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: 2008 2009
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $17,500
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.06:
New/Continuing Activity: Continuing Activity
Continuing Activity: 16794
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16794 11485.08 U.S. Agency for Transatlantic 7546 5685.08 HIV/AIDS Policy $650,000
International Partners Against Advocacy
Development AIDS
11485 11485.07 U.S. Agency for Transatlantic 5685 5685.07 HIV $600,000
International Partners Against Parliamentary
Development AIDS Working Group
Estimated amount of funding that is planned for Human Capacity Development $105,000
Program Budget Code: 19 - HVMS Management and Staffing
Total Planned Funding for Program Budget Code: $460,000
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
Program Area: Management and Staffing
The Embassy's inter-agency Health and HIV/AIDS Working Group is committed to the HIV/AIDS plans for USG technical
assistance in Russia for 2009. The Working Group, consisting of USAID, CDC, Department of State (DOS)/Environment, Science
and Technology (EST), DOS/International Narcotics and Law Enforcement (INL), DOD and Pubic Affairs provides leadership,
direction and coordination among all USG Agencies working on HIV/AIDS in Russia. The Working Group meets quarterly sharing
updates on programs and information on upcoming HIV and related health events and issues. This year there are a number of
new staff on the Working Group including the new Deputy Chief of Mission, new USAID Mission Director, and new Counselor for
EST.
The USG HIV/AIDS Russia team continues to support and monitor progress in the two PEPFAR target regions of St. Petersburg
and Orenburg through meetings in the regions, site visits and high level Embassy involvement in HIV/AIDS policy and leadership
events. Due to the vast geographic size of the Russian Federation, the USG team also has an effective group of USG partners in
Moscow, including the Ministry of Health and Social Development and the Agency for Consumer Protection and Well Being which
oversees the Federal AIDS Center and the regional AIDS Centers in each of the 88 regions in Russia. The Embassy has three
Consulate Generals based in St. Petersburg, Vladivostok and Yekaterinburg. Each Consulate is actively engaged in HIV program
outreach events, such as World AIDS Day, opening ceremonies and other key events. With St. Petersburg being one of the
PEPFAR target regions, the Consulate is particularly active and provides high visibility and support to PEPFAR programs.
Orenburg, the other PEPFAR target region is located in the Yekaterinburg Consular district. Last year the Yekaterinburg Consul
General and the Ambassador participated in the World AIDS Day events in Orenburg.
In 2008, the USG team focused on transitioning the USG program to accelerate the hand over of selected program areas, such as
ARV treatment, counseling and testing and the final activities linked with the prevention of mother to child transmission - all of
which are being advanced within the Russian governmental system to varying degrees. USG will focus efforts on prevention and
care programs for the most at-risk populations in FY09, as these areas continue to face significant challenges in Russia. In
addition to program management and oversight, staff maintained and fostered relationships with key governmental officials, such
as the St. Petersburg City government with whom we have a Memorandum of Understanding and officials in the national Federal
AIDS Center and Ministry of Health and Social Development (MOHSD). USG staff also liaised with NGO counterparts, providing
oversight and guidance to NGOs and faith-based organizations (FBOs) working on critical prevention and care programs for those
most vulnerable.
In FY08, the USAID team worked with implementing partners to finalize USG PEFPAR support for abstinence and being faithful
prevention, the prevention of mother-to-child transmission, counseling and testing, co-infection of HIV/TB, and ARV treatment.
Critical gaps in Russia's response were targeted for intensified efforts, especially in providing prevention and care for MARPs.
"Wrap around" programs in reproductive health, TB, vulnerable youth and child welfare were leveraged to promote greater
synergies in meeting the needs of those affected by HIV/AIDS. In FY08 and FY09, USAID will continue to play the key
coordination and liaison role with PEPFAR for the Embassy and will also continue to manage the interagency PEPFAR and
Global Fund reporting and most of the administrative and local accounting and contracting support.
The CDC Representative in Moscow actively engaged with senior MOHSD staff, UNAIDS, WHO and other Strategic Information
experts working to advance surveillance programs to track the epidemic, particularly for MARPS; as the Country representative for
the US Department of Health and Human Services (HHS), CDC provided continuity for other HHS programs with NIH and
SAMHSA. Within the USG/Russia team, CDC provides leadership of Strategic Information activities. USAID and CDC worked
together to jointly prepare the USG/Russia HIV/AIDS plan, review partner performance, and assess progress and future priorities
within each program area. The co-location of USAID and CDC enable on-going dialogue and collaboration on a daily basis.
The Substance Abuse and Mental Health Support Agency (SAMHSA) of HHS, continues as one of the main partners in the USG
HIV program in Russia although they do not have a presence in country. SAMHSA works in support of curriculum development
that links HIV and substance abuse services and is responsible for providing guidance on programs for HIV prevention, treatment
and care for substance abusers. USAID mechanisms are used to implement SAMHSA initiatives, and USAID works closely with
SAMHSA representatives to monitor progress. The Embassy's EST section continued to promote greater political and scientific
leadership in battling the epidemic and to advance the dialogue on HIV vaccine research with the MOHSD and the relatively new
Public Health Centers of Excellence. EST and the CDC representative are the liaison with the National Institutes for Health (NIH),
which continued to sponsored HIV-related research on multiple topics, and plans to co-fund and participate in a high level
MOHSD-sponsored HIV meeting in May which will include the NIH prevention research, including the potential development of
microbicides.
The Embassy's International Narcotics and Law Enforcement Section (LES) served as the focal point for all issues related to drug
trafficking and illegal drug use, border control of drug transport, and drug demand reduction. LES supports the drug prevention
program in the Russian Far East regions of Irkutsk and Sakhalin that is administered by the Healthy Russia Foundation. The
Embassy Public Affairs (PA) and the USAID Communications Advisor managed USG messages, public relations and external
events.
The Department of Defense (DOD) maintains a position on the USG HIV/AIDS working group. The military HIV/AIDS prevention
program, in coordination with PSI and the Russian Ministry of Defense (MOD), has been suspended due to ongoing problems with
transparency and access. Additionally, both DOD and the Russian MOD did not participate in recent military HIV/AIDS
conferences. Currently, there is no active DOD program in place.
The Economic Affairs section (ECON) oversees the coordination of the Freedom Support Act funds (FSA) at Post, including
HIV/AIDS resources. In FY08, the FSA account financed 67% of the PEPFAR programs in Russia and 80% of the "wrap-around"
programs in maternal and child health, family planning, vulnerable children and TB. In FY09, the FSA account will not cover the
HIV/AIDS programs, instead the program will be covered in part by the GHCS-State funds ($5.5M) and partially by the GHCS-
USAID funds ($2.5M). The FSA account will continue to support the majority of the related health and social welfare programs.
The management and coordination function that USAID plays is critical for effective links within the overall health portfolio.
Staffing patterns in FY08 were as follows: USAID had one full-time USDH HIV/AIDS Officer, one half-time and one quarter time
USDH officer, and two full-time and two three-quarters time FSN professionals (one shared with CDC). One of the USAID FSN's
assisted with the on-going communications with the Medical staff of the Russian Ministry of Defense, working under the
advisement of the DOD counterpart in Office of Development Cooperation (ODC).
In FY08, CDC had one full-time USDH epidemiologist serving as the country representative and co-funded one FSN health
professional staff member with USAID. This staffing pattern will continue in FY09.
The Embassy's EST sector allocated less than 10% technical staff time of one USDH and two professional FSNs in FY08. The
non-PEPFAR, NIH-funded, FSN HIV/AIDS research specialist, who began work in October 2006 continued through FY08. The
EST Section is currently discussing with NIH the renewal of this position in FY09 that works closely with CRDF on AIDS research,
and dialogue with the GOR on possible joint vaccine research.
In FY08, SAMSHA continued to allocate staff time of a USDH in Washington to provide technical oversight and support for
HIV/AIDS and substance abuse, a critical component of the HIV epidemic in Russia. This pattern is expected to continue in FY09.
In-country, EST, USAID, and CDC devote substantial portions of direct hire staff time to managing, budgeting and evaluating
HIV/AIDS programs and reporting on the issue. USAID also devotes considerable staff time to donor coordination with USAID
representation on the GOR's Country Coordinating Mechanism (CCM) for the Global Fund, the UN Theme Group on HIV/AIDS,
and UNAIDS' monitoring and evaluation working group, and maternal health committees. Substantial CDC time is devoted to
work with the HIV M&E work group at the national level and work with UN partners this past year in developing the UNGASS
report. The total OE funded DH time attributed to PEPFAR for the Embassy is estimated to be a total of 2.75 full-time FTE
(although about 5 additional USDH spend less than 10 percent on AIDS).
The "cost of doing business" in Russia is as follows. Estimated ICASS costs in FY09 will total about $52,500 for USAID and
$53,000 for CDC. Approximate CSCS fees are $20,500 for CDC (USAID's is covered by HQ). IRM tax (USAID only) is estimated
at $32,550. Costs associated with the CDC advisor posting (including housing/schooling) as well as salary, ICASS, and CSCS
are reflected in the SI section.
Table 3.3.19:
