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.
DOD HQ will work directly with the SPLA to support the military in its ability to plan, implement, monitor and evaluate HIV program activities. Given the high mobility and broad geographic distribution of the SPLA and its approximately 150,000-200,000 members throughout the 10 states in S Sudan, program areas will concentrate in areas of highest SPLA population density and HIV prevalence. Program evaluation to identify barriers, challenges and effective interventions will be incorporated and a model of supervision and mentoring will be implemented to improve program quality.
DOD HQ will assist and strengthen the service delivery within the SPLA along the continuum of HIV prevention, treatment and care (GFATM provides ARV and PMTCT ARV support). Successful retention of PLHIV in pre-ART and ART care is a high priority. Supportive supervision for improved service delivery in the SPLA with greater emphasis on improved retention and adherence of patients will be provided. Given the large distances in S Sudan, many individuals do not access services despite having been HIV tested. In FY 12, strategies that may promote retention will be pursued e.g. specimen transport movement vice patient movement for lab specimens, provision of decentralized care with additional SPLA healthcare workers and counselors trained in the provision of the preventive care package (cotrimoxazole, TB screening, condoms, prevention education) for individuals pre-ART, and consideration for decentralized care for those on ART (preventive care package with ARV refills and linkage or referrals for more complex care (e.g. TB, STI, OI diagnosis and management).
.The screening of individuals with HIV for TB and the timely diagnosis of TB in PLHIV is critical to
mitigating a significant cause of morbidity and death in S Sudan. TBD partner will provide support for
specimen collection for TB screening in PLHIV who screen for signs or symptoms suspicious for TB, and
closer coordination with specimen processing facilities for use of data for clinical decision making. In
coordination with MOH support, SPLA TB activities will aim to reduce the incidence of TB in HIV infected
patients and identify co-infected patients early, provide INH prophylaxis and TB treatment where
appropriate. Providers will also be trained in HIV/TB co-infection management. TA for laboratory
processing and specimen collection improvements will be provided.
.Combination prevention should focus on societal factors that affect risk and vulnerability. BBSS findings demonstrated stigma, high levels of alcohol use and harmful gender norms exist within the SPLA. In FY 13, DOD HQ will work with the SPLA on structural interventions, such as assistance in the development, implementation and monitoring of a SPLA specific alcohol policy, policy to address stigma, discrimination and harmful gender norms by SPLA members within their military and civilian communities. Capacity building of health and public health workers has been a constant, important component of the PEPFAR-RSS work and critical for the development of a sustainable response for this new nation. TA in the development of other cadres e.g. nurses and allied health workers. SPLA leadership advocacy is essential for sustainable programs and addressing the socio-cultural norms within the SPLA environment that may create risk. Leadership advocacy for the emphasis on transforming gender norms and male involvement in sexual health will be supported, TBD partner will provide TA for the establishment of a decentralized HIV/AIDS secretariat within the SPLA across their bases will be provided through support for the formation of HIV secretariat subcommittees that will work with base leadership and health
personnel to enable an environment where prevention is integrated into military training, and addresses gender norms, stigma and discrimination reduction and the enabling of supportive systems for PLHIV in the SPLA. The decentralized sub-committees will also serve as critical feedback loop for program monitoring and relevance. In service training of health care workers and other SPLA personnel in areas to include TC, PITC, PMTCT, laboratory techniques and HIV/AIDS management skills will also be provided.
.DOD HQ will support the WHO PMTCT guidelines utilizing rapid HIV counseling and testing for
PMTCT in antenatal and maternity settings in the SPLA; Combination short-course ARV prophylaxis or at
minimum single dose Nevirapine for mother and infant pair (as per the new WHO PMTCT guidelines and
availability of access to ARVs in country), with referral for ART for mothers (dependent on available
ARVs) will be made. Support for mother to mother groups, STI diagnosis and management, and
linkages for infant feeding, nutrition services and family planning will be provided. HIV/AIDS education,
care and support for the mother-infant pairs during immunization visits will be provided. Improved record
keeping for patient management to improve retention and adherence and ensure a smooth transition
post-partum to adult care and treatment resources will be strengthened. If available through lab
strengthening efforts, point of care CD4 testing will be utilized to stage pregnant women immediately post
HIV TC.
