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.
MARPs including their clients & partners constitute about 3.4% of Nigerias population but with their partners account for 41.3% of new infections (UNAIDS,2010). Significantly higher HIV prevalence rates with figures above the national median are recorded amongst brothel based female sex workers (BBFSW), non-brothel based female sex workers (NBBFSW) & men having sex with men (MSM) with estimated prevalence of rates of 27.4%, 21.7% 17.2% respectively. HIV prevalence among other MARPs is dropping while it is increasing among MSM from 13.5% in 2007 to 17.4% in 2010 (IBBSS,2010). PEPFAR Nigeria prevention program for MARPs (FSW, MSM and IDU) focuses on increased access to comprehensive package of HIV sexual prevention activities at sufficient intensity, dosage & quality; improved continuum of community & facility-based prevention, care & treatment for targeted MARPs & it emphasizes improved use of data to strategically prioritize & plan HIV program interventions utilizing evidence based strategies. MARPs prevention program will address multiple & concurrent partnerships, transactional sex & low risk perception identified as critical risk factors in Nigeria HIV epidemic. Condom usage during risky sexual encounters will be addressed as reported condom use is still low. This program will provide high quality prevention interventions utilizing the combination prevention approach with specified minimum package services targeted at each MARPs group. This includes Peer education & outreach, Risk reduction counseling, Condom & lubricant promotion & distribution, HTC, STI screening & referral for treatment & referral for HIV care and treatment. PLEASE NOTE: This TBD is expected to be awarded in March 2012.
HVAB program partners will promote and strengthen media projects and interventions that targets youth age 15-24 years bracket that encourages them to increase HCT seeking behavior (to know their status), promote status disclosure, reduce stigma and discrimination, reduce alcohol & substance use, reduce multiple and concurrent partnerships and promote correct and consistent condom use.
The goals and strategies for HCT (FY12 & FY 13) for HCT services in Nigeria are:
To support the GON to ensure that 80% of Nigerians have access to quality HIV testing and counseling services that will enable them know their HIV status and make informed decision about HIV prevention as well as create linkages to care and treatment programs.
Support implementation of HTC program that is sustainable, consistent with international minimum standards and best practices, owned and led by the host communities and government
Implementing Partners (IPs) will employ different models of HCT services to expand access, strengthen referral networks and linkages and increase collaboration with the basic care and treatment program. In addition it will leverage resources from other bilateral and multilateral donors (GF, MDG, and WB) to build the capacity of the GoN on MARPs HCT programming to ensure sustainability in-country. Priority models of service will include: Scale-up Provider Initiated Testing and Counseling (PITC) (opt-out) for MARPs. Mobile and Outreach HCT for targeted MARPs (FSWs, MSMs, PWID). This activity will provide HCT in settings where MARPs feel comfortable with assurance of strengthening linkages and referrals to appropriate follow-up services to initiate enrollment into care. Ensure every testing site is linked to an EQA program: This would ensure monitoring, supervision, general laboratory testing oversight, and external quality assessment to testing sites. Also support ongoing improvements on counseling quality. Laboratory activity will support GON in ensuring quality through the validation of rapid HIV test kits, the establishment of appropriate testing algorithm, post-market quality assurance of test kits, and continuous monitoring of kits quality. Support testing component of HCT and implementation of quality management system through continuous provision of training, control panels, retesting program, proficiency testing and onsite monitoring
Greater national priority is being accorded MARPs prevention programming over recent years and riding on this momentum the HVOP will continue to emphasize increase adoption of safer sexual behaviors by MARPs in selected high prevalence states in Nigeria, in order to reduce new HIV infections. Promotion of consistent and correct condom use and provision of condom supplies will remain an essential component of programming with appropriate condom messaging; structured peer education using systematic training curricula,; STI management; interventions addressing vulnerability issues like income generation activities, essential life skills, HCT services; education of sex workers and MSMs on the use of water based lubricants, condom negotiation skills and use. Inclusion of messages related to alcohol use and its attendant disinhibition effects will feature in HVOP programs. IPs will utilize the Minimum Prevention Package Intervention approach a Nigeria led effort that requires prevention programs to provide a suite of mutually reinforcing interventions to address the risks of transmission/acquisition for an individual or within a fairly homogenous group of individuals at three levels ( the individual, community and structural levels) and these will be reinforced with mass media activities.
