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.
The goals of the TBD MOH Capacity Building implementing mechanism are to support the MOH to develop needed capacity in Strategic Information (SI), Laboratory Strengthening, and Blood Safety. In the development of the Partnership Framework, experts from USG, GF, GOU, and other partners developed a set of needs in strategic information (with contributions from USG SI assessment May 2009); laboratory strengthening; and blood safety. Within the MOH, is the Committee on HIV, TB oversees coordination of the overall response to the HIV epidemic, including the activities of the Ukrainian AIDS Center. The Ukrainian AIDS Center is undergoing a reorganization that creates an opportunity to significantly enhance the capacity for SI within the MOH. In August 2009, a 10 person National M&E Unit (NMEU) has been created as part of the Ukrainian AIDS Center to oversee the strategic effort to have a single M&E as part of the 'Three Ones'. Under a new director named in Q4 2009, the Ukrainian AIDS Center is administratively restructuring two affiliated laboratories to begin to serve as a National HIV Reference Laboratory eventually to be located in a single facility; in addition to technical assistance, this laboratory will need additional equipment and renovated facilities. Both of these administrative units (NMEU and NHRL) will need substantial technical assistance to develop strategic plans, policies, procedures, and staff capacity to assume their roles.
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The activities conducted through this project will achieve the following outcomes:
Strategic Information
Assessment of capacity of current Monitoring and Evaluation (M&E) center
Training of national M&E staff in HIV surveillance & strategic information data management and analysis
Annual report of combined analysis of results of case finding surveillance system and of MARP surveillance studies
Exercise in HIV epidemic modeling for Ukraine with NMEU and ntl & int'l partners
Regional STD and TB center staff from all 27 regions trained in HIV surveillance
Improved coverage of STD and TB patients with HIV testing
Capacity developed in costing exercises and cost-effective analyses
Evaluation of MAT outcomes and costing of alternative MAT delivery strategies
Evaluation of ART outcomes and costing of alternative ART delivery strategies.
Training of M&E center staff on HMIS
Annual M&E report on HIV prevention, care, and treatment in Ukraine
Laboratory Strengthening
A National HIV Reference Laboratory for HIV serology, virology, and immunological studies operational
Implementation of QA/QC system for routine HIV serology and for rapid testing
A national HIV laboratory policy defining the functions of the National HIV Reference Laboratory operational
SOPs for the diagnosis and monitoring of HIV at the central and oblast level laboratories
NHRL administrative staff are trained in laboratory administration
All MOH/NRL staff trained in QA/QC systems
> six supervision missions will be performed at the regional and district level annually
Regional reference HIV laboratory staff from all 27 regions trained in QA/QC systems
Implementation of QA/QC system in regional reference HIV laboratories in all 27 regions
Quality assurance procedures for evaluating HIV blood assay kits, including ELISA and rapid tests (including post marketing surveillance for HIV rapid tests) operational
Assessment of a HIV drug resistance monitoring needs completed by end of year one. Development of a HIV drug resistance monitoring plan by end of year two;
Blood Safety
Assessment of needed policies, procedures, and materials for establishment of QA/QC system for screening for HIV and other blood borne pathogens to cover all 27 regions
One hundred percent (100%) of donated blood screened per international guidelines for all blood-borne pathogens by the end of the implementation period
One hundred percent (100%) of blood transfusion sites and blood bank centers adopted policies ensuring safe blood per international and/or international guidelines
Technical assistance (TA) plan at the republican (national), oblast (provincial), and rayon (district) levels of the government developed;
Strategy to support the collection of safe and sufficient blood from regular voluntary non-remunerated donors (VNRD) developed and implemented;
Training provided to technical staff working at national, provincial, and district levels
Monitoring and evaluation system including data management and supervision developed and implemented.
The Implementing Mechanism will work closely with Global Fund implementing partners (SI activities); WHO and the Clinton Foundation (laboratory strengthening) and WHO (blood safety). In addition, other USG partners will work directly with the GOU to strengthen these areas including a TBD NGO for strategic information, APHL and ASCP for laboratory strengthening, and a TBD NGO for blood safety technical assistance.
Through these activities, the MOH Strengthening project would contribute to the achievement of all three of the goals of Ukraine's forthcoming Partnership Framework goals: directly to goals 2 (improved quality and cost effectiveness of HIV prevention, care, and treatment services for MARPs) and 3 (strengthened national and local ability to achieve Ukraine's National AIDS Program objectives); and indirectly to goal 1 of (reduction of HIV transmission among most-at-risk populations (MARPs)). The activities would be coordinated with other partners including Global Fund, WHO.
