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
Lifeline Rustenburg provides HIV Counseling and Testing (HCT) in Bojanala District, which has a catchment population of approximately 1.2 million. The district is primarily rural, and consists of mining areas, farming communities and informal settlements. Lifeline Rustenburg has been a sub-partner under the Right to Care (RTC) Umbrella Grants Management (UGM) since October 2009. The HCT program target group is males and females aged 15 years and above. Lifeline uses five mobile units to provide accessible services to a total of 36 sites. The aim of the service is to provide HCT, create awareness, and offer education and training to communities. The mobile unit strategy effectively makes the logistics of HCT as convenient as possible. Lifelines strategy addresses comprehensive HIV/AIDS programming by addressing several points along the continuum of care, from preventing HIV infection to promoting diagnosis and finally to enabling a gateway to ARV treatment. Lifeline works in partnership with the Public Health Care clinics (PHC) in the area. In four of the sub-districts the PHC mobiles accompany Lifeline mobiles once every 6 weeks to provide to provide point of care CD4 testing plus other services. Clients testing reactive are referred to the nearest public health facility for CD4 counts and other PHC services. Statistics are reported daily to local clinics, district and sub-districts and bi-monthly meetings are held with district management. Monitoring and evaluation site visits are done at monthly intervals. Standardized data collection tools are used and verified for reporting accuracy. Couples counseling is emphasized and in demand, and family unit testing has been initiated.
Lifeline considers HIV Counseling and Testing (HCT) as a pivotal and essential activity on the continuum of HIV and AIDS care; as a result, the program focuses on barriers to people knowing their status. The projects goals are to reduce the HIV incidence rate, affect behavioral change, and ensure people living with HIV (PLHIV) can access care, support, and ARV treatment. The objectives are to reach out to people on community and individual levels, engaging them in discussion and sharing experiences of PLHIV in order to influence self-examination, increase personal risk perception, and affect behavior change. Lifeline provides HCT services, along with prevention awareness and referrals to local health facilities as well as client care and support services. The target group for HCT services are males and females aged 15 years and above.
Lifelines mobile HCT program directly addresses the USGs HIV/AIDS objectives in South Africa by improving access to and providing HCT services. The project also seeks to reduce stigma by: reassuring HIV test-takers that results are confidential; having PLHIV openly discuss their experiences; encouraging a high turnout rate that invokes a group-think mentality; providing alternative HCT methods, such as pre-test education sessions with couples or groups; and generally fostering a culture of openness and tolerance with respect to HIV/AIDS. Additionally, mobile unit staff and volunteers provide beneficiaries with factual information regarding HIV transmission and the importance of knowing their status. For COP FY 2012, the HCT program will be implemented in two sub-districts of Mafibeng and Rustenburg, focusing on 36 sites and a target of 19,200 persons will be reached, due to no increase in personnel (8 x 10 x 20 x 12). All the counselors have been trained in the national finger pricking testing and the program employs a counselor driven HCT model. The four professional nurses will focus on drawing blood for CD4, sputum collection from the HIV reactive clients, and referrals to public facilities for further management.
