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 2010
JSI/AIDSTAR-one Injection Safety and Waste Disposal
AIDSTAR-One will provide technical assistance in Health Care Waste Management (HCWM) to USG implementing partners with the aim of reducing medical transmission of HIV through unsafe HCWM practices. The project will build capacity among partners to assess, evaluate and plan for HCWM as well as analyze outcomes of implemented activities. The planned activities will be implemented in 30 partner districts namely; Kampala, Wakiso, Mukono, Kayunga, Kasese, Jinja, Mbarara, Kabaale, Rakai, Rukungiri, Hoima, Kyenjojo, Mubende, Tororo, Mbale, Manafwa, Gulu, Soroti, Amolatar, Kitgum, Nebbi, Kalangala, Ibanda, Isingiro, and Kamuli.
Recent assessments show that health units are failing to cope with increasing volumes of infectious waste due to; inadequate planning, low level of awareness among health managers, poor waste segregation habits making HCWM unnecessarily expensive, and inadequate coordination especially at district level. As part of health systems strengthening, MMIS in conjunction with the MoH and development partners in health, developed policies and guidelines on HCWM. The developed documents will be widely disseminated during training, supervision, and during review meetings. AIDSTAR-one will create awareness among health managers on the need to plan for HCWM and efforts will be made to get HCWM incorporated into ongoing budgeting processes. The project will instill among service providers a culture of segregating waste and coordination mechanisms among development partners in health will be strengthened.
For the purpose of sustainability, a team of 30 central trainers composed of MoH staff, representatives from District Health Teams (DHTs), representatives from Health Training Institutions (HTIs) and partner staff will be established. This team will be instrumental in training lead partner staff that will be in-charge of HCWM, and will also train district focal persons who will liaise between partner organizations and the individual districts. To support training and to enhance the health workers' understanding of HCWM concepts like segregation and final disposal; educational materials and job aids will be developed or where necessary updated and disseminated. The job aids will be posted as reference material at all areas where waste is generated.The project will facilitate 40 training sessions of partner staff in safe phlebotomy and HCWM. Fifteen organizations will benefit including 10 new and 5 - 8 old partner groups. The project will ensure that each group trained is competent in supervising service providers, collecting data on HCWM practices, and selecting priority areas for action basing on the prevailing risks. The project will follow up the trained health workers and will provide technical support during the training of partner operational level health workers. It is estimated that 1000 health workers including waste handlers will be trained.
Improper final waste disposal contributes to biomedical transmission of HIV and other blood borne pathogens. Members of the community are likely to get in contact with hazardous waste if it's indiscriminately damped in areas where it is not expected to be or is disposed of in open areas that are not restricted to the general public. In an effort to improve final waste disposal, MMIS will work with USG partners to install environmentally friendly final disposal facilities. Options to be installed will depend on the prevailing situations at the specific sites.
Health facilities where the USG works will be encouraged to incorporate HCWM requirements into their annual plans and budgets. The project will work closely with the MoH to get reliable funding for HCW from the Ministry of Finance. In addition, mechanisms will be put in place to promote more stakeholder buy-in at all levels.
Pre-visits will be made to partner organizations to discuss how the HCWM collaboration will be effected. Visits will be made to targeted districts to gain insight into the range of services provided and the different categories of waste generated. AIDSTAR-ONE will assess the working environment and the HCWM practices at the partner implementing sites. Data collected will be analyzed and findings will be presented to USG partners and stakeholders in the districts. Efforts will be made to establish district coordination committees in 10 areas where such structures do not exist. Review meetings will organized to evaluate progress made by the HCWM coordinating committees in implementing HCWM plans. Following the training, the project will provide on job support supervision to the staff at the partner implementing sites. In order to build capacity in problem solving among health facility based supervisors, mutually beneficial exchange visits will be organized between districts. Criteria for selecting participating health units will depend on the matters arising.Information collected including lessons learned will be shared in a national stakeholders meeting.
AIDSTAR-One will provide technical assistance in health care waste management (HCWM) to USG HIV/AIDS implementing partners with the aim of reducing medical transmission of HIV through unsafe HCWM practices. The project will build capacity among partners to assess, evaluate and plan for HCWM as well as analyze outcomes of implemented activities.
Improper final waste disposal contributes to biomedical transmission of HIV and other blood borne pathogens. In an effort to improve final waste disposal, MMIS will work with USG partners to install environmentally friendly final disposal facilities. Options to be installed will depend on the prevailing situations at the specific sites. Health facilities where the USG works will be encouraged to incorporate HCWM requirements into their annual plans and budgets. The project will work closely with the MoH to get reliable funding for HCW from the Ministry of Finance. In addition, mechanisms will be put in place to promote more stakeholder buy-in at all levels. Efforts will be made to establish district coordination committees in 10 areas where such structures do not exist. Review meetings will organized to evaluate progress made by the HCWM coordinating committees in implementing HCWM plans. Information collected including lessons learned will be shared in a national stakeholders meeting.
