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.
This activity is linked to HTXS VCHAP (9394), HBHC MOH/VAAC (9529), HBHC HCMC-PAC (9533), and HBHC Pact (9577).
In FY07, Harvard Medical School, through the Vietnam-CDC Harvard Medical School AIDS Partnership (VCHAP), will continue to provide central technical assistance (TA) to 66 GVN and PEPFAR-supported care and treatment sites and will train 350 physicians and nurses in HIV/AIDS palliative care. Technical assistance will indirectly serve over 50,000 individuals with palliative care via PEPFAR and additional GVN and donor support.
Specific activities in FY07 will include: didactic training in basic palliative care and methadone; mentoring and ongoing supportive supervision; support for development of a National Opioid Policy; and technical assistance on national curriculum development.
Didactic training in Basic Palliative Care and Methadone: VCHAP will continue to provide local didactic clinical trainings for doctors, nurses and counselors working at outpatient clinics (OPCs). Additional training will focus on management of methadone in HIV-positive patients who are former injecting drug users. This activity will be carried out in collaboration with implementing partners who provide training to PEPFAR-supported sites on program implementation and with Family Health International (FHI) who will be the central trainer on home-based care (HBC). Refresher training for previously-trained providers in provinces and institutions will reinforce critical concepts, update information and provide a forum for feedback and technical support for both adult and pediatric HIV specialists.
Mentoring and ongoing supportive supervision: Training will be followed by various methods of supportive supervision depending on the needs of each site. Methods include onsite mentoring, fellowships for new health care workers, telephone support manned by experienced clinicians, and online internet support through development of a website. VCHAP will support ongoing training activities at the nation's two leading HIV centers: National Institute for Infectious and Tropical Diseases (NIITD) in Hanoi and the Tropical Disease Hospital in Ho Chi Minh City (HCMC). Activities will include monthly technical meetings for hospital physicians to discuss cases and selected topics in HIV care and regular scientific conferences where local physicians can share their experiences in HIV care.
Support for development of National Opioid Policy: In FY06, FHI and VCHAP supported MOH to develop the National Palliative Care Guidelines for HIV/AIDS and Cancer Patients which provide not only standards for pain and symptom management in the clinics but also at home. In addition to pain management, these will serve as a principle tool to standardize general HBC practices between PEPFAR, Global Fund (GF), and the national program. In FY06 and FY07, VCHAP and FHI will train health care workers, HBC teams, PLWHA and caregivers on these guidelines. However, due to lack of a national policy, provision of opioids for pain management remains limited. VCHAP has supported two key MOH policy makers to join a training and fellowship on pain policy. In FY07, VCHAP will continue to work with FHI, in collaboration with key departments within the MOH and related Ministries, to support review and revision of the national opioid policy followed by development and implementation of local training in palliative care, including pain and symptom management and psycho-social support for patients with advanced AIDS and their families.
Technical assistance on national curriculum development: At the request of GVN and in collaboration with WHO and other PEPFAR partners, VCHAP will continue TA to GVN for the development of the National Training Program through further curriculum development and revision, participation in trainings and mentorship of the national training team. This curriculum will be designed to lead to National Certification in HIV/AIDS Care. In each of the focus provinces, experienced clinicians will be identified and mentored to be master trainers responsible for training new staff. To enhance pre-service delivery training, a partnership will be developed with two medical schools to implement an HIV/AIDS curriculum for students in their clinical training years consisting of didactic sessions and mentored internships at care and treatment facilities. Finally, in ongoing partnership with the Vietnam Nursing Association, 50 of the nurses receiving training in palliative care and ongoing mentoring will be trained to become master trainers to continue to provide smaller trainings and supervision to sites starting and scaling up HIV care and treatment
programs.
This activity is linked to HTXS HCMC-PAC (9409), HTXS MOH/VAAC (9398), and HBHC VCHAP (9551).
In FY07, PEPFAR will continue to fund Harvard Medical School through the Vietnam CDC Harvard Medical School AIDS Partnership (VCHAP) to provide central-level training and mentorship for all PEPFAR partners to reach 500 physicians and nurses. Continuing on their FY05/FY06 role acting as PEPFAR's primary clinical trainer, VCHAP will support 3 main objectives: 1) provision of training and technical assistance (TA) to all PEPFAR supported sites during ART implementation at new sites; 2) support to build capacity of local health care workers to become experienced treatment providers and master trainers; and 3) ongoing support for GVN in development and adaptation of ART training curriculum and implementation of trainings for health care providers in all provinces. Through these objectives, VCHAP will support the PEPFAR Vietnam 5-year Strategy by providing upstream support for 17,000 patients on ART.
Specific activities in FY07 will include ART didactic training, human resource development, and TA to improve sustainability. VCHAP will support VAAC to train doctors, nurses and counselors working at outpatient clinics (OPCs) in the national ART curriculum. This activity will be executed in collaboration with implementing partners who will provide additional training to supported sites on program implementation and standard operating procedures (SOP) and TA for adherence counseling. Refresher trainings for previously trained providers in provinces and institutions will reinforce critical concepts, update information and provide a forum for feedback and technical support for both adult and pediatric HIV specialists.
As didactic trainings are increasingly taken over by the national training program, VCHAP will offer follow-up mentorship through multiple models of supportive supervision depending on the needs of a site. Activities may include onsite mentoring at new sites, fellowships for new health care workers to experienced sites, telephone support where doctors can call a designated number to receive advice from an experienced clinician, and expansion of a website which will provide online technical advice, case discussions, clinical and guideline updates, and continuing medical education.
Technical assistance will be provided to the national training program in ART and will include ongoing curriculum updates, revisions and training to take into account new guideline recommendations such as methadone and ART, participation in training and mentorship of the national training team of physicians and nurses. In each of the focus provinces, experienced clinicians will be identified and mentored to be master trainers responsible for training new staff. In Ho Chi Minh City, VCHAP will work with CDC and the HCMC-PAC to train a "Treatment Network" team who will be tasked with long-term training and TA to ART sites in HCMC. To enhance pre-service delivery training, a partnership will be built with 2 local medical schools to improve knowledge and preparation for HIV/AIDS service delivery prior to graduation. A pilot model of short internships involving didactic lessons and onsite internships at ART sites will be will also be developed to build sustainable training models.
