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: 2008 2009
SUMMARY AND BACKGROUND:
In FY07, the PEPFAR Vietnam program supported a program to train military physicians employed by
Vietnam's Ministry of Defense (MOD) to provide palliative care. The implementing partner for the program
was the University of Hawaii (UH). Because many of the trainings and workshops were held in Thailand and
Hawaii, this approach was costly and considered unsustainable, as technical advisors and military health
professionals often had to travel overseas. MOD physicians also received little information about local
palliative care guidelines and Vietnam's existing civilian services and referral networks. This activity using
UH as the implementing partner was yellow-lighted by OGAC. In order to address these problematic issues,
in FY09, PEPFAR plans to place this activity under TBD. The implementing partner will ensure that MOD's
physicians and nurses will receive the technical assistance (TA) and support they need in Vietnamese and
in a cost-effective manner. And where military facilities lack HIV-related services, MOD physicians will be
encouraged to refer patients to civilian sites that already offer services, such as home-based care.
The implementing partner will encourage Vietnam's MOD to utilize established treatment and administrative
protocols that mirror those implemented in civilian sites. For example, the U.S. Department of Defense has
standardized commodity procurement through the Supply Chain Management System (SCMS). In this
activity, SCMS will be responsible for procuring antiretroviral drugs, opportunistic infection medicines and
CD4 reagents. PEPFAR will be responsible for hematology, biochemical, and viral load reagent
procurement. With the implementing partners' involvement, MOD will receive further training related to
treatment and administrative protocols in areas such as dispensing ARV drugs, adherence counseling,
management of adverse reactions, and managing and reporting requirements.
The U.S. Department of Defense in-country staff will actively participate in the PEPFAR care and treatment
technical working group to ensure close interagency coordination and oversight for this activity.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY # 1 $19,200 - The first activity will support the implementing partner as they conduct palliative
care quality assurance and technical assistance visits to four military palliative care sites to ensure that
MOD staff are given: onsite training, TA, and mentoring; access to workshops providing established HAIVN
palliative care curriculum; linkages to civilian resources; and other support as needed. Moreover, the
partner will ensure that MOD is aware of, and implements, MOH's treatment and administrative protocols at
MOD treatment sites. Lastly, the implementing partner will liaise with SCMS and PEPFAR in order to ensure
the sites receive appropriate supplies needed for patient care.
ACTIVITY # 2 $160,800 - The second activity will support the implementing partner as they strengthen
service delivery at four palliative care sites through supportive supervision ensuring that national treatment,
administrative protocols, and systems are followed; appropriate monitoring of patient care takes place;
patients efficiently flow through sites and; monitoring and evaluation of nursing capacity, and the need for
task shifting is addressed.
By the end of FY09, palliative care services will be established in four outpatient clinics located within the
infectious disease departments of the military hospitals that are supported by the PEPFAR Vietnam
program. These military hospitals and their locations are as follows: Hospital No. 103 in Hanoi, Hospital No.
175 in Ho Chi Minh City, Hospital No. 121 in Can Tho, and Hospital No. 17 in Da Nang.
It is important to note that although military health care facilities are mandated to care for military personnel
and their family members, more than 80 percent of the clients who access their services are civilians.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Military Populations
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.08:
SUMMARY and BACKGROUND:
By the end of FY08, the U.S. Department of Defense (DOD) Vietnam PEPFAR program will support the
Vietnam Ministry of Defense (MOD) to establish counseling and testing (CT) and provider-initiated testing
and counseling (PITC) programs in seven sites. These will include four PITC clinics co-located in blood
safety centers embedded within military hospitals and three CT sites integrated within three military
preventive medicine centers. DOD PEPFAR will fund FY09 CT activities through a TBD prime partner to
ensure the MOD counseling and testing program will receive necessary technical assistance in Vietnamese
language, and in a cost-effective manner that encourages linkages to civilian resources.
By the end of FY09, DOD PEPFAR will strengthen these seven PITC/CT clinics located at Hospital No. 103
in Hanoi, Hospital No. 175 in HCMC, Hospital No. 121 in Can Tho City, and Hospital No. 17 in Da Nang
City, the Southern Military Preventive Medicine Center (SPMC), Military Region 9 Preventive Medicine
Center (MR9 PMC), and the Military Institute of Hygiene and Epidemiology (MIHE).
and their family members, more than 80 percent of the clients who access these services are civilian.
ACTIVITIES and EXPECTED RESULTS:
ACTIVITY 1: PITC/CT TRAINING ($76,800)
The first activity will support the implementation of a training program focusing on PITC/CT. Staff working at
the seven PITC/CT sites will be supported with an in-depth training curriculum including the national
standardized counselor training curriculum created by LIFE-GAP, supervisor training, and refresher training.
This funding will support 50 individuals working in one of the seven VCT/PITC sites mentioned above.
ACTIVITY 2: QUALITY CONTROL AND TECHNICAL ASSISTANCE ($83,200)
The second activity will support the implementing partner to strengthen the seven existing PITC/CT clinics
in the respective military settings. This will include the provision of quality control and technical assistance
(QC/TA) on a range of CT protocols and procedures such as pre-test and post-counseling, referral systems
to outpatient clinics (OPCs), data input, and establishing linkages/referrals from TB and OB/GYN
departments to PITC/CT departments.
Table 3.3.14:
