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:
No male circumcision training or service delivery will take place without the express consent of the National
Department of Health. If such approval were to be obtained, these funds would be allocated to a partner for
the provision of safe clinical male circumcision in accordance with World Health Organization, Office of the
Global AIDS Coordinator and South African Government policies and guidelines.
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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.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Dissemination of Mapping Results
This activity will support the dissemination of mapping findings from the male circumcision mapping that is
expected to be completed in FY 2007. In FY 2007, it is expected that the WHO Tool Kit, with additional
information, will be used to collect mapping information on the geographic spread, prevalence, cost, access
and availability of male circumcision. With FY 2008 funding, the results will be disseminated widely within
the public and private sector to help inform policy and to inform where to best target safe clinical male
circumcision activities. It is expected that the NDOH will utilize the information to develop policies for male
circumcision. PEPFAR support to policy development is coordinated via JHPIEGO and the NDOH TBD
funding.
ACTIVITY 2: Support to training, mentoring and service delivery of safe clinical male circumcision.
Department of Health. In the absence of such approval and based on discussions with the PEPFAR South
Africa team, funds could fully or partially be reprogrammed. Should the approval for safe clinical male
circumcision activities be given, USAID is proposing the following male activities:
USAID will identify relevant partners to conduct training, mentoring and delivery of safe clinical male
circumcision. It is expected that a South African NDOH accredited training curriculum would be developed
with JHPIEGO PEPFAR funding and in coordination with PEPFAR funding for the NDOH TBD program.
This curriculum could be rolled out to identified partners to train and mentor clinical staff in the delivery of
safe clinical male circumcision. The partners are TBD.
These activities will contribute to the PEPFAR goal of preventing 7 million new infections by exploring
innovative prevention possibilities, which will result in a lower transmission rate.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.07:
