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
Summary:
The Catholic Medical Mission Board, Inc. (CMMB) is a new PEPFAR partner selected for funding in August
2008 (but not yet funded - the CDC is currently processing the paperwork to award a cooperative
agreement).
Background:
CMMB is a consortium member of the Track 1 Catholic Relief Services (CRS) AidsRelief program, providing
HIV care and treatment. The program selected for funding through the 2008 APS is distinct from the CRS
program.
CMMB will implement a community-based men's counseling and testing (CT) program named Men Taking
Action, modeled after a similar program introduced and scaled-up by CMMB with support from PEPFAR in
Zambia, and builds upon the organization's history of collaborations with the Southern Africa Catholic
Bishops' Conference (SACBC) and other local Catholic organizations. The program is proposed in response
to the shortcomings of current testing approaches to capture and engage men and directly addresses the
APS counseling and testing priority areas of instituting alternative family-focused testing methods and
utilizing home-based CT.
Activities and Expected Results:
The objective of Men Taking Action is to increase the number of adult men (18-49) counseled and tested
through community-based approaches that increase acceptability and access, with focus on men in rural,
underserved areas. The program uses a two-pronged approach to counseling and testing men:
Activity 1: Utilize home-based care networks of CMMB's diocesan partners to reach male family members,
counsel and test men at their homes. CMMB will strengthen the training of the home-based care workers
assigned to the home to carry out CT with the men.
Activity 2: Perform Parish-based testing and counseling of men incorporating and make available
counseling and testing to men during their regular meeting and programs. The parish and church group pre-
testing events will be carried out by trained men educators, incorporating testing into health, men's
responsibilities, and faith.
Both approaches utilize lay community workers who will be trained in administering rapid testing and
counseling. At a secondary and related level, men will be invited to participate actively in a long-term
program to engage them as (i) leaders of the household (linking families to care & prevention services), (ii)
vehicles of their own health future (repeated counseling & testing and prevention behavior-change
messages), and (iii) community leaders in the mitigation of HIV/AIDS. Because Men Taking Action is
fundamentally a community-based activity, it is expected that testing men through this program will increase
overall uptake of services for counseling and testing in families and communities.
Men Taking Action serves the PEPFAR counseling and testing goals through the following actions over five-
year life of the project:
a) Offering community-based testing (pre-test counseling) and information to 200,911 men.
b) Training 637 community-based counselors (home-based care workers and nurses) to South Africa
standards in HIV pre and post-test counseling and testing
c) Testing and counseling 125,661 men, and providing them with key male-focused messages
d) All men who test positive will be referred to treatment and support as well as screened for TB; also, all
men reached by the program will be linked into integrated community support groups.
The program will be implemented over five years, with the first year (FY 2008 funding) rolled out in the
Eastern Cape Province, and expanded in FY 2009 to KwaZulu-Natal, Limpopo, and Northern Cape.
Men Taking Action will utilize and train lay counselors on using oral rapid testing throughout its partners,
with the exception of where government partnerships will direct the program otherwise (such as in the
Eastern Cape, where CMMB has entered into a partnership to utilize finger-prick testing and use retired
nurses in the first year). The Men Taking Action program has been built with gender-based approaches and
mechanisms to target rural areas specifically at the core of its objectives and implementation mechanisms.
The program will include a "knowledge, attitudes and practices survey" (KAP) of men in target communities
at baseline, mid-term and the final year of the program. CMMB will utilize findings of the KAP to develop
curricula for home-based care testing staff, support group leadership and participants in the program.
