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: 2012 2013 2014 2015 2016
The goal of this project is to strengthen the control of HIV-associated TB in two Ukrainian regions not covered by other USG TB TA through strengthening the capacity of the national TB and HIV programs to link TB and HIV services, perform reference laboratory functions and surveillance and monitoring. Objectives are as follows:* Collect baseline data to guide project implementation and adapt existing tools.* Strengthen oblast-level TB-HIV program coordination capacity.* Strengthen the TB surveillance system to ensure use of HIV variables and improve monitoring of patient outcomes* Expand coverage of high-quality PITC among TB patients and suspected TB cases* Improve intensified TB case-finding among PLWHA.* Ensure effective referral systems and linkages to HIV care and treatment for TB patients* Strengthen integration of TB best practices, especially involving infection control, in institutions, targeting those providing outpatient services and care and treatment.* Strengthen the capacity of oblast reference laboratories.The project will directly contribute to all three PF goals.The primary target population includes people coinfected with HIV and TB. Patients with monoinfection will also benefit through improved access to services in health facilities.The project has a detailed M&E plan which includes qualitative and quantitative indicators for each objective (33 total). The indicators will measure performance by the number and percent of people reached with services; people covered with capacity building activities; and institutions involved in improved service provision.
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? Sub 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 ActivitiesHVTB GOU 200000 The mechanism will strengthen capacities of the regional health authorities to implement the HVTB activities under GF Rd9 and 10.
Since last years COP, the mechanism has been competed and awarded (September 2011) to PATH; initial steps in project implementation are underway. The FY12 funds will be used to support working groups and task forces, train service providers, develop and adapt tools and instruments. Direct service provision will be facilitated, but not be covered monetarily by PATH. The project activities are in accord with current draft national Ukrainian guidelines on the monitoring and control of HIV-TB. The proposed project regions are being selected with input from an stakeholder advisory group (including USAID) from oblasts not covered with other international or USG current or planned HIV-TB activities. Selection criteria include areas with political commitment and basic DOTS programs but with high TB-HIV morbidity and mortality rates. More than half of Ukrainian regions have had no previous international assistance in TB or HIV-TB; three of these were chosen for assessment. The partner has previous experience in implementing USAID-funded HIV-TB activities in Ukraine and will use these models to rapidly bring the selected regions to the level of more experienced regions with additional CDC technical input in SI, IC, and laboratory strengthening. The activities will also be closely coordinated with Global Fund Round 9 supported HIV TB activities.
Human resource strengthening is a primary focus of partner activities and will create trained cadres who can continue these activities after the end of USG support.Partner activities include increasing the quality of available data. Currently data from routine TB case reporting and recently mandated TB patient cohort evaluations exists for all regions but training in cohort evaluations is needed for previously unassisted regions. Where feasible, progress in project areas will be compared with existing data in non-project areas or nationally to assess the added value of project activities.Where feasible, progress in project areas will be compared with existing data in non-project areas or nationally to assess the added value of project activities. PATH will emphasize program sustainability by addressing structural/policy issues creating barriers to effective integration; building capacity of Coordination Councils and health care institutions; creating Task Forces; training trainers in respective areas; official endorsement of developed tools. PATH will assess the capacity of local partners and progressively transfer activities to them to support sustainability.
