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.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
This activity addresses HIV prevention, care and treatment activities with some of the most vulnerable
populations located and moving along the transport corridors of East Africa. The recently ended ROADS
project was a 5 year regional project whose goal was to stem HIV transmission and mitigate the
consequences of HIV/AIDS on vulnerable populations along major East African transport corridors. The
project targeted high-risk populations --drivers and their assistants, sex workers, members of the uniformed
services and stop-over site communities --with regionally coordinated SafeTStop information and services.
SafeTStops provide products, information and support for the prevention, care and treatment of HIV/AIDS in
these communities. This includes ABC messages, access to condoms, counseling and support for
HIV/AIDS, TC services and ARV information, referral and support. The LifeWorks Partnership, is an
innovative strategy that was developed in the first ROADS project. It is designed to provide small business
services to local community associations and cooperatives. LifeWorks works with the private sector to
create and provide opportunity for small community groups to have access to income generating activities
and markets for their products. LifeWorks is an important component of ROADS activities.
Building on the initial ROADS project, a new "leader with associate" award project, ROADS II (Road to a
Healthy Future) was recently awarded to FHI. Its goal is improving African capacity to respond to key
HIV/AIDS and health issues and improve health outcomes. PEPFAR will issue an associate award under
this new mechanism in FY 2009. Activities will include addressing key risk groups in hotspots along the
transport corridors, where mobility, poverty and inadequate and insufficient health services exacerbate the
risk for HIV infection. Healthy behaviors that will be promoted include promoting abstinence among youth;
provision of condoms to MARPS; counseling and testing; reduced alcohol consumption; improved HIV
outcomes through referrals and support in care and treatment settings; improved access to economic,
social and food security through IGAs and other community interventions and support; family planning
information and referrals; malaria prevention and treatment referrals.
ROADS II will make use of community clusters and associations (including, low income women, youth,
truckers, fishermen etc) to implement integrated health services as well as address some of the underlying
factors that exacerbate risk.
In FY 2009, AB activities will focus on vulnerable youth, providing them with life skills, HIV prevention
information and economic empowerment opportunities. Youth will be served through multiple channels
(including, youth clusters and peer educators) with information and services that are age-specific and
relevant, ensuring improved health seeking behavior and outcomes.
ROADS activities are currently implemented in 5 sites- Kigali city; Gatuna (Uganda border); Rusizi (DRC
border); Rusomo (Tanzania border) and Bugarama (intersection of DRC, Rwanda and Burundi). FY 2009
ROADS II activities will expand to include Gisenyi (DRC/Goma border), pending an improvement of the
security situation.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing women's access to income and productive resources
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
* Safe Motherhood
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $500,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Workplace Programs
Estimated amount of funding that is planned for Human Capacity Development $300,000
Table 3.3.03:
ACTIVITY UNCHANGED FROM FY 2008:
populations located and moving along the transport corridors of East Africa. The recently closed ROADS
innovative strategy of the ROADS project, designed to provide small business services to local community
associations and cooperatives. LifeWorks works with the private sector, to create and provide opportunity
for small community groups to have access to income generating activities and markets for their products.
LifeWorks is an important component of ROADS activities.
A new leader with associate award project, ROADS II (Road to a Healthy Future) was recently awarded to
FHI, with the goal of improving African capacity to respond to key HIV/AIDS and health issues and increase
the number of people served and improving the health outcomes of the population served. PEPFAR
Rwanda will issue an associate award under this new mechanism in FY 2009. Activities addressed under
this new award will include addressing key risk groups in hotspots along the transport corridors, where
mobility, poverty and inadequate and insufficient health services exacerbate the risk for HIV infection.
Healthy behaviors that will be promoted include promoting abstinence among youth; provision of condoms
to MARPS; counseling and testing; reduced alcohol consumption; improved HIV outcomes through referrals
and support in care and treatment settings; improved access to economic, social and food security through
IGA's and other community interventions and support; family planning information and referrals; malaria
prevention and treatment referrals. ROADS II will make use of community clusters and association
members (associations of low income women, youth, truckers, fishermen etc) to implement integrated
health services as well as address some of the underlying factors that exacerbate risk- alcohol consumption
and violence against women as examples.
ROADS II activities will focus on people living with HIV/AIDS, and provide them with life skills, HIV care and
treatment information and economic & educational empowerment opportunities. PLHA will be served
through multiple channels (PLHA associations and cooperatives, low income women's clusters etc) with
information and services ensuring improved health seeking behavior and outcomes. An important shift in
Rwanda is the concerted move towards community based health services delivery, increasing the focus of
health interventions at the community level. Under ROADS, volunteers will be trained to provide care at the
community level to PLHA focusing on OI & ART adherence; to impart information on the role of alcohol on
HIV risk behavior and ART treatment adherence as well as provide counseling and referrals. ROADS will
also work with pharmacists to support PLHA in the community with information on HIV drug regimens for
PMTCT; adherence support, and the monitoring and management of ART related side effects. These
activities are also related to the Prevention with Positives (PWP) activities that are being rolled out in clinical
as well as community settings beginning in FY 2008. ROADS will provide technical and administrative
support to associations of PLHA as they transition into cooperatives, also mandated by the GOR.
Activities are currently implemented in 5 sites- Kigali city; Gatuna (Uganda border); Rusizi (DRC border);
Rusomo (Tanzania border) and Bugarama (intersection of DRC, Rwanda and Burundi). FY 09 activities will
expand to Gisenyi (DRC/Goma border), pending an improvement of the security situation.
Table 3.3.08:
project was a 5-year regional project whose goal was to stem HIV transmission and mitigate the
project targeted high-risk populations - drivers and their assistants, sex workers, members of the uniformed
services and stop-over site communities, with regionally coordinated SafeTStop information and services.
HIV/AIDS, TC services and ARV information, referral and support. The LifeWorks Partnership is an
members (associations of low income women, youth, truckers, fishermen, OVC, etc.) to implement
integrated health services as well as address some of the underlying factors that exacerbate risk- alcohol
consumption and violence against women as examples.
In FY 2008 the ROADS project was supporting 1,000 OVC with at least one of the basic services. Of these
children, 477 were receiving more than one service, including school fees, health insurance, psycho-social
support and training on children's rights. ROADS II activities will continue to focus on vulnerable youth,
providing them with life skills, HIV prevention information and economic and educational empowerment
opportunities. Youth will be served through multiple channels (youth clusters, peer educators, etc.) with
information and services that are age-specific and relevant, ensuring improved health seeking behavior and
outcomes. In FY 2009 ROADS II will reach 1,000 OVC with a menu of services consistent with GOR's
minimum package of services including school fees and scholastic materials, health insurance, nutritional
support, psychosocial support, economic strengthening opportunities, shelter and protection. ROADS II will
address those risk behaviors that heighten HIV risk, including alcohol, transactional sex and gender-based
violence. Referrals to OVC social services and support will also be included. Information and services will
be risk-specific and relevant, ensuring improved health seeking behavior and outcomes. ROADS will
continue to train and support OVC caregivers in family- centered approaches to HIV prevention, care and
treatment.
Rusumo (Tanzania border) and Bugarama (intersection of DRC, Rwanda and Burundi). FY 09 activities will
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $20,000
and Service Delivery
Estimated amount of funding that is planned for Economic Strengthening $100,000
Estimated amount of funding that is planned for Education $100,000
Table 3.3.13:
ACTIVITY IS NEW IN FY 2009
1 TCI/ROADS was predecessor to ROADS II. In FY 2009, PEPFAR will convert to associate award for
ROADS II mechanism
2. Activities for new ROADS II mechanism have been elaborated below
project was a five year regional project whose goal was to stem HIV transmission and mitigate the
Depending on the site, ROADS II will partner either with local health facilities or with PSI to provide mobile
counseling and testing to MARPS. ROADS II will work through its cluster associations to mobilize
community members and MARPS for counseling and testing. Everyone receiving a positive HIV result will
be referred to the appropriate facility for service, including TB testing. All clients testing HIV negative will
receive risk reduction information to help them maintain their HIV negative status.
Rusomo (Tanzania border) and Bugarama (intersection of DRC, Rwanda and Burundi). FY 2009 activities
will expand to Gisenyi (DRC/Goma border), pending an improvement of the security situation.
Table 3.3.14:
This activity addresses HIV prevention, care and treatment activities focused on some of the most
vulnerable populations located and moving along the transport corridors of East Africa. The recently closed
Regional Outreach Addressing AIDS through Development Projects (ROADS) project was a 5 year regional
project with a goal to stem HIV transmission and mitigate the consequences of HIV/AIDS on vulnerable
populations along major East African transport corridors. The project targeted high-risk populations --drivers
and their assistants, sex workers, members of the uniformed services and stop-over site communities --with
regionally coordinated SafeTStop information and services. SafeTStop provides products, information and
support for the prevention, care and treatment of HIV/AIDS in these communities. This includes ABC
messages, access to condoms, counseling and support for HIV/AIDS, TC services and ARV information,
referral and support. The LifeWorks Partnership, is an innovative strategy of the ROADS project, designed
to provide small business services to local community associations and cooperatives. LifeWorks works with
the private sector, to create and provide opportunity for small community groups to have access to income
generating activities and markets for their products. LifeWorks is an important component of ROADS
activities.
Community initiatives include; Supporting and training community health workers in Information, Education
and CommunicationIEC, and behavior change communication (BCC) around abstinence, fidelity and
condom use; capacity building in rural communities by developing comprehensive HIV/AIDS prevention
strategies through Peace Corps and ;training peer educators/ members of AIDS support groups in the
military, youth centers, CSW etc
In FY 2009, ROADS II activities will continue to provide technical support to a variety of cluster models (low
income women, fishermen, truckers, youth), building their capacity to institute and manage HIV prevention
and care activities in their communities. This includes capacity development administration of sub-
agreements and community mobilization and advocacy. ROADS is instrumental in providing technical
guidance around HIV in the transport sector, and has worked with TRACPlus-CIDC and other GOR
institutions to incorporate alcohol and gender-based violence (GBV) issues into the national testing and
counseling (TC) policy. ROADS worked with community leaders to strengthen their role in the communities,
as well as provided technical support to community-based organizations (CBOs) and faith-based
organizations (FBOs) to improve their reporting and monitoring and evaluation (M&E) systems.
Estimated amount of funding that is planned for Human Capacity Development $200,000
Table 3.3.18:
