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
Expanding Access of Scope of Palliative Care to People Living with HIV/AIDS and their Families is a 5-year Cooperative Agreement with Hospice Africa Uganda from September 30, 2008 to September 30, 2013. The program aims to expand the coverage and scope of palliative care services for PLWHA and their families in Uganda, specifically in the catchment areas of Kampala, Mbarara and Hoima.The intended results of the project are:Result 1: Develop the three Hospice Africa Uganda branches in Kampala, Mbarara and Hoima as model centers for holistic Palliative Care delivery and training.
Result 2: Build competencies of HIV/AIDS care organizations in palliative care.Result 3: Influence national policy to reposition pain, symptom management and end of life care within the overall health and HIV/AIDS care.
Result 4: Develop Hospice Institutional Capacity to effectively manage and sustain the program.
The project implements a two-pronged approach to expand access and coverage:1) Direct services to people living with HIV/AIDS and their families.An average of 1,500 PLWHA and their families are reached annually. An average total of 6,000 caregivers (4 per household) are also trained in basic palliative for their patients.2) Training and capacity building program which aims to transfer skills in pain and symptom management, terminal care and provision of psychosocial services to other HIV/AIDS service organizations (specifically USG agencies) and community volunteers in Uganda.
In FY2012, as part of an exit strategy, Hospice plans to implement a sustainability action plan that aims to find innovative means to diversify Hospices sources of income so as to ensure sustainability of this local indigenous organization once PEPFAR funding ends.
Target Population: An average of 1,500 People Living with HIV/AIDS (PLWHA) and their families are reached annually. A average total of 6,000 caregivers (4 per household) are also trained in basic palliative for their patients annually. PEPFAR/Uganda, through twenty nine implementing partners, supports roughly 812,989 HIV/AIDS clients in clinical care programs. Hospices training and capacity building program aims to transfer skills in pain and symptom management, terminal care and provision of psychosocial services to these HIV/AIDS service organizations in order to reach this target population.
Service delivery: Hospice will focus its direct service delivery activities on HIV/AIDS patients in need of critical care in pain management and end of life. Hospice will continue supporting community palliative care coverage in its three sites through the use of community volunteer workers. A total of eight USG partners have been trained since 2009. The partners will continue to be supported with post-training mentorship and support. These partners are expected to roll out and support palliative care activities in their respective districts, with Hospices continued technical assistance as needed. Concurrently, a total of 120 Health workers and 150 community volunteers are targeted annually in districts supported by USG partners. Follow-up training, mentoring and support supervision of the community volunteers will be carried out by the trained USG partner in collaboration with Hospice staff.
Integration: Hospice integrates HIV/AIDS counseling and testing and nutrition supplementation for its patients. Hospice has also established a referral network with other organizations that provide HIV/AIDS care and treatment services, the majority of which are funded by USAID. These organizations also refer patients to Hospice, as they do not offer the home-based care services for the dying or those in acute/chronic pain that Hospice provides.
Relation to the national program: The national Health Sector Strategic Investment Plan (HSSIP) and the national HIV/AIDS strategic plan (NSP) both highlight the importance of palliative care as a key element in the continuum of care for HIV/AIDS patients. In FY2011, the Ministry of Health issued a circular to all districts instructing leadership to scale up district palliative care and to create focal palliative care positions at the district level. In addition, Hospice Africa Uganda has been recognized as an Institution of Higher Education by the Ministry of Education and by the health service commission.
Health Systems Strengthening: Hospice will target 180 health professionals with in-service training in palliative care.
