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: 2012 2013
Access to comprehensive HIV prevention, care, and treatment services, as well as many other primary health services, is limited in South Sudan. The Government of South Sudan (GoSS), with limited external funding and involvement of a number of international NGO has taken initiatives to address the lack of HIV care and treatment and other public health needs; however the unmet needs for the full continuum of HIV services in South Sudan is large. With limited human resources for health and capacity, challenges must be met in order for the necessary delivery of HIV services to be implemented under the guidance and coordination of the GoSS.
A focus will be made to implement a series of interventions to ensure quality services delivered at the comprehensive care centers that include ART. Strengthening the current CCC/ART sites will also provide a framework for future expansion of services. Activities will include updating policy frameworks, updating or creating guidelines, developing implementation work plans, developing tools to facilitate implementation, and strengthening the monitoring and evaluation systems. A focus will be on strengthening the capacity of health care workers at the service delivery site as well the policy framework and systems in place for quality provision and follow up of persons receiving treatment.
ICAP will provide focused support to the national HIV treatment program which includes the military health care service delivery sites through:1)Targeted technical assistance to improve the quality of services delivered, in particular to support patient adherence and retention to minimize disruptions among those on ART. This will enhance the impact of the limited funding available for treatment, as well as minimize the chance for transmission of drug-resistant virus.2)Strengthening pre-ART services and monitoring and tracking systems to keep this population engaged in care and ready to start ART when resources become available.3)Focusing this support in high-impact geographic areas and populations at greatest risk, such as the states of Western (WE) and Central Equatoria (CE)
ICAP will provide ongoing mentoring and supportive supervision for improved service delivery at selected ART sites in high prevalence areas with specific emphasis on improved retention and adherence. Additional strategies to promote retention of both ART and pre-ART patients will be pursued including decentralization of care by training additional healthcare workers and counselors in the provision of preventive care package (cotrimoxazole, TB screening, condoms, prevention education) for individuals in pre-ART as well as access to every six month CD4 testing, and consideration for decentralized care for those on ART.
ICAP will provide ongoing training of clinical officers, nurses and other health care workers at the selected ART sites. The training will cover HTC including PITC, clinical and laboratory monitoring of ART patients, OIs and STIs screening and management, national ART treatment guidelines with the emphasis on appropriate use of ARVs, and how to design and implement quality improvement programs at each ART site. As many health services in South Sudan are provided by NGO, it will be essential to ensure that NGO-provided or supported health services adhere to national treatment and program guidelines
ICAP will focus on building the capacity of the MOH offices and clinics to strengthen their monitoring systems for pre-ART and ART patients through systematic utilization of information captured during visits including routine use of data to make improvements in the provision of services. Data quality assurance and feasible continuous quality improvement exercises will be instituted for improved patient adherence, retention and efficient service delivery.
The ultimate goal of all these activities is to help the national HIV program in South Sudan to develop a quality HIV care and treatment program starting at the national level to the facility level. At the national level, ICAP will conduct a needs survey of existing HIV treatment documents to identify what is missing, what needs to be updated, what is present and in good shape. At the local level, ICAP will work with State Ministries of Health to ensure that the local governments have the necessary HIV treatment policy, guideline, and curricula and that they understand their use. A framework is necessary at the State level regarding a State level workplan and supervision structure for HIV related health services within their jurisdiction. At the facility level, ICAP will work to support services and conduct activities outlined above (e.g. training of healthcare workers on national guidelines, establishing or strengthening M&E systems, etc.)
