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.
This activity also relates to activities in counseling and treatment.
The ACQUIRE Project - Access, Quality, Use in Reproductive Health - is a five-year Leader with Associate Award Cooperative Agreement (October 2003-September 2008), designed to address the enormous challenges health programs face to maintain and build on the successes of the past to bring safe, effective preventive health care, including family planning, maternal health and HIV services, to the growing number of those in need. A nationally conducted ART assessment by the USG team in Uganda in 2006 highlighted a number of "missed opportunities" for prevention counseling and strengthening within ART settings. Family planning was particularly identified as an appropriate preventive approach for people living with HIV and were uncertain wanting to have more children. Furthermore, behavioral data from a CDC Uganda ART site revealed that 97% of women who were pregnant did not want to have more children or did not want to have children at that time. It is against this background that the USG team planned to use additional emergency plan funding available in FY06 to strengthen counseling in positive prevention measures among people in HIV care and AIDS treatment sites. The USG team, along with two partners SCOT (Strengthening Counselor Training in Uganda) and ACQUIRE agreed that positive prevention (PP) includes counseling in 1) family planning, 2) sex and sexuality (sero-sorting, alternative sexual expressions and safer sex negotiations), 3) HIV/STI diagnosis and partner treatment (disclosure and partner testing), 4) risk reduction and 5) stigma. The goal of PP is to contribute to the reduction of HIV/STI transmission in Uganda. PP objectives include integrating positive prevention strategies into existing individual, family and community prevention efforts and strengthen PHA network support systems and structures. FP is a key tool to reduce vertical transmission of mother to child especially where a pregnancy was not intended.
In FY06 SCOT and ACQUIRE worked collaboratively on developing a memorandum on understanding with clear roles and responsibilities, and on development of curricula for facility and community based counselors. Community based counselors are pooled from PHA groups which are very active in Uganda. The team of SCOT and ACQUIRE also developed an integrated FP/HIV training curriculum for facility based service providers and will have trained 30 master trainers in its use by the end of 2006. In FY07, these 30 master trainers will be supported to train 250 service providers to provide family planning counseling to target populations within their facilities, reaching about 40,000 PHAs. In FY07 SCOT and ACQUIRE with the master trainers will help to roll out the PP curricula and materials among trainers within the Joint Clinical Research Center (JCRC), National Forum for People Living with HIV and AIDS Networks in Uganda (NAFOPHANU), The Aids Support Organization (TASO), Reachout Mbuya and Paediatric and Infant Disease Center (PIDC). ACQUIRE will provide technical direction to ensure FP is integrated into the HIV facilities. The two projects in collaboration with the above partners will build capacity of HIV service providers to provide family planning counseling and refer for FP services, as appropriate. Provider job aids and IEC materials for clients, as well as quality improvement tools will also be rolled out.
