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: 2011 2012 2013 2014 2015
Program for Accessible Health Communication and Education (PACE) is a local NGO that aims at improving the health of Ugandans through improving knowledge and use of the Basic care package,promotion of positive behavior change and strengthening positive health dignity and prevention (PHDP). PACE is implementing the Positive Living Project (PLP) through strategic partnerships with care and support organizations and PHA groups to achieve an efficient and sustainable delivery of Basic Care Package (BCP) with an overall goal of improving the health status of people living with HIV/AIDS in Uganda. PLP addresses HIV Prevention, Care and Support as well as Health Systems Strengthening. In FY 2013, 150,000 PLHIV will be reached with preventive care kits, 10,500 refills of LLINs, overall 400,000 PLHIVs will be reached with messaging on septrin prophylaxis, TB prevention, palliative care, alcohol abuse and other cross cutting issues such as family planning. District structures of PLHIV and Village Health Team (VHT)s will be actively involved in program implementation so as to create a sustainable and cost efficient mechanism of reaching PLHIV. FY 2013 will focus on shifting the ownership, management and coordination to the government, districts and communities especially among the PLHIV fora. PLP indicators will be integrated into the national HMIS; monitoring and supervision will be led by district teams. PACE will also advocate for inclusion of point of use water treatment products on the national essential drug list; BCP will be included in the training curriculum for pre-service medical and paramedical practitioners and CME programming.
No new vehicles will be purchased under this program.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Principal Recipient3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHBHC Children under five years of age 3167239 Procurements, loading and delivery of LLINs to sub-county stores and distribution to the end user. 510,845 Insecticide treated mosquito nets were distributed among children under five. 510,845 Insecticide treated mosquito nets were distributed among children under fivePDCS Pregnant women 428823 Procurements, loading and delivery of LLINs to sub-county stores and distribution to the end user. 69,165 Insecticide treated mosquito nets were distributed among pregnant women.
The program will support the MoH to further expand access to HIV care and support with a goal to achieve universal access to care of 80% by 2015. The PACE Program will procure and distribute Basic Care Packages (BCP) for 400,000 individuals as a contribution to the overall PEPFAR target of 812,989 HIV positive individuals receiving care. Specific attention will be given to areas with key populations such as truck drivers, fishermen, commercial sex workers and men who have sex with men. 225 BCP sites in 85 districts will be expected to implement approaches to promote an effective Continuum of Response (CoR) model and monitor key indicators along the continuum.
Working through districts and implementing partners the basic preventive care package and basic care commodities will be provided in line with national guidelines and PEPFAR guidance The service package will include information on: strengthening positive health dignity and prevention (PHDP); strengthening linkages and referrals; adherence and retention; strengthening pain and symptom management; and strengthening community support systems.Together with other providers like UHMG, PACE will directly provide and distribute basic care kits to districts from where service outlets will access them through the district distribution network. Additionally, PACE will liaise with National Medical Stores, Joint Medical Stores, Supply Chain Management Systems and Medical Access Uganda Limited to ensure all other HIV commodities especially cotrimoxazole is available at these service outlets. PACE will build the capacity of facility staff, Peer educators to accurately report, forecast, quantify and order basic care commodities in a timely manner.
In addition, PACE will work with USG partners care and treatment implementing partners such as TASO, MildMay, Baylor, MJAP, IDI, ROM,UEC,UPMB, CAF,MAUL,NMS, SUSTAIN, THALAS, IRCU, HIPS, MUWRP the STARs, NUHITES and Hospice Africa Uganda in their geographical areas to support integration of basic care services with other HIV/AIDS services. These partners will ensure adherence to the 13 behaviors in the Positive prevention life style distributed with the BCP kit that includes:
1.Respecting, supporting, encouraging partners to test for HIV and adopt HIV risk reduction behaviors2.Accepting HIV positive status, disclosing and linkage to community support groups3.Visiting a health facility whenever theres an illness4.Using condoms to avoid re infection and prevent infecting others with HIV5.Immediately seeking Prevention of Mother to Child transmission services when pregnant6.Having a balanced diet and exercise regularly7.Drinking clean safe water8.Sleeping under a long lasting insecticide treated mosquito net9.Taking ART daily at the right time in the right dosage as prescribed10.Taking cotrimoxazole every day as prescribed by the health worker11.Setting future goals and discussing how they will be achieved12.Discussing sexual reproductive health options with the health worker13.Avoiding alcohol and any form of substance abuse
The program will be aligned to the National Strategic Plan for HIV/AIDS (2011/12-2014/15); will support and strengthen reporting through the national M&E systems; and work within district health plans. PACE will work under the guidance of DHOs, MoH/ACP and the Quality Assurance Department for trainings, mentorship and supportive supervision.
PACE will focus on supporting the GOU to further expand pediatric HIV care and OVC with the goal to achieve universal access to care by 2015. PACE will procure and distribute Basic Care Package (BCP) commodities for 75,000 children as a contribution to the overall PEPFAR target of 812,989 HIV positive individuals receiving the basic preventive care package and commodities. PACE will support 225 BCP sites in 85 PEPFAR supported districts of Uganda.Working with districts and implementing partners, comprehensive child friendly care and support services in line with national guidelines and PEPFAR guidance will be provided to improve adolescent services, strengthen linkages and referrals using linkage facilitators, implement quality improvement for adherence and retention and provide support to targeted community outreaches in high prevalence hard to reach and underserved areas. Using peer educators, access to early infant diagnosis services and focal points at facilities will be promoted to ensure active follow up of exposed children in facilities and communities to enable early enrolment of children and retention in care. A focus will be on scaling up low cost approaches, such as use of care taker support groups so as to support retention in care. Using village health teams s and peer educators PACE will mobilize communities for BCP activities.Through the z-cards in the basic care package children and care takers will be provided with positive health dignity and prevention messages including, sexual and reproductive health services, psycho-social support and life skills.
In addition, PACE will work with USG care and treatment implementing partners such as TASO, MildMay, Baylor, MJAP, IDI, ROM,UEC,UPMB, CAF,MAUL, NMS, SUSTAIN, THALAS, IRCU, HIPS, MUWRP the STARs, NUHITES and Hospice Africa Uganda in their geographical areas to support integration of basic care services with other HIV/AIDS services. These partners will ensure collaboration with other key stakeholders at all levels for provision of required wrap around services and promotion of the 13 behaviors in the positive prevention life style
Together with other providers like UHMG, PACE will directly procure and distribute basic care kits to districts from where service outlets will access them through the district distribution network. Additionally, PACE will liaise with National Medical Stores, Joint Medical Stores, Supply Chain Management Systems and Medical Access Uganda Limited to ensure all other HIV commodities especially cotrimoxazole is available at these service outlets. PACE will build the capacity of facility staff, peer educators to accurately report, forecast, quantify and order basic care commodities in a timely manner.
The program will be aligned to the National Strategic Plan for HIV/AID (2011/12-2014/15), support and strengthen reporting through the national M&E systems and work within district health plans. PACE will work under the guidance of DHOs, MoH/ACP and the Quality Assurance Department in pediatric trainings, national pediatric mentorship framework and supportive supervision.
