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.
The main objectives of the TBD Comprehensive PMTCT program are to:
1) Provide, through the Government of Uganda district systems, comprehensive PMTCT services throughout the antenatal, maternity, postnatal and infant periods, including HIV screening, diagnosis, staging and ART prophylaxis for HIV-infected pregnant women and their newborn infants and HAART initiation for those eligible for treatment. The comprehensive services include: RH, TB screening, Family planning, coordination of lab services (EID, CD4 tests), nutrition, IYCF and primary prevention.
2) Strengthen linkages and coordination between PMTCT and reproductive health at the national and local levels
The program under this mechanism will target pregnant women and their families in the districts of: Arua, Nebbe, Maracha, Addjuman, Moyo, Koboko, Yumbe. The program will be implemented through the national systems by the district health teams under the supervision and coordination of the Ministry of health (MOH)
The national PMTCT policy guidelines (2006-2010) focus on supporting the implementation of the 4-pronged WHO PMTCT strategy (primary prevention, family planning, provision of ARV prophylaxis, and care and support). The PMTCT program under TBD Comprehensive PMTCT (WestNile) will follow national guidelines with the overall goal of scaling up integrated, effective and sustainable PMTCT services in the West Nile region of Uganda. The program will target pregnant women and their families in the districts of: Arua, Nebbi, Maracha, Adjumani, Moyo, Koboko, and Yumbe. In this region about 146,312 (5.2%) women are expected to be pregnant in FY 2010 and about 9,510 (6.5%) of them are expected to be HIV positive.The program will be implemented through the national systems by the district health teams under the supervision and coordination of the Ministry of health (MOH).
The FY2010 goals are to: reach about 80% of all HIV-positive women in this region with ARV prophylaxis; strengthen RH systems; improve efficiency and quality of PMTCT services and service delivery systems; increase utilisation, demand and accessibility of PMTCT services. This mechanism will work with district and contribute to the achievement of national and PEPFAR goals for PMTCT. The FY2010 targets are to: provide PMTCT services through 108 health facilities, counsel and test 117,049 pregnant women and give them results, and provide ARV prophylaxis to 7,608 HIV-positive women (1,522 [20%] HAART; 6,086 [80%) Combivir). SD NVP will only be provided to HIV positive pregnant women who present at the first ANC visit with advance gestation age. In addition this mechanism will assess all the 7,608 HIV positive pregnant women for ARV services and 6,086 (64%) of HIV exposed infants will receive PMTCT ARVs. Further, this mechanism will target to reach 6,086 HIV exposed infants with Early Infant HIV diagnosis (EID) from 6 weeks of age and will provide food supplementation to 2,853 (30%) of HIV positive pregnant women. Funds will be used to implement the following activities:
Continued scale up of PMTCT services to all Health Center III's in the selected districts
Providing Antenatal ART services
Scaling up combined therapy and improving adherence support
Strengthening EID and linkage to Pediatric care and treatment
Integrating Family planning into PMTCT services
Strengthening M&E with a focus on program outcomes
Infant and Young Child Feeding (IYCF)
Supporting maternal nutrition (macro & micro) to reduce Anemia
Integrating TB screening in ANC/MCH
Integrating PMTCT with MCH
Increasing support for primary in ANC prevention
