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
TB is a major cause of death among people living with HIV (PLHIV). The HIV sero-prevalence rate among TB patients in Nigeria increased from 2.2% in 1991 to 25% in 2010 (NTBLCP 2010 Report). To address the challenges created by TB/HIV interactions, the NTBLCP and NASCP developed a Joint National Plan in 2006 for phased implementation of TB/HIV collaborative activities supported by USAID. This USAID support has resulted in the following achievements: (1) Development National Guidelines, Strategic framework, Training/policy documents (2) Establishment of a National TB/HIV Working Group (3) Support for 23 State TB/HIV Working Groups (4) Phased implementation of TB/HIV collaborative activities in 23 states (5) Training of DOTS providers on HCT (6) Increased number of DOTS clinics providing HCT (7) Increased number of TB patients counselled and tested for HIV (80%) (8) Increased number of co-infected patients accessing Cotrimoxazole and ARVs (9) Renovations of DOTS clinics and Laboratories. Despite the achievements the provision of joint TB/HIV services in the country still faces the following challenges: (1) The NASCP structure at State/LGA level is not well structured/absent thereby hampering collaboration and coordination (2) Overreliance of NASCP on partners jeopardizing government ownership (3) Limited number of DOTS centres providing TB/HIV services (<50%) (4) Suboptimal access to Cotrimoxazole and ARVs among co-infected patients (58.7% and 33.3% respectively). The COP12 grant (TBCARE I/KNCV/WHO/ILEP) will be used to address these challenges by focusing on the following principles: (1) National/State ownership and leadership (2) Partnership and collaboration with all stakeholders (3) Equitable access to TB/HIV interventions.
The key intervention area under the budget code for HVTB is the scale up of TB/HIV collaborative activities in selected states. TB/HIV collaborative activities will be expanded to 100 DOTS facilities and 50 laboratories through the existing NTBLCP/ ILEP partners (Damien Foundation Belgium, German Leprosy and TB Relief Association, Netherlands Leprosy Relief and the Leprosy Mission Nigeria. The expansion includes: (1) Renovations of clinic/labs (2) (Re) training of DOTS/Lab staff on TB/HIV Collaboration and HCT (3) Procurement of microscopes (50) and test kits in line with the National Algorithm (HIV test kits for 180.000 suspects and patients) (4) Monitoring and evaluation (5) Supervision at all levels (6) Institutionalization of appropriate infection control measures at the incorporated clinics (. In addition to the scale up of TB/HIV collaborative activities, the COP 12 funding will be used to support the MDR Treatment centre at the University College Hospital (UCH) in Ibadan. The funding covers the following activities: (1) Training of 5 UCH staff (2) Patient support costs(feeding, transport)of 50 patients (3) Ensuring effective linkages between the MDR-TB Treatment Centre and the receiving health facilities (4) Training of General Health Workers, Local Government TBL supervisor and State TBL Control officers (50) on Programmatic management of Drug Resistant Tuberculosis (5) Support for follow up tests and quarterly monitoring visits of staff from the MDR Treatment Centre in Ibadan (75 patients). The collaborating partners are FMOH/TBCARE I/WHO/KNCV/ILEP.
The key intervention areas under the budget code for health systems strengthening are: (1) Strengthening NASCP Structure at State and LGA levels (6 pilot states) (2) Support National and State TB/HIV Working Groups (23 states) (3) Strengthening supervision of TB/HIV collaborative activities at National/Zonal level. Under the additional COP11 funding, the following preparatory activities to start up the process of strengthening NASCP have been planned: (1) Situation analysis (2) Gap analysis (3) Stakeholders meeting to design new NASCP structure (4) Development requires policy documents/SOPs/training materials (5) Selection of six pilot states using predefined criteria (6) Support for the conduct of state level advocacy visits. Implementation and evaluation of the newly developed NASCP structure will be supported by COP12 with the following activities: (1) Institutionalization of the designed structures in 6 states (2) Capacity building for NASCP programme managers at State/LGA level (3) Printing/distribution of policy documents/SOPs/training materials (4) Logistics support i.e. procurement of laptops/internet facilities for programme managers, project vehicles/motorcycles (5) Coordination meetings at National/Zonal/State level including National Annual Review Meeting (6) Monitoring and evaluation (7) Supervision at all levels (8) Support for the position of Technical Advisors at National/Zonal level (9) Technical Assistance for development Global Fund Proposal for expansion/scale up. The collaborating organizations are FMOH/TBCARE I/WHO/KNCV/ILEP.
