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.
Overview
Population Services International (PSI) is a private non-profit organization with a mission to improve the health of low income people worldwide through social marketing. PSI-Uganda has grown and matured into a local organization: the Program for Accessible health, Communication and Education (PACE). PACE seeks to measurably improve the health of vulnerable Ugandans using evidence based social marketing and other proven techniques that promote sustained behavior change with added emphasis on rural populations.
PACE is committed to effective collaboration in support of the Ministry of Health's (MOH) priority areas including, but not limited to, HIV/AIDS, malaria, child health and reproductive health. Approximately 1.2 million Ugandans are living with HIV, and AIDS related illnesses are a leading cause of morbidity and mortality, in spite of sufficient evidence that supports simple interventions to prevent opportunistic infections (OI).
Since September 2004, with funding from PEPFAR through CDC, PACE, has been implementing an HIV Basic Preventive Care Program (BCP) with the goal of reducing HIV-related morbidity and mortality and HIV transmission. Currently, BCP includes identification of PHA through family based counseling and testing; prolonging and improving the quality of their lives by preventing OIs; and prevention with positives interventions (PWP). The PWP aims to avert HIV transmission to sexual partners and unborn children through: screening and management of sexually transmitted infections, family planning, partner testing and supported disclosure, partner discordance counseling, prevention of mother to child transmission of HIV (PMTCT), and safer sex practices including abstinence, and fidelity with correct and consistent use of condoms.
Program implementation has supported a multi-channeled communications campaign that educates PHA on how to prevent OIs, live longer and healthier lives through cotrimoxazole prophylaxis, prevention of diarrheal diseases using household water treatment and safe storage, use of insecticide treated nets (ITN) for malaria prevention, the prevention of HIV transmission to sexual partners and unborn children, get screened for tuberculosis at every visit to the health facility, practice beneficial nutrition habits, manage pain and symptoms, and seek for psychosocial support from friends and family. The campaign includes development and production of information, education and communication (IEC) materials for PHA, health care providers and counselors. These materials include posters, brochures, positive living client guides and stickers in the local languages. In partnership with MOH and Straight Talk Foundation (STF), PACE is producing spots and 'parent talk' programs on radio. In addition, BCP combines key informational messages, training and provision of affordable health commodities with evidence-based health benefits, and simple to implement for PHA and their families. The health commodities include free distribution of a starter kit with two long lasting insecticide treated bed nets, household water treatment chlorine solution, a filter cloth, and water vessel for safe water storage, condoms and important health information on how to prevent HIV transmission. PACE manages the procurement, packaging and distribution of all health commodities to ensure consistent supply of the basic care starter kits and re-supply/refill of the different commodities.
Approximately 1,200,000 Ugandans are living with HIV. According to the 2004/2005 HIV sero-behavioral survey approximately 149,000 new HIV infections occur each year in Uganda. With the introduction of various models to scale up VCT in Uganda including family based CT the number of PHA who know their status and therefore opt to access BCP and other HIV care is increasing. Furthermore, the number of clients accessing care and support at already existing partner sites has increased. This explains why BCP targets are consistently overshot, and suggests that there is an unmet need that did not form part of the initial program projections. The clinical care activity is aimed at expanding access to cotrimoxazole prophylaxis, long lasting treated bed nets, safe water systems, pain and symptom relief, TB HIV and nutritional IEC and education.
