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 2012 2013
ECEWS will support the achievement of the partnership frame work implementation plan and overachieving goal of PERFAR II which is to entrench sustainable programs and increase host government involvement in the fight against HIV/AIDS and other priority interventions in the global health initiative. ECEWS will continue to support and partner with the host government and communities in implementing sexual prevention activities, HIV Testing and Counseling, Adult and pediatric care and support services, TB/HIV services, OVC services and Strategic Information. ECEWS will focus on health system strengthening and information use for decision making among stakeholders. Gender issues especially relating to the girl-child will be emphasized in ECEWS programming for fy12 and fy13. ECEWS plans to provide HTC services to over 87,895 individuals including MARPs by the end of fy13, Umbrella care and supports services to 49126 including 14870 HIV Infected persons and 7036 OVC. Fy13 will witness an estimated increase in reach by 30%. ECEWS will work with USG and GON to include ECEWS-supported facilities in the District Health Information System 2 (DHIS2). ECEWS will be an active participant on the USG SI Technical Working Group, supporting PEPFAR in developing and maintaining a unified national data platform for HIV services in Nigeria. ECEWS will be an active participant in the State M&E TWGs, supporting capacity building activities; the development and implementation of the States Strategic Plans. ECEWS will participate in relevant National TWGs to share and adopt best practices and lessons learnt. Program implementation will be guided be Nationally approved guidelines and tools and contribute to the overall PEPFAR Nigeria goal.
ECEWS currently supports a standardized HIV indicator reporting systems across 57 sites in Akwa Ibom, Cross River and Abia States; harmonization of data collection and reporting across sites with other donor-supported activities in line with the principle of One M&E Framework and in accordance with the national guidelines. ECEWS will work with USG and GON to include ECEWS-supported facilities in the District Health Information System 2 (DHIS2). ECEWS will be an active participant on the USG SI Technical Working Group, supporting PEPFAR in developing and maintaining a unified national data platform for HIV services in Nigeria. ECEWS will be an active participant in the State M&E TWGs, supporting capacity building activities; the development and implementation of the States Strategic Plans.
Funding will be used to provide IT infrastructure which will include laptop computers and internet modems for 14 facility-based sites to facilitate and enhance timely and qualitative data collection, aggregation and reporting. One M&E Focal Person will be selected each from all 57 supported sites and trained along with LACA M&E Officers across 17 L.G.As in 3 target states on data collection, aggregation, analysis and reporting across the relevant National Data Capturing Tools for supported Technical Program Areas and on the use of IT for electronic documentation, analysis and reporting/dissemination of site-level data to all relevant stakeholders.
Monthly central M&E meetings will be held across the 3 focus states for all site M&E Focal Persons in collaboration with the states SACA for the purpose of data collation and analysis.
ECEWS S.I Team along with SACA and SMoH M&E Staff will conduct regular joint monitoring and supervisory visits to all sites in order to build relationships and capacities within the states as part of DQA activities.
Program performance assessment across all supported technical areas will be performed to provide evidence-based decisions for program quality, impact, and effectiveness. ECEWS will also work with site administrators and staff to improve their knowledge and understanding of the data from their sites to enhance site information use for decision making and planning.
ECEWS will target 11,692 individuals including youths (aged 10-24) especially girls and vulnerable children who engage in casual sex with multiple partners, widows, divorced/separated and married couples who engage in multiple sexual relationships.
Program implementation will focus on structural, behavioral and biomedical interventions utilizing a combination prevention intervention. CP interventions will focus on strategies like Community awareness campaigns, Peer education model, non-curriculum school-based approach and promotion of HTC. Mainstreaming of intervention activities via HIV abstinence clubs and FBO group meetings will be prioritized for sustainability. Using evidence based age appropriate & population specific curricula, targets will be reached with risk reduction counseling and education; [FLHE manual for lower secondary school, NYSC Adolescent RH/HIV prevention manual for upper secondary school and AHI training manual for adolescents friendly health services].
An adapted version from the CRS faithful House manual will be utilized to reach other populations in Faith Based Organizations. Interventions will target to delay sexual debut and enhance adoption of secondary virginity as well as reinforce relevant life skills among in-school youths, while promoting mutual fidelity, partner reduction and HTC among young adults and married couples.
Programs are currently implemented in 10 schools and 10 churches in Akwa Ibom, Cross River and Abia states and has reached a total of 2378 individuals in the last 12 months
ECEWS will promote the use of standardized manuals and tools with supportive supervision and refresher trainings provided to reinforce messaging. Referrals will be made for counseling and testing for all beneficiaries while appropriate linkages with condom service outlets and OVC programs will prioritize for relevant services.
Program monitoring plans will emphasis the use of appropriate combination prevention mix in reaching targets and evaluations will seek possible behavior change and adherence to risk reduction plans.
ECEWS will target to provide HTC to 23, 616 individuals and 60, 000 individuals in fy12 and fy13 respectively in Akwa Ibom, Cross River and Abia States. ECEWS currently targets MARP populations, STI and TB suspects/patients, children, couples and general population in Akwa Ibom, Cross River and Abia States (HIV prevalence of 10.9%, 7.1% and 7.6% respectively, sentinel survey 2010). In the past twelve (12) months, 21,464 individuals have been counseled and tested for HIV in focus states. ECEWS adopts the provider- Initiated and client- initiated approaches in testing and counseling MARPs and the general population .PITC is provided in TB and STI clinics, ANC settings (where PMTCT services are absent), outpatient and inpatient wards. Home based testing will be provided for partners and family members of HIV-positive patients. ClientInitiated testing and counseling is adopted at stand-alone sites and by outreach/mobile teams to MARPs. Couples HTC and pediatric testing will be scaled up across ECEWS supported sites via targeted outreaches to high prevalence communities and health facilities to promote the test to treat strategy.
PITC and client initiated approaches have resulted in testing of 12,614 and 8,790 individuals respectively in the last 12 months. 14 HCWs were trained on HTC using the national curriculum, while refresher training was provided to previously trained forty (40) HCWs. ECEWS employs the nationally approved serial testing algorithm across all supported sites. STI/TB suspects and HIV positive persons identified via HTC are being referred using a 2 way referral system and clients are provided with escort services for intra facility referrals. A referral directory is deployed in all supported sites and follow-up calls and home visit are used to track client not yet enrolled into care. Population specific BCC materials and condoms are distributed during community mobilization campaigns and outreaches to markets, parks, religious groups and brothels based on clients' individual needs. This activity is aimed at creating demand for HTC. ECEWS quality assurance program includes the use of nationally approved SOPs, Supportive Supervision, Client exit and counselor reflection forms , DTS and EQA.
ECEWS will target 6,611 individuals (female sex workers and their clients, transport workers, police, soldiers, STI suspects/patients, female students in higher institution and PLWH) in Akwa Ibom, Cross River and Abia states for sexual prevention intervention. Targets are major drivers of the epidemic in Nigeria and are engaged in transactional sex and multiple concurrent partnerships with FSW having limited ability to negotiate for safer sex. Program implementation will focus on structural, behavioral and biomedical interventions utilizing a combination prevention intervention. ECEWs will employ evidence based adapted peer education plus model for intervention with sex workers, transport workers, uniformed service personnel and youths. Strategies will include community awareness campaigns, peer education model, risk reduction counseling, and promotion/provision of HTC and syndrome management of STIs. HCWs will be trained using the FMOH syndrome management of STI guideline to provide STI counseling and treatment to target populations. MARPs will be linked or provided with HTC. Risk reduction strategies will include partner reduction, negotiation for safer sex and consistent and proper use of condoms. HIV awareness campaigns will be intensified to increase risk perception among beneficiaries and increase demand for HTC, care and treatment. Using appropriate mix and dose of combination prevention intervention 8057 individuals including 830 commercial sex workers have been reached in the last 12 months. Condom availability is enforced across service outlets via the use of LMIS in procurement and supply chain management. Program monitoring visits, review meetings, observation of peer sessions and mentoring on condom demonstration and distribution and proper documentation are major strategies used to promote quality assurance. ECEWS will promote the use of standard tools to aid implementation of the combination prevention intervention with Job aids on risk reduction counseling and standard PEP manuals to guide peer educations. Supportive supervision and refresher trainings will be supported to reinforce messaging and access to condoms and BCC materials will be enhanced via strengthening of existing service outlets.
