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
This activity is an on-going program related to the CSF/Deloitte and Touche Sexual Prevention AB and OP
program that was approved in COP 08 that is to be implemented by a national indigenous organization
contributing towards the national goal of scaling up HIV counselling and testing services in Uganda. The
goal of this program is to support the MOH, districts, private sector; and Community based Organizations
(CBOs)/ Non-governmental organizations (NGOs) by enabling young people and adult's access appropriate
information and services. The HIV sexual prevention services will be provided as an integral component of
HCT services at the Regional HCT Centers of Excellence, public, private, and CBO/NGO/FBO HCT sites.
This program will cover all Regional referral hospitals, all District hospitals, all private hospitals, and all
health centers up to H/C II sites that are not covered by the USAID funded District based program and other
PEPFRAR HCT implementing partners. In addition, AB messages will be provided during HCT outreaches
at H/C II and the communities in collaboration with existing HCT service providers in order to increase
access to most at risk populations ( the MARP will need more of OP than AB services ) and remote areas.
The Regional HCT Centers of Excellence will be a focus point for coordination of M&E systems, Operational
research, External quality assurance, training and mentoring of other HCT service providers within the
health system. Special emphasis in AB (school going children 10-14); those aged 15+ should get
comprehensive HIV/AIDS information including information regarding condoms) and OP will focus on n the
Most at Risk Populations that will, include fisher folk military/police establishments, mobile populations
including internally displaced persons (IDPs), truck drivers, CSW institutions of higher learning, as well as
People with Disabilities. Peers trained for AB and OP will mobilize for HCT among their peer populations.
AB resources will continue to assist the national response in appropriately addressing the shifting nature of
the epidemic, and expand attention to faithfulness and partner reduction initiatives among newly married
young couples. In addition, resources will specifically address the vulnerability factors of specific categories
of youth such as young people involved in transactional or cross-generational sexual relationships, young
people living with HIV, and addressing the underlying causes of the vulnerabilities faced by Uganda's youth
that increase their risk of exposure to HIV. Cultural norms and practices, sexual coercion and gender
discrimination issues that make youth and in particular young girls at increased risk of exposure will be
addressed.
OP resources will continue to be used to ensure that Uganda's older and at risk youth have access to age
and risk appropriate abstinence, faithfulness, behavior change and condom information and services. OP
resources will also assist the national response in appropriately addressing the shifting nature of the
epidemic, and expand attention to faithfulness and partner reduction initiatives among discordant and
married couples.
Linkages to care, treatment and support services for HIV-infected clients and their families will be
strengthened at all levels of the health system. Persons living with HIV/AIDS (PHA) networks, youth friendly
services, couple HCT services and post-test clubs will be enhanced to strengthen referral linkages to care,
treatment, and support. Activities supporting couple clubs will include providing training in key
communication skills, prevention of gender-based violence among couples and promotion of disclosure.
These couple clubs will continue to be a vessel in mobilization and promotion of HCT uptake by their fellow
couples and promotion of faithfulness.
New/Continuing Activity: Continuing Activity
Continuing Activity: 21143
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
21143 21143.08 U.S. Agency for To Be Determined 9220 9220.08 TBD/HCT
International
Development
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Military Populations
Refugees/Internally Displaced Persons
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
Table 3.3.03:
This activity is an on-going program related to the CSF/Deloitte and Touche HIV Counseling and Testing
program that was approved in COP 08 implemented by a national indigenous organization contributing
towards the national goal of scaling up HIV counselling and testing services in Uganda. The goal of this
program is to support the MOH, districts, private sector; and Community based Organizations (CBOs)/ Non-
governmental organizations (NGOs) to scale up provision of integrated HCT services at the Regional HCT
Centers of Excellence, public, private, and CBO/NGO/FBO HCT sites. This program will establish Regional
HCT Centers of Excellence and scale up HCT services to cover all Regional referral hospitals, all District
hospitals, all private hospitals, and all health centers up to H/C II sites that are not covered by the USAID
funded District based program and other PEPFRAR HCT implementing partners. In addition, the program
will establish HCT outreaches to the communities in collaboration with existing HCT service providers and
CBOs in order to increase access to most at risk populations and remote areas. Outreach activities will
include those held in schools, fishing landing sites, military/police establishments, mobile populations
including internally displaced persons (IDPs), truck drivers, institutions of higher learning and People with
Disabilities. The Regional HCT Centers of Excellence will be a focus point for coordination of M&E
systems, Operational research, External quality assurance, training and mentoring of other HCT service
providers within the health system in accordance with national and international guidelines.
As a continuation of the FY 2008 activities, Linkages to care, treatment and support services for HIV-
infected clients and their families will be strengthened at all levels of the health system. HCT services will be
provided as an integrated HIV/AIDS service in addition to 1) treatment of opportunistic infections (OIs) and
minor ailments; 2) STD diagnosis and management; 3) septrin prophylaxis; 4) pain and symptom
management; 5) Family planning services 6) psychosocial support; and 7) on-going counseling. HIV
positive clients will receive CD4+ screening to establish eligiblity for ART. Other clinical services include
related laboratory services, and nutritional assessment and support.
Service points will complement HCT services with AB, OP and palliative care activities funded in-house or
by other USG and/or other donors. Individuals will be able to know their sero-status, encouraged to adopt
prevention options of their choice and receive a minimum palliative care package and referred where
necessary. Persons living with HIV/AIDS (PHA) networks, youth friendly services, couple HCT services
and post-test clubs will be enhanced to strengthen referral linkages to prevention, care, treatment, and
support. There will also be increased gender equity in HCT programs and addressing male norms and
behaviors. In the outreach sites and mobile clinics, HIV+ clients will receive the first doze of Cotrimoxazole
for one month and additional referral information for further care and treatment services.
Integrated services will be provided in collaboration with other partners such as Population Services
International (PSI) to reach an estimated 1,000 HIV positive clients with comprehensive HIV basic care
packages which include mosquito nets, water vessel guards, information, education and communication
(IEC) materials on positive living and septrin prophylaxis all of which aim at improving quality of life of
PHAs. The HIV+ client will be encouraged to mobilize other family members and community to access HCT
so as to identify infected clients that require ART and other care and support services beyond what they can
offer to other agencies such as Joint Clinical research Center (JCRC), TASO, Mild May and Regional public
health facilities. Training and mentoring of care service providers will enhance the quality of care.
Continuing Activity: 21470
21470 21470.08 U.S. Agency for To Be Determined 9220 9220.08 TBD/HCT
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* TB
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools
and Service Delivery
Table 3.3.08:
As a continuation of the FY 2008 activities, HCT services will be provided as an integrated service to
HIV/AIDS care, treatment and support services for both HIV exposed or infected children and their families
at the Regional HCT Centers of Excellence and other static sites. This well entail provision of 1) Age-
appropriate HCT services using a family-centered approach. 2) Cotrimoxazole prophylaxis, 3) treatment of
opportunistic infections and co-morbidities 4) assessment and management of pain and other symptoms, 5)
routine clinical monitoring), 6) psychological and spiritual support 7) nutritional assessment and support, 8)
safe water interventions, 9) malaria prevention interventions, and 10) linkages to child survival interventions
including immunizations, growth and development monitoring. HIV positive children requiring HAART will be
referred to existing ART service providers.
Persons living with HIV/AIDS (PHA) networks, youth friendly services, couple HCT services and post-test
clubs will be enhanced to strengthen referral linkages to prevention, care, treatment, and support. In the
outreach sites and mobile clinics, HIV+ clients will receive the first doze of Cotrimoxazole for one month and
additional referral information for further care and treatment services.
PHAs. The families of the HIV infected or exposed children will be encouraged to mobilize other family
members to access HCT and to identify infected or affected children that require ART and other care and
support services.
Estimated amount of funding that is planned for Food and Nutrition: Commodities
Estimated amount of funding that is planned for Water
Table 3.3.10:
Couple Counselling and testing will be enhanced through Couple Clubs and will entail providing training in
key communication skills, prevention of gender-based violence among couples and promotion of disclosure.
These Couple Clubs will continue to be a vessel in mobilization and promotion of HCT uptake by their fellow
couples and promotion ob faithfulness. It is estimated that 100,000 couples (200,000 individuals) will
benefit from free couple HCT.
The program will continue to support the MOH in human capacity development of HCT service providers in
both the public sector and private sector through training on HCT services and mentoring. PHAs and
community volunteers will also be trained as counselors to bridge the human resources gap and reduce the
workload of health workers. Further support to the MOH entails technical support to the National CT17
technical work group and support National HCT Campaigns to promote HIV prevention.
In FY 2009, the program will further promote functional laboratory and logistics management systems for
HCT services. The program will strengthen supply, distribution and management of HCT commodities, by
providing technical assistance, which will include forecasting, procurement and distribution of HCT
commodities to all facilities supported by this program. In addition, the program will support and collaborate
with National Medical Stores and other MOH service providers in the provision of buffer HIV test kits in
relation to existing National gaps.
strengthened at all levels of the health system. HCT services will be provided as an integrated HIV/AIDS
service in addition to medical treatment of opportunistic infections (OIs) and minor ailments; STD diagnosis
and management; septrin prophylaxis; psychosocial support; and on-going counseling. HIV positive clients
will receive CD4+ screening to establish eligiblity for ART. Other clinical services include related laboratory
services, pain and symptom relief and nutritional assessment and support. Integrated services will be
provided in collaboration with other partners such as Population Services International (PSI) to reach an
estimated 1,000 HIV positive clients with comprehensive HIV basic care packages which include mosquito
nets, water vessel guards, information, education and communication (IEC) materials on positive living and
septrin prophylaxis all of which aim at improving quality of life of PHAs. The HIV+ client will be encouraged
to mobilize other family members and community to access HCT to identify infected clients that require ART
and other care and support services beyond what they can offer to other agencies such as Joint Clinical
research Center (JCRC), TASO, Mild May and Regional public health facilities. Training and mentoring of
care service providers will enhance the quality of care.
Continuing Activity: 21458
21458 21458.08 U.S. Agency for To Be Determined 9220 9220.08 TBD/HCT
Table 3.3.14:
