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: 2010 2011 2012
ICOBI has been implementing a five year CDC funded community project since July 2008 initially in three districts, however, it has been expanded to cover the following 10 districts: Bushenyi, Sheema, Buhweju, Rubirizi, Mitooma, Ntungamo, Mbarara, Ibanda, Isingiro and Kiruhura in South Western Uganda.
The overall objective of this project is to contribute towards the improvement of child survival through increasing the uptake of PMTCT services by using community based and family centered strategies.
1. To promote innovative community based primary prevention of HIV.2. To prevent un-intended pregnancies among women living with HIV through use of modern family planning methods and other family planning strategies.3. To reduce the transmission of HIV from the pregnant or lactating women living with HIV to their babies by referring them to health units for appropriate ARV prophylaxis for PMTCT.4. To promote care, support and treatment for pregnant women living with HIV, their partners and families through active referral networks in the community and health facilities.5. To enhance advocacy, capacity building and behavior change communication for community PMTCT interventions.ICOBI implements the program through the existing MoH structures such as local governments, health facilities, health workers and the village health teams. The project team together with the district health team will monitor the activities of community PMTCT. ICOBI will carry out technical supportive supervision visits to the health facilities and community to ensure proper project implementation. ICOBI has purchased four vehicles under this mechanism and is not planning to purchase any additional vehicles in FY 2012.
ICOBI will identify sero-discordant couples through HIV Testing and Counseling (HTC) and continue to provide comprehensive risk reduction programs for both HIV negative and HIV positive persons, care (with emphasis on referrals for positive health dignity and prevention services and PEP interventions), clinical treatment services and community/support programs. Continuum of response will be strengthened using linkage facilitators across different service points, from the community to the clinic and from the clinic to other facilities. These linkages are aimed at improving the uptake of target and general populations to combination prevention interventions. ICOBI will work with community members and other community initiatives like health workers, expert peer educators, and Village Health Teams (VHT) to increase demand for and utilization of services. VHTs will help to promote couple counseling and testing and educate couples about HIV, support and refer HIV-infected partners identified through HBVCT services for evaluation and enrollment into care and treatment programs.
The program will provide prevention and referral to Gender Based Violence (GBV) services and will aim to strengthen care for survivors of sexual violence (SV). The program will track and strengthen referrals from the community to health facilities and to other support services; and will strengthen linkages between community and clinical services and other stakeholder groups to facilitate access to health services.
Additionally ICOBI will maintain the current condom distribution outlets. Advocacy to de-stigmatize condoms will be intensified and there will be purposeful targeting of religious and political leaders to propagate the same.
The program will target 126,663 individuals (78,195 males and 48,464 females) with combination prevention messages and referrals to appropriate interventions/services. 641 condom service outlets will be maintained in the various locations established at several sites and effort will be made to support and improve accessibility and promotion of both male and female condoms, and ensuring efficient distribution systems. VHT leaders will participate in condom distributions and give information on effective condom use to targeted populations.
In FY 2013, ICOBI will facilitate the implementation of PMTCT Option B+ activities at the community level in 10 Districts in South Western Uganda.The success of Option B+ will depend on strong community level engagement and support within the following pivots:
Improving utilization of eMTCT services to reach more HIV infected pregnant women as early as possible during pregnancy, labor, delivery and post-partum periods. To achieve this, ICOBI will mobilize and sensitize communities to support pregnant women to attend early ANC, receive HIV testing and counseling (HTC), PMTCT interventions for HIV infected pregnant mothers and to deliver the health facilities.
Secondly, ICOBI will collaborate with other implementing partners to support retention in care for HIV infected pregnant women on ART at both facility and community level by working with family support groups and peer mothers at all PMTCT sites. The family support groups will meet monthly to receive adherence counseling and psycho-social support, IYCF counseling, early infant diagnosis, family planning counseling, couple HTC and ARV refills if required. ICOBI will also support the mobilization of village health teams who will also be utilized to enhance follow-up, referral, birth registration, and adherence support.Male partners will be mobilized to receive couple HTC, supported disclosure, condom use, STI screening and management, support for sero-discordant couples, treatment for those who are eligible and a link for negative male partners to VMMC services.Finally ICOBI will support M&E of Option B+ roll out by tracing mother-baby pairs who miss their scheduled appointment at both facility and community level. Home visits will be conducted to trace those who are lost to follow-up.
