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.
COMMUNITY BASED HIV PREVENTION CARE AND SUPPORT SERVICES is a 5-year program to be implemented as a joint initiative by three agencies: Reproductive Health Uganda (RHU) as lead agency; Action for Children (AFC); and Capacity Systems Link. The program complements the quality HIV/AIDS care provided by The AIDS Service Organization (TASO) with an integrated package of sexual and reproductive health services; child care, protection and development; and expanded home and community-based AIDS care and psychosocial support. The program also includes family-based HIV prevention interventions that are integrated in the different service components and settings. It provides an opportunity for institutional strengthening for indigenous organizations and other district service systems, to reinforce a sustained AIDS response that is integrated with all other development initiatives. The program approach to address HIV prevention cuts across the three key program elements: integrated SRH services, child care, protection and development; and AIDS care and psychosocial support. It builds on the principle of positive prevention -working with and through persons living with HIV to promote HIV prevention.
Over the five-year life-time of the program, it will deliver the following outputs:
Provide HIV-related care and support to 18,000 adults and 2,000 children infected by HIV;
130 individuals trained to provide HIV care and support
27,000 female and 18,000 male individuals reached through community outreach that promotes HIV/AIDS prevention working through HIV positive individuals
27 female and 18 male individuals trained to promote HIV/AIDS prevention, working through HIV positive individuals
Improved quality of life of 1,048 HIV positive children and their households
1,455 OVC living in PHA households supported to access at least 3 OVC services
Capacity for the 3 core partners, 12 Implementing sub-grantees, and 60 other indigenous organizations, faith-based institutions and local community leadership structures will be strengthened
RHU - Care: Adult Care and Support
Through this mechanism, RHU intends to improve the quality of life of 18,000 HIV-positive adults and their households or families with AIDS Care and Psychosocial support services integrated sexual reproductive health services. RHU expects that the intervention will provide an opportunity for strengthening and integration of the AIDS care and psychosocial support package in both models by:
Developing an integrated training package that enables development of the basic skills for AIDS psychosocial support for adults and children among all the different categories of community resource persons
Building skills within the district development system (health workers, schools teachers, community development officers etc.) for delivering the AIDS psychosocial support training, and providing on-going support supervision for the community resource persons
Strengthening referral and technical support linkages between the community-based AIDS psychosocial support and specialist centers (e.g., TASO services, Mental Health and Clinical Psychologists in the health care system, etc)
Providing support for integrated SRH/HIV service delivery including providing STI drugs, FP supplies and equipment, prophylactic Septrine, nutrition support
Provision of water purification tablets/solutions
Adults living with HIV and AIDS have unique and special needs for care and support and this thematic area targets them. This therefore addresses how to ensure positive living among the HIV positive adults and building capacity for health workers (in both facility and community-based settings) to effectively and efficiently address care needs of adults through various recognized strategies that are stipulated in the National HIV and AIDS Strategic Plan (NSP). The following activities will be implemented:
Provide comprehensive HIV-related care (ART, OI, and nutritional support )
Train Health workers to provide HIV care and support.
Carry out Diagnostic tests for HIV, TB, Syphilis, Pregnancy, STI and Malaria
Screen blood and other donated specimens for HIV.
Provide integrated SRH/PMTCT services
Provide HCT, Treatment literacy campaigns,
Provide Palliative Care and home-based care.
Provide nutrition support
Conduct resistance monitoring and lab testing
Build a referral mechanism to ensure a continuum of care.
Conduct outreaches to extend HIV AIDS care services to remote areas.
Carry out Support Supervision
Procure drugs, supplies and equipment
RHU - Care: OVC
Orphan and Other Vulnerable Children.
The impact of HIV and AIDS epidemic has contributed to increased numbers of OVCs who have enormous health, social, economic, spiritual needs that have to be addressed. This program intends to contribute to the realization of government policies and strategies addressing the needs of OVCs as stipulated in the NSSPI.
RHU and its sub-partner AFC will use a family-based Child Care, Protection and Development model to deliver services to about 5,000 children. This model provides for an integrated package of family-based child development services, delivered in a three-phase process usually lasting 3-5 years. The program interventions in this model are fully based in the community, both at institutions such as schools, ECD centers and other community development centers, and within the households of supported families. The program provides for technical support to the community empowerment process, through:
Training of the community resource persons in service management and delivery;
Institutional capacity building for community groups, leadership structures and organizations involved in program delivery; and
Strengthening linkages between community-based services and development initiatives to local government systems and other providers of development services
The program will focus on the following activities: a) conduct mapping exercise for TASO child clients (identifying infected children, households where they live, schools attended, current point of TASO service); b) Formation of children clubs for OVC; c) Recruit, deploy OVC care and support teams (zone leaders, HBC counsellors, community child counsellors etc.) to designated centers; d) Provide high nutritional value snack at break at ECD centers; e) Provide supplementary food rations for households with needs (malnourished children, bed ridden caregivers, etc.) through home-based care; f) Provide non-food items for OVC households with such needs (clothing, beddings, utensils, mosquito nets, etc.); g) Plan and conduct Music, Dance and Drama annual competitions and quarterly community shows on child rights, AIDS-stigma, HIV status disclosure to CLWA; and h) Train all Children club members in stigma reduction, disclosure, positive living, sexual and reproductive health.
RHU - Care: Pediatric Care and Support
Through this new mechanism, RHU intends to improve the quality of life of 2,000 HIV positive children with AIDS Care and psychosocial support services. The HIV/AIDS psychosocial support is an integral element in the household support that includes vulnerable children as members. RHU expects that the intervention will provide an opportunity for strengthening and integration of the AIDS care and psychosocial support package in both models by:
Developing an integrated training package that enables development of the basic skills for AIDS psychosocial support for children among all the different categories of community resource persons
Strengthening referral and technical support linkages between the community-based AIDS psychosocial support and specialist centers (e.g., TASO services, Mental Health and Clinical Psychologists in the health care system, etc.
Adults living with HIV and AIDS have unique and special needs for care and support and this thematic area targets them. This therefore addresses how to ensure positive living among the HIV-positive adults and building capacity for health workers (in both facility and community-based settings) to effectively and efficiently address care needs of adults through various recognized strategies that are stipulated in the National HIV and AIDS Strategic Plan (NSP). The following activities will be implemented:
Provide comprehensive HIV-related care (OI, and nutritional support )
Train health workers to provide HIV care and support.
Carry out diagnostic tests for HIV, TB, STI and Malaria
Provide HCT, Treatment literacy campaigns.
Conduct outreaches to extend HIV/AIDS care services to remote areas.
RHU - Sexual Prevention: AB
There are a number of concerns especially around new infections that have pointed to the emergence of higher infection rates among married or recently married individuals (constituting 42% of new infections) and resurgence of individuals having multiple sexual partners and engaging in casual sex and commercial sex. Abstinence and Being Faithful strategies are therefore addressed by this project to try to contribute to the reversal of the above trends. 10,900 female and 7,272 male individuals will be reached through community outreach that promotes HIV/AIDS prevention through behavior change other than abstinence and/or being faithful. The following activities will be implemented by this program:
Conduct a situation analysis and knowledge awareness survey
Conduct capacity needs assessment on organizational and service delivery.
Organize community sensitization meetings
Carry out awareness education campaigns
Train community health workers, peer educators and youth in negotiations and communication skill (Life skill education).
Conduct Single and Couple counseling and testing
Conduct Focus Group Discussions on HIV Prevention
Conduct Peer education in behavior change communication
Conduct Peer education Meeting for Youth and married couples.
Hold radio talk shows and jingles on HIV prevention
Support HIV prevention drama groups
Produce and distribute information education and communication materials
Carry out meetings and seminars for high-risk groups and population concentration centers such as bar and disco halls.
Translate messages into local languages.
Carry out support supervision.
RHU - Sexual Prevention: Other sexual prevention
Other Prevention Condom Use.
Condom use (both female and male types) remains an important aspect of prevention of new infections as well as re-infection. This thematic area addresses prevention strategies including prevention with positives as well as areas of empowerment of females who are more disproportionately infected/ affected than males. The following activities will be implemented:
Supported 9 condom service outlets in year one.
Mobilize communities for improved health care seeking behavior
Establish condom service outlets
Train condom distributors
Conduct community outreach on condom use and other HIV prevention methods.
Conduct training on HIV/AIDS prevention through behavior change other than abstinence and/or being faithful
Procure condoms and vending machines
Train CBOs service providers in HIV and STI prevention,
Train CBO service providers in HCT
Train Service providers in PMTCT
Provide Integrated RH/PMTCT services
Support Universal precaution implementation at service delivery points
Train and support HIV/TB collaborative activities
