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 MTCT MOD (9728), HBHC UH (9555), HBHC COE (9595), and HTXS UH (9397).
This activity is a continuation of a limited training program in FY06. In FY07, this activity will ensure that quality training is provided by the Vietnam Ministry of Defense's (MOD) Military Medical Department and that requisite medical expertise builds the capacity of the military health care system. The funds in this activity will support the training of 200 health care professionals and the counseling and testing of 4000 pregnant women at 3 MOD service sites.
PEPFAR will support the training of master trainers and will provide technical assistance (TA) for MOD's training workshops (described in MOD's PMTCT activity narrative) for Ob/Gyn physicians, pediatricians, nurses, and mid wives as well as for the smaller onsite intensive workshops. A visiting professor will serve as a mentor to physicians at Military Hospitals 103 (Hanoi), 175 (Ho Chi Minh City), and 121 (Can Tho City) to assist with the logistics of HIV screening, establish pharmacy and HIV support systems, set up ARV treatment mechanisms within obstetric outpatient services and support information retrieval/ data management for program evaluation purposes. Additionally, PEPFAR will provide TA to conduct 1 workshop involving 160 health care professionals on PMTCT-related ARV management and in the care of HIV-infected pregnant women. PEPFAR will conduct 2 mini-workshops for 20 participants to further their PMTCT skills through case studies and small-group discussions. Counseling, testing and referral will also be addressed and will be linked to the MOD and Vietnam Ministry of Health's network of health care, to ensure women of reproductive age have access to care and treatment.
This activity will promote PEPFAR's goal of providing treatment for a greater number of HIV-positive individuals, and strengthen PMTCT as part of Vietnam's National HIV/AIDS Strategy.
This activity is linked to HBHC COE (9595), HBHC MOD (9546), HTXS UH (9397), HTXS AFRIMS (9393), MTCT UH (9727), and MTCT MOD (9728).
This is an ongoing activity of the Center of Excellence (COE) and its prime partner, the University of Hawaii (UH), to work with the Vietnam Ministry of Defense (MOD) to continue intensive training for military physicians and to provide support services to complement the scaling up of ARV and PMTCT services to be established at military hospitals and is described in other DOD partners' activities. Also indicated in other DOD palliative basic care activity, 240 will be trained directly by this partner or in collaboration with other DOD partners.
One component of this program is an intensive 4-week ARV curriculum targeting military physicians held in Hawaii and Bangkok that has been supported in previous years. At the request of the MOD, COE will continue support this training on a limited scale in the coming year. Additionally, intensive training will also include nurses and other support staff to support the scaling up of ART services planned for FY07. Aspects of the training of military physicians will be linked to reinforce key ART treatment concepts and enhance skill levels of physicians.
Training of nursing and other ancillary personnel is vital to the success of ARV and PMTCT services at MOD hospitals. Another component of this activity is to develop basic knowledge in HIV/AIDS care for support staff who can assist in providing patient education including training of patients and family prior to the initiation of ARV therapy on what to expect as patients are placed on ARV, what side-effects to look out for, how to support patients, why adherence is important and techniques to ensure adherence. This training will also address, in clinic and hospital settings, the need for education on how to provide appropriate infection control and universal precautions as it relates to HIV and opportunistic infections such as TB.
This activity will also involve the UH affiliated services of the Bangkok-based South East Asia Research Collaboration with Hawaii (SEARCH). They will provide evaluation of the ART program by monitoring each component, identifying areas needing improvement, providing re-training of staff on deficient areas, reporting progress of the program, including outcome, particularly survival, of patients treated, improvement in CD4 and HIV RNA, toxicity, opportunistic infections, and immune reconstitution syndrome. UH will provide technical assistance (TA) to provide nursing and other ancillary medical staff with training in basic HIV knowledge, HIV support services, infection control and universal precaution techniques at each hospital clinic providing/anticipated to provide ART/PMTCT services (Military Hospitals 103 in Hanoi, 175 in Ho Chi Minh City, 121 in Can Tho City, and Hospital 17 in Danang). This will be in the form of nursing "Visiting Professors" and 2 mini-workshops at each hospital (20-40 participants/hospital clinic) focusing on HIV support services. TA will also be provided for the MOD workshop dedicated to nursing/clinic support services for 150 participants. UH will work towards the creation of "in-country" experts to provide TA in real-time to help with HIV support service issues. As needed, SEARCH will arrange for intensive one week training/direct observation of HIV support operations within Bangkok hospital/clinics for a limited (2-4 participants) number of nursing/ancillary medical personnel. This training will also link different aspects of support to complement the overall MOD care and treatment program.
This activity is linked to HVCT MOD (9510), HBHC MOD (9546), HBHC UH (9555), HBHC COE (9595), HTXS AFRIMS (9393), and HTXS MOD (9395).
The Center of Excellence in Disaster Management and Humanitarian Assistance (COE) and its prime partner, the University of Hawaii (UH), will work with the Vietnam Ministry of Defense (MOD) on ARV services. Components of this activity will include: 1) training for Vietnam People's Army (VPA) health care providers to administer ARV drugs; 2) long-term and short-term "visiting professorships" that will provide treatment technical assistance (TA) and guidance at designated MOD ARV sites; and 3) in-country technical support to reinforce key treatment concepts and protocols that are consistent with national standards and relevant to the military health care system. Ten MOD health care professionals will be trained as trainers and 350 persons will receive training on ARV administration/treatment as a result of these activities.
By the end of FY06, it is anticipated that DOD/UH will have assisted in providing ARV services to 300 HIV-infected individuals at Military Hospital 103 in Hanoi and at Military Hospital 175 in Ho Chi Minh City. In FY07, 2 additional ARV treatment sites at Military Hospitals 121, in Can Tho, and Military Hospital 17, in Danang will be opened. In addition, UH "visiting professorships" will be expanded to include more frequent TA visits to provide guidance on these issues. DOD/UH will ensure ongoing collection of data on patients receiving ARV services and coordinate efforts with the PEPFAR in-country SI team to allow evaluation of MOD PEPFAR efforts.
The intensive 4-week ARV curriculum targeting military physicians held in Hawaii and Bangkok supported in previous years will continue on a limited scale at the request of the MOD. At the request of MOD, intensive training will be provided to nurses and other support staff. Other training will include 1 in-country ARV workshop, to be held for the broader audience, consisting of 200 health care providers. These training activities are linked to DOD palliative basic training activities. To reinforce key ARV treatment concepts and enhance skill levels of physicians, mini workshops consisting of case studies and small group discussions will be conducted by the in-country team and UH visiting professors for up to 20 participants, such as those currently administering treatment at MOD's ARV sites, Military Hospitals 103, 175, 17 and 121. The final list of participants will be selected by MOD, with consideration for their human resource and capacity development for the military health care system. Physicians trained from the previous years by DOD/UH will assist with these workshops.
In FY07, DOD/UH will also provide TA to open pediatric ARV services at 2 sites—one in Hanoi and another in Ho Chi Minh City—with appropriate mechanisms for data retrieval to evaluate PEPFAR effectiveness. Funds for this activity will support one 1 training workshop for 150 participants on the basics of pediatric ARV management as well as 2 pediatric ARV case studies/ group discussion "mini-workshops." Based on need, DOD/UH, in partnership with the Bangkok-based South East Asia Research Collaboration with Hawaii (SEARCH), will offer one-week intensive training in pediatric ARV management at select medical centers in Bangkok, Thailand caring for substantial numbers of HIV-infected children.
