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: 2009 2010 2011
IM's comprehensive goals and objectives under the award, reflecting breadth across technical areas
GHC-Manila will be providing a range of behavior change communication (BCC) and IEC technical assistance to NACP and ZACP. Presently, both agencies generate IEC messages at the behest of content area specialists (those working in care and treatment, sexually transmitted infections, etc.). A primary concern is both tracking the use of materials they or their partners produce and assessing, even informally, their impact. The needs in the area of BCC are much greater. GHC-Manila will provide training to the IEC units of both ZACP and NACP in the difference between communication for the purpose of informing and education vs. the goal of supporting efforts at behavior change. These trainings will include unit members, but also key staff in the content areas who generate the request for materials, and members of other coordinating bodies (e.g., ZAC and TACAIDS). BCC trainings cover topics such as setting behavior change targets for communication activities, how to facilitate bottom-up communication from target populations, and how to design and monitor behavior change interventions. GHC-Manila will also assist NACP in developing their capacity to work with scriptwriters to produce "behaviorally sound narratives" for television or radio. Behaviorally sound narratives integrate behavior change theoretical concepts as well as epidemiological research and surveillance relating to risk behavior.
Contributions to Health Systems Strengthening
The GHC-Manila implementing mechanism is relevant to health system strengthening in two sub-areas: 2 and 6. Sub-area 2 focuses on Human Resources for Health whereas sub-area 6 addresses Health Systems Governance. The majority of this training and support mechanism's target population is within the government coordinating bodies. In addition, GHC-Manila support will enable NACP and ZACP to work in a more structured manner with their numerous governmental and civil partners. At present, a unified framework for this collaboration is unavailable and is seen as a priority.
Cross-cutting programs and key issues:
Moreover, as indicated above, the GHC-Manila implementing mechanism is a cross-cutting program addressing Human Resources of Health. By working with NACP and ZACP, this program ensures that the IEC Unit staff members are capable of fulfilling their obligations to the HIV/AIDS community in vetting, approving and disseminating IEC and BCC materials. The program will also facilitate the development of a government-partner framework in which respective roles and responsibilities are clarified and mechanisms for enforcement are identified.
IM strategy to become more cost-efficient over time
As the GHC-Manila implementing mechanism is primarily a training and technical assistance mechanism, we do not envisage many opportunities to reduce costs over time. Trainings and support will always be provided on an 'as needed' basis. It may be possible to reuse or revise materials developed for earlier trainings in subsequent training but as this is not a high-cost activity that can be 'brought to scale,' costs reductions may not be a relevant issue.
GHC-Manila will offer technical assistance and training largely in Dar es Salaam and Zanzibar. Although our primary partners will be NACP and ZACP's IEC Units, the content area specialists in NACP and ZACP are also important target audiences. In addition, the Zanzibar AIDS Commission (ZAC) and Tanzanian Commission for AIDS (TACAIDS) will be invited to participate in trainings as determined by NACP and ZACP along with key local NGOs.
How IM links to PF goals
A key goal of PEPFAR II and PF is to increase local capacity in a way that decreases reliance on external expertise. In the area of BCC this is especially critical as few academic courses or trainings focus on the theory and design dimension of BCC practice. GHC-Manila's focus targets precisely this need. The aim of all technical assistance and training will be to enable NACP and ZACP to design behavior change interventions consistent with best practices derived from BCC theory and science. GHC-Manila will support NACP and ZACP IEC Units in not only acquiring practical knowledge, but in supporting them as they undertake new activities reflecting their new capacity
M&E plans
GHC-Manila will monitor its technical support and training in two ways: 1) evaluations of activities implemented by NACP and ZACP (as a result of training) using a standardized framework for "best practices," and 2) pre-post training tests of conceptual knowledge. Products resulting from training NACP to work with scriptwriters will also be evaluated using the "speech acts" typology from Pathways to Change; a typology developed in conjunction with CDC-Atlanta.
TA through BCC Specialist for capacity building and mentorship for NACP & ZACP IEC/BCC Units. This technical assistance aims at capacitating the National AIDS Control Program and Zanzibar AIDS control program IEC units to move away from being implementers of IEC/ BCC to being coordinators of the interventions in Tanzania. The units will also be given necessary skills and knowledge to do quality assurance and quality control of IEC materials and BCC interventions. The TA will focus on mentorship of the current team by jointly developing BCC activities and implement it as pilots. Also through interactions with the teams, various short term and longer term training opportunities for the unit staff will be recommended based on the need and context. In longer term the TA will also outsource best ways and approach to transfer behavior change and communication into Tanzanian institutions with the aim oflocalizing the knowledge source. Other topics for trainings for this population include faciliation techniques, and designing behavioral interventions. FY11: Approximately 20 members of the IEC/BCC units from NACP and ZACP along with content area staff that assign them communication tasks, TACAIDS and ZAC advocacy staff, and Ministry of Health/Health Promotion staff will be trained in creating appropriate knowledge. BCC trainings cover topics such as setting behavior change targets for communication activities, how to facilitate bottom-up communication from target populations, and how to design and monitor behavior change interventions. GHC-Manila will also assist NACP and ZACP in developing their capacity to work with scriptwriters to produce "behaviorally sound narratives" for television or radio
TA through BCC Specialist for capacity building and mentorship for NACP & ZACP IEC/BCC Units. This technical assistance aims at capacitating the National AIDS Control Program and Zanzibar AIDS control program IEC units to move away from being implementers of IEC/ BCC to being coordinators of the interventions in Tanzania. The units will also be given necessary skills and knowledge to do quality assurance and quality control of IEC materials and BCC interventions. The TA will focus on mentorship of the current team by jointly developing BCC activities and implement it as pilots. Also through interactions with the teams, various short term and longer term training opportunities for the unit staff will be recommended based on the need and context. In longer term the TA will also outsource best ways and approach to transfer behavior change and communication into Tanzanian institutions with the aim oflocalizing the knowledge source. Other topics for trainings for this population include faciliation techniques, and designing behavioral interventions. FY11: Approximately 20 members of the IEC/BCC units from NACP and ZACP along with content area staff that assign them communication tasks, TACAIDS and ZAC advocacy staff, and Ministry of Health/Health Promotion staff will be trained in creating appropriate knowledge. BCC trainings cover topics such as setting behavior change targets for communication activities, how to facilitate bottom-up communication from target populations, and how to design and monitor behavior change interventions. GHC-Manila will also assist NACP in developing their capacity to work with scriptwriters to produce "behaviorally sound narratives" for television or radio
