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.
Vietnam has the 12th highest burden of tuberculosis in the world with an estimated 173 cases per 100,000 persons. For HIV-positive persons in Vietnam, TB is the primary cause of severe illness and death.
The new USAID TBD TB program will work to enhance existing TB programs and expand their reach. Consistent with the Vietnam National HIV/AIDS Strategy and the PEPFAR Vietnam 5-Year Strategy, the expansion of provider-initiated testing and counseling (PITC) continues to be one of the highest priorities. In HIV clinical care settings, the focus will be on reducing the burden of TB in HIV-positive persons by promoting the three "I's", consisting of intensified TB case finding, infection control and isoniazid preventive therapy (IPT). Special attention will continue to be paid to the development of a successful, evidence-based model for screening HIV patients for TB disease, strengthening human resources at the district level, and the provision of cotrimoxazole, antiretroviral therapy (ART) and other services for HIV-positive TB patients.
Human resource development is vital in order to ensure there is a sustainable HIV TB care system in the future. To meet this goal, PEPFAR will support direct technical assistance and additional training of individuals who will offer TB diagnosis and treatment, and ensure proper data recording and reporting practices. PEPFAR will expand TB laboratory capacity support and will support national efforts for training and quality assurance in smear microscopy.
The target populations are HIV TB co-infected individuals (in particular, those diagnosed with TB and not currently diagnosed with HIV, and those diagnosed with HIV and not yet screened for TB or receiving treatment for TB). The geographic coverage will be in the seven PEPFAR-focus provinces.
One of the primary goals of the USAID TB program is to strengthen the overall TB system, especially for those who are HIV positive. Activities in this program will involve laboratory strengthening within the Ministry of Health system and the training of key health personnel at the national, provincial and community levels on how to improve diagnosis, infection control and treatment of TB.
All Vietnam in-country activities are implemented through, by or with Vietnamese government partners, ensuring country ownership. PEPFAR Vietnam will continue to formally coordinate with the government of Vietnam and other relevant programs, including those supported by the Global Fund, WHO, other donors and other donor funded programs, to ensure that future PEPFAR investment in these areas is strategic and complementary.
All new activities will have strong monitoring and evaluation and quality and efficiency improvement components, as PEPFAR support gradually shifts to a more supervisory and, eventually, advisory role.
? Further development of the laboratory network for early diagnosis of drug resistant TB and adequate follow-up of treatment in five high HIV prevalence provinces with MDR TB treatment sites, building on the achievements and experiences of the TB CAP project.
? Improve TB infection control for district TB and HIV clinics in five provinces with MDR treatment sites, including training on TB infection control, establishment of IC committee at each TB and HIV clinic, development and implementation of IC plan at each clinic, and monitoring and supervision by national IC team.
? Provide TA and support further development of the TB laboratory network to improve TB diagnosis, introduction of new techniques, especially relevant in HIV co-infected patients.
