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.
A primary aim for Rwanda under the Emergency Plan guidelines is to increase the number of Rwandans
who undergo routine, confidential counseling and testing each year. Counseling and testing for couples is a
unique strategy to encourage this important intervention. Knowing one's HIV status is the first step towards
prevention, care and treatment. Reaching couples with HIV testing and counseling is a vital component of a
comprehensive testing strategy. When healthy couples are reached with testing, discordant couples can be
identified, thereby creating an opportunity for prevention of new infections in the uninfected partner through
intensive counseling. Early identification of these discordant couples is also an opportunity to provide early
referral to care and treatment. Key technical differences to the model include whether couples receive TC
and/or disclosure of results together or separately. CVCT and disclosure of results may have an effect on
the number of couples tested, acceptability by clients, potential for reducing GBV, and compliance with
follow-up.
By providing counseling and testing to couples, counselors can address and help couples overcome
obstacles such as gender inequity and stigma. Couples confidential counseling and testing has many
benefits both for the couples themselves as well as the Rwandan community as a whole, including the
following providing an important opportunity to promote fidelity and strengthen relationships; identifying
serodiscordance among couples, which is common in Africa, and could account for a large proportion of
new infections; reducing the rate of HIV transmission among partners; facilitating linkages to targeted
prevention efforts to avert HIV infection; facilitating linkages to care and treatment, which can promote
healthy behaviors/practices for positive living; empowering couples by promoting family decision-making
and appropriate behavior changes; and encouraging faithfulness in concordant HIV-negative couples.
In FY08, CDC will support a partner to scale up Couples Voluntary Counseling and Testing (CVCT) in
Rwanda and build the infrastructure capacity to carry out these activities. The partner will also provide a
comprehensive counseling and testing package for couples, train local health-clinic staff on couples
counseling-and-testing methods, establish and expand linkages between couples counseling-and-testing
services and care-and-treatment services which will screen all HIV-infected persons and refer them for anti-
retroviral (ARV) treatment and prevention of mother-to-child transmission (PMTCT) programs within the
facilities and develop and implement innovative ways to increase community awareness and demand for
couples counseling and testing.
