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
USAID Nigeria has a new award which will provide integrated HIV prevention programming for a targeted
most-at-risk population of men who have sex with men (MSM). The proposed program will build and
strengthen institutional and technical capacity of five local MSM organizations in the FCT, Lagos, Cross
Rivers, Rivers and Kano states to deliver high-quality comprehensive AB prevention programs and
services targeting Men having Sex with Men (MSM). Lagos and FCT will be targeted to start programs in
COP 09 with expansion to Rivers, Kano and Cross River state planned for later years. Nigeria with
national prevalence of 3.4% (FMOH 2007) and prevalence exceeding 5% in some states has a
concentrated epidemic. HIV/AIDS prevalence of 3.7%, 3.5%, 3.1% amongst transport workers, police
force and armed forces and with prevalence of over 30% among female sex workers (IBBSS 2007),
reveals unequal distribution among different population subgroups. The highest prevalence amongst high
risk groups including MSMs at 13.5% emphasizes the need to target this particular group with HIV
sensitization programs, prevention messages, and linkages to care and treatment. IBBSS 2007 revealed
that half of the MSM surveyed could not correctly identify ways to prevent sexual transmission of HIV.
Over 70% used oil based lubricants. Multiple sexual partnerships (insertive and receptive) are common
among MSM while over 50% engaged in transactional sex. MSM were not more likely to have used
condom at last transactional anal sex with a man (58%) compared to a non commercial sex partner
(53%). Only 34% of reporting MSM have ever been tested for HIV in Nigeria. The proposed program will
deliver HIV services as well as undertake multiple level capacity development approach to simultaneously
respond to unmet need for prevention, community based care and support HIV services to MSM in
Nigeria. Past efforts have worked through rather with MSM grassroots organizations and services were
provided under umbrella of most at risk population. Heartland Alliance iwill focus on MSM populations
with a minimum of three interventions in the 5 states mentioned above.
This activity also links with prevention programs. USAID Nigeria is negotiating a new award which will provide integrated HIV prevention programming for a targeted most-at-risk population of men who have sex with men (MSM). As is the practice when making new awards, OGAC Intervention strategies will aim at reducing number of sexual partners, promoting consistent condom use in all sexual acts, encouraging the use of water based lubricants, providing adequate treatment of STIs and offering sex education. Specific activities will entail building the capacity of indigenous MSM organizations to provide high quality prevention programming that will bring about effective behavior change as it relates to reduction of multiple sexual partners and transactional sex as well as with messages promoting fidelity, encouraging partner reduction through risk reduction messages and personal risk perceptions skills; utilization of Peer Outreach & Community Mobilization activities, establishing Condom/lubricant outlets, Community Centers, Online - outreach and web resources, conducting trainings/Events and IEC materials development. Activities will also focus on male and female partners of MSM who are at high risk owing to contextual factors, with messages refined for each group. Activities to prevent transactional sex or
protect MSM involved in transactional sexual relationships will focus on skills based HIV education for vulnerable young women and young men with broad based community care and support activities that facilitate access to treatment and adherence counseling services for MSM. These interventions will be reinforced with mass media activities that highlight importance of mutual fidelity, risk behavior reduction and safe sexual practices. The program will concentrate activities in areas that will be identified through secondary analysis of national behavioral data generated through the project SEARCH and NARHS PLUS survey. The MARP prevention program will build capacity of local MSM networks to provide the minimum package intervention for the MSM population groups. Technically this will entail familiarizing the organizations with the minimum package modules and adopting a program approach that ensures delivery of the package as stated by the National Prevention Plan. The project anticipates reaching 28,000 MSM with AB messages and services and 22,000 MSM with community and facility services including adherence and prevention with positive services for identified positive MSM utilizing minimum package interventions that provide comprehensive balanced prevention interventions. 17 outreach coordinators and 70 Peer educators will be trained in COP 09 to MSM population in Lagos and FCT. Heartland Alliance will document and disseminate best practices; successful and innovative approaches with lessons learned and share these with their implementing agencies as well as other partners within the PEPFAR program in Nigeria. In COP 09, particular interest on lessons learned will focus on effective approaches for improving organizational and technical capacity of local lesbian, gay, bisexual, transsexual/men who have sex with men organizations. Implementation will be through local organizations whose capacities will have been built by the prime and have been identified to have capacity for rapid scale up. Within the initial 6 months of implementation, capacity-building for provision of prevention (AB) services for the groups will be carried out followed by development of IEC materials for MSM. The overall programmatic intervention will be in line with national priority plan and national prevention plan. CONTRIBUTIONS TO OVERALL PROGRAM AREA The programs and activities implemented will fill critical gap in the reach of HIV interventions into epidemiologically important population to better address gaps in coverage and to better address specific behaviors within underserved populations. This MARP prevention program, delivered through implementing agencies whose capacity has been built, will contribute to strengthening and expanding the capacity of the GON's response to the HIV/AIDS epidemic and increasing the prospects of meeting the Emergency Plan's goal of preventing 1,145,545 new infections. LINKS TO OTHER ACTIVITIES The AB and C/OP activities implemented under the proposed activity will be linked with care and support activities, as well as with the other prevention partners. POPULATIONS BEING TARGETED: Populations targeted in these activities will include MSM and their partners (male and female). KEY LEGISLATIVE ISSUES ADDRESSED: Key legislative issues will address increasing equity and access to information and services for MSM. EMPHASIS AREAS: The service delivery component will focus on information, education, and communication in the community and will build linkages with other sectors and initiatives.
Intervention strategies will aim at reducing number of sexual partners, promoting consistent condom use
in all sexual acts, encouraging the use of water based lubricants, providing adequate treatment of STIs
and offering sex education. Specific activities will entail building the capacity of indigenous MSM
organizations to provide high quality prevention programming that will bring about effective behavior
change as it relates to reduction of multiple sexual partners and transactional sex as well as with
messages promoting fidelity, encouraging partner reduction through risk reduction messages and
personal risk perceptions skills; utilization of Peer Outreach & Community Mobilization activities,
establishing Condom/lubricant outlets, Community Centers, Online - outreach and web resources,
conducting trainings/Events and IEC materials development. Activities will also focus on male and
female partners of MSM who are at high risk owing to contextual factors, with messages refined for each
group. Activities to prevent transactional sex or protect MSM involved in transactional sexual
relationships will focus on skills based HIV education for vulnerable young women and young men with
broad based community care and support activities that facilitate access to treatment and adherence
counseling services for MSM. These interventions will be reinforced with mass media activities that
highlight importance of mutual fidelity, risk behavior reduction and safe sexual practices. The program will
concentrate activities in areas that will be identified through secondary analysis of national behavioral
data generated through the project SEARCH and NARHS PLUS survey. The MARP prevention program
will build capacity of local MSM networks to provide the minimum package intervention for the MSM
population groups. Technically this will entail familiarizing the organizations with the minimum package
modules and adopting a program approach that ensures delivery of the package as stated by the
National Prevention Plan. The project anticipates reaching 28,000 MSM with AB messages and
services and 22,000 MSM with community and facility services including adherence and prevention with
positive services for identified positive MSM utilizing minimum package interventions that provide
comprehensive balanced prevention interventions. 17 outreach coordinators and 70 Peer educators will
be trained in COP 09 to MSM population in Lagos and FCT. Heartland Alliance will document and
disseminate best practices; successful and innovative approaches with lessons learned and share these
with their implementing agencies as well as other partners within the PEPFAR program in Nigeria. In
COP 09, particular interest on lessons learned will focus on effective approaches for improving
organizational and technical capacity of local lesbian, gay, bisexual, transsexual/men who have sex with
men organizations. Implementation will be through local organizations whose capacities will have been
built by the prime and have been identified to have capacity for rapid scale up. Within the initial 6 months
of implementation, capacity-building for provision of prevention (AB) services for the groups will be
carried out followed by development of IEC materials for MSM. The overall programmatic intervention will
be in line with national priority plan and national prevention plan. CONTRIBUTIONS TO OVERALL
PROGRAM AREA The programs and activities implemented will fill critical gap in the reach of HIV
interventions into epidemiologically important population to better address gaps in coverage and to better
address specific behaviors within underserved populations. This MARP prevention program, delivered
through implementing agencies whose capacity has been built, will contribute to strengthening and
expanding the capacity of the GON's response to the HIV/AIDS epidemic and increasing the prospects of
meeting the Emergency Plan's goal of preventing 1,145,545 new infections. LINKS TO OTHER
ACTIVITIES The AB and C/OP activities implemented under the proposed activity will be linked with
care and support activities, as well as with the other prevention partners. POPULATIONS BEING
TARGETED: Populations targeted in these activities will include MSM and their partners (male and
female). KEY LEGISLATIVE ISSUES ADDRESSED: Key legislative issues will address increasing
equity and access to information and services for MSM. EMPHASIS AREAS: The service delivery
component will focus on information, education, and communication in the community and will build
linkages with other sectors and initiatives.
USAID Nigeria is negotiating a new award which will provide integrated HIV prevention programming for a targeted most-at-risk population of men who have sex with men (MSM). As is the practice when making new awards, OGAC will be informed when the award is ready, and the partner(s) and targets will be uploaded into COPRS. The proposed program will build and strengthen institutional and technical capacity of five local MSM organizations in the FCT, Lagos, Cross Rivers, Rivers and Kano states to deliver high-quality comprehensive AB prevention programs and services targeting Men having Sex with Men (MSM). Lagos and FCT will be targeted to start programs in COP 09 with expansion to Rivers, Kano and Cross River state planned for later years. Nigeria with national prevalence of 3.4% (FMOH 2007) and prevalence exceeding 5% in some states has a concentrated epidemic. HIV/AIDS prevalence of 3.7%, 3.5%, 3.1% amongst transport workers, police force and armed forces and with prevalence of over 30% among female sex workers (IBBSS 2007), reveals unequal distribution among different population subgroups. The highest prevalence amongst high risk groups including MSMs at 13.5% emphasizes the need to target this particular group with HIV sensitization programs, prevention messages, and linkages to care and treatment. IBBSS 2007 revealed that half of the MSM surveyed could not correctly identify ways to prevent sexual transmission of HIV. Over 70% used oil based lubricants. Multiple sexual partnerships (insertive and receptive) are common among MSM while over 50% engaged in transactional sex. MSM were not more likely to have used condom at last transactional anal sex with a man (58%) compared to a non commercial sex partner (53%). Only 34% of reporting MSM have ever been tested for HIV in Nigeria. The proposed program will deliver HIV services as well
as undertake multiple level capacity development approach to simultaneously respond to unmet need for prevention, community based care and support HIV services to MSM in Nigeria. Past efforts have worked through rather with MSM Intervention strategies will aim at reducing number of sexual partners, promoting consistent condom use in all sexual acts, encouraging the use of water based lubricants, providing adequate treatment of STIs and offering sex education. Specific activities will entail building the capacity of indigenous MSM organizations to provide high quality prevention programming that will bring about effective behavior change as it relates to reduction of multiple sexual partners and transactional sex as well as with messages promoting fidelity, encouraging partner reduction through risk reduction messages and personal risk perceptions skills; utilization of Peer Outreach & Community Mobilization activities, establishing Condom/lubricant outlets, Community Centers, Online - outreach and web resources, conducting trainings/Events and IEC materials development. Activities will also focus on male and female partners of MSM who are at high risk owing to contextual factors, with messages refined for each group. Activities to prevent transactional sex or protect MSM involved in transactional sexual relationships will focus on skills based HIV education for vulnerable young women and young men with broad based community care and support activities that facilitate access to treatment and adherence counseling services for MSM. These interventions will be reinforced with mass media activities that highlight importance of mutual fidelity, risk behavior reduction and safe sexual practices. The program will concentrate activities in areas that will be identified through secondary analysis of national behavioral data generated through the project SEARCH and NARHS PLUS survey. The MARP prevention program will build capacity of local MSM networks to provide the minimum package intervention for the MSM population groups. Technically this will entail familiarizing the organizations with the minimum package modules and adopting a program approach that ensures delivery of the package as stated by the National Prevention Plan. The project anticipates reaching 28,000 MSM with AB messages and services and 22,000 MSM with community and facility services including adherence and prevention with positive services for identified positive MSM utilizing minimum package interventions that provide comprehensive balanced prevention interventions. 17 outreach coordinators and 70 Peer educators will be trained in COP 09 to MSM population in Lagos and FCT. Heartland Alliance will document and disseminate best practices; successful and innovative approaches with lessons learned and share these with their implementing agencies as well as other partners within the PEPFAR program in Nigeria. In COP 09, particular interest on lessons learned will focus on effective approaches for improving organizational and technical capacity of local lesbian, gay, bisexual, transsexual/men who have sex with men organizations. Implementation will be through local organizations whose capacities will have been built by the prime and have been identified to have capacity for rapid scale up. Within the initial 6 months of implementation, capacity-building for provision of prevention (AB) services for the groups will be carried out followed by development of IEC materials for MSM. The overall programmatic intervention will be in line with national priority plan and national prevention plan. CONTRIBUTIONS TO OVERALL PROGRAM AREA The programs and activities implemented will fill critical gap in the reach of HIV
interventions into epidemiologically important population to better address gaps in coverage and to better address specific behaviors within underserved populations. This MARP prevention program, delivered through implementing agencies whose capacity has been built, will contribute to strengthening and expanding the capacity of the GON's response to the HIV/AIDS epidemic and increasing the prospects of meeting the Emergency Plan's goal of preventing 1,145,545 new infections. LINKS TO OTHER ACTIVITIES The AB and C/OP activities implemented under the proposed activity will be linked with care and support activities, as well as with the other prevention partners. POPULATIONS BEING TARGETED: Populations targeted in these activities will include MSM and their partners (male and female). KEY LEGISLATIVE ISSUES ADDRESSED: Key legislative issues will address increasing equity and access to information and services for MSM. EMPHASIS AREAS: The service delivery component will focus on information, education, and communication in the community and will build linkages with other sectors and initiatives.
