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: 2008 2009
Some funds reprogrammed from this parnter in May 2009 as it became evident that there would be carry-
over in the cooperative agreement to support most of the laboratry person and related cost. CDC-support
for one officer with 75% of time to support laboratory infrastructure through technical assistance to the
Ministry of Health and to partner organizations on appropriate lab techniques and related areas and 25% of
time focused on issues related to strategic information for C&T and PMTCT.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.16:
CDC-support for 1 technical officer that provides 25% of time to support strategic information activities with
grantee partners; 75% of time is spent providing technical assistance and other related activities to the
Ministry of Health and partners under laboratory infrastructure.
New/Continuing Activity: Continuing Activity
Continuing Activity: 18549
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18549 18549.08 HHS/Centers for Kenya Medical 7819 5653.08 CA $40,000
Disease Control & Research Institute
Prevention
Program Budget Code: 18 - OHSS Health Systems Strengthening
Total Planned Funding for Program Budget Code: $275,000
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
Overview
Sudan is the largest country in Africa with an estimated population of 35 million. Its nature and population are quite diverse, the
north being predominantly Muslim where the population identifies itself as Arabs, the south comprising of Africans, mostly
Christians and animists. The north and the south had been engaged in prolonged civil wars for the most part of Sudan's existence
as an independent country. Peace returned to Sudan in 2006 with the signing of the Comprehensive Peace Agreement (CPA)
between the north and the south. Southern Sudan is rebuilding from years of civil war that caused great damage to all sectors and
infrastructure. Literally it was left with an almost non-existent health infrastructure. The Government of Southern Sudan (GoSS)
with assistance from the international community has started rebuilding the health systems from the scratches.
Health Systems Strengthening is an important foundation for ensuring sustainability of services and interventions for HIV/AIDS in
any country. The United States Government (USG) through the "President's Emergency Plan for AIDS Relief" (PEPFAR)
continues to support and strengthen the GoSS and its citizens in the fight against HIV/AIDS. This includes engagement and
interaction with the leadership at all levels, creating appropriate and conducive policy and regulatory environments, developing
human capacity, strengthening systems, building local government and non-governmental institutions, and enhancing
coordination and collaborative efforts with other bilateral and multi-lateral cooperating partners, non-governmental organizations,
faith-based organizations, the private sector, and the civil society.
Starting in 2006, great progress has been made as a result of the USG working closely with the Southern Sudan HIV/AIDS
Commission (SSAC) and the Ministry of Heath (MoH) directly and through its partner organizations. Most of the offices over at the
compound of SSAC were provided with funding from USG. The Ministry of Health was also provided with support in setting up the
HIV/AIDS unit (now called the "Directorate of HIV/AIDS and STI") and its activities. The USG has also worked with the Global
Fund and other partners to provide technical assistance for HIV/AIDS at SSAC and MoH through improving organizational and
individual performance for service delivery.
Current USG Support
In 2007 and 2008, USG and its PEPFAR partners provided technical assistance to SSAC and MoH in developing the "Southern
Sudan HIV & AIDS Strategic Framework 2008 - 2012" (now at its final stage of adoption), the "M & E Framework for Southern
Sudan", "Guidelines for Antiretroviral Therapy (ART)", "HIV Testing and Counseling Guidelines" and in developing "Tools for Data
Collection and Transmission".
Through its partners, the USG has worked to build sustainable financial and management capacity of local organizations to
respond to HIV/AIDS appropriately. ROADS partners in Southern Sudan have provided ongoing technical assistance to
government agencies, CBOs, NGOs, religious leaders, youth and other implementing partners in policy analysis and systems
strengthening.
Working with Global Fund/UNDP, in 2007 - 2008, the USG assisted in the formation of State HIV/AIDS Commissions (SAC) in
some states, and assisted several County HIV/AIDS Commissions (CAC) in organizing HIV/AIDS taskforce meetings for relevant
stakeholders in their counties. These meetings provided a forum for all partners working directly on HIV/AIDS activities to develop
goals and objectives, identify gaps and needs, and coordinate activities. These also helped in planning for comprehensive and
standardized referral systems, creating central database, and mapping available HIV/AIDS services.
In 2008, the PEPFAR Sudan program, through its partner Intra Health, continued work with the SPLA by providing ongoing
assistance to the "SPLA HIV/AIDS Secretariat". Assistance was provided in drafting the "SPLA Strategic Plan for HIV/AIDS". That
plan has goals and objectives for which an action plan including strategies, activities, targets, implementers, indicators, outputs
and time frame were developed.
The Sudan PEPFAR program, along with its partners and their sub-partners, has continued to provide technical assistance in
improving the provision of Counseling and Testing services, PMTCT services, and Care and Support activities in Southern Sudan.
Efforts are being made to incorporate some of these activities in the "Sudan Health Transformation Project" (SHTP), a multi-
million dollar effort of USG in rebuilding health facilities for providing primary health care in war-ravaged Southern Sudan.
In 2008, the USG provided support to the "Southern Sudan Country Coordinating Mechanism" (CCM) in overseeing its activities of
the recipients of Round IV Global Fund activities for HIV/AIDS. USG also assisted in selection of Principal Recipients for Global
Fund Round VIII funding for HIV/AIDS.
Planned FY 2009 Support
In 2009, PEPFAR Sudan will continue to work on strengthening the ‘Southern Sudan HIV/AIDS Commission' by assisting the
leadership in filling all the positions in the commission and in adopting broad policy reforms to create better enabling
environments. At the same time, technical assistance will continue to be provided at the Ministry of Health in its implementation of
HIV/AIDS activities in Southern Sudan. We will continue to provide greater support to the SPLA HIV/AIDS Secretariat in
expanding its activities in at least two additional divisions in two more states. This will include provision of funds for expansion of
static and mobile counseling centers in areas not currently covered, training additional counselors and peer educators, ongoing
Commander Sensitization activities and providing other technical and material support to build greater capacity in the SPLA to
fight HIV/AIDS among the military and its communities.
Working with Global Fund, advisors for Strategic Information will be placed at the Ministry of Health and SSAC to strengthen their
capabilities for Monitoring and Evaluation (M & E) and Surveillance and Informatics. To assist the USG partners perform better on
the ground, a ‘Strategic Information Advisor' will be recruited by PEPFAR and positioned in Juba.
Investment in systems strengthening and policy analysis will continue to focus upon efforts that have proven to be effective or hold
great promise. The USG team will provide greater support to networks of PLWHA, including HIV-positive teachers, religious
leaders, women and ART patients, so that they can provide mutual support to one another and become effective participants in
policy development and in promoting accountability, efficiency, and transparency in HIV/AIDS programs.
To strengthen the GFATM management structure and to improve donor coordination, USG will continue to support the CCM in
setting up and maintaining an effective Secretariat in 2009, assisting the technical committees with progress evaluation and
implementation of Global Fund supported projects, and supporting the Global Fund recipients in planning, procurement, and
programming.
USG will also work with the ‘Multi Donor Trust Fund' (MDTF), which is providing millions of dollars over the next few years through
SSAC to fight HIV/AIDS in Southern Sudan. These inter agency collaborations will help provide HIV/AIDS services in a more
coordinated manner in Southern Sudan, avoiding duplication and wastage of meager resources and efforts.
In 2009, the USG will also continue to support the expansion of laboratory informatics and supply the equipment and training
needs in targeted states. USG assistance has been sought in conducting a "Laboratory Needs Assessment" and "Strategic
Planning for Laboratories" in Southern Sudan. Work is in progress to implement these activities.
In 2009, USG support will enhance system-wide approaches to include strengthening the procurement and logistics systems for
HIV/AIDS, TB and Malaria medicines, equipment and supplies at the national and state levels. This will include procuring test kits
and laboratory supplies from the Supply Chain Management System (SCMS) and working with SCMS to identify weaknesses in
the supply chain management.
Enhancing organizational capacity for financial and program management and policy development among USG partners, SSAC,
and MoH will also be a priority.
Stigma and gender issues related to HIV/AIDS are major challenges in Southern Sudan due to traditional religious and tribal
beliefs, ignorance, lack of education, and geographic isolation resulting in lack of access and exposure to the outside world,
exacerbated by the long prolonged civil wars for decades. USG will continue to work with SSAC, SAC and CAC to strengthen
leadership in adopting and enforcing policy to reduce stigma and discrimination against HIV and HIV-infected individuals in
Southern Sudan.
Table 3.3.18:
