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
Strengthen and improve quality of services for prevention and treatment of opportunistic infections (OIs) in 29 PEPFAR-funded sites.
Build capacity and improve sustainability of the network of People Living with HIV/AIDS (PLWHA) in HCMC
Strengthen facility-based and home/community-based health care (HCBC) systems supporting care and treatment activities (HBC activity will expand to all 11 community-based OPCs supported by CDC)
Build capacity and improve quality of services for Sexually Transmitted Infections (STI), outlets for counseling, testing, diagnostics and treatment of STIs, as well as strengthen the linkage between STI outlets and HIV-related outlets
Implementing IEC activities to raise awareness of community of HIV/AIDS in order to create a supportive environment for OVC
Provide core OVC services to 900 OVC at 3 OVC sites
Training on life skills for junior high school students and OVC kids at the same age in community
Capacity building for OVC staff, caregivers, teachers, OVC & school kids
Collaborating with DOLISA to coordinate the OVC program in HCMC to maximize the resources in order to improve the quality of OVC program and serve more OVC children in the city
Strengthen and improve quality of services and coverage for ARV treatment in 11 sites - 4,000 newly registered OPC patients will be provided ART during COP11
Establish a quality assurance (QA) and quality improvement (QI) mechanism for enhancing the capacity and quality for ARV treatment
Establish an HIV drug resistance surveillance system following the WHO strategy, which includes National HIV Drug Resistance (HIVDR) monitoring surveys and collection of early warning indicators - during COP11, all CDC supported OPCs will participate in collecting HIV-DR EWI
Extend HIV QI up to 10 OPCs
To maintain high quality testing and counseling for MARPs and other individuals at nine sites (including one in Nhi Xuan rehabilitation center)
To implement PITC model in two hospital sites
To improve capacity for VCT staff
Support 4 existing sites to provide treatment services to HIV-infected & exposed children
Provide direct care and support services to 1,900 infected and exposed children in 4 service outlets as well as refer children to other services available in the community
Support psychologists and social workers, who will be available at the OPCs to provide psychosocial support, link the children with other services in community and home-based care support for children who are receiving services at OPCs
Organize training courses on the disclosure model for health care workers at OPCs - this aims to improve capacity of OPC staff on how to inform HIV status to HIV-infected and their caregivers.
New:
Support OPCs to establish peer clubs at OPCs where parents or HIV kids can join, help each other and share experiences on treatment and life
Support 4 existing sites to provide treatment services to HIV-infected children
Support a pediatric technical team in HCMC to provide on-site TA/QA to OPCs
Provide food and nutrition support services including counseling, food supplements, food by prescription (including nutritional support for at least 20 HIV positive children annually with evidence of severe malnutrition) - this activity will be integrated with the nutrition department at the Pediatric hospitals where OPCs are located
Maintain the activities at the training unit to provide all training courses on Pediatric treatment
Organize new and refresh training courses for OPC staff on HIV treatment
Organize monthly meetings at Pediatric 1 OPC where pediatricians in the city and from nearby provinces can share experiences on care, support and treatment
Piloting HIVQUAL at ND1 OPC to improve the quality of services
Continue to provide primary technical oversight for monitoring and evaluation (M&E), health management information system (HMIS), surveillance, and human capacity development (HCD) activities
Routine program monitoring and reporting for ART, PMTCT, VCT, community outreach, and HMIS activities supporting centralized client registration for HIV/AIDS services in HCMC province. Focus on data quality assurance, M&E, and reporting technical assistance at the provincial and service delivery levels. Funds will support contracted staff, training, implementation and supervision at all levels across all PEPFAR program areas
Collaboration with technical local institutions and universities around capacity building activities to strengthen HIV program management and data collection, management and use
HMIS implementation and support, expanded through national TWG support
Collaborate with the HCMC Department of Health, HCMC Pasteur Institute, preventive medicine centers, and local technical institutes to establish geographic information systems and epidemiologic capacity building around disease monitoring in HCMC and the Mekong Delta regions
Program evaluations and operational research to measure intervention outcome and impact and inform evidence-based intervention approaches
To provide behavioral change communication and referral to HIV related services particularly VCT for street-based and venue-based sex workers
To maintain and improve supportive environment for outreach work
Continue activities and maintain the same geographical coverage of seven districts since last year's COP with focus on improving service quality
Outreach for IDU
To provide behavioral change communication and referral to HIV related services particularly VCT for IDUs
To continue activities and maintain the same geographical coverage of seven districts since last year's COP with focus on improving service quality
Methadone (MMT)
To maintain high quality Methadone treatment in 3 sites and extend to two new Methadone sites (with minimal support from PEFAR i.e. TA/QA and methadone). Estimated 1,800 Methadone clients will be provided Methadone Maintenance Treatment services and referred to HIV-related services as needed
To improve screening for mental health disorders for MMT clients and to make successful referrals to mental health systems in HCMC
To strengthen activities of self help groups and MMT treatment supporters
To build capacity for clinical mentors as well as MMT counseling mentors
To develop and implement a sustainable staffing plan for MMT in HCMC
Addictions
Addiction counseling in 5 sites, shifting to an integrated MMT/counseling model wherever possible (attach counselors to new MMT sites)
Training and mentoring existing community-based volunteers and government staff in outreach/peer education, IDU case management, general HIV and addiction knowledge
Work towards housing addiction treatment services in the Mental Health sector
Targeted BCC for IDU hotspot areas (communities) and families of IDU
Pre-release support & community linkages for residents of mandatory drug detoxification centers
Modest facilitation of volunteer IDU self-help and social-support groups, linked to MMT self-help groups
Strengthening linkages, referrals and experience-sharing between core IDU services, and then from core services to key wraparound services
M&E for addictions services in HCMC to inform programming
Scaling down the coverage of the PMTCT program by handing over some sites to other partners such as GVN, and other donors
Improving the public awareness of PMTCT programs to increase the number of pregnant women who receive HIV counseling and testing, to increase the number of women who obtain their test results, and to increase the number of HIV-infected women and their babies who are receieving ARVs
Strengthening the linkages between PMTCT with OPCs and VCT programs for primary prevention purposes and preventing unintended pregnancy among HIV-infected women
Improving quality of PMTCT services through regular TA/QA
Strengthening linkages between PMTCT and reproductive health, nutrition, STI and other HIV/ AIDS programs through coordination meetings
Capacity building for PMTCT and MCH staff for sustainability of PMTCT program
Continuing Lab Program Activity (under new Coag)
Quality Management Training Program: Training will be provided to labs in HCMC region (includes identification and training of site Quality Managers) - this activity will be supported (TA, staff and funding) from FHI and these funds will be used to support logistics and travel
Lab Site monitoring program: Funding supports training for HCMC PAC staff and travel to all PEPFAR supported sites
Technical support to CSQL and development of EQA Software and Technical support to CSQL.
Laboratory Information System: maintenance of system at 10 sites, implementation at 2 new sites, staff (3) at PAC, support for bar coding at 12 sites, instrument interfacing at 12 sites, and support for data exchange between information systems at 4 sites
Core activities: PITC, 3 Is (ICF, IPT, IC), training and capacity development, strengthen collaboration between TB and HIV program at all levels
100% of districts (n=24) implement PITC in 27 sites including 25 for TB out-patients and 2 for TB hospitalized patients
IC interventions in 1-2 sites
Targets: > 90% of TB patients (14,000) receiving PITC, 800 PLHIV receiving IPT, 10,000 PLHIV screened for TB, and 200 HCW trained
Expansion of PITC to 2 new sites in Pham Ngoc Thach hospital targeting TB hospitalized patients
Expansion of IC interventions to 2-3 new sites
Targets: 15,000 TB patients receiving PITC, 600 PLHIV receiving IPT, 10,500 PLHIV screened for TB, and 250 HCW trained
