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.
ACTIVITY 5:
NASTAD through its sub partners will train PLHIV in Eastern Cape, Free State and Northern Cape provinces to form and facilitate support groups for PLHIV in basic HIV care services. These services will range from acceptance of HIV status, disclosure, prevention with positives, and treatment of opportunistic infections (with a special focus on TB/HIV coinfection) to ARV and adherence. Elements of the impact of nutrition on HIV status will also be covered. NASTAD will foster twinning relationships between PLHIV groups in the US and South Africa. There will be an exchange of training programs, building capacity of local institutions to accredit and maintain these training programs, implement community wellness centres in each of the three provinces where these programs will be institutionalized with the support of local universities. The aim is introduce care for PLHIV as soon as they are diagnosed as HIV positive. It will serve to bridge the continuum of care from testing to treatment and end of life care.
SUMMARY:
In FY 2007, the National Alliance of State and Territorial AIDS Directors (NASTAD) will continue to support government-to-government twinning relationships between four South African provincial Departments of Health AIDS Directorates and four U.S. state health department AIDS programs, resulting in bi-directional exchange of expertise and improved capacity of provincial health systems. The primary emphasis area for the activity is local organization capacity building, with secondary emphasis on community mobilization, linkages with other sectors and initiatives, and policy and guidelines. The activity targets persons living with HIV (PLHIV), policy-makers, teachers, public health workers, and faith-based organizations (FBOs).
BACKGROUND:
NASTAD is a U.S. non-governmental organization (NGO) with a membership of U.S. state health department AIDS program directors whose positions are analogous in program responsibility to provincial AIDS Directors in South Africa. NASTAD utilizes state AIDS program directors and their staff to engage in twinning relationships with South African provincial and district staff, providing peer-based technical assistance to increase program capacity. This project builds on a government-to-government twinning relationship between the Massachusetts (MA) Department of Health AIDS Bureau and the Eastern Cape Department of Health AIDS Directorate and the Eastern Cape PLHIV community that has been in existence since 2000, and has been facilitated by South African partners. In FY 2006, NASTAD was provided funding through PEPFAR to expand these initiatives and to support two additional twinning relationships between California and the Western Cape Department of Health (WCDOH) and between Illinois and the Northern Cape Department of Health (NCDOH).
ACTIVITIES AND EXPECTED RESULTS:
In this program, the key legislative issue is twinning. In FY 2007, NASTAD and South African partners will (1) maintain the existing three health department twinning relationships (2) add a fourth twinning relationship with the Free State province, and (3) enhance the network, linkages, and referral capacity of the provincial health departments by promoting twinning relationships between U.S. state and South African provincial academic centers and NGOs. In the selected regions, this twinning activity will demonstrate best practices in the areas of community capacity building for antiretroviral treatment (ART) roll-out and for prevention programs for PLHIV. Specific activities and expected results for each twinning relationship will vary according to the needs of the partnership.
ACTIVITY 1: Eastern Cape Department of Health and Massachusetts Department of Public Health AIDS Bureau
Building on already active communication between Masihlanganeni (a network of PLHIV) and the Eastern Cape Department of Health (ECDOH), South African partners will establish regular quarterly meetings between the leadership of the Masihlanganeni Network and ECDOH HIV and AIDS Directorate. These meetings will be used to report progress on activities identified by the Directorate and to identify additional areas of cooperation. During this same period, the Masihlanganeni Network will establish regular meetings with District HIV Coordinators to report progress related to Directorate activities and to identify additional district areas of cooperation. It will also focus on promoting the Greater Involvement of People Living with HIV/AIDS Principle (GIPA) (Paris AIDS Summit Declaration) within the Eastern Cape. This will be accomplished by producing a pamphlet about the GIPA specifically geared toward Eastern Cape PLHIV. The Masihlanganeni Network will also develop and implement an outreach strategy to better inform the public and government about the GIPA and how it can be implemented. In addition, it will implement a campaign focused on getting PLHIV appointed to district AIDS Councils and health facility boards to facilitate input in the structuring and delivery of health services. The capacity building program for the Masihlanganeni Network will continue with additional advanced training in leadership development, project management and advocacy. A new series of introductory level training courses will take place for new members of the Network who have been identified as future leaders. South African
partners will complete a manual documenting the formation of the Masihlanganeni Network and this will become a blueprint for future use. A PLHIV Network Training Manual will also be published. The Masihlanganeni Network will begin to implement a business plan for the model PLHIV Wellness Center in the Nelson Mandela Metropolitan Municipal Health District. The business plan will include local stakeholders in Port Elizabeth. In addition to the Masihlanganeni Network activities, the ECDOH will continue its ongoing consultation with the Massachusetts Department of Public Health AIDS Bureau (MDPH). They will continue to exchange visits to identify MDPH best practices for adaptation and implementation in the Eastern Cape. Exchanges will continue to focus on modeling cross-sector relationships in the area of antiretroviral drug dissemination and management, and on updating strategic planning between Massachusetts and the Eastern Cape.
ACTIVITY 2: Western Cape Department of Health and California Office of AIDS
In initial meetings, the Western Cape Department of Health (WCDOH) officials expressed interest in sending physicians to California for training; establishing a relationship between Cape Town and San Francisco; and exploring migrant population issues. In FY 2006, two delegation visits between the two health departments have taken place (one each way) and a work plan has been developed within which specific activities and expected results are delineated.
ACTIVITY 3: Northern Cape Department of Health and Illinois Department of Health
The twinning relationship between the Northern Cape Department of Health and Illinois Department of Health was initiated in FY 2005. Two delegation visits and work plan development between the two health departments occurred in late FY 2006, within which specific activities and expected results for FY 2007 were delineated.
ACTIVITY 4: Free State and U.S. State Health Department, To Be Determined
A twinning relationship between the Free State and a state health department will be initiated in FY 2007. Delegation visits and work plan development between the two health departments will occur in FY 2007, within which specific activities and expected results for FY 2007 will be delineated.
These activities contribute to the 2-7-10 goals of PEPFAR by strengthening the capacity of the HIV prevention, care, and treatment systems of provincial health departments and local PLHIV initiatives.
