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 FY 2010, USG will accelerate its engagement in public-private partnerships (PPPs) to help ensure sustainability of programs, facilitate scale-up of interventions, and leverage significant additional resources. These collaborative endeavors will help create linkages and strengthen systems within the private-sector for HIV prevention and mitigation, and can mobilize additional sources of financial and technical support (e.g. funding, technical assistance, products/services, supply chains) to complement USG-supported HIV initiatives.
In FY 2010, USG will mainstream innovative private sector partnerships into its HIV prevention and care programs. Future PPPs will focus on HIV prevention along the Beira, Tete and Nampula corridors (potential partners: National Road Association, transportation companies, large employers along corridors); improved livelihoods and nutritional status for families affected by HIV (potential partners:
agroprocessing & tourism industries); and the strengthening of government and/or civil society institutional capacity (potential partners: banking industry, other companies with expertise in key admin/finance areas).
This activity will support the Partnership Framework Goals by providing cross-cutting support to all prevention, care, treatment, and system strengthening goals and by directly contributing to Goal 2 (Strengthening the Multisectoral HIV response) by: 1) Utilizing innovative approaches to mobilize additional resources from the private sector for public health services (Obj 2.2); 2) Engaging private sector partners to increase national coordination of prevention interventions (Obj 2.3); 3) Strengthening the organizational and technical capacity of civil society
The scope of these partnerships is national. Prevention interventions with the private sector will primarily target mobile populations and communities living along the major transportation corridors. Livelihood and economic strengthening activities will target older OVC, PLHIV and their families, and caregiver groups. Government agencies (e.g. CMAM), academic institutions and civil society organizations all have the potential to benefit from system strengthening activities with the private-sector.
These initiatives will contribute to health system strengthening by mobilizing additional resources and by providing direct technical assistance in the area of institutional capacity building.
This activity will impact various cross-cutting themes. These partnerships will improve human resources for health by strengthening the capacity and quality of training facilities (e.g. medical schools, polytechnic institutions) through technical assistance provided by private-sector partners. These partnerships will further economic strengthening by improving the livelihoods of families affected by HIV by targetting primarily women for training and income-generating activities linked with the private sector. Lastly, this activity will increase access to nutritional commodities for PLHIV by establishing innovative partnerships with food processing companies to produce nutritionally fortified products (e.g. Multimistura)
These partnerships will promote cost efficiency by mobilizing significant private-sector resources for HIV service delivery. As part of the requirements for a PPP, the private-sector resource partner will provide at least a one-to-one match of USG resources through its in-kind and/or cash contribution. This partnership will be sure to capitalize on their unique strategic advantages, including staff, services, structures and unique, enduring relationships with communities. HIV service delivery will also be mainstreamed into their core business to ensure sustainability and facilitate scale-up of the joint interventions.
Monitoring & evaluation plans will vary depending on the nature of the partnership. Next Generation
Indicators will be used to monitor progress and track contribution to USG goals. The USG will also track the private sector contribution of all PPPs.
In addition to implementing the PPPs designed in FY 2009 (please refer to other TBD PPP narratives), this activity will enable USG to forge innovative private sector partnerships to support prevention, care, treatment and system strengthening goals.
The limited, disjointed private sector involvement in health/HIV service delivery results in an overdependence on donor funding and serves as a major system barrier to the development of effective, sustainable interventions that reach certain key target groups. This activity will address this barrier by engaging a wide variety of private-sector partners to strengthen health systems. These partnerships will capitalize on the core competencies of these partners to leverage a new, unique set of to the PEPFAR program while simultaneously improving the core business of the partner. These resources include funding, access to hard-to-reach target groups (e.g. transporters, migrant workers, sex workers) and expertise in key areas (e.g. financial management, marketing, supply chain management).
This activity will have significant spillover effects as these partnerships will forge innovative relationships between the private-sector, local government and civil society. Likewise, the win-win nature of these partnerships will build the capacity of the private-sector to use their core business to benefit society as a whole, while simultaneously advancing their core business.
This activity will leverage significant private sector resources. For each activity, there will be at least a 1:1 match of USG resources. USG is also coordinating its PPPs with other donors working with the private sector (e.g. UNICEF, IOM, ILO, WFP).