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
FHI 360 will support the USG-SAG Partnership Framework and the NSP through care, support and MTCT interventions. FHI 360 will continue to provide the following services through its Mobile Service Units (MSU): Integrated Community Palliative Care and Integrated Access to Care and Treatment (I-ACT) programs, linkages from HIV testing to care & testing and pre-ART and retention in care and treatment. FHI 360 is the lead partner (coordinating with DOH) for the I-ACT project in the Northern Cape. I-ACT is aimed at retaining newly diagnosed HIV positive patients, not yet eligible for ART, screening of opportunistic infections, and support for preventive therapy. In its coordination efforts under I ACT, FHI 360 will work the NCDOH as well as other partners to ensure that systems are put in place at facilities to allow for structured and functional pre-ART programs. FHI 360 will address the unmet family planning needs of HIV positive and most at risk women. Through the regional training centres (RTCs), FHI360 will continue to participate in the NDoH led family planning (FP) and FP/HIV integration trainings/workshops for health care providers in selected provinces. FHI 360 in collaboration with NDOH and other partners will continue working on incorporating an FP/HIV integration module in the PMTCT, nurse-initiated management of ART (NIMART) and TB training manuals. FHI 360 will roll out the model of community based champions that is currently being piloted in an effort to improve FP uptake at district level. FHI 360 will focus on providing technical assistance in data collection, quality improvement, data management and reporting for NDOH.
The South African government has adopted the WHO definition of palliative care stating that palliative care is an approach that improves the quality of life of clients and their families facing problems associated with life-limiting illnesses through early identification, assessment and management of pain and other distressing symptoms, and the relief of other physical, social, emotional and spiritual problems. FHI360 has adopted a palliative care and support model that uses a family-centered approach.
The model seeks to address physical, emotional, social, and spiritual needs associated with life-limiting illness. The intervention uses existing health system in conjunction with community care support home based care, hospices, and support groups where available. The project integrates wellness support that includes primary health care facilities, ART sites, community health care workers groups, support groups, and the community. ICPC makes it possible to provide a full continuum of palliative care from diagnosis to wellness support to end of life care, including bereavement support. With FY 2012 funds, FHI will provide services in Limpopo, Gauteng, and Northern Cape in the following areas: training, mentorship and coaching; strengthening of referral systems; and provision of palliative care to people suffering from life limiting illnesses. In addition, FHI 360 will continue to support Mobile Service Units activities as well as involvement with the government with Integrated -Access to Care and Treatment activities.
FHI 360 will continue to address the unmet family planning needs of HIV positive and at risk women, including expanding the pool of well skilled and competent staff through building capacity of service providers to effectively counsel, screen and provide a wide range of family planning methods including inter-uterine contraceptive devices (IUCDs). Through the regional training centres (RTCs), FHI360 will continue to participate in the NDoH led family planning (FP), FP/HIV integration trainings/workshops for health care providers in selected provinces. These trainings will also incorporate practical sessions in IUCD insertion and removal. FHI 360 in collaboration with NDOH and other partners will also work towards incorporating an FP/HIV integration module in the PMTCT, NIMART and TB training manuals. As a follow up to the trainings FHI 360 in collaboration with DoH will then provide mentoring and coaching to the trained staff. In addition, FHI 360 will continue to strengthen linkages between research and policy makers through sponsoring a series of quarterly discussion meetings on FP/HIV integration with policy makers, researchers and provincial champions. FHI 360 will rollout the model of community based champions that is currently being piloted in an effort to improve FP uptake at district level. Community health workers will be trained on family planning using low literacy material and in turn they will be expected to educate the community on FP. FHI 360 in collaboration with the district and community leaders will also identify influential people within the community to act as FP champions who will help with advocacy and community mobilization.
