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:
African Medical Research Foundation (AMREF) will employ three key strategies: 1) Implement social marketing and stigma reduction strategies; 2) Health system strengthening (training and mentoring including sub-granting and support); and 3) Community partnerships. The project will tap into previously developed and tested AMREF training curricula, partnerships with government and community counseling and testing (CT) providers. The project will expand CT coverage by both improving and ensuring quality, accessibility, appropriateness and convenience of services and developing targeted social marketing campaigns to improve CT uptake.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: NGO VCT Assessment
AMREF will map NGO VCT sites surrounding selected facilities; assess the service in terms of confidentiality practices, compliance with quality assurance methods for rapid testing, accessibility, quality, utilization of VCT services, data management; and client awareness/perceptions of local communities of VCT services and facilities. AMREF will assess clients' referral sources, perceptions, opening hours of and waiting times at the VCT service; application of existing policies and guidelines on VCT related services; and audit the structural conditions of VCT facilities. AMREF will assess the extent to which TB staff from health facilities are testing TB patients for HIV and monitoring the CD4 count of TB patients. With the aim of expanding access to VCT services, AMREF will review the relationship between NGOs offering (or seeking to offer) VCT and the Department of Health, specifically to understand the role that NGOs can play in expansion of VCT services.
ACTIVITY 2: Social Marketing and Stigma Reduction
Key activities include: 1) Desktop review of VCT social marketing activities (Government, CBOs, etc); consultation at all levels (national to district); assessment of knowledge, attitudes and perceptions (KAP) about HIV/AIDS and VCT within local targeted communities; 2) Design and develop information, education, and communication materials; (3) Build capacity of local stakeholders in order to fight stigma; 4) Social marketing campaign and facilitation of access to wider sources of care and support for people living with HIV; and 5) Conduct monitoring and evaluation (M&E) and documentation of best practices.
ACTIVITY 3. Health Systems Strengthening
Activities will focus on building the capacity of VCT services through training and mentoring to improve quality, confidentially, equity, access and demand for services and strengthen coordination between VCT and TB services. The program will also strengthen the capacity of health service staff at VCT and TB clinics to monitor and evaluate and keep accurate records of patients and services.
AMREF will train and mentor 200 VCT staff at selected VCT centers in HIV counseling and testing according to national and/or international standards; support TB and HIV linkages, TB symptoms and referral to TB testing; improve VCT service management and mentoring for clinic staff. To strengthen quality assurance AMREF will train 60 mentors in mentoring and coaching VCT staff and will develop a mentoring system to ensure that VCT testing staff are mobilising and referring. AMREF will strengthen the district health information systems (DHIS) and improve providers' ability to collect and analyze data, document results, and use data effectively in health service planning and management. AMREF will train 60 government HIV/AIDS STI and TB (HAST) committee members in M&E for comprehensive care.
AMREF will train 200 CBO carers,managers and nurses in ARV literacy; strengthen and support HAST committees to encourage networking and collaborative service provision between TB and HIV/AIDS services; mobilise and motivate TB patients for HIV testing and vice versa. AMREF will develop a referral system, tools and guidelines for health professionals,local NGOs/CBOS, primary health care and community service providers, in
collaboration with VCT and TB nurses; and will monitor the implementation of the referral system.
