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.
The deadly interaction of TB and HIV affects millions of people in Nigeria, threatens public health, and
stretches the already weak health sector infrastructure. TB is the leading cause of morbidity and mortality
among People Living with HIV/AIDS (PLWHA), and HIV is fuelling the epidemic of TB in Nigeria. About
32% of the notified TB cases in 2007 had access to HCT (2007 NTBLCP report), hence the need for
further expansion and strengthening of TB/HIV services towards reaching the universal access of care for
co-infected patients. The TBCAP program served to link the goal of reducing the burden of TB and HIV in
dually affected populations and the three objectives of the WHO Interim Policy on Collaborative TB/HIV
activities which are: establishing mechanisms for coordination at all levels; reducing the burden of TB in
HIV patients; and reducing the burden of HIV among TB patients. In addition, the program placed
emphasis on TB infection control measures while scaling up services to prevent transmission of TB.
Another chief concern is MDR-TB, with a current estimated prevalence of 1.9% and 9.3% among new and
re-treatment TB cases respectively (2008 WHO Global report). TB CAP provided technical assistance to
federal and state TB and HIV control programs to coordinate and scale up implementation of TB/HIV
collaborative activities at the National level and in concert with state governments.
Due to the importance of these activities to the PEPFAR Nigeria TBHIV portfolio, it is seen as paramount
importance to replace the ending TBCAP project with another of similar quality and capacity. This follow-
on is designed to accomplish this goal.
The TBCAP follow on will have following key areas of intervention in COP 10 in order to build on the successes of the previous TBCAP program:
1. Strengthen capacity at National, State, LGA and facility levels to effectively coordinate and manage TB/HIV collaborative activities 2. Stregthen laboratory and programatic control for MDR TB 3. Stregthen the participation and invovlement of community and faith based organizations in the implementation of the TB/HIV activities 4. Strengthen implementation of the 3Is in Nigeria 5. In collaboration with the national TB training center in Zaria, stregthen Human resource capacity for TBHIV and TB control in Nigeria Laboratory stregthening and programatic control for MDR TB and TBHIV will be a focus for the follow on
project. This will be done by clinical and programatic training and upragde of facilities for TBHIV and MDR TB service delivery. The TBHIV follow on will involve community and faith based organizations in the implementation of the TB/HIV activities. A system will be developed within selected states to involve Community and Faith Based Organizations (working in the field of HIV/AIDS) per state in TB case finding and case holding activities. A TOT will be developed to enable master trainers to train community volunteers
Implementation of the 3Is (TB infection control, Isoniazide preventive therapy and Intensive case findings) will be stregthened in Nigeria. National and state staff from TB and HIV/AIDS control Programmes will be continued trained on TB infection control. The training will be stepped down by training GHWs from Health facilities on TB Infection control to enable them to develop an IC plan for their respective facilities. DOTS staff in congregate settings such as Prisons and HIV Service Delivery Centers in the selected states will be trained to increase case finding in congregate settings.
