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: 2010 2011 2012 2013 2014 2015 2016
None
In FY08, SCMS procured methadone to support the new Methadone treatment program for six clinics.
Technical support was also provided to the sites. In FY09 and FY10, SCMS will continue to provide methadone to
support the expansion of the pilot methadone treatment program for recovering injecting drug users in
Vietnam.
The additional funds will support the continued and newly accelerated scale up of methadone in Vietnam. The government has recently announced an expedited scale-up plan, with several additional sites slated to open in the coming months. We do not have sufficient funds currently budgeted to support this rapid scale up. Therefore, we would like to allocate this additional $1,167,817 to support the opening of 9 new clinics (in addition to the 7 currently open), for a total of 16 clinics. Thus, total funding is as follows:
METHADONE PROCUREMENT: $1,117,817
Through close collaboration with the VAAC and PEPFAR partners, SCMS will quantify, procure, import, and
arrange for storage and distribution of methadone.
TECHNICAL ASSISTANCE FOR DRUG MANAGEMENT: $300,000
SCMS staff will also provide technical assistance to FHI, CDC and other implementing partners for the
methadone pilot. This technical assistance will include visiting the sites regularly to monitor inventory,
ensuring proper pharmaceutical management, and providing assistance to ensure the smooth roll-out of the
methadone program. New sites will receive additional support to bring them quickly up to speed.
Developing the capacity of VAAC to provide long-term management for pharmaceuticals will be a priority
area, especially in considering other commodity sources and ensuring commodity security.
This is a continuing activity from FY 2009. The Supply Chain Management System (SCMS) will continue to ensure there is an uninterrupted supply chain for HIV-related medicines, commodities and supplies. The program began in 2006 and is expected to serve the needs of up to 36,000 patients by September 2011.
There will be an increased emphasis on providing technical assistance to the government to ensure that they are able to supply HIV-related medicines and commodities in the future. In FY 2010, PEPFAR projects will require $9,000,000 for the purchase of antiretroviral (ARV) medicines for adults and for prevention of mother-to-child transmission (PMTCT) treatment. However, reduction in ARV prices in recent years resulted in a carry-over of $6,000,000, which means that only $2,850,000 of additional funds are being requested in FY 2010, of which $800,000 is for for technical assistance to support drug logistics. Therefore, in FY 2010 this budget code reflects a 20% increase in budget, and thus a budget code narrative is required.
SCMS activities in PMTCT, adult and pediatric treatment, and adult care are closely linked as technical assistance provided to sites also feeds directly into the ability of SCMS to provide quantification and logistics. Office support is disbursed across all program areas that SCMS has activities for. Some medicines are be distributed to patients at government-supported clinical sites and Global Fund-supported sites. SCMS will collaborate with the Clinton HIV/AIDS Initiative (CHAI) to ensure that the proper quantity of pediatric ARVs are purchased. CHAI is also working with the government to plan its exit from Vietnam in 2010-2011. SCMS will continue to work closely with CHAI and PEPFAR to ensure pediatric medicines are available into 2011, in anticipation of the end of UNITAID funding. SCMS will continue to manage the storage and distribution of pediatric supplies to the entire country. Medicines for the PMTCT program will be supported jointly by SCMS and CHAI.
There are two project goals, with activities centered around each one. For the first goal, SCMS will assist Vietnam to design and implement a more efficient and effective national system for the distribution of HIV medicines and related commodities by: 1) building capacity at the Ministry of Health's Vietnam Administration for HIV/AIDS Control (VAAC) to quantify needs, manage distribution and storage, and to use information to make good decisions; 2) building capacity of Provincial AIDS Centers (PACs) to use information for decision making and building their capacity to train staff at new sites; 3) building capacity at sites to store and dispense drugs, and to collect and utilize information for reporting and ordering; 4) collaborating with VAAC to develop a long range strategy for commodity security, which integrates all donor commodity resources and helps increase the number of patients on ARVs; 5) collaborating with VAAC in the design and implementation of a national drug requisition system; 6) collaborating with VAAC to document and disseminate national standard operating procedures according to good pharmaceutical practice; and 7) collaborating with VAAC in the design and implementation of a drug management information system (DMIS) that collects site-level data and makes the information available to VAAC, PACs, sites that receive ARVs and stakeholders.
The second goal is to ensure the proper storage and distribution of HIV and AIDS commodities supported through PEPFAR by: 1) streamlining the quantification process by moving from morbidity-based forecasting to consumption-based forecasting while continuing to prepare routine forecasts and supply plans using SCMS tools and methods; 2) procuring PEPFAR-funded HIV and AIDS commodities using SCMS's procurement system; 3) improving the speed of the importation of commodities; 4) funding the storage and distribution of HIV and AIDS commodities for PEPFAR and CHAI; and 5) continuing to support and monitor the management and dispensing of HIV and AIDS commodities at ARV sites and at the Central Pharmaceutical Company No. 1 (CPC#1) to prevent stock outs and expiration of products, while transitioning this function to VAAC. Activities will continue to include training dispensing staff at adult, pediatric and PMTCT sites to ensure compliance with storage, handling and reporting procedures, and to support dispensing staff to promote patient adherence to treatment.
