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.
Uganda ranks 15th among the world's 22 countries with a high TB burden. There is a strong association between TB and HIV/AIDS and this association has exacerbated the TB and HIV/AIDS problems in Uganda. About 20 percent of TB patients are estimated to be HIV-positive and TB remains the leading cause of morbidity and mortality for people living with HIV/AIDS. In 2003, 30% of all death among PHAs was attributed to TB. In 2006, the Government of Uganda launched the TB/HIV integration policy, and a communications strategy to guide the implementation of collaborative activities between TB and HIV aimed at reducing the burden of TB among PHAs. The policy established a national TB/HIV coordinating body and set guidelines for development of district joint TB and HIV/AIDS implementation guidelines, HIV surveillance among TB patients and TB surveillance among PHAs. In FY07, the TB/HIV Integration program will develop an integrated approach to the management of TB/HIV co-infected persons through a decentralized service and referral system. This is in support to the National TB/HIV integration policy and communications strategy.
The program will increase HIV Counseling and Testing uptake amongst TB clients as an entry point into HIV care and intensify TB case finding among PHA programs like PMTCT, RCT, OVC settings and Home based care. The program will also strengthen referral linkages between TB and HIV/AIDS programs including HCT, PMTCT, care and treatment programs and build the systems for management and monitoring of TB/HIV co-infected patients across multiple health care programs.
The program will strengthen health facility and community based referrals and linkages between TB and HIV/AIDS program/networks areas including referrals and linkages to TB diagnosis and treatment as well as back referrals/retrievals for TB/HIV co-infected patients to receive HIV care and treatment. Specifically, the program will ensure cross-referral of clients between the TB and HIV/AIDS programs so that people with TB are placed and continued on ART and other services and patients receiving HIV/AIDS services receive appropriate TB diagnosis and management. Through the 16 service outlets supported, the program will provide cotri-moxazole prophylaxis to TB/HIV co-infected patients and Isoniazid prophylaxis to 2,000 HIV-positive patients with latent TB and treat 5,000 patients with TB. The program will also ensure the link of care and support to prevention, and STI diagnosis and treatment.
In support of the implementation of the TB/HIV integration policy, the program will support 6 districts to build capacity and to develop tools to support districts to develop implementation plans for TB/HIV collaborative activities. The tools will include implementation manuals, Terms of Reference for district TB/HIV coordinating committees, implementation guidelines, training manuals and modules, and monitoring and evaluation tools.
The National TB and Leprosy Program(NTLP), district health management teams in 6 selected districts and their individual service providers will be supported to develop implementation plans for the TB/HIV activities in a phased approach. Some of the activities that will be supported include district TB/HIV analysis, data collection, survey of TB and HIV service providers, setup of TB/HIV coordinating committees and referral systems. The program will increase service efficiency and increased competence in the management of TB/HIV co-infected patients aimed at improving TB cure rates and increased adherence to ARVs and TB drugs. This will include developing support supervisory systems and a monitoring and evaluation framework This will also include strengthening of local TB/HIV reporting systems in support of the national surveillance system for TB/HIV.
plus ups: This activity will strengthen health systems by providing capacity buildlng on management skills and TB/HIV to the AIDS Control Program(ACP) and National Tuberculosis and Leprosy Control Program(NTLP) and district health services in 6 additional districts, bringing the total of focus districts to 20.The program will support increased collaboration between ACP and NTLPand improve implementation of TB/HIV activities including CB-DOTS at district level, increases access to TB services for HIV-positive people and increase access to HIV/AIDS counseling and testing services for TB patients. The activity will also improve national guidelines for TB/HIV, infection control at health facilities and CB-DOTS. Through the plus-up funds an additional 2,000 TB registered patients will
receive HIV/AIDS counseing and testing services and 3,000 more HIV-infected clients will receive treatment for TB.
