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: 2007 2008 2009
COP 09 narrative:
Recognizing the importance of the private sector in the provision of health services in Vietnam, since 2007,
PATH has been implementing a program to increase access to existing TB and HIV case detection,
treatment, and prevention services by leveraging the capacity of the private sector, specifically pharmacies
and private clinics. With $75,000 in FY07 and a further $100,000 in FY08, these activities are strengthening
linkages between private pharmacies and other providers of TB and HIV services and developing and
testing models to improve the effectiveness of private clinicians' participation in TB and HIV control and
treatment efforts.
During the first year of the project (FY07), PATH strengthened the capacity of pharmacists and pharmacy
staff from three districts in Hai Phong city to deliver high-quality TB- and HIV-related information, services,
and referrals. This included activities such as orientation meetings, private-public mix meetings, training for
private pharmacy staff on referral models and interpersonal communication, visits for pharmacy staff to DOT
centers, and the establishment of referral and supportive supervision systems. These activities were
supplemented by an assessment of the capacity, practice, and attitudes of private physicians in Hai Phong
city in the provision of TB- and HIV-related services, and a number of confidence building activities between
private physicians and the public health services.
The project was initiated in October 2007 with all preparatory activities being completed by June 2008,
when the pharmacy model was fully functioning. Between June and the end of September 2008,
approximately 500 suspect TB cases and 100 suspect HIV cases had been referred from the participating
pharmacies to DOT and VCT centers. Of those referred, to date 20 TB cases and 16 HIV cases have been
confirmed.
The second year of the project (FY08) will further strengthen the TB/HIV public-private mix activities. The
major activities include the expansion of the pharmacy model to one additional district in Hai Phong as well
as strengthening of the supportive supervision and referral systems; implementation of the model,
developed during the first phase of the project, to improve the effectiveness of private clinicians'
participation on TB and HIV control efforts in Hai Phong; and preparatory activities for expansion of the
pharmacy and private clinic models into Quang Ninh province.
Building on the work currently underway, for FY09, PATH proposes to sustain the existing pharmacy and
private clinic activities in Hai Phong and begin pilot implementation of these activities in Ha Long city in
Quang Ninh province.
2) COP 08 narrative:
This is a continuing activity from FY07.
In FY08, PATH will sustain the interventions with pharmacies and private physicians begun in the focus
province of Hai Phong in FY07, and expand its activities to one additional PEPFAR focus province (Quang
Ninh).
In FY07, PATH began assessing the extent of TB and HIV private sector care in Hai Phong (rather than
Hanoi or Ho Chi Minh City, as originally planned), and began working with private sector pharmacies and
clinicians to intensify their knowledge about the management of TB and HIV and to promote referrals to the
public sector. Although it is too early to assess the success of this initiative, the private sector is rapidly
expanding in Vietnam and there is an urgent need to expand such activities to other provinces.
FY07 Activity Narrative:
Funding will be provided to the NGO Program for Appropriate Technology in Health (PATH) for an
assessment of private sector TB and HIV care.
In Hanoi and in Ho Chi Minh City (HCMC), private health care providers manage a large number of TB and
HIV patients, but the magnitude and the quality of care is not known. Private sector care is largely
unregulated and may be of poorer quality than public sector care. Patients managed poorly in the private
sector may exacerbate the TB/HIV epidemic, because poor TB and HIV treatment can lead to both drug-
resistant TB and drug-resistant HIV. PEPFAR will fund an assessment to determine the magnitude and
quality of private TB/HIV care services in Hanoi and HCMC. This assessment will be developed in
collaboration with the government of Vietnam, and will involve interview, questionnaire, and chart review
techniques. Funding is provided for technical assistance for all aspects of this assessment. Based on the
findings from this assessment, a plan will be developed to improve management of TB and HIV in the
private sector.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15343
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15343 9568.08 U.S. Agency for Program for 7119 5217.08 PATH TB $155,000
International Appropriate Country Support
Development Technology in
Health
9568 9568.07 U.S. Agency for Program for 5217 5217.07 PATH TB $75,000
Development Technology in (IQC)
Emphasis Areas
Health-related Wraparound Programs
* TB
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.12:
