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: 2013 2014 2015 2016 2017 2018
AgriAids (AA) specializes in the organization and implementation of HIV/TB/Wellness programs for farm workers. Its main task is to reduce the direct effects of HIV/Aids and TB on permanent- and migrant farm workers and their dependents.The average HIV+ prevalence ratein farming communities is 25% .AgriAids promotes an integrated approach where HIV/TB awareness, information, biannual testing, and treatment are essential to fight the pandemic. AgriAids identifies areas with hard to reach populations and a lack of HIV/TB services, share the information with the local Department Of Health (DoH) and acts as a liaison between the DoH and the farms. AA will continue its work on combating HIV/AIDS and decreasing the burden of disease from TB for farm workers and their partners through improved models. The first improved model will include a NIMART trained AA employed registered nurse, providing PHC supplied pre-pack ARVs, TB and STI treatment and concomitant medication on site, with ongoing pathology through National Health Laboratory Services The second improved model will have a clinic on-site that is accredited by the DoH and paid for by the farm owners. This clinic will serve satellite farms and hence reduce the number of clients at local DoH sites.
AgriAIDS supports HBHC as essential activity to assess clients on their HIV and wellness status, while subsequently enabling the project to provide appropriate HBHC services (both for HIV- and HIV+ people). By the end of COP 12 approximately 19,000 farm worker and family will have undergone HVTB services (for more details see the HVTB section). With an average HIV prevalence rate of 25% in farming communities, it is expected that out of this total (19,000) 4,700 people will be HIV+, thus qualifying them for care and support services. Meanwhile, follow-up support as part HBHC will continue to be provided to the 14,250 HIV- people to maintain their HIV-negative status.
The type of HBHC service provided by AgriAids to support HIV+ people to access care services are: HIV+ FWs are supported by AgriAids District Coordinator (DC) to get access to the local clinic to care and treatment. The DC will collect results for CD4 and TB and discuss the outcome with the FW. FWs with still a high CD4 will be linked to a local facility for care, monitoring and development of CD4 count and opportunistic infections. Services geared towards improving the health of HIV+ farm workers and family members will include education, coping with being HIV+, treatment adherence training on site, condom use, treatment initiation and support to the wealness clinic to track the defaulter from the farms . Ongoing individual counselling and homogeneous group sessions/discussions. This project will recieve $452,246 in HBHC pre-COP funding.
AgriAIDS supports HVTB services for farm workers and their families . AgriAids SA professional nurse ensures that frequent screening and testing on TB take place on farms. TB campaigns will be conducted for farm workers and educate people on hygine. AgriAids' SA HVTB is aligned to the SAG requirement that HVTB is part of the continuum of prevention, care, treatment and support. TB treatment will be deliveered on the farm door step and people HVTB is an essential component within the prevention, care, treatment and support continuum. AgriAids continues therefore to emphasise on HVTB.
By the end of COP 13 approximately 2,500 farm worker and family will have undergone HVTB services. At least 1,250 clients have been refered and 20% are on treatment. AgriAids SA implements a client-initiated approach by implementing a comprehensive HCT package including HIV testing, TB screening, distribution of condoms, glucose testing, blood pressure testing and weight measurements. HIV+ clients that are screened and tested for TB and their results come negative. they will be monitored and referd to the clinic for further investigation.
**Not Provided**
AgriAIDS considers HVCT as an opportunity to become responsive in providing the right service to clients, participants will be informed of their HIV status and other chronic diseases. HCVT will be provided to targets at their workplace-delivered services in-cooperation with the PHC system. During COP 13, 9,856 farm workers and family members will have undergone HVCT. For HCVT to become a success AgriAids SA will use the mobile units to implement a comprehensive approach in the farming communities. AgriAids' SA HVCT is aligned to the SAG requirement working toward zero infection of HIV. AgriAids SA will provide the following activities at the door step of the farm workers; prevention, care, treatment and support.
9,856 people will be reached for COP 13 and the general prevalence is 25% as indicated above. Occasionally these figures can increase to even 40% in some farms. In general the prevalence amongst women is higher. As stated above the number of people testing HIV + will receive HBHC & HTXS services as described in the HBHC & HTXS programme component. AgriAids SA implements a client-initiated approach by implementing a comprehensive HCT package including HIV testing, TB screening, distribution of condoms, glucose testing, blood pressure testing and weight measurements. CD4 counts are drawn on site as well as sputum from TB suspects by a professional nurse. Referral notes that have been developed will be used for PAP smear, MMC and screening of opportunistic infections services. More people working on the farms have access to HVCT, HBHC, HTXS and other services at their door-step on a regular basis.
AgriAIDS sees HTXS as an important programmatic pillar . Farm workers are geographically living and working in remote locations, thus denying them access to health/wellness facilities and related information and services. These factors contribute to increased vulnerability to HIV/TB infection and also increses loss to initiation. The programmatic interventions to farm workers by AgriAids SA are in alignment with the NSP.
AgriAids SA HTXS activity does not exist in silos, HVTB is an essential activity in ensuring HIV+ FWs are supported and receive the right services. We have an average HIV+ prevalence rate of 25% in farming communities and 10% prevalence of TB. Of the posite tested cleints 4,700 people will be HIV+, thus qualifying them for care and support services. 10% of the positive tested will be allergible for treatment. A full-time NIMART trained nurse will be employed by AA. The nurse will be assigned to a mobile unit, 1 mobile unit will service 2 district in a Province. For production and adherance to be increased on farms, the nurse will work in close collaboration with the local PHC. The nurse will ensure HIV+ &TB positive clients receive the following services at their doorstep: Treatment adherance training, initiate treatment , providing PHC supplied pre-pack ARVs for stabilised cleints, TB and STI treatment and concomitant medication on site, with ongoing pathology through NHLS. This will improve the uptake of ARVs and helps to prevent stigma. Implementation of the above activities will take the burden from the PHC. Farm workers' burden of losing a day of work will also be dealt with, more people will have access to treatment and care at their doorstep. The above activities will also minimise loss to initiation. Will receive an additional $407,667 in pre-COP funding.
