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.
PMTCT service outlets have increased since inception in 2002, from six to at least 600 with most of them being PEPFAR-supported. PEPFAR support for PMTCT activities include training of HCWs on PMTCT,
supply of PMTCT commodities, supportive mentoring and supervision to staff at service outlets and so on. In spite of the efforts in PMTCT service delivery, coverage of pregnant women receiving HIV testing and counseling is only about 11%.
In COP10, Nigeria is one of a few countries to receive supplementary funding in order to stimulate a higher pace of PMTCT activities towards improving coverage and quality.REDACTED. This amount will be programmed in April since the agency allocations are not defined as yet.
PMTCT as an HIV/AIDS intervention is a health sector response in Nigeria. The frail health system in Nigeria is a contributory factor, amongst others, to the challenges with achieving efficient outcomes in PMTCT. It has become necessary to address some of the constraints to PMTCT service delivery that are related to underlying weak health systems. A major thrust of PEPFAR Nigeria's plan to support the acceleration of PMTCT in Nigeria is to re-direct efforts towards sub-national levels in achieving wider PMTCT coverage.
PEPFAR Nigeria, through its IPs will provide support to selected state governments in order to build their capacity to better plan, implement, supervise and evaluate PMTCT activities in their states. This HSS support will be provided through 'Lead IPs'- A Lead Implementing Partner in the context of the accelerated PMTCT plan is a PEPFAR-supported Implementing partner that takes a lead role in facilitating support to enhance the capacity of sub-national levels of government towards improving the coverage and quality of PMTCT.
Most PMTCT IPs will receive supplementary funding in order to increase the pace of PMTCT activities. Seventeen (17) states have been selected to be focal states for the purpose of the accelerated PMTCT Plan in COP10. The Activities of the Lead Ips as defined above will be concentrated in these selected states- Akwa Ibom, Cross River, Edo, Benue, Nassarawa, FCT, Niger, Kogi, Enugu, Anambra, Abia, Oyo, Ondo, Adamawa, Taraba, Sokoto and Kano.
REDACTED. This amount will be programmed in April since the agency allocations are not defined as yet. While the selection of implementing partners is still under review, the intended activities are outlined below:
HSS activities for improved PMTCT service delivery will include support for the extension of the technical capacity from the national to the sub-national level through the introduction of zonal PMTCT task teams working with state PMTCT committees. The zonal task teams will ensure that requisite mentoring on PMTCT service delivery is available at state level within states in the respective zones. Lead IPs will work with SACA and SASCP officials to facilitate the formation (where such a forum is absent) of state PMTCT committees and strengthening (where such a forum exists) of these state PMTCT committees. These state committees will receive support to establish baseline data prior to state acceleration activities, develop and implement state PMTCT scale up plans as appropriate. HSS for PMTCT is expected to result in more coordinated USG support at State and LGA levels, Scale up of PMTCT coverage (from 11% to 40%) and Monitoring and evaluation activities that are better institutionalized at the state level
Activities for Strategic Information for PMTCT will include the procurement of Computers/Printers to strength community level PMTCT monitoring , program evaluation of PMTCT-MIS and documentation of lessons learned, Training of M&E officers at service delivery points to monitor the NGIs and PMTCT monthly summary forms and quarterly M&E meetings with FMOH,SASCP, SACA and IPs to report monthly summary forms (ANC, Delivery, Child-Follow-up).
Agency-funded support activities are to include joint advocacy and support excercises for PEPFAR Nigeria, FMoH, UN, and LGA/State governments in order to further foster collaboration and knowledge sharing between key PMTCT stakeholders. These activities are ancillary to HSS activities described above, and are deemed crucial to the success of the accelerated plan. Support activities will also be aimed at facilitating the revision of PMTCT training materials and tools, their dissemination, and their
widespread adoption by service providers through support of conferences, national trainings, and other appropriate dissemination activities. Support to NASCP for scale-up activities and joint demand-creation activities are also planned.
(See submitted "Accelerated PMTCT Plan" for more detailed information on planned activities.)
