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
This mechanism is being extended through september 2013. Humana People to People (Humana) implements a comprehensive, integrated HIV prevention program called Total Control of the Epidemic (TCE).TCE trains community members as Field Officers (FOs) to utilize a person-to-person campaign to reach every single household within target areas HIV prevention information and referals to services. TCE is changing the social, community and gender norms that underpin the epidemic. Humana works in high transmission areas in select geographic areas in informal settlements. Target populations are at risk adolescents and adults, mobile and migrant populations and sex workers. Humana has received PEPFAR since July 2005. Humana had implemented 7 TCE areas in the Mpumalanga, Limpopo and more recently KZN provinces. Humana works in partnership with the South African Government (SAG) and local municipalities. FOs mobilized whole communities to address stigma and discrimination, promote high impact services, and HIV prevention. FOs also promotes gender equity during their home-visits, by empowering both males and females with gender-specific knowledge about protecting themselves and their families. TCE traines community volunteers called Passionates that are responsible for care and support to orphans and people living with HIV. Since FY 2005, the Mopani and Ehlanzeni District Municipalities have been major partners, contributing over $140,000 per year to the program and in 2011, the province of KZN added funding to HUMANA to support their youth ambassador program in Zululand. The program has received several awards, including the 2003 Stars of Africa Award (in partnership with Johnson & Johnson) for best Corporate Social Investment Program in Health and HIV and AIDS in South Africa.
"AB and OP funding are fused to create a comprehensive program.The TCE program uses a person-to-person campaign over three years to reach every household with information about HIV and AIDS within the targeted areas. Each FO is allocated a field of 2,000 people (approximately 485 households). Households are visited at least three times over a three-year period and receive targeted prevention messages emphasizing sexual norms and addressing issues of multiple concurrent partnership and cross-generational sex and promoting high impact services. FOs visit households and engage individuals in discussions about HIV and AIDS and preventive behavior. FOs also provide information about government services such as counseling and testing (CT), prevention of mother-to-child transmission (PMTCT), TB and sexually transmitted infections (STI) services, VMMC social grants and home-based care and refer those in need. FOs also refer people with symptoms of AIDS-related conditions directly to public health clinics for CD4 testing, HIV clinical staging, and treatment of opportunistic infections. A tool called Perpendicular Estimate System (PES), has been developed and tailored to measure the impact of the program in the target areas. PES consists of a set of questions and demands to the individual in order to be TCE-compliant, which means being in control of HIV and AIDS in one's life. During the second and third year of the program, community members interact with their TCE FOs on an individual basis to make a PES-plan, which minimizes their risk of being infected and makes them live responsibly and positively if infected. Further, the program has a series of targeted interventions to reach at risk adolescents and out of school youth. TCE organizes workshops for local leaders, traditional healers, and community-based organizations, to explain TCE and promote HIV prevention and improve access to services."
TCE's activities ensure that individuals receive appropriate care. The establishment of linkages and networking activity was initiated in FY 2006 and will continue. A key strategy of the prevention program is the promotion of counseling and testing, and referrals to high impact services including VMMC and treatment. TCE works in partnership with PEPFAR partners and South African organizations like LoveLife, to provide HCT and other services to the sites. All households receive messages on the benefits of HCT, PMTCT, VMMC, and ARVs. Referrals to services are provided during home visits. TCE also collaborates with other PEPFAR partners and SAG hospitals, to ensure that referrals to treatment, care and support services are made. TCE maintains a strong partnership with the TB sub-directorate in the Ehlanzeni and Mopani districts. FOs are trained to raise awareness about TB in the context of HIV, make referrals to clinics and collect sputum. TCE works with public clinics to ensure that pregnant women have access to antenatal services and PMTCT. TCE also ensures cooperation with SAG including the Department of Social Development to ensure that OVC and PLHIV identified through household visits are able to access social security and with the Department of Education to ensure children and youth access education and receive HIV and AIDS information and education on importance of abstinence and delaying sexual debut for the youth aged 10-14, who have not started with sexual activity; and secondary abstinence and reduction on the number of sexual partners using the be faithful prevention component
