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.
ICAP in Nigeria is an international NGO affiliated to the Mailman School of Public Health under the Columbia University New York. Since 20105, ICAP has been supporting HIV/AIDS prevention, care and treatment services in the six states of Kaduna, Cross River, Akwa Ibom, Benue, Gombe, and Kogi States. In partnership with the Government of Nigeria, ICAP provides technical and financial assistance at the national, state, and site levels, for the scale-up of comprehensive HIV/AIDS services. ICAP in Nigeria, as at October 1st 2011 transitioned its Track 1.0 PEPFAR funding to Center for Integrated Health Programs (CIHP) a local indigenous NGO. However, ICAP in Nigeria continues to provide technical assistance to CIHP, under the BRIDGES Project. ICAP was awarded the plus up mechanism in 2008 to support PMTCT scale up efforts in Nigeria. ICAP NG has activated PMTCT services in General Hospital Sabon Tasha and 8 surrounding feeder Primary Health Clinics for PMTCT services. All 8 feeder PHCs refer positive women to GH Sabon Tasha for HAART.As part of the cooperative agreement between ICAP in Nigeria and the CDC Funding Opportunity CDC-RFA-PS10-1072 for improving uptake of PMTCT services through establishment of Community-based PMTCT Programs in Nigeria under the PEPFAR, funding is being provided to ICAP for the implementation of PMTCT programs in health facilities in the 5 states of Kaduna, Akwa Ibom, Gombe, Benue and Kogi states.ICAP has initiated PMTCT-HCT activities in 54 public health facilities in all 5 states by July 2011 and 9 private medical facilities in the 3 supported states by October.ICAP has put in place appropriate systems to enable HIV positive pregnant women-exposed infant pairs (and their family members) access such services at the supported facilities.
In COP 11, ICAP provided PMTCT services to 51 public 3 private HF in 5 states. ICAP will continue to partner with CIHP to rapidly scale up PMTCT services to 1 additional public and 13 private health facilities in hard to reach areas, with high ANC attendance in across the states. The private facilities will be activated as part of the PPPI to achieve state saturation. 123,676 pregnant women will be counseled and tested and 5070 mother-infant pairs provided ARV prophylaxis in COP12.Strengthening capacity building and use of current PMTCT GuidelinesICAP will train at least 821 HCWs to provide quality MNCH services to HIV positive women. Infrastructural upgrade will be completed in all the PMTCT sites. PHCs will implement AZT from 14 weeks GA, SdNVP at labor and post partum Combivir tail to all positive pregnant women. HEIs will receive daily NVP throughout the breast feeding period. HAART eligible HIV positive pregnant women will be referred to the nearest comprehensive site. ICAP will supply PRIMER CD4 machines to the high volume PHCs and others will continue CD4 sample logging mechanisms supported with motorbikes. Haemoglobinometers will be supplied to all the PHCs to monitor women on AZT as well as urinalysis test strips to support early detection of pre-eclampsia. .Strengthening HEIs ServicesHEI services will be provided at the PHCs including growth monitoring using the under-5 cards, CPT as well as DBS for EID and linkages to hubs for treatment.Strengthening service integrationHCT services will be integrated in RH/FP services while all PMTCT clients will be referred to access RH/FP services post-delivery. HIV+ women will be actively screened for TB and cervical cancers.Strengthening Community PMTCT servicesCBOs will implement Community-based PMTCT services to create demand, and provide doorstep HTC services. Deliveries at HF will be encouraged by the provision of mama kits . 40 TBAs will be trained on basic HIV prevention, infection control, and safe motherhood; Mentor mothers will be trained to conduct peer counseling to women on ARVs and support defaulter tracking for positive mother-baby pairs. PMTCT management information system will be strengthen through lead IP concept.As part of our strategy to increase the uptake of HTC at antenatal clinics in supported PMTCT facilities, we shall defray/absorb antenatal booking/registration fees for all pregnant women. In addition, we shall ensure that communities served by the health facilities are adequately informed of this benefit/privilege through local media outlets and strategically placed IEC materials.
