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
FHI Implementing Mechanism Narrative
Family Health International (FHI) has a five-year regional HIV/AIDS contract with USAID/RDMA. The purpose of this task order is to provide technical support to the USAID HIV/AIDS prevention, care, and treatment program focused on MARPs.
FHI supports activities designed to reduce the incidence and prevalence of HIV/AIDS and mitigate its impact on PLHA and their families, which entails reducing transmission among MARPs (FSW and their clients, IDU, and MSM) as well as PLHA. By the end of the task order, it is expected that the following tangible outcomes will have been achieved:
Strategic information made more available and useful
Access to comprehensive prevention interventions for MARPs increased
Access to care, support, and treatment for PLHA and their families increased
Enabling environment strengthened by increasing participation of civil society, including regional networks, and developing and implementing supportive policies and regulations
Effectiveness of USG-supported programs enhanced by leveraging other donor resources
Capacity development and scale-up of successful innovative models
With limited USAID HIV resources in Thailand and escalating rates of HIV among MSM, the primary focus of the program is on MSM activities. FHI focuses on providing targeted and coordinated TA for MSM activities supported by the recently awarded Global Fund Round 8 prevention grant for MSM activities. TA is primarily focused in the following six USG sites: Bangkok, Chiang Mai, Khon Kaen, Pattaya, Phuket, and Udon Thani.
FHI supports the USAID strategy for MARPs by providing technical support to local NGOs and USG partners to increase access to a quality comprehensive package of services (CPS), which includes HIV prevention, linkages to HIV and STI care and treatment, and activities addressing stigma and discrimination. The CPS focuses on MSM, MSW, and TG, and complements the work of the Royal Thai Government (RTG) to strengthen the national response to the HIV epidemic among these groups. FHI provides TA in HIV programming for MSM, MSW and TG interventions to local implementing agencies (IA) receiving USAID support through Pact/Thailand in Bangkok, Chiang Mai, and Pattaya. FHI also works closely with CDC/TUC on M&E and technical training for sites in Kohn Kaen, Phuket, and Udon. FHI collaborates with Pact/Thailand, and provides technical input and recommendations to strengthen MSM intervention strategies (specifically for Global Fund Round 8 MSM activities); address TA needs related to program implementation and M&E; and, build the capacity of the Global Fund grant sub-recipient, Rainbow Sky Association of Thailand (RSAT), and other partners supported by USAID, USG, and RTG to effectively implement MSM, MSW, and TG interventions in these six sites. A key area of focus in FY 2010 will be counseling and testing, specifically rapid testing with same day results for MSM.
FHI works in the following technical areas: Sexual prevention, counseling and testing, care and support, strategic information, and health systems strengthening. The current role of the USG team and its partners is TA. FHI will become more cost efficient over time through the leveraging of Global Fund resources.
In FY 2011, FHI will continue to serve as a principal TA provider for USG partners implementing HIV programs for MSM, MSW, and TG in the six sites. Interventions at the three USAID sitesBangkok, Chiang Mai, and Pattayaare implemented by Mplus, PSI/Sisters, and SWING, who receive support from USAID through Pact Thailand. Through its strategic partnership with Pact Thailand, FHI will continue to provide technical support to strengthen the quality of the current interventions, while Pact Thailand will center on organizational capacity building of these NGOs.
FHI's TA will also focus on providing technical support to RSAT and other GFATM partners to effectively implement and expand the GFATM-funded MSM program to targeted provinces. Specifically, FHI will provide the following support:
TA for the implementation and evaluation of the rapid HIV testing and counseling (TC) with same day results pilots (which include anonymous, HIV rapid testing, and/or referral services for those who are HIV-positive) primarily aimed at capturing MSM, MSW, and TG in the six USG sites.
TA on referral systems for HIV TC and STI services to increase uptake of these services among MSM.
TA to ensure the quality of the interventions and identify TA needs by supporting quarterly meetings with RSAT and the SSRs to follow-up on the progress of the MSM activities.
TA to monitor and assess the quality of the MSM interventions and follow-on TA on QI as needed.
TA on M&E to complement the support that Pact Thailand will provide to RSAT and their SSRs. Pact TA will include implementing the use of the outreach activity forms and training RSAT on basic data monitoring. FHI will assist with data use and further analysis of data (evaluation).
08-HBHC Care:
Adult Care and Support
Budget Code Narrative for FHI
In FY 2010 and FY 2011, FHI will continue to serve as a principal TA provider for USG partners implementing HIV programs for MSM, MSW, and TG in six sites including Positive Prevention, and ensuring HIV-positive MSM are entered into Continuum of Care services. The six sites include three USAID sites located in Bangkok, Chiang Mai, and Pattaya; and, three CDC/TUC sites located in Khon Kaen, Phuket, and Udonthani. Interventions at the three USAID sites are implemented by NGOs Mplus, PSI/Sisters, SWING, and Violet Homeall of which receive support from USAID through Pact Thailand. Through its strategic partnership with Pact Thailand, FHI will provide technical support to strengthen the quality of the current interventions, while Pact Thailand will center on organizational capacity building of these NGOs.
FHI's TA will also focus on providing technical support to RSAT to effectively implement and expand the GFATM-funded MSM program to targeted provinces to ensure effective referral linkages exist for HIV-positive MSM. FHI will provide TA for the targeted community-based care program. Specifically, FHI will provide the following TA to partners in Thailand:
USG Partners
TA to SWING and Mplus through bi-monthly TA monitoring visits to increase their technical capacity and enhance their quality, including developing curricula for Positive Prevention aimed at capturing MSM, MSW, and TG in the USG sites.
TA to monitor and assess the quality of MSM interventions implemented by MSM partners. Following the training on QI approaches for program strengthening in September 2009, FHI will encourage the USG and GFATM partners to use routine monitoring data to set-up QI projects that strengthen their programs. In FY 2010 and FY 2011, FHI will provide follow-on TA on QI to these partners as needed.
TA as required to NGOs Violet Home (based in Chiang Mai) and Poz and APN+ (in Bangkok), who receive support from USAID through Pact Thailand.
Training of new partners as the implementation of the rapid HIV TC with same day results pilots reach many new HIV-positive MSM who need referral services as well as direct services for care, support, and treatment in the six USG sites.
12-HVCT Care:
Counseling and Testing
In FY 2010 and FY 2011, FHI will continue to serve as the principal TA provider for USG partners implementing HIV programs for MSM, MSW, and TG in six sites. The six sites include three USAID sites located in Bangkok, Chiang Mai, and Pattaya, and three CDC/TUC sites located in Khon Kaen, Phuket, and Udonthani. Interventions at the three USAID sites are implemented by SWING, Mplus, and PSI/Sisters. FHI will provide technical support to strengthen the quality of the current interventions.
FHI's TA will also focus on providing technical support to RSAT and other GFATM partners to effectively implement and expand the GFATM-funded MSM program to targeted provinces. FHI will provide TA for the implementation and evaluation of the rapid HIV TC with same day results pilots aimed at capturing MSM, MSW, and TG in the six USG sites. Specifically, FHI will provide the following TA to partners in Thailand:
TA to SWING and Mplus through bi-monthly TA monitoring visits to increase their technical capacity and enhance the quality of their ongoing MSM interventions in Bangkok, Chiang Mai and Pattaya.
TA to monitor and assess the quality of the MSM interventions implemented by the MSM partners. Following the training on QI approaches for program strengthening in September 2009, FHI will encourage USG and GFATM partners to use routine monitoring data to set up QI projects that strengthen their programs.
GFATM Partners
TA for the implementation and evaluation of the rapid HIV TC with same day results pilots in the six USG sites.
TA on referral systems for TC and STI services aimed at increasing uptake of these services among MSM.
TA to ensure the quality of the interventions and continue identifying TA needs by supporting quarterly meetings with RSAT and the SSRs to follow-up on the progress of the MSM activities.
TA to monitor and assess the quality of the MSM interventions, and follow-on TA on QI as needed.
TA on M&E to complement the support Pact Thailand will provide to RSAT and their SSRs. Pact TA will include implementing the use of outreach activity forms and training RSAT on basic data monitoring. FHI will assist with data use and further analysis of data (evaluation).
17-HVSI Strategic Information
FHI will provide TA to ensure effective M&E for Global Fund Round 8, particularly the MSM program. Specific activities will include:
Strengthening MSM program monitoring systems and building the capacity of MSM organizations to analyze and use monitoring data for program improvement
FHI will provide technical support to Rainbow Sky Association, Thailand (RSAT) as a Sub Recipient (SR) of Round 8 and 18 other MSM groups and networks involved in implementing unified data collection forms. FHI will ensure the successful roll-out of the MSM program monitoring system. FHI will undertake monitoring visits to RSAT and other sub-SRs to identify gaps and develop activities to strengthen the system. To improve the use of program monitoring data, FHI will regularly analyze and synthesize data at all levels, and provide feedback to implementing partners and key stakeholders.
Conducting triangulation analysis of key MSM strategic information
Under Global Fund Round 8, the MSM-IBBS will be undertaken by the BOE in 2009-2010. Size estimation will be carried out by MOPH in 2010. A costeffectiveness analysis will be conducted by International Health Policy and Planning (IHPP) and supported by the World Bank. In FY 2011, FHI will conduct a MSM triangulation analysis using all existing data to monitor national responses toward MSM after two years of Round 8 implementation and prepare for Phase II proposal development.
Establishing monitoring program for MSM VCT rapid test same day result demonstration project
FHI provided training and TA on the Global Fund Round 8 M&E system for MSM. USG will initiate VCT rapid testing with same day results demonstration projects at six sites in FY 2010 to improve the uptake of testing and counseling among MSM. FHI will build quality assurance monitoring for testing and counseling MSM in community- and facility-based settings.
Evaluating MSM VCT rapid test same day result demonstration project.
USG will conduct an evaluation of the VCT rapid testing with same day results demonstration projects at six sites. If the results show significant changes in the uptake of VCT for MSM, this information will be critical for policy changes in Phase II and the scale-up of services through GFATM.
18-OHSS Health Systems Strengthening
During FY 2010 and FY 2011, FHI will target program resources on effective TA provision for MSM model development, replication, and scale-up funded by USAID, CDC/TUC, and GFATM. FHI will continue to serve as a principal TA provider for USG partners implementing HIV programs for MSM, MSW, and TG in six sites. Interventions at the three USAID sites are implemented by Mplus, PSI/Sisters, SWING, and Violet House, who receive support from USAID through Pact Thailand. Through its strategic partnership with Pact Thailand, FHI will strengthen the quality of the current interventions, while Pact Thailand will focus on organizational capacity building of these NGOs.
FHI's TA will also focus on providing technical support to RSAT and other GFATM partners to effectively implement and expand the GFATM-funded MSM program to targeted provinces. Specifically, FHI will provide the following TA to partners in Thailand:
TA to SWING and Mplus through bi-monthly TA monitoring visits to increase their technical capacity and enhance the quality of their ongoing MSM interventions in Bangkok, Chiang Mai and Pattaya. TA as required to Violet Home in Chiang Mai.
Following the training on QI approaches for program strengthening in September 2009, FHI will encourage USG and GFATM partners to use routine monitoring data to set-up QI projects that strengthen their programs. In FY 2011, FHI will provide follow-on TA on QI to these partners as needed.
TA for implementation and evaluation of the VCT rapid testing demonstration projects aimed at capturing MSM, MSW, and TG in the six USG sites, and on referral systems for VCT and STI services to increase uptake of these services among MSM.
TA to support quarterly meetings with RSAT and the SSRs to follow-up on progress of the MSM activities, monitor and assess the quality of the MSM interventions, and provide follow-on QI TA as needed.
TA on M&E to complement the support Pact Thailand will provide to RSAT and the SSRs. Pact TA will include implementing outreach activity forms and training RSAT on basic data monitoring. FHI will assist with data use and further analysis of data (evaluation).
03-HVOP Sexual Prevention:
Other Sexual Prevention
In 2007, a survey conducted by MOPH's BOE revealed alarming HIV prevalence among MSM: 30.7% in Bangkok and 16.9% in Chiang Mai. Since FY 2008, FHI has served as the primary TA provider to local NGOs and CBOs supported by USAID through Pact Thailand and in collaboration with USCDC/TUC. This mechanism focuses on strengthening local organizational technical capacity to increase MSM access to a quality comprehensive package of services among MSM in six sites. The six sites include three USAID sites located in Bangkok, Chiang Mai, and Pattaya, and three USCDC/TUC sites located in Khon Kaen, Phuket, and Udonthani.
The Comprehensive Package of Services (CPS) includes outreach activities, development of targeted media, condoms and water-based lubricant distribution and/ or social marketing, and linkages to HIV and STI care and treatment. The CPS focuses on MSM, MSW, and TG, and complements the work of the Royal Thai Government (RTG) to strengthen the national response to the HIV epidemic among these most-at-risk groups. The latest data compiled by BOE in 2007 showed that the level of access to all services combined by MSM (all sub-populations) in Bangkok and Chiang Mai was very low: 11% and 18%, respectively. The findings of the 2007 survey also revealed that MSM uptake of VCT and STI services in these two cities was lower than those who had access to outreach activities, condoms and water-based lubricant, and targeted media. Concerted efforts are underway to improve this situation with the advent of GFATM Round 8.
In FY 2010 and FY 2011, FHI will continue to provide TA to USG partners implementing HIV programs for MSM, MSW, and TG in the six sites. In addition, FHI will provide on-going TA to GFATM partners - RSAT (SR), its SSRs, and the Department of Disease Control (PR) - to ensure effective implementation and expansion of the GFATM-supported MSM program to the targeted provinces. TA will include providing technical support to strengthen the quality of the interventions, supportive supervision through regular site visits, program QA/QI, and data use and analysis (evaluation). FHI's TA to RSAT will be done in partnership with Pact Thailand whose TA will focus on RSAT's organizational development.
