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.
Via a task order under the USAID IQC TASC 2 contract ending September 2011, The Program for Appropriate Technology in Health (PATH) is implementing the "TB Control in Ukraine" project. The project's goal is to help Ukraine achieve a TB case detection rate of 70% and a treatment success rate of 85% by 2011, thereby contributing to a reduction of TB morbidity and mortality. The project directly contributes to the goals and benchmarks outlined in Ukraine's National TB Control Plan, 2007 -2011.
The project works closely with the Government of Ukraine (GOU) at the national and local levels to improve the prevention, detection, and treatment of TB and TB/HIV co-infection in harmony with international best practices. This requires increasing both the quality and coverage of (Directly Observed Treatment Short-Course) DOTS-based services nationwide. As per the project's M&E plan, it is expected that PATH will achieve the following outcomes by the end of the contract:
High quality DOTS services available to 50% of the population
High quality DOTS Plus, including MDR, XDR, and TB/HIV co-infection services, available to 30% of the population
Reduced policy, legal, regulatory, fiscal, and attitudinal barriers inhibiting access to TB and TB/HIV co-infection prevention, diagnosis, treatment, and care according to international DOTS-based standards
PATH operates in ten administrative territories of Ukraine, including the seven oblasts of Kersonska, Zaporizhska, Snipropetrovska, Donetska, Odeska, Luganska, Kharkivska, the Autonomic Republic of Crimea, and two cities, Kyiv and Sevastopol.
PATH's program directly contributes the achievement of two of Ukraine's forthcoming Partnership Framework goals and benchmarks: (1) improved quality and cost effectiveness of HIV prevention, care, and treatment services for MARPs; and (2) strengthened national and local ability to achieve Ukraine's National AIDS Program objectives.
PATH contributes to the USG strategy for health systems strengthening in service delivery quality, and national, regional, and local leadership in health care. PATH's technical assistance also supports Ukraine's civil society to advocate for GOU commitments to improving TB control, and to catalyze the establishment of GOU civil society partnerships in monitoring and evaluating the implementation of the five year National TB Control Plan. This is in line with Ukraine's National AIDS Program strategic goals and objectives, which include the national provision of TB and TB/HIV services.
During FY 2010, PATH will continue to support the achievement of goals and benchmarks outlined in Ukraine's National TB Control Plan, 2007 -2011. This includes the expansion of high quality DOTS services to at least 46% of the population. Technical assistance will include on-going support to the MOH and health care providers in the implementation, monitoring, and evaluation of the National TB Control Program, including infection control and laboratory capacity. PATH will continue to collaborate with medical schools to integrate DOTS training in pre- and post- diploma curricula, building on previous years' efforts. Similarly, PATH will continue to provide technical assistance as required to strengthen the national TB Control Program's drug management strategy and systems.
With the goal of achieving DOTS Plus service coverage to 30% of the population, PATH will continue to provide technical support to the MDR-TB Center of Excellence and the MDR-TB Center in Kyiv. Based on previous years' work in standardizing training curricula in TB/HIV case management, PATH will work with the MOH roll the training out to health care providers in the target oblasts and cities. The training will include a model on provider/client communication.
In regards to policy reform, PATH will continue to support local NGOs in TB/HIV and drug resistance related advocacy and communications activities, collaborating with USG funded projects managed by the International HIV/AIDS Alliance and The Futures Group. Depending on achievements and continuing needs from activities conducted in FY 2009, PATH will support the MOH Committee on TB/HIV and the Oblast Coordination Councils for TB and HIV/TB planning, strategic planning, and advocacy. Continuing technical assistance will be provided to the penitentiary system in the development of policies, guidelines, and protocols in line with international standards.
Sufficient numbers of well-trained providers and technicians are critical to the long term sustainability of Ukraine's National TB Control Program. During FY 2010, the USG will work with the GOU and WHO to conduct a national HIV/AIDS human resources assessment and strategic plan; TB and TB/HIV requirements and issues will be included in these exercises (ref: TBD USAID OHSS).
PATH routinely reviews and reports project data in partnership with Ukraine's National TB Program. PATH collects selected TB-related epidemiological data and project performance indicators. The project works with the MOH to analyze these data to better understand the national TB situation and assess Ukraine's TB control program performance.
