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: 2007 2008 2009
The USAID-funded HIPS (Health Initiatives for the Private Sector) Project (2007 - 2010) is a follow on
program that builds on USG private sector initiative - Business PART (Preventing HIV/AIDS and
Accelerating Access to Anti-retroviral Treatment) which ended in May 2007. The HIPS project has
continued to serve as the USG prime mechanism for leveraging the private sector to increase access to and
use of AIDS treatment, prevention and care services through mid and large size employers. HIPS works
with the Ugandan business community to find cost-effective ways to ensure access to vital health services
for company employees, their dependents and the surrounding community. Specifically, the Project
facilitates partnerships and provides technical assistance to design and implement comprehensive
workplace health programs that maximize the accessibility of VCT, HIV/AIDS, TB & Malaria prevention and
treatment services and improve use and knowledge of Reproductive Health and Family Planning services
and products. HIPS implements support for OVC through the private sector and strengthens private sector
organizations to support health initiatives.
In partnership with the private sector, HIPS implements activities to improve accessibility to information and
messages on HIV/AIDS at the work place. HIPS has adopted the Uganda Health Marketing Group (UHMG)
‘Good Life' communication platform and adjusted it to the ‘Good Life at Work'. Under this communication
strategy HIPS has conducted health fairs, training of peer educators to ensure dissemination of accurate
information, procurement and distribution of condoms and other health products. Health fairs are an
initiative designed to communicate health messages to workplace and community members in an
entertaining manner. These activities are aimed at preventing HIV transmission and STIs at work place
settings and in surrounding communities. Messages also target the reduction of high risk behaviors
especially among company workers such as migrant workers and company out growers (part of a
company's supply chain). To date HIPS has reached company employees, employee dependants, out-
growers, migrant workers and the surrounding communities with messages on sexual prevention. This
communication drive has laid a special emphasis on bringing men on board in community sexual and
reproductive health programs where nearly half of those reached are men. At least 1500 male and female
peer educators have so far been trained; over 20 health fairs have been held. Through these and other
mechanisms, over 100,000 persons have been reached with other sexual prevention messages. Condoms
have also been sold to partner companies who distribute these to the company workers, out-growers and
surrounding communities.
The activities for FY 2009 include but are not limited to the following:
1. Peer educator training; in FY 2009, HIPS will conduct training of 2000 peer educators to disseminate
messages and information aimed at reducing risky behavior and preventing HIV transmission among
company workers, out growers, migrant workers and surrounding communities. Participants for these
trainings will be company workers, out growers (where they exist) and surrounding community members so
as to effectively reach the target population. These peer educators will also act as condom distribution
agents to their peers at the work place and in the community. They will also be trained to disseminate
information on STI management and prevention. This is anticipated to result in sexual prevention through
condom use. This activity will be conducted among all HIPS partner companies across the country. Focus
will also be placed on fighting stigma and discrimination, promotion of messages on positive prevention,
promotion of adherence to ART, home-based care and VCT. HIPS will employ a training of trainers (TOT)
model to increase the number of peer educator trainers, to include members of Straight Talk Foundation,
Living Goods, UHMG, and company employees who will add to the HIPS network of trainers, extending
HIPS reach.
2. Provide relevant information to both stationary and highly mobile worker populations (migrant workers)
such as seasonal workers from sugar and tea estates. Through various health fairs organized in partnership
with companies, and with the aid of peer educators, HIPS will provide relevant information to company
workers and the neighboring community with health information relating to sexual prevention.
3. Promote consistent use of condoms to avoid the increasing risk of transmitting sexually transmitted
diseases. This will involve the purchase and distribution of condoms, and educating target audiences in
correct and consistent condom use and other means of HIV prevention. HIPS will support a marketing
officer at UHMG to focus on the promotion and sales of health products at HIPS partner companies.
4. Support to private companies to provide prevention programs that benefit employees, dependants and
surrounding community. The prevention programs will include focus on problems related to alcohol
abuse/consumption and substance abuse.
5. Promotion of responsible behaviors that reduce risks of transmission such as couple counseling and
testing, mutual disclosure within established couples, correct and consistent condom use for both the work
place setting populations and discordant couples
New/Continuing Activity: Continuing Activity
Continuing Activity: 14169
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14169 9086.08 U.S. Agency for Emerging Markets 6723 5028.08 HIPS (Health $200,000
International Initiatives in the
Development Private Sector)
9086 9086.07 U.S. Agency for Emerging Markets 5028 5028.07 Private Sector $150,000
International Initiative
Development
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* Family Planning
* Malaria (PMI)
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $100,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
place setting populations and discordant couples.
Continuing Activity: 14170
14170 9084.08 U.S. Agency for Emerging Markets 6723 5028.08 HIPS (Health $150,000
9084 9084.07 U.S. Agency for Emerging Markets 5028 5028.07 Private Sector $150,000
Estimated amount of funding that is planned for Human Capacity Development $51,000
Table 3.3.03:
Under the adult care and treatment program area, the HIPS Project implements Care and Support and
HIV/AIDS treatment / ARV services. Under this program area HIPS provides training in ART management
to clinical staff of partner facilities, supports accreditation of workplace and other private clinics to offer free
MOH ARVs, technical assistance in setting up workplace AIDS treatment programs, and procurement of
equipment. To date, job aids for HIV treatment providers have been developed, while more than 150 private
practitioners have undergone HIV treatment training from the Mildmay center and the DELIVER/ SCMS
project. HIPS also facilitates links between smaller companies without on site clinics and private clinics that
offer services including AIDS treatment, and facilitates the referral system among private facilities for
services such as CD4 tests and other tests necessary for patient follow up. To date, over 1200 clients have
been newly initiated on ART, while up to 2200 clients are currently receiving ART services and more than
2,800 have ever received ART from private facilities supported by HIPS. The palliative care section is
focused on extending services to the community through training of homecare givers, health workers and
the provision of logistical support to partner facilities. To date over 200 community members have received
training and kits to provide palliative care to their community members. Up to 28 of the HIPS facilitated
private facilities offer palliative care and support services to over 2200 clients. Services received range from
cotrimoxazole prophylaxis, communication materials, psychosocial support, safe water and ITNs among
others.
1. Continue to facilitate MOH accreditation of workplace and private clinics to offer ARVs across the
country, and linking them to the ARVs supply chain.
2. Train up to 200 providers in ART including pediatric ART, ART logistics, PMTCT and PEP and
management of opportunistic infections, including TB and palliative care. The training will focus on recruiting
more providers from private clinics.
3. Strengthen referral networks between smaller companies with no on site treatment clinics and clinics that
have been accredited to offer these services.
4. Increase informal sector access to treatment by linking informal sector associations and groups to
accredited partner clinics.
5. Expand training of care givers and health care workers in palliative care and support to 250.
6. Enhanced support to partner clinics to enable them offer treatment, care and support services. Support
will also be extended to improve the diagnostic capacity and referral for specialist tests like CD4 and Viral
loads.
7. Expand work with insurance companies to extend insurance schemes to community groups (especially
out growers and company supply chains) to access free ART and other health services at a low cost.
8. Conduct home based care support supervision visits for the primary care givers who have been trained.
9. Review the ART drug logistics systems in partner clinics and identify strategies to promote efficiency and
improve patient adherence to treatment.
10. Develop systems to continually track progress in health initiatives with the private sector, while building
capacity of the private sector to effectively measure progress.
Continuing Activity: 14172
14172 9081.08 U.S. Agency for Emerging Markets 6723 5028.08 HIPS (Health $150,000
9081 9081.07 U.S. Agency for Emerging Markets 5028 5028.07 Private Sector $100,000
* Child Survival Activities
* Safe Motherhood
Estimated amount of funding that is planned for Human Capacity Development $210,000
Estimated amount of funding that is planned for Water $20,000
Table 3.3.08:
Continuing Activity: 14174
14174 9077.08 U.S. Agency for Emerging Markets 6723 5028.08 HIPS (Health $1,100,000
9077 9077.07 U.S. Agency for Emerging Markets 5028 5028.07 Private Sector $1,100,000
Table 3.3.09:
organizations to support health initiatives
In partnership with the private sector, HIPS implements activities in OVC care and support. HIPS conducted
an international and national study aimed at identifying OVC best practices in the private sector, which led
to the project's development of corporate engagement models to steer OVC programming in the private
sector; leveraging a company's resources, competencies, market access and networks (supply chain).
These corporate engagement models have been rolled out in partnership with two companies: Nile
breweries and Kakira Sugar Works ltd, leveraging up to $20,000. To date, an OVC caregivers' training
curriculum has been developed, while nearly 300 OVC have been selected and over 150 caregivers have
received training in OVC care and support. HIPS has also established a small matching grants mechanism,
intended to encourage companies' involvement in OVC care and support to their neighboring communities.
HIPS implements all OVC interventions using a family centered approach, focusing on the OVC household
with special emphasis on the specific socio-economic activities that the OVC caregivers are already
engaged in namely sorghum farming and sugar cane growing. Central to ensuring comprehensive care and
support services is the increased involvement of the Community Development Office, with special emphasis
on ensuring collaboration, partnership building with existing community based organizations, wrapping
around of services, and referral to ensure totality of care and sustainability of services. Trained caregivers
have selected members to represent them on the district specific OVC committees in the districts of Pallisa,
Kumi, Budaka and Bukedea. OVC monitoring and follow up tools have been developed to ensure follow up
at school and at home. Referral tools too have been developed and heads of farmers' associations
sensitized on these tools.
The OVC activities for FY 2009 include but are not limited to the following:
1. HIPS will continue to identify, partner and promote best practices in corporate OVC support, furthering
the implementation of corporate engagement models identified in year 1, seeking a 1:1 matching grant with
companies to extend OVC care and support through strengthening capacity of families and the community
to access OVC services supported by the private sector as part of their corporate social responsibility.
2. HIPS will train over 150 OVC caregivers in the catchment area of selected companies in psychosocial
support, economic strengthening, child protection, food and nutrition.
3. Over 1500 OVC will be receive at a minimum three services in the following area, education,
psychosocial support, health care, child protection, basic life planning skills, focusing on age appropriate
interventions to meet the social and psychosocial needs of OVC.
4. HIPS will continue to support programs to identify OVC that are HIV positive and refer them for palliative
care and treatment services.
5. HiIPS in partnership with the probation and social welfare department, police family protection unit, will
conduct training for local leaders and religious leaders on child protection at the community level.
6. Working in partnership with the probation office, CDOs, and other NGOs, HIPS will focus on ensuring
quality service delivery through institution of quality assurance mechanisms in OVC care and support
activities, continue to build partnerships with the district, NGOs, and CBOs, ensure referral for services and
wrapping around of services.
* Increasing women's access to income and productive resources
Estimated amount of funding that is planned for Human Capacity Development $35,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $20,000
and Service Delivery
Estimated amount of funding that is planned for Economic Strengthening $30,000
Table 3.3.13:
In partnership with the private sector, HIPS will continue to implement activities in HIV voluntary counseling
and testing in partner company facilities, community outreaches and in health fairs. To date HIPS has
trained over 100 counselors from partner facilities, and over 5,000 people received VCT services from both
outreach and on site clinics. Special attention has been given to ensure that couples come for counseling
and testing. Both male and female peer educators have been trained among company staff, out growers
and community members to break the silence on CT, communicating the need to know one's status to their
peers. To date over 100,000 persons have been reached with the ‘know your status' campaign. Activities
under this program area include purchase of test kits and distribution to partner facilities, conducting
outreach VCT sessions in health fairs and in facilities and community mobilization for CT.
The counseling and testing activities for FY 2009 include but are not limited to the following:
1. Support the development of work place policies and programs aimed at reducing stigma and increasing
access and utilization of CT services. These policies are developed and publicized in the workplace so as to
mitigate stigma and thus increasing up take of CT services. This will be implemented among all HIPS
partner companies across the country.
2. Train peer educators and HIV/AIDS champions in the work place and surrounding communities to break
the silence on HIV/AIDS.
3. Support pre and post test counseling services to those that agree to test and receive results. Those who
test HIV+ will be referred to access free care and treatment services.
4. Support the promotion of CT outreach services to benefit employee dependants and the surrounding
community. For the communities surrounded by a most at risk population such as migrant workers, fishing
communities and commercial sex workers, greater emphasis will be placed in ensuring periodic mobile CT
outreaches with referrals to care and treatment.
5. Continue to promote and support counseling and testing services through HIPS community health fairs
and private clinics.
6. HIPS will support training of 50 private providers in counseling and testing.
Continuing Activity: 14173
14173 9080.08 U.S. Agency for Emerging Markets 6723 5028.08 HIPS (Health $100,000
9080 9080.07 U.S. Agency for Emerging Markets 5028 5028.07 Private Sector $100,000
Estimated amount of funding that is planned for Human Capacity Development $20,000
Table 3.3.14:
workplace health programs that maximize the accessibility of HCT, HIV/AIDS, TB & Malaria prevention and
The HIPS project puts high attention on the sustainability of health initiatives in Uganda by strengthening
private sector organizations to manage and sustain private sector health initiatives. To affect this,
memoranda of understanding have been signed with leading private sector organizations: Uganda
Manufacturers Association (UMA) and Federation of Uganda Employers (FUE), to engage in capacity
building to eventually assume the technical support role of health services to companies. HIPS has
engaged in training UMA and FUE staff in various aspects of workplace health initiatives in the private
sector including: development of HIV/AIDS and OVC workplace policies, Counseling and Testing,
proposal/report writing, development of health information material in the areas of HIV/AIDS, TB, Malaria
and reproductive health and to conduct peer education training and health fairs. To date, FUE and UMA
have assisted over 20 companies to design and launch HIV/AIDS workplace policies. UMA and FUE have
successfully trained over 140 peer educators, conducted two health fairs attracting more than 1500
participants, with more than 200 people receiving HCT. HIPS is also working with over 50 companies and
private clinics networks and has met its target in signing five Global Development Alliances (GDAs) to
leverage resources on a 2:1 basis. HIPS has also established working links with the Ministry of Health
(MOH), Ministry of Gender, Labor and Social Development (MGLSD), Global Fund, the National TB and
Leprosy Program (NTLP) and Uganda Health Marketing Group (UHMG) to facilitate accreditation of clinics
in ART and TB, promote HIV and OVC national policies and access to free and low cost commodities.
The Health Systems Strengthening activities for FY 2009 include but are not limited to the following:
1. Expand FUE and UMA's capacity to provide technical support to companies in workplace interventions
on HIV/AIDS, TB, malaria and FP/RH.
2. Promote and Support companies to develop and implement HIV/AIDS and health policies and programs
using best practices.
3. Demonstrate the business case for health investments and encourage companies to provide HIV/AIDS
and TB treatment to employees and neighboring communities. HIPS will also encourage the extension of
services to the supply chain to include company out growers and neighboring communities.
4. HIPS will continue to strengthen relationships with key partners such as MOH, AIDS Control Program,
MGLSD, Uganda AIDS Commission, National TB and Leprosy Program, Global Fund.
5. Facilitate private sector support of the National Social Health Insurance Scheme (NSHIS)
6. HIPS will continue to work with health insurance companies to facilitate greater and more affordable
coverage of HIV treatment.
Continuing Activity: 14175
14175 9082.08 U.S. Agency for Emerging Markets 6723 5028.08 HIPS (Health $200,000
9082 9082.07 U.S. Agency for Emerging Markets 5028 5028.07 Private Sector $200,000
Estimated amount of funding that is planned for Human Capacity Development $80,000
Table 3.3.18:
