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 Extending Service Delivery for Reproductive Health and Family Planning Project (ESD), administered by Pathfinder International through an integrated agreement with majority wrap-around funding from health, is focused on a results-oriented approach to enhance the use of HIV and RH/FP services in four provinces- Cabo Delgado, Gaza, Inhambane, and Maputo. These geographic locations reflect priorities for PEPFAR and family planning expansion. These regions have high HIV prevalence rates, under-served populations for HIV/FP/RH services and low contraceptive prevalence rates. This project strengthens the capacity of nurses and other health care providers from PEPFAR clinical sites to deliver combined HIV/RH/FP services, to include improved capacity for appropriate referrals; improved client awareness of and demand for contraceptive methods, including youth; improved understanding of HIV risks and prevention; promotion of dual protection, and strengthened community outreach and access to quality HIV/RH/FP services.Due to the pipeline analysis, FY 12 requests were reduced to ESD. This partner also received $2,841,000 in family planning reproductive health funding.Three vehicles were purchased/leased under this mechanism from the start of the mechanism through COP FY11. In FY12, five are being requested for a total of eight planned/purchased/leased vehicles for the life of this mechanism to support the implementation of project activities in four provinces and 16 districts. The total cost of all eight vehicles is $351,655 (five vehicles for $213.65 and three vehicles for $138.000). No more vehicles are planned to be procured at this stage.
The ESD program aims to integrate family planning and reproductive health with HIV prevention, care and treatment at existing PEPFAR sites. ESD will receive abstinence and behavior change program funding to complement family planning funding and improve understanding among young adults and within the general adult population that certain accepted norms and practices increase the risk of HIV transmission and acquisition. ESD has developed approaches that address male norms in particular as they are related to the practice of multiple concurrent sexual partners, in addition to implications these norms may have for access to and use of family planning and reproductive health services. ESD has adapted the successful Geração Biz program approaches and materials to address HIV prevention and gender among young people. Communities capacity to increase quality of and access to integrated HIV/RH/FP have been strengthened and programs emphasize changing harmful gender norms, attitudes and behaviors, particularly those related to gender-based violence and the acceptability of intergenerational and transactional sex. Male participation in HIV/AIDS, reproductive health and family planning services is encouraged. ESD promotes youth-friendly clinics which provide increased and improved services to individuals 15-24 years old, and also promote gender-sensitive behavioral interventions such as those to delay sexual activity or reduce multiple partnerships. Youth-centered services also target at-risk, out-of-school youth with innovative approaches, including linkages with local organizations.
The ESD program aims to integrate family planning and reproductive health with HIV prevention, care and treatment at existing PEPFAR sites. These funds will be used to higher two individuals that will provide technical assistance to provinces to ensure best practices and implementation of family planning is taking place at ART sites.
