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.
Summary:
USAID will fund the dissemination of findings from the 2007 male circumcision mapping and will fund the training, mentoring and service delivery of safe clinical male circumcision if the South African National Department of Health consents to male circumcision programming.
BACKGROUND:
Although not widespread, prevalence rates for male circumcision in South Africa range from 20% to nearly 100%. The prevalence also varies by ethnic group and is higher in some areas of the Eastern Cape and KwaZulu-Natal. Male circumcision is usually done for cultural or religious reasons rather than for health benefits. For example, certain ethnic groups, such as the Xhosa, routinely practice male circumcision as part of boys' initiation and transition to adulthood. In this context, circumcision is performed by traditional practitioners rather than by medically trained personnel in a health facility. A recent study conducted in South Africa showed that male circumcision very significantly reduces the risk of HIV acquisition. Two further large-scale studies of circumcision for HIV prevention in Uganda and Kenya showed similar results. Based on the information from the three clinical trials, UNAIDS and WHO have issued normative guidance and recommendations regarding policy and program development. With a potential of up to 60% reduction in the acquisition of HIV in males, circumcision may be considered an option for uninfected men as part of a larger HIV prevention package. Scaling-up male circumcision in South Africa may therefore soon become a priority, as a component of national comprehensive HIV prevention programs. South Africa has draft regulations/policy on governing the conditions under which the traditional male circumcision as part of an initiation ceremony may be carried out. There is an intergovernmental task team examining issues/policies surrounding traditional male circumcision. The USG PEPFAR team has ongoing consultations with the National Department of Health and UNAIDS on how to move the male circumcision agenda forward.
Target Populations: Adults Discordant couples Secondary school students University students Men (including men of reproductive age) Women (including women of reproductive age)
Coverage Areas:
National
Table 3.3.05:
