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: 2008 2009
The Namibian government's vision is to ensure that vital HIV/AIDS prevention, care, and treatment services
can be sustained over the long-term, and gradually reduce reliance on external assistance for core
recurrent costs of services, especially ARV treatment. In COP 08, the USG program is committed to
supporting the Government of the Republic of Namibia (GRN) and other partners to realize this vision and
develop a national HIV/AIDS sustainability and human resource plan. The USG strategy aims to strengthen
the country's capacity to deliver and finance HIV/AIDS services with local resources on a sustained basis.
Additionally, the overall USG Emergency Plan goals are to build a higher level of sustainability of the
technical know-how to operate HIV/AIDS programs. In the past, a considerable amount of good work has
been done by the USG and the GRN to design and implement activities, analyze the costs associated with
critical activities, and quantify human resource needs through projects such as the Future's Group, Health
Policy Initiative, and Capacity. However, there has been no single organization to help the USG plan
systematically to address programmatic and financial sustainability post-Emergency Plan. In the long term,
it is in the national interest to ensure quality HIV/AIDS prevention, care, and treatment services be
sustained with local resources. Currently, the national health budget is declining as a percentage of the
overall budget, and HIV/AIDS program costs are increasing due to the cost of ARV treatment. Reliance on
external assistance grows, and little attention has been paid to support MoHSS efforts to receive more of
the national budgetary allocation for HIV/AIDS.
In COP 08, the USG will support Abt Associates (HS 20/20) to consolidate the various tools that have been
used by the USG to support long term sustainability planning in collaboration with GRN and respective
Ministries. HS 20/20 will support the GRN's efforts to mobilize a high-level working group that focuses on
sustainability, linking specifically to the efforts of the USG Sustainability and Capacity Building Advisor. HS
20/20 will help the USG to develop a plan of action that addresses financing of future ARV drugs, building in
-county human workforce capacity to support HIV/AIDS service delivery, strengthening the capacity of
ministries and independent NGO/CBO/private sector partners to perform key HIV/AIDS support functions,
and incrementally increasing the national HIV/AIDS program budget to cover recurrent programmatic costs.
Depending upon core resources leveraged from USAID/W and the extent of work still needed to be done
based on in-country data, key analyses might include: 1) Supporting a financial analysis to quantify and
forecast the costs of meeting national HIV/AIDS prevention, care, and service delivery targets, determining
current funding sources, and recommending strategies for long-term financing of the national program; 2)
Supporting a human capacity assessment to lead, plan, implement, monitor and evaluate the national
HIV/AIDS program that includes a description of the gap between currently available human resources and
how to meet that gap; 3) Supporting an analysis of the scope and magnitude of the
organizational/institutional capacity-building and system strengthening that needs to be done to ensure that
the national program can expand and continue; 4) Conducting a National Health Account (HIV/AIDS sub
component) that will assist the GRN to strengthen their resource tracking systems and place HIV/AIDS
expenditures in the context of general health spending.
HS 20/20 support could lead to the development of a Namibia PEPFAR capacity development/sustainability
statement/plan, and advance policy dialogue for the USG to pursue with GRN and NGO partners.
The results of this activity will facilitate dissemination of analytical findings and drive critical policy dialogue
to advocate for change through the USG Sustainability Advisor. Data will be used for decision making and
aiding the MoHSS to defend the national HIV/AIDS program budget request. Other ministries, such as the
MGECW and the MOE, might also benefit from the findings to advocate for increased support to OVC in
vulnerable schools.
