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: 2010 2011 2012
MOPH Implementing Mechanism Narrative
HHS/CDC funds the Thai MOPH through a five-year cooperative agreement (CoAg). Currently, CDC's Global AIDS Program (GAP) is entering the fourth year of the second five-year CoAg with MOPH. The goals of this collaboration are to provide technical support to the Thai MOPH for HIV prevention, care, and treatment programs as determined by MOPH leadership and GAP/ Thailand and in accordance with the national HIV/AIDS strategy. The expected outcomes of the collaboration include: 1) strengthening health systems, human capacity, guidelines and protocols, and quality systems in order for the government of Thailand to finance and manage in-country programs; 2) supporting replicable models for prevention and care; 3) improving the quality of prevention and care programs; 4) increasing the collection and use of strategic information; and, 5) sharing successful models and providing TA to other PEPFAR countries.
Models may include service delivery models, surveillance methodologies, or laboratory systems. Support for model development typically proceeds through phases: 1) model development, implementation, and evaluation; 2) scale-up through leveraging of other donor or government funds; 3) integration to routine services; and 4) technical support to ensure quality of national programs and for national-level program M&E.
Support through this implementing mechanism is national. Technical areas and target populations include HIV prevention, care, and support for FSW, IDU, MSM, and prisoners; PMTCT monitoring and early infant diagnosis; national HIV testing and counseling guidelines and monitoring systems; quality of adult and pediatric HIV care and laboratory systems, including EQA programs and laboratory accreditation; positive prevention for HIV-infected MSM, youth, and general population PLHA; surveillance for FSW, IDU, and MSM; and, ARV resistance monitoring, threshold surveys, and early warning indicators. In addition, experts in Thailand receive support through this implementing mechanism to provide TA to other PEPFAR programs (i.e., "Global TA" activity), building on the experience and expertise in Thailand.
Contributions to health systems strengthening are made through all aspects of USG Thailand's TA-based program. Health information systems, laboratory infrastructure, and human resources for health are all areas of emphasis in the Thailand PEPFAR program. USG provides technical support for a) existing surveillance systems in MOPH, b) the development of new surveillance methodologies that are subsequently integrated into routine systems, c) M&E of prevention, care, and treatment programs administered by MOPH, NHSO, or GFATM, and d) data management systems, data analysis, and reporting and use of data for program improvement.
The USG team supports laboratory accreditation programs and quality systems at a national and sub-national level by strengthening the existing organizational structure and the technical capacity of government partners. The USG team supports human resources for health through in-service training in specific technical areas, adoption of new concepts or programs as part of national curricula and guidelines, specific models for task-shifting in HIV care and support, and development of decentralized referral networks that allow patients to receive services at the community level. The USG team supports model and curriculum development with government partners, and provides training of trainers so that national curricula can be used by government staff to provide trainings at different regional, provincial, and district levels, thereby ensuring that programs and technical capacity are integrated into routine government programs.
All USG Thailand technical support to MOPH is for programs that are, or have a plan to be, fully integrated into routine public health programs. Technical support and capacity building are provided to MOPH staff for development, implementation, evaluation, and expansion of programs that are funded by the national government. If a new program, method, or service delivery strategy is developed, it is developed jointly with MOPH, and training and technical capacity building support are provided at all stages of the process, including for fully expanded national programs in the form of M&E and support for quality systems. M&E is conducted for new program models of service delivery and new quality systems, as well as for national programs or systems to identify gaps or areas that need strengthening. M&E serves to identify the effectiveness or success of a program, and build the M&E capacity of MOPH counterparts. USG heath systems strengthening support to MOPH includes development of M&E and database systems, increased technical knowledge and capacity, policy change, development and evaluation of quality systems and programs, and Global Fund technical support.
As a TA-based program, costs are low for this implementing mechanism, and will continue to be low. Model development and evaluation are supported for a time-limited period, and then other donor or government funding is leveraged for program expansion and integration. This CoAg may be a model for countries that are transitioning to reduced programmatic funding, or are moving to a TA-based system.
08-HBHC Care:
Adult Care and Support
Budget Code Narrative for MOPH
With USG assistance, MOPH will finalize and provide training on a comprehensive performance measurement system which integrates HIVQUAL-T and the NAP databases. MOPH will conduct a TOT on the QI curriculum for the HIV quality national committee, including representatives from all 12 regions. The USG team will provide TA for development of a post-scale-up program evaluation plan.
MOPH will support implementation and evaluation of advanced counseling tools for risk reduction counseling, HIV disclosure, and partner testing. The counseling modules will be tested at three hospitals. Results from the evaluation will be presented to MOPH stakeholders for possible use of the counseling materials in other settings.
Through MOPH, CDC will support model development of positive prevention for MSM in four provinces (Bangkok, Khon Kaen, Phuket, and Udon Thani). This will complement USAID support in two additional provinces. The model includes improved linkages for prevention through outreach activities, and promotion of HIV TC to increase early access to HIV care. Development of a network of MSM peers in the community, HIV-positive MSM, and ARV clinic staff, as well as a referral system, will be part of the model. Capacity building for both MSM peers and ARV clinic staff will be provided. Program monitoring tools have been developed, and linkages between HIV TC and comprehensive health care and health promotion among HIV-positive MSM (including prevention of transmission and behavioral risk assessments and counseling) will be monitored.
These activities will be developed and implemented with input from the MSM technical advisory board, which also serves as the technical advisory board for GFATM activities for MSM. Successful activities will be expanded to MSM sites in other GFATM-supported provinces, and technical support will be provided for similar activities in GFATM-supported sites and to GFATM partners.
03-HVOP Sexual Prevention:
Other Sexual Prevention
With USG assistance, MOPH has supported provincial health offices in major areas of Thailand to implement peer outreach education for MSM since 2004. In FY 2010, MOPH will continue to support to MSM peer outreach activities, including capacity building, outreach trainings, and M&E activities.
Together with the USG team, MOPH has developed curricula for sensitivity training and health care management training for health care providers who will work with MSM. In FY 2010, MOPH will organize a Training of Trainers on sensitivity and health care management to be funded by GFATM. The USG team will support MOPH to monitor these trainers to ensure that quality trainings are provided.
To promote testing and counseling for MARPs, MOPH will work with GFATM and the USG team to develop work and budget plans to harmonize the work of MOPH and USG.
