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.
Development Aid People to People in Zambia has been operating since 1986. The mission of DAPP in Zambia is to implement projects that will give people knowledge, skills, and tools that will empower them and their families to face the challenges of everyday life and to improve their quality of life. Through this funding mechanism, DAPP in Zambia in cooperation with Humana People to People plan to continue with their collaborative program called Total Control of the Epidemic (TCE) that began in fiscal year (FY) 2006. This DAPP program is an innovative, grassroots, one-on-one communication, and mobilization strategy for HIV prevention and behavior change. These programs implement voluntary counseling and testing (VCT) on a house-to-house basis in conjunction with personalized counseling for HIV/AIDS prevention and behavior change, and referrals for care and treatment services.
The overall objective of the TCE program seeks to mobilize communities to take control of the epidemic. One large rural area in the Mazabuka district of Southern Province was identified in FY 2006 as the initial target area. Funds for FY 2006 were awarded in September 2006. Building on the work begun in FY 2006, in the second year of the program, 50 local resident people will be trained as field officers to promote HIV/AIDS prevention through other behavior change beyond abstinence and/or be faithful. Twenty-five (25) people will be trained in HIV/AIDS CT and will be responsible for administering VCT services to the community. It is anticipated that 7,500 people will be tested for HIV/AIDS and receive their results. Many people who live in this area are located along riverbanks and islands in the Kafue River flats. Specific methods have been developed to reach these people by boats. Given the need to reach people in a mobile fashion; and that boats will be used to reach some people, the cost per person tested for HIV in this activity may be greater than for other activities.
In addition to providing VCT for households, field officers are trained to talk to people about preventing mother to child transmission (PMTCT) services, basic health care and support services, and antiretroviral therapy (ART) services that are available in the district and they can tailor services based on the person's HIV-related needs. Appropriate referrals will be made to services such as VCT, ART, PMTCT and community networks and initiatives. It is anticipated that 500 people who are enrolled in ART will be identified through the house-to-house program and will receive prevention for positives counseling. DAPP in Zambia hopes these practices will become institutionalized as habits as this will ensure adherence to ART during and after the mobilization campaign. In FY 2007, approximately 1,000 pregnant women are expected to receive HIV CT for PMTCT and receive their results. Another 20,000 individuals are targeted to be reached through community outreach that promotes HIV/AIDS prevention through other behavior change beyond abstinence and/or be faithful.
This program is essential for providing VCT to people at a grassroots level. Efforts are made to contact hard-to-reach people in their homes where they may be most comfortable talking about HIV and learning of their HIV status. A large benefit of this program is that house-to-house VCT can be strategically positioned to reach husband and wife couples with couples counseling or entire families with family counseling. Follow-up visits to people who would benefit from extra time with a counselor can also be made. Additionally, people will receive pertinent information about HIV/AIDS services available in their community and how to access them. The United States Government (USG) programs of PMTCT, ART, and basic health care and support will benefit from the referrals that will be made to them. This program will work closely with the Southern Provincial Health Office, SPHO (activity # new) and in future years can be scaled-up to include other areas of the Southern Province
TCE programs are naturally sustainable following the three years of formal implementation by DAPP. The formal program is anticipated to run through FY 2008 and during this time, capacity is built in individuals and communities to take action in the fight against HIV/AIDS. . In the first three years of implementation, over 150 people will be trained in HIV CT and behavior change communication and 100,000 people will be reached with communication programs. These individuals who are trained are from within the community where they are working and they will continue to impart their knowledge and experiences to members of their communities after the formal program is ended. They will be seen as role models and experts in HIV/AIDS in their communities and are often approached by community members for support regarding HIV/AIDS. In other countries
where the formal program of TCE has ended, the experience is that field officers continue visiting people in their homes and provide services even after the formal program has ended. In addition, TCE works to refer people to the existing HIV/AIDS services provided by the Government of the Republic of Zambia and these referrals will be available to people after the formal program of TCE has ended.
