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.
Protecting families Against HIV/AIDS (PREFA) is a non-governmental organisation working in collaboration with Ministry of Health (MOH) to improve access to quality HIV and AIDS prevention, care, treatment and support services to families with a focus on prevention of mother-to-child transmission (PMTCT) of HIV services as the entry point. In FY 2008 PREFA using PEPFAR funds initially supported 27 districts namely; Amuria, Budaka, Bududa, Bukedea, Bukwo, Busia, Butaleja, Kaberamaido, Kalangala, Kampala, Kapchorwa, Katakwi, Kiboga, Kumi, Luwero, Manafwa, Mbale, Mityana, Mubende, Nakaseke, Nakasongola, Pallisa, Sironko, Soroti, Tororo, Wakiso and Kayunga. In addition PREFA sub-granted Islamic Medical Association of Uganda (IMAU) and the Infectious Diseases Research Collaboration (IDRC) for PMTCT service provision and Public Health Evaluation (PHE), respectively. In April 2009 PREFA using PEPFAR funds facilitated MOH to scale up PMTCT services to the West Nile Region of the country that comprises of 7 districts of Arua, Adjumani, Nebbi, Maracha-Terego, Moyo, Koboko and Yumbe. Currently PREFA supports 36 districts (Eastern region - 17; Central region 10; Western region 2; and West Nile region 7) of which 34 receive PEPFAR funds
In FY 2009 PREFA and its sub-partners supported PMTCT implementation to 282,498 women at 439 health facilities: 28 hospitals, 55 HC IVs, 319 HC III and 37 HC II in the 29 districts. During this period 259,464 (92%) pregnant women were new ANC. All mothers were counseled for PMTCT, and 245,393 (87%) of these were tested for HIV at antenatal, maternity and post natal care clinics. Among the women who tested 242,409 (99%) received their test results and 13,595 (6%) were HIV positive. All HIV+ mothers received cotrimoxazole prophylaxis. A total of 13,036 (96%) of those who tested HIV+ received ARV prophylaxis for PMTCT (5,189 received CBV/NVP; 5,270 received NVP only; 1,501 received sd NVP only; and 1,376 were on HAART). A total of 92,916 women delivered of whom 5,131 (38% of all HIV+ mothers) were HIV+ deliveries. A total of 4,733 (92%) newborns received ARV prophylaxis. In addition 21,880 (9%) male partners of the pregnant women were counseled, out of whom 19,781 (90%) were tested and 1,244 (6%) were HIV positive. During this period, PREFA also supported salaries for 30 staff including 3-MOH staff who provide routine monitoring and supervision of PMTCT activities nation-wide. A total of 2000 health workers were trained in various courses; provision of logistics and supplies (7 motorcycles, 3 LCD projectors, 1 generator, 8 computers, 1 public address system, 1 vehicle, 120 Hb Analyser (Hemocues), 903 Hemocue strips, 140 baby weighing scales and 40 delivery beds; and regular support supervision and monitoring of PMTCT services in health facilities by the DHT, MOH and PREFA staff. At the community level, PREFA supported the districts to sensitise the community leaders and members on PMTCT services (17 meetings); trained Community Own Resource Persons (CORPS) on PMTCT issues for referral and follow up at community level (1,058 CCAs); conducted home visits for HIV+ mothers, their children and family members (612 visits/trips) and organized 53 HIV counseling and testing outreaches. PREFA supported districts to emphasize PMTCT promotion in their activities through film shows and radio talk shows (153 events).
Between October 2008 and May 2009, MOH in collaboration with PREFA made preparations to scale up PMTCT services to West Nile Region. These preparations included initiation of annual PMTCT work plans for the District Health Teams which were reviewed by the MOH and completed with technical input from PREFA staff. In addition, the pre-existing 27 Districts prepared new annual work plans and budgets for FY 2010 intra-district scale up of comprehensive PMTCT services. PREFA has signed all the Memoranda of Understanding (MOUs) with the 7 West Nile Districts.
In FY 2010 PREFA plans to scale up the PMTCT program in 36 (up from 27 districts) through sub-granting to Local Governments and to IMAU through 519 health facilities. PREFA will continue to consolidate the achiements registered in FY 2009 and to further collaborate with MOH and the districts in training and updating health workers in PMTCT strategies. In addition PREFA will support the 30 additional staff at the district to address the human resource gap in the short-run. Like in the previous year PREFA will procure essential supplies and equipment as prioritised in the district work-plans. In FY 2010 four main strategies will be used for community mobilisation and sensitisation (mobilisation through radio programs; support to PHA groups; facilitation of CCAs and promotion of community education events). Regarding monitoring and technical support PREFA will continue to work with districts, HSD as well health facilities in areas of data management and reporting; and PREFA's M&E department together with MOH HIV reference laboratory will facilitate and conduct quality assurance HIV tests at facility level, respectively. Finally PREFA will also support the MU-SPH/CDC HIV/AIDS Fellow to finalise her assessment of PREFA's community program and recommend ways of improvement.
