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: 2012 2013 2014 2015
The Programme for HIV/AIDS Integration and Decentralisation in Nigeria (PHAID) is an Initiative of the National Primary Health Care Development Agency, with the overall goal of strengthening the Nigerian Primary Health Care (PHC) System to deliver HIV/AIDS services at the primary health level. PHAID aims at developing a locally relevant package of HIV/AIDS services and other interventions which would be implemented and managed by a trained and motivated PHC workforce. In addition, PHC system would be strengthened through some minor renovations on physical infrastructure and the development of relevant policies and strategies for effective staffing and HIV/AIDS service delivery at the PHC level.PHAID is fully aligned with the Nigerian National Strategic Health Development Plan and PEPFAR goals, which identifies strategies for the integration and decentralisation and scale up of priority HIV/AIDS,TB and Malaria services. PHAID would impact on 6 high HIV/AIDS burden States, provide facility based and out-reach services from 240 PHC facilities; and train 960 health workers at the PHC level. The expected catchment population for PHAID is projected at 3.6million persons, based on the Nigerian Ward Health System which utilises the political Ward as the basic catchment area for a PHC facility.In order to assure sustainability, M.O.Us would be signed with the participating States to gradually take over the funding of key activities.PHAID would have an effective monitoring and evaluation (M&E). The project will be implemented in collaboration with some sub-partners, Solina Health ltd and IHVN.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesOHSS National Primary Health Care Development Agency 0 Global Fund Health Systems Strengthening (HSS) focused on building capacity for integrated service delivery, using a developed integrated training curriculum for health workers, providing supportive supervision for effective service delivery and strengtheing basic physical infrastructure including planned preventive maintenance. Activities also include strengthening of community structures to increase demand for services
The scale up of HIV/AIDS and other priority basic health services in Nigeria has largely been hindered by weak capacity at the local government/primary health care level. These weaknesses are mainly in terms of critical shortage and inequitable distribution of PHC human resources, poor skills for HIV/AIDS service provision and poor commitment of States and LGA to effectively provide the needed health services. This is particularly critical in Nigeria where the HIV epidemic is large and growing with over 336,000 new infections in 2009; and emphasis of care is shifting to life-long community based care.
The Programme for HIV/AIDS Integration and Decentralisation (PHAID) would address most of these systemic challenges in the target States and local government areas (LGA); the recruitment, training and deployment of health workers, development of policies and strategies to ensure incentives and motivate acceptance of rural posting and effective service delivery. Services would be enhanced through the development locally relevant HIV/AIDS package, which would be delivered in an integrated manner; in line with Nigerias national strategy for the integration and decentralisation of ATM services. In addition, the PHC system of the target States would be further strengthened would be strengthened through some improvement works on physical infrastructure systemic increment in the financing of PHC in the participating States and LGAs. This would be achieved through sustained high level advocacy and the implementation of a signed M.O.U, which would require the States to gradually take over funding of key PHAID activities.
Through PHAID the NPHCDA would be further strengthening its over-sight and stewardship role for PHC in Nigeria and learn valuable lessons for expansion of its Public Private Partnership initiatives. The NPHCDA will also strengthen its collaborate with existing partners particularly for the development of the continuous education curricula and the training of the deployed health workers.
