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 2014 2015 2016 2017 2018
The goal of this program is to integrate safe medical male circumcision (MMC) into hospitals and clinics in Sisonke District, KwaZulu-Natal (KZN) Province as part of a package of HIV prevention services for 90% of males 15-49. This program directly supports Goals of the Partnership Framework including: preventing new HIV and TB infections and addressing female vulnerability to HIV and other STI infection by reducing incidence in male sexual partners. It is similarly supportive of the National Strategic Plan to reduce new HIV infections by 50%, as well as the KZN HIV strategy that lists MMC as one of three top priority interventions. The program will train healthcare professionals in safe MMC and build the capacity of 4 district hospitals and approximately 20 district clinics to provide routine facility-based and mobile MMC; the program will also establish linkages between MMC and STI, HIV, and TB management. MMC commodities will be purchased to support safe clinical procedures. Institutional skills and knowledge and bulk procurement will create cost efficiencies beyond the initial sunk costs of program setup and training. The project will create a cadre of trained professionals and equipped facilities for seamless transition to SAG management at the end of the project period. CMMB will ensure all program activities, outputs, outcomes and impact are tracked effectively and generate monthly, quarterly, semi-annual, and annual reports. CMMB will integrate data systems to avoid duplication with SAG systems. Data systems will be electronic and automated and in real-time in order to permit timely reporting of all MMC activities and outcomes. CMMB will purchase two vehicles to support expanded coverage to 3 new hospitals and surrounding clinics in its 2nd year of operation.
CMMB will contribute towards provincial and national MMC targets by circumcising 14,200 males in FY FY2012 (at $140/MMC) and 17,000 males in FY2013 (at $100/MMC). This will be achieved with fixed services at district hospitals and clinics and mobile services in hard-to-reach populations. As staffs technical skills and site management capacity increase, more efficiencies and cost savings are anticipated. CMMB will operate against a sustainability plan to capacitate facilities and their staff for MMC impact beyond the completion of the project. The program will use reporting mechanisms that fold into SAG district, provincial and national systems, avoiding creating parallel structures. CMMB will build on best practices in MMC, including use of forceps-guided surgery, employing models to optimize volume and efficiencies, incorporating messaging on gender norms and proper treatment of females, and delivering these as part of a package of prevention services, including HCT, age-appropriate risk reduction counseling, condom demonstration, provision and promotion, and linkages to family planning, STI, HIV, TB, and other treatment services. Demand creation will include coordination with local partners, and building upon its existing relationships with local community-based and faith-based organizations, and engaging local leaders to encourage men to accept and request MMC. Men will be reached in their homes, through the community centers, workplaces, athletic events, markets, churches, and also in the schools and provided with targeted prevention and MC uptake messages, as well as information on the availability of MC. The MMC activities are intended not only as a single biomedical intervention to reduce HIV acquisition risk, but also an opportunity to engage men in health services and maximize linkages to other key resources for males improved long-term engagement in the health sector, increasing their likelihood to seek support for sexual and reproductive health and chronic disease management.
