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: 2008 2009
The International HIV/AIDS Alliance is an International NGO registered both in Uganda and United
Kingdom. The Alliance's goal is to support community action on AIDS and to date the Alliance provides
support to organizations in more than 40 developing countries focusing on people who are most likely to
impact on the spread of HIV, and those who are most affected by the epidemic. With USAID support, the
Alliance has been implementing a three year project that started in July 2006 aimed at expanding the role of
individuals living with HIV and AIDS and their networks, groups and associations in prevention, care and
treatment services in Uganda through increasing the number of PLHIV groups and networks mobilized and
able to provide services to their members and facilitate referrals and linkages between facility-based and
home-based care and treatment. The program employs the network model that focuses on strengthening
referral systems and linkages in HIV/AIDS service delivery, reducing stigma and bringing services closer to
the community. Critical to ensuring that a PLHIV is able to access a complete package of care throughout
the HIV stages of disease progression, the program focuses on the building of skills and creation of space
for men and women openly living with HIV to deliver quality counseling services, ensure linkages and
provide referral services in areas of HIV prevention, care, treatment and support. The program works
through open and experienced HIV positive individuals called Network Support Agents (NSAs) who are
trained and placed in health facilities at Health Sub-District (HSD) level. They serve as providers of
intermediate care and support as well as sources of HIV and AIDS information at community level. NSAs
are facilitated, mentored and monitored to strengthen referral systems that link all HIV service providers
involved in prevention, care and mitigation including referrals between HBC providers and facility based
care.
In FY 2008 the project has contributed to the remarkable increase in adults, children and their families
accessing care and treatment services in health facilities through mobilization of communities, raising
HIV/AIDS awareness and facilitating referrals and linkages to various services in the districts of operation
such as family planning and broader reproductive issues. The project has trained 839 Network Support
Agents (NSAs) who have been seconded to 416 Health centers across the 40 districts of operation. A total
of 29 consortiums of PHA groups have been formed at Health Sub district level to participate in the delivery
of HIV-related services. The NSA and the PHA groups have carried out ART education, ART adherence
counseling and they have followed up clients in their homes to support patients with drug adherence and
general welfare. As a result, a total of 238,800 individuals were reached with ART education, 40,434
reached with follow up counseling, 31,242 reached through home visits. In addition, through the project,
the Alliance has linked the PHA groups with PSI which has provided basic care kits that prevent
opportunistic infections like safe water vessels, insecticide treated nets and pharmaceuticals. Working in
partnership with NuLIFE , the program is training NSA in integration of nutrition in care and support
programs for PHA. A total of 580 NSA have been trained.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
In FY 2009, the project will consolidate activities in the 40 districts. An additional 100 consortiums of PHA
groups will be formed and supported financially and technically to strengthen care and treatment support
provision to their members and other PHAs identified in the community. The groups will therefore carry out
home visits, couple counseling and support for disclosure and ART adherence counseling. The capacity of
groups will be strengthened to facilitate and manage referral systems and linkages between
home/community based care and health facility-based care. The project will also continue supporting post
test clubs because they facilitate transition from counseling and testing to care, treatment and prevention
services. The project has specifically targeted Post Test Clubs (PTCs) comprised of military populations in
order to extend care and support services to this key population.
As members of the PLHIV groups, the trained NSAs in addition to undertaking activities outlined above, will
play a critical role in mobilization of PHAs, making referrals to health facilities and creating linkages between
the clients and the PHA group for continued care and support. As the number of people accessing
HIV/AIDS related services increases, the importance of ensuring quality services and drug adherence
remain critical. The presence of the NSAs at the health facilities makes this possible and the Alliance
proposes to lobby the Ministry of Health to integrate the NSAs into the formal district health care delivery
system since they provide an alternative source of manpower for health care.
Gender norms and practices are a barrier to people accessing care and support services. The project plans
to conduct BCC campaigns and gender awareness sessions aimed at challenging the traditional roles of
men as they can provide support as caregivers and improving men's health seeking behavior. A family
centered approach to care and support will be employed to ensure that the project targets both men and
women in the target households while promoting family planning among families affected by HIV.
The Project plans to strengthen Prevention for Positive programs in order to provide PHAs with the skills
they need to take control over the disease in their lives. Working closely with SCOT (Strengthening
Counselor Training Program), the project will build the capacity of PHA groups to provide patient education,
conduct behavioral counseling and to support patients develop personal prevention strategies. IEC
materials will also be provided to reinforce education on prevention for PHAs within the continuum of care.
The PHA groups will also be supported to conduct "HIV stops with Me" campaigns in order to reduce stigma
associated with HIV.
As part of the capacity building process of the PHA groups, the project plans to continue supporting
refurbishment of Common Facility Centers. These centers provide space for people living with HIV to meet
regularly for peer support and shared learning, and to conduct health education programs for the community
members. The centers will also house vocational training workshops, provide space for setting up
demonstration gardens and act as a reference point for the groups.
The project will continue to partner with PSI and other malaria control partners to provide basic care
commodities to the PHAs and their families. Commodities include mosquito nets, water vessels and
pharmaceuticals. The partnership with NULIFE will be expanded to cover 12 new districts in Mid Western
Uganda that have not been covered in FY 2008 as well as increase capacities of groups to conduct
nutritional assessments, carry out nutrition counseling and education. The project will also facilitate
Activity Narrative: linkages of PHA groups to Government programs like NAADS and other existing agricultural programs to
provide skills in vegetable growing and horticulture for purposes of improving nutrition. The community
engagement strategy will continue to be employed to further link PHA groups to other organizations
providing wrap around services e.g. family planning, reproductive health, supplementary feeding, livelihood
programs and water and sanitation programs.
The project proposes to strengthen the link between the groups and the local government at district and
county levels and hence ensure that the local government provides leadership, technical support and
mobilizes resources for PLHIV groups and networks in order to sustain care and support programs beyond
the project life. The Alliance will therefore provide technical assistance to local governments to
institutionalize the network model and strengthen capacity of PHA groups' to leverage local resources.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14200
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14200 4688.08 U.S. Agency for International 6738 3166.08 Expanding the $640,000
International HIV/AIDS Alliance Role of
Development Networks of
People Living
with HIV/AIDS in
Uganda
8462 4688.07 U.S. Agency for International 4851 3166.07 Expanding the $840,000
International HIV/AIDS Alliance role of People
Development Living with
HIV/AIDS
Networks
4688 4688.06 U.S. Agency for International 3166 3166.06 PHA Network $640,000
International HIV/AIDS Alliance
Development
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
* Reducing violence and coercion
Health-related Wraparound Programs
* Malaria (PMI)
* Safe Motherhood
* TB
Military Populations
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $324,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $1,000
and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Estimated amount of funding that is planned for Economic Strengthening $49,000
Education
Water
Estimated amount of funding that is planned for Water $20,000
Table 3.3.08:
New/Continuing Activity: New Activity
Continuing Activity:
Estimated amount of funding that is planned for Human Capacity Development $323,939
Estimated amount of funding that is planned for Economic Strengthening $49,859
Table 3.3.09:
Continuing Activity: 15634
15634 4695.08 U.S. Agency for International 6738 3166.08 Expanding the $1,200,000
8465 4695.07 U.S. Agency for International 4851 3166.07 Expanding the $1,000,000
4695 4695.06 U.S. Agency for International 3166 3166.06 PHA Network $580,000
* Child Survival Activities
Table 3.3.10:
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $15,000
Table 3.3.11:
able to provide services to their members, and facilitate referrals and linkages between facility-based and
In FY 2008, 832 NSAs have been trained on TB/HIV integration. Following the training, the NSAs have
incorporated TB awareness into HIV/AIDS awareness activities particularly disclosing the link between TB
and HIV. PHAs at- risk have been identified and encouraged to access screening services for TB and
identified TB clients have also been referred for counseling and testing.
ACTIVITY UN CHANGED FROM 2008
In FY 2009, the PLHIV project will continue to integrate TB/HIV activities into health service delivery in all
the 40 districts of operation. The NSAs and identified group members will be trained as focal persons on
CB-DOTS using national TB/HIV collaborative guidelines and provided with relevant materials and logistical
support to improve drug adherence and defaulter tracing. Communities will be sensitised on respiratory
tract infections in general and TB in particular. Individual PHA groups will conduct community based TB
campaigns intended to increase awareness on TB/HIV integration, encourage early diagnosis and
treatment, reduce stigma and defaulter rates as well as promote preventive and care aspects of
tuberculosis. All identified TB/HIV patients will be enrolled in the HIV/AIDS care and support program for
the PHA groups.
Continuing Activity: 14201
14201 4690.08 U.S. Agency for International 6738 3166.08 Expanding the $400,000
8463 4690.07 U.S. Agency for International 4851 3166.07 Expanding the $400,000
4690 4690.06 U.S. Agency for International 3166 3166.06 PHA Network $120,000
Estimated amount of funding that is planned for Human Capacity Development $26,104
Table 3.3.12:
In FY 2008 the project provided financial and technical support to 29 PLHIV groups. The groups are
consortiums of 68 smaller groups based in every health sub-district across the 40 districts of operation.
Over the year, the groups have been able to implement OVC interventions in addition to HIV/AIDS
education, home based care and counseling of PHAs. The estimated number of OVC across the 40 districts
is 760,000 but during the year, the 29 PLHIV groups have identified 2500 OVC and provided direct inputs
like scholastic materials and beddings and food based on needs assessment undertaken by the groups.
Through the small grants program, the PHA groups were supported to initiate income generating projects
aimed at generating income to improve and sustain livelihoods of OVC and their families.
In FY 2009 the PLHIV project will consolidate its services in 40 districts supporting at least 100 clusters of
PHA groups and networks to deliver comprehensive and quality OVC services through family and
community interventions. Capacities of PHA groups will be strengthened in the areas of needs
identification, OVC programming and monitoring and evaluation, reporting and resource mobilization in
order to deliver adequate and appropriate protection, care and support services. In addition, members of
PHA groups and other OVC care givers will be trained in caring for OVC. Financial support will continue to
be provided to groups to provide direct inputs as well as ensure economic viability of vulnerable households
so that they are able to meet the varied needs of the OVC including education, health care, food and
nutrition among others. Gender issues in relation to economic enterprises will be addressed to provide
women with support systems for their productive and reproductive roles since they shoulder the major
burden of care for OVC. The project therefore will conduct gender awareness sessions for groups and
support groups to link up with organizations that implement family life programs and or train on labor saving
technologies.
Through the community engagement strategy, the project will promote community ownership of the OVC
challenge and develop linkages between PHA groups, church groups, school authorities, NGOs (including
grantees of the CORE initiative for youth, orphans and vulnerable children) and CBOs providing care and
support to OVC. Developing linkages will provide opportunities for the children and their families to have
access to a range of services that they need
At district level, the project will create linkages between Community Based Services Department and PHA
groups to benefit from technical assistance provided to local Governments through the Ministry of Gender
Labour and Social Development with support from CORE initiative. Linkages with the districts will also
provide opportunities for the groups to tap resources as well as provide information that will enrich planning
and also prevent or reduce duplication of OVC services.
Continuing Activity: 14202
14202 4693.08 U.S. Agency for International 6738 3166.08 Expanding the $250,000
8464 4693.07 U.S. Agency for International 4851 3166.07 Expanding the $250,000
4693 4693.06 U.S. Agency for International 3166 3166.06 PHA Network $60,000
Estimated amount of funding that is planned for Human Capacity Development $1,500
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $10,000
Estimated amount of funding that is planned for Economic Strengthening $50,000
Table 3.3.13:
In FY 2008, the project trained and facilitated 839 NSAs placed at 416 health Facilities in 40 districts to
carry out pre and post test counseling. The NSAs by virtue of being expert clients have been very
supportive to clients to deal with their positive results. Through increased mobilization, education and
referrals by NSAs and PHA groups, the health facilities reported increased uptake of HIV counseling and
testing (HCT), PMTCT and ART. They facilitated a total of 148,544 individuals who were counseled tested
and received results. The project has also contributed to the reduction of workload of health workers as a
result of PHAs being involved in service delivery.
ACTIVITY UNCHANGED FROM 2008
In FY 2009, the project will continue to facilitate delivery for HCT services since it is an entry point into
prevention, care, treatment and other services. The Network Support Agents (NSAs) will be facilitated to
carry out Pre-test and post-test counseling, rapid HIV testing, running of post-test clubs and management
of referrals and linkages to care, treatment and prevention services. Due to the vital role NSAs have
played in reducing workload of health workers in health facilities and recognizing the fact that the World
Health Organization in collaboration with the Ministry of Health has identified the use of alternative sources
of man power for health care through task shifting, the Project plans to advocate for the integration of NSAs
into the formal district health care delivery system for purposes of improving health services delivery and
ensuring quality of HIV-related services including HCT.
The PHA groups and networks will play a key role in community mobilization for HCT through conducting
dramas, public dialogues and HCT campaigns. PHA networks and groups will also be trained to play a
supportive role in providing counseling and testing in public health facilities. In addition they will also be
facilitated to link up with several HCT providers namely AIC, PREFA, JCRC, TASO to provide community
outreaches for HCT services. There will be special focus on couples' counseling and testing, disclosure of
sero-status to spouses and support for discordant couples. The PHA groups and networks will be trained to
provide couples counseling, counseling of pediatric clients and provision of support for discordant couples.
The groups and the NSAs will ensure that all those that test positive for HIV are linked to care and treatment
services.
Continuing Activity: 14203
14203 8900.08 U.S. Agency for International 6738 3166.08 Expanding the $200,000
8900 8900.07 U.S. Agency for International 4851 3166.07 Expanding the $200,000
Estimated amount of funding that is planned for Human Capacity Development $27,104
Table 3.3.14:
