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 2014 2015
The USG will continue funding the University of Connecticut with US funds to expand their current intervention at the Maputo Military Aids clinic to other locations, namely Beira and Chimoio. Their experience from previous interventions will be an asset as they relocate to the new sites which present similar challenges. At the Beira Military Hospital, ART services are integrated within other services provided in this hospital. This fact is particularly important because people that receive services at the clinic will be exposed to prevention with positives (PwP) messages at the clinic site. The site in Chimoio is not in a clinical setting or community setting. It is located in a military unit predominantly composed by men. However, a group of soldiers voluntarily identified as HIV postive, created a support group which can be the intervention starting point. The main messages will be HIV testing of sexual partners,
disclosure of HIV status, the risks of alcohol use, STI assessment, family planning, safe motherhood, condom use, discordant couples, messages related to Gender Based Violence, etc. This activity is in line with the Partnership Framework Goal 5 which is to ensure care and support for pregnant women, adults and children infected or affected by HIV in communities and health and social welfare systems.
Prevention with positives activities will continue to provide more information about risky behavior and safer sex to HIV positive patients. The sustainability of this intervention will be assured with the constant training (and refresher courses) of military peer educators, doctors, and psychologists on the use of the intervention materials and new counseling strategies to use with these patients and make the sessions more productive and educational. To increase the FADM capacity to disseminate the PwP program to other FADM facilities, a minimum of 5 FADM peer educators will be identified to serve as Master Trainers in the program. These peer educators will be taught how to train other peer educators in the program and will be provided with the necessary training materials to conduct the trainings. The program intervention will be constantly monitored through regular site visits and supervision done by the UConn local staff and evaluated through focus group and interviews, 6 months and, again a year after the launch of the program. As the program is expanded to other locations, effectiveness will be evaluated at each site by comparing the self-reported sexual risk behaviors of 100 HIV+ patients prior to the inception of the program (at baseline) with their self-reported behaviors after the program begins. Trained interviewers at each site will administer measures of HIV risk behavior to these patients at baseline, and then again 6 months after the patients' first PwP session. The interviewers will also review each patient's medical chart for any evidence of sexually transmitted infections (STIs) at baseline and 6 months. Feasibility and acceptability of the PwP program will be evaluated using exit focus groups.
The USG will continue funding the University of Connecticut (UConn) to expand to Beira and Chimoio the prevention with positives (PwP) program for HIV positive patients currently being implemented at Maputo Military Day Hospital. The PwP program, entitled Opçoes Para a Saúde, is modeled after Options for Health, an evidence-based program that has been successfully implemented in South Africa.. Opçoes Para a Saúde, has been modified to address the specific sexual risk reduction needs of Mozambicans living with HIV. The PwP program at MaputoMilitary Hospital consists of trained peer educators providing one-on-one HIV risk reduction counseling to HIV positive patients when they come to the clinic for their HIV care. The individualized sessions last approximately 15 to 20 minutes and occur each time that patients come to the clinic. The counseling program is based on the Information-Motivation-Behavioral Skills model of HIV prevention, and it uses motivational interviewing techniques to help people address and overcome any informational, motivational, behavioral skills, and other barriers that are preventing them from consistently engaging in safer sex.
This partner will support and motivate the creation of more support groups to enable the sharing of experience and lessons learned from clients. Depending on the number of HIV positive patients in each site, the UCONN team closely working with the local military health team will select a group of people which will be trained and will pass on positive prevention related information to the rest of the group.
This activity also includes a capacity building component. Doctors, psychologists, nurses and peer educators will be trained on positive prevention programming as they have the most contact with patients.
