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 2013 2014 2015 2016 2017 2018
SA Partners (SAP) has a dual role in Integrated Access to Care and Treatment-(I ACT) Program: 1) Expansion of I ACT in Eastern Cape (EC) working with ECDOH on implementation in 7 districts; 2) Provision of a technical advisor for expansion of I ACT nationally. SAP coordinates with NDOH quarterly National Working Group, Task Team and Annual Stakeholder meetings. They provide training of partners and DOH to apply IACT. Goal of I ACT is to promote early recruitment of PLHIV into care & support programs, reducing loss to follow-up rate from time of diagnosis until commencing ART. SAP objectives include to increase early identification and referral of PLHIV into Care and support services; Increase retention of PLHIV in Care & support services; Empower PLHIV to advocate and manage their healthcare needs; Strengthen active engagement of PLHIV, families, healthcare providers & communities in the continuum of Care & Support and Prevention with Positives. I ACT supports Goal 2 of the partnership framework in support of SAs National HIV/AIDS and TB response. I ACT supports PHC re-engineering by Group Facilitator training through an in-service program for clinic staff collaborating with ECRTC; I ACT groups include content on the identifying of chronic illness and opportunistic infections, e.g. TB. I ACT is implemented in EC districts and nationally in collaboration with other Partners; target population is adult diagnosed PLHIV. I ACTs strategy to be more cost efficient is to include I ACT into ECDOH strategic plan. I ACT will transition to SAG, through National discussions to include I ACT in NDOH policy and implementation plans. Transition to a local organization will ensure sustainability of the program. One Vehicle request: $15,000 for EC staff travel.
I ACT group is a psycho-social support activity for PLHIV and their families in the community and health facility. Type of Care and Support given is an interactive group activity facilitated over 6 weeks that follows a set curriculum aiming to empower participants to manage their care. Target audiences include all who test, focusing on persons 15 years and above. The program is health facility and community based and is implemented nationally and specifically by SA Partners within all districts of Eastern Cape. Collaboration with DOH, partner NGOs and PEPFAR funded partners is essential for success. Participants are referred by health facilities and partners who do HCT. The aim is to place I ACT group activities firmly in Provincial and National Strategic Plans and policy. Mapping of program and HIV care, treatment and prevention sites in districts is done as part of implementation process ensuring referral between program sites is effective. Participants are referred to NGO activities where there are I ACT Groups assisting to retain PLHIV in a support structure that is in the communities. Provision of Training for implementing partners is a big focus of SA Partners role as a national TA organization. Training is also provided in all Provinces. In Eastern Cape there is a Community Based Income Generating Small Grant Program implemented through I ACT program. NGOs are assisted to commence small projects to provide skills development and support to past participants of I ACT Groups. SA Partners has a sub agreement with HISP (Health Information Systems Program) to administer the monitoring and evaluation. A sub agreement with the University of Fort Hare Psychological Services Centre provides aspect of Caring for the Carer by providing a program of self-reflection and debriefing for facilitators of I ACT Groups. Target participants in the program for Eastern Cape for FY2012 = 40 000 scaling up to FY2013 = 60 000. I ACT program supports goal 2 of SAG-USG Partnership Framework, increasing life expectancy and improve the quality of life for people living with and affected by HIV and TB.
South Africa Partners has an existing partnership with Zoe Life in Kwa Zulu Natal who will be sub-granted to develop paediatric materials for Integrated Access to Care and Treatment (I ACT) programme. These materials will be used to implement the I ACT programme for children and will provide a link and retention of these children to other care and support programmes. Zoe Life is a provincial lead partner in the roll-out of the now Department of Health's I ACT programme in KwaZulu Natal and has exceptional expertise in children and adolescent health programmes.
