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: 2013 2014 2015 2016 2017 2018
IS TBD/Nigerias goal is to prevent the transmission of HIV and other blood borne disease by promoting only safe and necessary injections and proper HCWM.
During FY12; project will continue interventions at 100 sites in Benue, Bauchi, Sokoto, Lagos, Cross River states and Federal Capital Territory including IP sites and reach an additional 100 primary healthcare (PHC) sites in collaboration with NPHCDA. IS TBD will conduct training of trainers, support training of health workers, logistic managers and waste handlers, including promotion of safe male medical circumcision messaging to appropriate audiences in North. IS TBD will also provide behavior change communication, commodity security, HCWM, and policy support to focal states. The project will also provide technical support to other PEPFAR treatment sites on IS and HCWM. The NPHCDA PHC focused HCWM framework and plan will be developed with partners and jointly implemented.
By September 2012, the project will have reached 200 healthcare sites including new NPHCDA PHCs. The National HCWM Policy approval will be a high priority this year and IS TBD will support its rollout. Data from supportive supervision, baseline and follow up assessments will be used to monitor impact of interventions and improve quality. Intervention planning, implementation and monitoring are coordinated with the FMOH and other stakeholders to ensure sustainability of interventions and cost effectiveness.
IS TBD will work closely with the MOH at all levels of the health system to ensure sustainability and ownership. IS TBD will use a combination of short- and long-term strategies in each technical area and continue to actively engage and support local stakeholders through the IS subcommittee to maintain a broad base of support for IS.
Funding for this activity is from the PFIP funds. The IS TBD will establish an environment where patients, healthcare workers (HW) and the community are better protected from the medical transmission of HIV and other blood borne pathogens with Government of Nigeria (GON), US Government (USG) and other PEPFAR partners. Some of the guiding principles that will inform and direct IS TBD strategy and activities are:
Support GON (National Primary Healthcare Development Agendy (NPHCDA)) to develop HCWM Framework and Plan
Support GON in the distribution of national plans,guidelines and policies
Work through the national injection safety technical working group
Build partnership at national and state levels to foster collaboration
Focus on tangible, discrete results in the near-term to lay the foundation for sustainability and long-term impact
Primary health care (PHC) is the foundation and corner-stone of the National Health Policy. The NPHCDA concept paper on HCWM reads health care waste management at the PHC level has been a source of concern for the NPHCDA . IS TBD will work with NPHCDA to: institute behavioral change among PHC HWs through the production, distribution and placement of IEC materials; institutionalize the HCWM plan, guideline and policy including the minimum HCWM package; train HWs and waste handlers; procure seed stock of IS and HCWM commodities to jump start best practices after training; and support NPHCDA and selected LGAs to establish a health system for continuous monitoring and improvement of best practices. The Ward Development Association will be involved from the planning stage in implementation and M&E of this intervention.
POPULATIONS BEING TARGETED: include HWs, waste handlers, religious and community leaders, and community-based organizations. In addition, policy makers at facility, LGA, state and National levels will receive advocacy on relevant policies. Furthermore, these activities will indirectly target the general population who will be provided with information on safer HCWM practices.
The Injection Safety TBD objective is to continue technical assistance to GON and PEPFAR IPs in order to support the USG/MOH in ensuring IS commodity security in public facilities; implement the national HCWM policy; strengthen the policy environment; establish a monitoring system of injection practices; and monitor and and evaluate IS through supportive supervision and a follow-up HFA. IS TBD will continue the technical approach of: IS commodity security, capacity building, behaviour change and communication, and appropriate HCWM. In addition, IS TBD will support the GON and IPs in collaboration with stakeholders to promote safe childhood VMMC practices through integrated community outreach activities in the North. During FY12, the project will continue interventions at Old IS sites including IP sites as well as new sites. IS TBD will also provide technical support to other PEPFAR treatment sites on IS and HCWM.
Capacity building at HFs will be done through TOT, training of health workers, logistic managers and waste handlers. Implementation of the National BCC and advocacy strategies will continue while exploring areas of synergy with other USG partners, including reproduction and sharing of IEC materials, conducting joint advocacy and sensitization meetings and community outreach activities. IS TBD will continue to work with relevant regulatory bodies and professional associations to sensitize their members on IS best practices. New partnerships will be forged and continue work with medical training institutions to update relevant curricula with IS modules. IS TBD will continue to facilitate the IS working group through quarterly meetings to: monitor the implementation of the National IS policies; advocate for use of safe IS commodities; advocate to the USG/MOH to increase access of PEP for HCWs and provide Hepatitis B vaccination for at-risk HCWs; and develop and implement plans for financial sustainability of IS activities. The GON and partners are involved with all IS stakeholders to ensure sustainability and political ownership.
