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
The Central Contraceptive Procurement (CCP) project is a single procurement mechanism managed centrally by USAID/Washington, providing an efficient mechanism for consolidated purchases of condoms and other contraceptives for USG HIV and health programs, including condoms for social marketing programs. CCP also administers the Commodity Fund, which serves HIV prevention activities worldwide.
The GOM and the USG have chosen prevention as a primary area of focus in the Partnership Framework (PF), with the goal of reducing the spread of HIV. The comprehensive prevention programming promoted by the PF includes the promotion of correct and consistent condom use among individuals at risk, especially discordant couples. Procurement of generic condoms for free, public sector distribution is directly aligned with the goals outlined in the Partnership Framework. While not directly contributing to health systems strengthening, CCP is complemented and supported by the work of John Snow International DELIVER project (JSI/DELIVER), a USG logistics partner tasked to support the Central Medical Stores (CMAM), the Reproductive Health and Family Planning program (RH/FP), and the Condom Technical Working Group (CTWG) in annual and multi-year forecasting and planning, identification of bottlenecks in condom distribution and use, and support to the development of strategies and tools for improving access to condoms through the public health supply chain system. In addition, JSI/DELIVER supports the MOH in updating supply plans for condoms and contraceptives on a semi- annual basis. This information is required for CCP to plan annual procurement needs for countries worldwide. This in-country process directly strengthens the countries' capacity to quantify and plan its condom and other contraceptive needs.
Until 2008, CCP had a single long-term agreement for condom procurement with Alatech, a US-based condom manufacturer that produced condoms for all USG programs worldwide. In early 2009, CCP awarded long-term agreements for condom procurement to three new suppliers at significantly reduced price per unit, greatly increasing the choice of condom manufacturers at a lower cost. In addition, USG/Mozambique has negotiated with UNFPA and the GOM to reduce our direct support of condom procurement in order to shift our resources towards systems strengthening and improved prevention messaging and technical assistance. From FY 2009, UNFPA has committed to cover 75% of national condom needs on an annual basis over the next few years.
CCP through JSI/DELIVER is promoting a variety of standard foil wrapping designs, including those developed by national governments, for generic condoms as a way to strengthen promotion efforts of generic condoms. In recent years, users have complained about the quality and smell of the previously- procured Alatech condoms, and the already low use of generic condoms in Mozambique started to decline. These Alatech condoms came in plain white foil wrapping. To improve the image of the generic condom, Mozambique through the CTWG has selected one of these standard designs for its next shipments, while the MOH agrees on a national design for public sector distribution of condoms, which will complement the socially-marketed Jeito, supported by Population Services International (PSI) and funded by the NAC.
During 2008, a large quantity of condoms was held up at the central warehouses. A recent assessment conducted by the CTWG identified a variety of bottlenecks and challenges to the distribution and availability of condoms in the public health system. These included lack of financing and transport for distribution of condoms due to the volume and quantity, miscommunication and lack of awareness of the directives for condom distribution for CBOs and NGOs, and lack of knowledge of procedures for condom resupply at health facilities. Through DFID financing, UNFPA supported an emergency distribution of condoms to all provinces and districts. The CTWG, with support from JSI/DELIVER, will continue to work with the MOH to develop a long-term plan for condom distribution that is feasible for Mozambique. JSI/DELIVER will also continue to develop capacity within the MOH for forecasting and procurement and to involve all stakeholders in the financing of condoms. The group will also support the dissemination of the directive for the provision of free condoms through NGOs in care programs, and civil society, issued by the Minister of Health in 2006. These activities will be monitored through joint site visits with CMAM, joint work planning among CMAM, RH/FP and CTWG
In FY 2010, through the Central Contraceptive Procurement (CCP), USG will cover 25% of the estimated national condom need. United National Population Fund (UNFPA) procures most of the remaining condom needs. These condoms are intended for sexually active adults within the general population and the most-at-risk populations including mobile and bridge populations.
Condoms procured through CCP are cleared by CMAM and become property of the MOH. These will be distributed in venues such as hospitals, outpatient clinics, services for PMTCT and HIV CT centers. Non- government organizations and civil society organizations also have free access to public sector condoms to support their prevention activities.
Forecasting for national condom needs and supply planning for condom shipments are conducted semi- annually by the CTWG, supported by JSI/DELIVER in collaboration with UNFPA, CMAM, MOH, and other partners. In addition, the CTWG is tasked to provide ongoing monitoring of condom and other contraceptive distribution and logistics issues in country, including supporting the implementation and evaluation of a condom distribution tracking tool for provincial warehouses.
This activity will be linked to clinical partner support to improve prevention for positive services and
support to commodity logistics, and will be complemented by JSI/DELIVER condom logistics technical assistance through OHSS funds. This activity will help USG reach its overall prevention goals, and ensure availability of condoms for communities at risk and other vulnerable populations, especially discordant couples.
