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 Palliative care: Basic Health/Support (8480) and Counseling and Testing (8479). Building on USG public sector programs, this activity continues to serve as the USG prime mechanism for leveraging the public sector support to increase access to and use of AIDS treatment, prevention and care services in the Education sector.
Achievements to date: The program has also trained 146 Behavior Change Agents (BCAs) from CCTs, NTCs, MoES and PTCs. Reached 3,300 individuals from the Ministry of Education and Sports (MoES), Coordinating Center Tutors (CCTs), National Teachers Training Colleges (NTCs) and Primary Teacher Training Colleges (PTCs) with prevention messages from BCAs.
This activity addresses a problem identified in the Uganda HIV Sero Behavioral Survey (UHSBS) where HIV prevalence is 6.4% among the adults including teachers. The Uganda National Roadmap for Accelerated HIV/AIDS Prevention has therefore given good focus to behavior change for risk reduction and risk avoidance among Education Sector employees - MoES employees, practicing teachers and teachers within the training institutions. Through the ESWAPI program, BCAs will be used to influence change and model positive workplace behaviors for HIV/AIDS prevention in their respective workplaces. Special focus will also be given providing information on substance abuse, particularly alcohol consumption which is associated with increased risk of engaging in high risk behavior.
Reinforcing the face-to-face (interpersonal) behavior change communication by BCAs, ESWAPI will extend dissemination of developed/adapted IEC messages from the eastern to northern, western and central regions. The messages will influence teachers on how to reduce the risk or avoid the two strong drivers of HIV spread in Uganda -- HSV-2 and high-risk sex-- notably multiple/concurrent partners and unprotected sex. ESWAPI dissemination strategy uses various media including posters, a newsletter, drama, essay competitions, debates and quizzes. Additionally, the project will use a quarterly communication channel (either teachers' newsletter or newspaper pull out) to facilitate interactive discussion on HIV/AIDS in the education workplace and give updated facts about AIDS.
This activity also relates to activities in Counseling and Testing (8479) and Condoms and Other Prevention (8478) . Building on USG public sector programs, this activity continues to serve as the USG prime mechanism for leveraging the public sector support to increase access to and use of AIDS treatment, prevention and care services in the Education sector.
Achievements to date: 5,700 individuals have been reached with IEC/BCC promoting the benefits of palliative care. 1,800 of those reached have been tested for HIV and received results. Those who have turned to be HIV+ have been referred to TASO, JCRC and district referral hospitals using a standard referral form that is tracked by the project.
The MoES HIV/AIDS workplace policy identifies a range of care and support services it is committed to facilitate access for its workers living with HIV/AIDS. These include wellness programs, psychosocial support, home based care, treatment (OI & ART) and legal advice for HIV/AIDS positive employees. This activity is designed to tap into and build upon services being provided by existing family, community, FBO, private and public health and social support systems to increase care, treatment and support to teachers and MoES employees living with HIV/AIDS.
The ESWAPI project will continue creating awareness among teachers and MoES employees in all the four regions about available care and treatment services within their communities and encourage them to seek, participate in and benefit from these programs depending on individual needs and choices. Each teacher, MoES employee or family member that undertakes HCT will be an index for entry, identification, counseling and referral of any family member that may require palliative care.
To ensure wide and continuous service accessibility, the ESWAPI project will strengthen established formal collaboration with local and national HIV/AIDS service providers and mechanisms through which beneficiaries of this project can access comprehensive care and treatment. This activity will support service providers to carry out outreach services e.g. community-based home based care targeting teachers, facilitate replenishment of essential commodities like Septrin in times of stock outs and facilitating teachers enrolled in HBC programs to visit health centers for emergency and routine clinical care. In the collaboration, the project will commit to identifying and referring teachers and MoES employees that need care and treatment while seeking partner organizations' provision of the required care and treatment.
Positive Teachers and MoES will be supported to join PHA groups and networks or form their posttest associations to advance their welfare where such are not readily available. Additionally, ESWAPI will utilize the skills and expertise of renowned PHA personalities within MOES, among Teachers, from and from PHA networks in dealing with stigma and tackling denial, discrimination, inaction, and shame in education institutions. By sharing their personal experiences encountered living with HIV/AIDS, prominent personalities especially educationists will inspire and stimulate PHA in the education sector to open-up, talk about the challenges they meet e.g. in adhering to their treatment regimens hence creating opportunities to be helped. More opening up will energize more teachers to seek HCT and seek comprehensive HIV/AIDS services. Additionally, the increasing presence of PHA that have publicly disclosed their seropositive status in the workplaces will reinforce the message that it is possible to go on living and working normally, a critical step in successfully dealing with work-related stigma and discrimination.
This activity also relates to activities in Palliative care: Basic Health Care and Support (8480) and Condoms and Other Prevention (8478). Building on USG public sector programs, this activity continues to serve as the USG prime mechanism for leveraging the public sector support to increase access to and use of AIDS treatment, prevention and care services in the Education sector.
Achievements to date: 5,700 individuals have been reached with IEC/BCC promoting the benefits of HCT, of whom 1,800 have been tested and received results. The project has also supported 8 HCT facilities to provide outreach services in the project catchment area.
The 2005 Uganda HIV/AIDS Sero-Behavioural Survey Report (UHSBS) indicates that 79% of HIV-positive Ugandans do not know their HIV sero-status. UDHS (2002) and other surveys estimate that only 15% of Ugandans have ever taken an HIV test. Yet, Counseling and Testing for HIV/AIDS is recognized as a gateway to HIV/AIDS prevention, care, treatment and support interventions. ESWAPI will continue increasing demand and utilization of CT services among teachers and MoES employees for enhancing primary and secondary HIV/AIDS prevention and as an entry point to care, treatment and support.
In 2007, the ESWAPI project will expand promotion of HCT beyond the eastern region to education workplaces in northern, western and central Uganda emphasizing comprehensive benefits of CT in general and couples counseling and mutual disclosure in particular. Couples Testing, mutual disclosure and awareness of partner's status will be promoted among married teachers and MoES employees to reduce the risk of spouses ignorantly continuing with unsafe sex. Discordant couples will be identified, counseled and referred for further support in practicing safer sex and positive living (for the infected partner). HCT promotion will be achieved through dissemination of IEC messages and awareness by the project team (BCAs) to the beneficiaries. Post-test referrals and education on post-test choices for both those with negative and positive test results will be an integral part of the HCT activity so as to enhance primary and secondary prevention as well as increased teachers access to a full continuum of care through the network model. Updated HCT service directories highlighting places where HCT services are offered will be provided through BCAs. MoES leaders, Tutors, CCTs, Head teachers and other education managers who be mobilized and encouraged to lead by example by publicly taking HIV tests.
To increase access and availability of CT services to hard to reach education workplaces, ESWAPI will continue facilitating CT service providers to take outreach HCT services to schools and other education workplaces. Experience from the past year indicates that teachers prefer testing services provided within a school setting and targeted at teachers than moving to health units where they mix with other members of the public.
