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.
In support of the increased emphasis on HIV prevention in the GOM Strategy for Accelerated HIV Infection Prevention and contributing directly to achieving Goal 1 of the PF to reduce new infections, USG is designing a new social marketing program that combines products and services that promote health and prevent HIV, including bednets, water purification tablets, contraceptives and condoms. Condom demand and use in Mozambique have been among the lowest in the region, according to earlier DHS figures (2003) However, exposure to condom social marketing is high, and self-reports of condom use
with non-regular partners increases with exposure to communication regarding condoms and with increased knowledge of condom vending points. USG has historically procured all condoms for free distribution by the public sector, and also supported promotion and distribution costs of subsidized social marketing of male and female condoms procured by the GOM. In fact, the socially-marketed condom brand has become synonymous with the word for condom in Mozambique. USG's current agreement for condom social marketing (CSM) ends in 2010. It is therefore opportune to design a new and more comprehensive social marketing program to increase the availability and affordability of quality health products, including condoms.
The USG seeks to significantly streamline and improve efficiencies in support of promotion of male and female condoms to strengthen a Total Market Approach, one in which all sectors (public, private and NGO/ donor-financed social marketing) are integrated within one "market" that is segmented by willingness to pay. A key objective of the new program will be to improve the targeting and uptake, efficiency and sustainability of CSM, with an increased focus on making condoms widely available outside health facilities and increasing correct and consistent use among at-risk populations and communities, particularly along "hotspot" venues in urban areas and along transport corridors
Under the new program, a strategy will be developed and implemented to focus CSM on appropriate market segments, reduce costs by increasing reliance on private sector distribution networks, and expand market share of commercial brands over the long-term using a Total Market Approach. The scope of condom social marketing, including distribution of commodities, mass media, point-of-sale promotion and demand generation, will be country-wide. The program will however support greater penetration of condom outlets and promotional activities among communities along transport corridors, and within high risk venues such as bars, nightspots and drinking establishments. The CSM program will coordinate other USG supported efforts that are intended for populations at increased risk of infection, and will ensure proper education about, and availability of, condoms at "night clinics" set up to serve commercial sex workers, and "wellness centers" available to long distance truckers along transport corridors. The program will establish strong linkages between its activities in these areas and targeted behavior change activities for higher-risk populations and communities.
The program will ensure continuity in the availability of affordable condoms through retail and other outlets nation-wide, while intensifying the focus of condom promotion and sales in high-risk populations and communities, to improve prevention efforts, and reduce transmission. Regular monitoring of sales and distribution patterns will be conducted to assess increases or decreases in demand and regularity of supply, and to evaluate influences of communication and marketing efforts on demand patterns.
This new program will develop and implement a dynamic strategy for condom social marketing that continues to make socially marketed condoms increasingly available at affordable prices to appropriate market segments while gradually moving towards an expanded role for the private commercial sector. USG will support the repackaging, distribution, sale and promotion of subsidized male and female condoms through commercial and non-traditional outlets country-wide. The program will link condom social marketing with targeted outreach and risk reduction counseling in high-risk venues and workplace settings in provinces with high HIV prevalence, in order to increase condom use among MARPs and populations in communities at risk. The program will intensify the number of distribution outlets and increase targeted condom sales in high risk settings and propose a strategy that promotes long-term institutionalization and sustainability of retail sales of condoms. The programs will facilitate interpersonal communication activities to ensure adequate condom use, condom negotiation and self-efficacy skills per sub-population; support local organizations, rural supply chain distribution networks, work associations
and private sector to operate condom outlets in urban and peri-urban hot spots; and support generic campaigns to address low uptake, misconceptions and negative attitudes about condoms and harmonize messages with BCC developed by other USG partners.
