuing activity under COP08. HPI will continue to work with ECOSIDA and Dunavant Cotton
Company. It is expected that HPI will work with the same number of businesses, but that some from FY07
will be able to work without further assistance and some new businesses will be added in FY08.
Beginning in mid-COP06, the USG team has assigned a high priority to working with the private sector to
build capacity and implement workplace programs. The Constella Group (formerly the Futures Group) has
been selected as the partner best able to move this agenda forward. PEPFAR/Mozambique continues to
support the Business Forum Against AIDS (ECOSIDA), but the mechanism for this support will now be The
Constella Group through the USAID HQ Project, the Health Policy Initiative (HPI). This activity is linked to
workplace activity USAID/HVOP/9151. This activity will build upon activities such as the work initiated with
the Dunavant Cotton Company in Zambezia province under COP06, and provide substantial TA to
ECOSIDA. It will also provide for subgrants to workplaces as needed for program implementation, and in
coordination with World Bank funding through Austral, and the Dutch Embassy support to ECOSIDA.
However, the basic concept is to assist the private sector to carry out workplace programs as a sustainable,
integral part of their business. Workplace programming is an effective way of reaching men, and therefore
addressing gender issues of male norms and behaviors and gender based violence and coercion is an
important feature of this activity. At least $50,000 should go in to activities in Zambezia. Main components
of this activity include:
1. Technical Assistance to ECOSIDA to develop tools for assisting member businesses to implement
workplace programs; and direct TA to businesses setting up and implementing their own programs
($100,000)
2. Implementation of workplace programs and activities will be provided through organized activites and
subgrants with businesses including Dunavant and ECOSIDA. It is anticipated that at least 15 businesses
in addition to Dunavant and ECOSIDA will be able to carry out workplace programs as a result of this
activity. In order to accomplish this, The Constella group may, but is not limited to, organize training
sessions involving multiple businesses, provide materials, provide on-site consultations, engage outside
consultants, facilitate local or regional conferences, establish systems for referrals and linkages for
HIV/AIDS care and treatment. The Constella Group needs to coordinate and work with the MOH, CNCS
and other interested public sector partners as well as the business community. This is particularly true with
Provincial and District level health services which will need to linked to businesses. Because of the largely
male character of management and the workforce in many businesses,it is important to address male
Activity Narrative: norms and behaviors and gender based violence and coercion in order to shift norms in the workplace and
in the communities towards gender equity and healthy sexual and reproductive health practices. ($300,000)
Targets reflect 15 businesses plus Dunavant and ECOSIDA for for 17 organizations provided with TA for
policy development; TA for institutional capacity development; 34 individuals trained for institutional
capacity development, or two per organization; and 170 trained in stigma and discrimination reduction, that
is, 10 per organization.
Products from this activity will include: training materials for workplace activities; guide on how to access
HIV/AIDS CT, PMTCT, care and treatment services specific to each business;
Deliverables/benchmarks
• Training materials for workplace
• Guide on how to access HIV/AIDS CT, PMTCT, care and treatment services specific to each business
Continuing Activity: 14532
14532 9159.08 U.S. Agency for The Futures 6857 3686.08 Health Policy $190,000
9159 9159.07 U.S. Agency for The Futures 5044 3686.07 Health Policy $400,000
Gender
* Addressing male norms and behaviors
* Reducing violence and coercion
Workplace Programs
Table 3.3.18:
