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: 2010 2011 2012
The objective of AgriAids is to reduce HIV incidence among underserved farm working populations which is a priority of the NSP. AgriAids organizes and implements HIV prevention, HIV counseling and testing (HCT), care, treatment & support programs, targeting permanent, seasonal and migrant farm workers (FW) on farms in four provinces. The Minister of Health has requested that AgriAids become service provider for farming communities. The LDOH provides AgriAids support with testing equipment.With FY 2011 funds, approximately 10,000 FWs and families will have undergone HCT services. With an average HIV prevalence rate of 25% in farming communities, it is expected that out of this total (10,000) 2,500 people will be HIV+. Follow-up services will continue to be provided to the 7,500 HIV- people. The 2010 HCT Policy (SAG) has enabled AgriAids together with the local primary healthcare clinics to contribute to these targets and provide more workplace-delivered services together. With FY 2012 funds, an additional 6,000 farm workers will be tested.
(a) Inventory (purchased)Purchased from the start of mechanism through COP FY 2011: 4COP FY2012 request: 3Total = 7
(b) New request justification COP FY 2012AgriAids is providing HCT services in 4 provinces in different districts Mobiles have to move around between the different Districts and Province where AgriAids is implementing HCT. To provide more efficient and less time consuming service delivery another mobile is needed to assist in performing HCT services and to give us a better coverage. This could increase the uptake of HCT for farm worker and beneficiaries.
AgriAids focuses on hard-to-reach-population groups (farm workers and their relatives). The NSP recognizes this as one of the key populations for HIV/AIDS interventions. Farm workers are geographically living and working in remote locations, thus denying them access to health/wellness facilities and related information services. These factors contribute to increased vulnerability to HIV infection. The programmatic interventions to farm workers by AgriAids are in alignment with the NSP. With FY 2011 funds, approximately 10,000 farm worker and family will have undergone HCT services. With an average HIV prevalence rate of 25% in farming communities, 2,500 people will test HIV positive, thus qualifying for care and support services. AgriAids HBHC services are geared towards improving the health of HIV positive farm workers and their family members. This includes education and support on disclosure, coping with being HIV positive, treatment adherence, condom use, gender equality and human rights. Different communication methodologies will be applied(e.g. individual counseling and homogeneous group sessions/discussions). In addition, HIV positive farm workers are supported by an AgriAids District Coordinator (DC) to get access to the local clinic for care and treatment. Prevention messages, use of condoms, healthy lifestyle (good nutrition) and disclosure to partners and family members are part of the support program.An M&E system is in place which monitors the HBHC activity progress and target achievements. In addition to informing the project on achievements, this system enables the DCs to provide follow-up support to individuals tested positive to get access to care and treatment. This will assist in avoiding lost to follow-up.
The second programmatic pillar of the AgriAids projects is HCT. The 2010 SAG HCT policy enables organizations like AgriAids to increase their targets and provide more workplace-delivered services in cooperation with the primary healthcare (PHC) system. With FY 2011 funds, 10,000 farm workers and family members will have received HCT services. With FY 2012 funds, AgriAids, by using its two mobile units, plans to make HCT accessible to an additional 6,000 farm workers. AgriAids's HCT is aligned to the SAG requirement that HCT is part of the continuum of prevention, care, treatment and support. In addition wellness-related activities are provided on site as part of the HCT activities.The general HIV prevalence is 25% and higher among women. AgriAids implements a client-initiated approach by implementing a comprehensive outreach HCT package including HIV testing, TB screening, distribution of condoms, glucose testing, blood pressure testing and weight measurements. CD4 testing is done on site as well as sputum from TB suspects by a professional nurse. Referral notes that have been developed in FY 2011 will be used for pap smear, and screening of opportunistic infections services. In-service training will be provided to the field staff. Key to the model of AgriAids is to conduct a continuum of care especially after HCT activities. AgriAids has employed the services of motivational staff ( i.e. district coordinators and counselors) to facilitate that farm workers will not be "lost to initiation" and "lost to follow-up." This model encourages farm workers to increase uptake of health care services. An M&E system is in place which monitors the progress and target achievements. In addition to informing the project on achievements, this system provides the district coordinators with information for follow-up support to individuals and groups.
