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
The Montefiore Medical Center aims to eliminate missed opportunities to test youth by building the capacity
of youth-serving clinics and STI clinics to more routinely provide CT using the ACTS model. ACTS ( Assess,
Consent, Test and Support) is a program of rapid, simplified counseling and testing (CT) that effectively
scales up provider-initiated counseling and testing (PICT). In addition, will implementing a youth-based
PICT, Montefiore Medical Center will work with rural districts to target non-government organizations
(NGOs) working with youth to provide HIV prevention activities.
BACKGROUND:
Engaging young people in HIV counseling and testing, prevention and care is one of the most important
strategies for reducing the burden of HIV and AIDS in South Africa. Unfortunately, thousands of
opportunities to achieve these goals are missed every day when vulnerable South African youth seek a
variety of health care services but are not offered HIV counseling and testing (CT) or provided with HIV
prevention information. By reducing pre-test counseling sessions to five minutes or less, ACTS allows
nurses to incorporate CT into the other clinical services they provide, such as sexually transmitted infection
(STI) care and family planning and promotes immediate follow-up and linkage to care. In addition, youth can
then be linked with NGO proving HIV prevention services to ensure behavior change. The target population
for this activity is youth between the ages of 10-25 in hard to reach parts of the country. The major
emphasis area for these activities includes building local capacity and creating linkages, networks and
referrals between youth-based prevention services
and the ACTS CT model.
ACTIVITES AND EXPECTED RESULTS:
Using ACTS, this program will focus initially on maximizing the linkages between youth based NGOs
working in the area of HIVE and AIDS prevention and CT services in high-prevalence youth clinics, starting
with STI clients and expanding to family planning clients. The linkage with the NGOs will ensure that ACTS
services can be implemented in conjunction with AB targeted messaging and with other NGO activities.
ACTS will link with youth-based NGOs in and around the clinics where services are being implemented.
This will ensure that youth get both CT services and AB prevention messages. Simalarily to its approach
with working with health facilities, the ACTS team will engage each new NGO, develop an implementation
and monitoring plan and train all relevant providers HIV and AIDS prevention, in the importance of CT,
collection PEPFAR indicators, provide quality assurance monitoring and initial HIV care. During the five
year cooperative agreement, this model will be continuously refined and successively implemented in high
prevalence communities and sites throughout South Africa starting in the Western Cape and Mpumalanga.
The yout-based NGO project will expand services to Waterberg district in Limpopo province and the North
West Province.
In FY2008, the team will continue to refine the ACTS services in two youth clinics in Khayelitsha . A
monitoring and evaluation plan will be developed that includes PEPFAR indicators. A quality assurance
plan will evaluate linkage to prevention among HIV negative youth as well as ensure that newly diagnosed
HI-infected youth also receive information on positive prevention. A Project Director will be hired and trained
and locations in Mpumalanga or other Province will be chosen as well as additional clinical and community
sites in the Western Cape. The goal is for this partner to test 20,000 youth for HIV and link them to
prevention.
These activities will contribute towards meeting PEPFAR's 2-7-10 goals by targeting youth between the
ages of 15-25 and ensuring that they receive AB messages. In linking prevention services with CT
services, this activity will ensure that youth understand how to stay negative after undergoing a HIV test.
working in the area of HIV and AIDS prevention and CT services in high-prevalence youth clinics, starting
services can be implemented in conjunction with HIV prevention activities that targeted messaging and with
other NGO activities. ACTS will link with youth-based NGOs in and around the clinics where services are
being implemented. This will ensure that youth get both CT services and HIV prevention messages.
Similarly to its approach with working with health facilities, the ACTS team will engage each new NGO,
develop an implementation and monitoring plan and train all relevant providers HIV and AIDS prevention, in
the importance of CT, collection PEPFAR indicators, provide quality assurance monitoring and initial HIV
care. During the five year cooperative agreement, this model will be continuously refined and successively
implemented in high prevalence communities and sites throughout South Africa starting in the Western
Cape and Mpumalanga. The youth-based NGO project will expand services to Waterberg district in
Limpopo province and the North West Province.
ages of 15-25 and ensuring that they receive HIV prevention messages. In linking prevention services with
CT services, this activity will ensure that youth understand how to stay negative after undergoing a HIV test.
scales up provider-initiated counseling and testing (PICT).
variety of health care services but are not offered HIV counseling and testing (CT). By reducing pre-test
counseling sessions to five minutes or less, ACTS allows nurses to incorporate CT into the other clinical
services they provide, such as sexually transmitted infection (STI) care and family planning and promotes
immediate follow-up and linkage to care. This frees up lay counselors via task shifting to provide more
intensive counseling and support services to HIV-infected youth.
ACTIVITIES AND EXPECTED RESULTS:
Using ACTS, this program will focus initially on maximizing CT services in high-prevalence youth clinics,
starting with STI clients and expanding to family planning clients. TB screening will also be introduced. The
ACTS program will then broaden its activities to other health care facilities and community organizations.
The ACTS team will engage each new site, develop an implementation and monitoring plan and train all
relevant health care providers in CT, collect PEPFAR indicators, provide quality assurance monitoring and
initial HIV care. During the five year cooperative agreement, this model will be continuously refined and
successively implemented in high prevalence communities and sites throughout South Africa starting in the
Western Cape and Mpumalanga.
In FY20 08, the team will continue to refine the ACTS services in two youth clinics in Khayelitsha . A
plan will evaluate linkage to care among newly diagnosed HI-infected youth. A Project Director will be hired
and trained and locations in Mpumalanga or other Province will be chosen as well as additional clinical and
community sites in the Western Cape. The goal is for this partner to test 20,000 youth for HIV and link them
to prevention, link 2000-4000 HIV-infected youth to improved care, screen at least 100 youth for TB,
train 180 nurses, lay counselors and peer educators to implement the ACTS CT protocol, and establish 15
new CT outlets. The integration of local staff and partners in the operation and monitoring of this program to
scale-up routine testing will ensure local ownership and sustainability.
These activities will contribute towards meeting PEPFAR's 2-7-10 goals.
