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.
There is substantial evidence that working with couples reduces HIV transmission, promotes behavior change and facilitates communication between couples.
Despite this evidence, scale up of Couples HIV/AIDS Counseling and Testing (CHCT) has been slow largely because the Voluntary Counseling and Testing model widely promoted emphasizes on individual HIV counseling and testing. Institutional, social, cultural, and psychological barriers make shift to CHCT difficult. In addition, there is poor training, and promotion for CHCT.
PEPFAR II Legislation specifically mentions interventions with discordant couples as a high priority and Uganda HTC policy guidelines highlights the importance of CHCT and the need to prioritize this intervention in national HTC strategies and activities.
South to South Technical Assistance Project in Couples Counseling and Testing is a PEPFAR funded cooperative agreement for Technical Assistance (TA) in couples testing that builds on experience, skills of staff in Zambia and Rwanda. This project will work with Emory University to provide Technical Assistance to the Uganda HTC program to support training in couples HTC for service providers and promoters. Six countries in the Southern Africa region have already benefitted from such TA including: Botswana, Malawi, Mozambique, South Africa, Swaziland and Tanzania.
Emory will work with the MoH to provide technical assistance purposed to improve the uptake and quality of Couple HIV Counseling and Testing (CHCT). Ugandas MoH submitted a request for CHCT initiation support, which will be conducted by RZHRG in the budget year. The Ugandan MoH is already working with USAID on CHCT advocacy, materials development and distribution, but is requesting support in the training, implementation and monitoring and evaluation procedures.
Emory University will conduct a one week training of the individuals who will conduct CHCT promoters training. Subsequently the promoters will undergo a one-week training session regarding the provision of community health education and mobilization for CHCT. This provides a powerful avenue for increasing community knowledge in regards to CHCT.
Additionally the leaders of the Uganda CHCT initiative will visit Rwanda and Zambia in order to observe and assess RZHRGs CHCT programs. They will use this experience to influence their implementation methods. After these goals are achieved, RZHRG will visit Uganda and facilitate the implementation of CHCT services in their health facilities. RZHRG will provide Uganda with four visits to guide service implementation and provide ongoing support for CHCT.
The key activities will include:
1-week training of 25 promoters1-week training of 25 trainers for promoter training4 visits to support implementation2-week exchange visit to Rwanda and Zambia
Emory University has been allocated $80,000 to provide technical assistance for CHCT in the revised COP 2012.
