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.
This activity links to RAPIDS HVCT (#8944), HKID (#8947), HVAB (#8945), HBHC (#8946), HXTS (#8948), and two PlayPump PPPs, AIR HVAB (#9834) and ZPCT HBHC (#8884).
This World Vision-led project, "Reaching HIV/AIDS Affected People with Integrated Development and Support" (RAPIDS), undertakes community-based care and support activities in 49 of the 72 districts in Zambia. RAPIDS is a consortium of six organizations: World Vision, Africare, CARE, Catholic Relief Services (CRS), The Salvation Army, and Expanded Church Response (ECR), as well as other CBO and FBO local partners. RAPIDS uses a household approach to extend care and support to youth, OVC and PLWHA within the context of needs and priorities identified at a household level.
RAPIDS will collaborate with OGAC and two private organizations, PlayPumps International and the Case Foundation, to bring the benefits of clean, safe drinking water to high HIV prevalence communities where RAPIDS provides home-based palliative care for adults and children living with HIV/AIDS. At least 15,000 PLWHA, OVC, and at-risk youth are expected to benefit from this PlayPumps partnership during FY 2007.
This PlayPumps public-private partnership (PPP) will be implemented in Zambia and nine other sub-Saharan African countries.
The innovative PlayPump water system is powered by children's play. When children turn a merry-go-round wheel as ride and play, it pumps clean water, — helping keep them and their neighbors healthy. The PlayPump was invented in Africa, is manufactured in Africa, and benefits Africans. The pumps are sustainable.
This project will be a true partnership. RAPIDS and its consortium members will collaborate to identify communities with large numbers of chronically ill, home-based care clients in need of PlayPumps. During this process, RAPIDS and it partners will confer with community- and faith- based organizations, religious and traditional leaders living in these locations to determine the interest and willingness of community members to actively participate in this initiative. PlayPumps International will provide the technical know-how and do the construction of the Playpumps. The Play Pumps PPP will be implemented using an integrated approach through RAPIDS existing PEPFAR activities that include AB, CT, palliative care, OVC care and support, ART adherence support, nutritional support, youth livelihood, and household resilience.
RAPIDS provides home-based palliative care to individuals infected with and affected by HIV/AIDS using a household model that addresses the essential needs of the chronically ill, OVC, and youth. While RAPIDS does provide chlorine as part of the palliative care package to make water safer for drinking, many of the communities where RAPIDS is implemented are without an easily accessible water source. Often orphans or children of the chronically ill have to collect water. They walk long distances to reach the nearest water source and carry heavy water containers back to their homes. Orphans in child-headed or grandparent-headed households are the most vulnerable as they struggle to meet a variety of family needs including daily water. Current PEPFAR support to RAPIDS does not include a convenient daily source of safe water. The PlayPump Public-Private Partnership will fill a gap in service for PLWHA and orphans.
In FY 2007, RAPIDS will provide HBC and support to 45,852 PLWHA in 49 of 72 districts (68% geographic coverage) in Zambia (see activity #8946). As part of the essential care package, RAPIDS provides home-based care kits to their thousands of volunteer caregivers. Recently, RAPIDS through WVI has leveraged a private donation of 2000 home-based care kits, which will include soap and other materials required to care for PLWHAs. RAPIDS also provides seeds for community and household gardens to improve access to healthy and appropriate food for PLWHAs. Access to a supply of safe water will ensure that communities devastated by the epidemic are able to improve the quality of life. It is expected that PlayPumps will be located near community schools, community health centers, or community centers, where it is accessible to as many people as possible, thereby attracting advertising revenue from local companies, which in turn will help maintain the pumps.
PlayPump water systems will be installed in high HIV/AIDS prevalence areas to help
increase access to clean drinking water, improve sanitation and hygiene, and raise awareness of how to reduce the spread of HIV/AIDS, eliminate barriers to education, promote children's play, and increase opportunities for women and girls. PlayPump Water Systems will increase access to clean water for HIV-infected and -affected individuals, and will contribute to RAPIDS' comprehensive approach to prevention, care, and treatment. The lack of basic sanitation and clean water compromises RAPIDS' ability to provide quality care, specifically in rural and peri-urban areas, where home-based care is provided. A reliable clean water supply will help families and caregivers to bathe PLWHA and to wash bedding. They will not have to forego or scrimp on bathing and washing to save water for drinking and cooking. Diarrhea incidence, duration, severity and mortality are all higher in children with HIV/AIDS than in HIV-uninfected children, and chronic diarrhea is also a major cause of morbidity and mortality in HIV-infected adults. Therefore, easy access to clean water will help reduce diarrhea episodes in HIV-infected adults and children. A study of HIV-infected persons and their families in Uganda showed that use of a simple, home-based safe water system reduced the incidence of diarrheal disease by 25 percent, the number of days with diarrhea by 33 percent, and the frequency of visible blood or pus in stool. (Effect of home-based water chlorination and safe storage on diarrhea among persons with human immunodeficiency virus in Uganda. American Journal of Tropical Medicine and Hygiene, 2005 Nov; 73 (5):926-33).
In FY 2007, RAPIDS will continue to implement home-based care, household resilience activities, care for OVC, and youth livelihoods. PlayPumps will provide a safe water supply, along with complementary health and sanitation training to improve the hygiene, nutrition, and the health of PLWHAs and their vulnerable family members. The water tanks will be used to advertise HIV/AIDS messages to raise awareness about care and compassion for PLWHAs and to prevent the spread of the disease in the communities.
Sustainability of the PlayPump Water System is strong. It runs on energy created by the children at play, and as it caps the water source, it is also environmentally friendly. The PlayPump is made of basic materials that are relatively easy to buy in most rural areas. The drive mechanism is strong and does not break down often as it has few moving parts. In addition, the tank and pump are sealed so the water supply is free from contamination. The community will be able to use the funds generated from billboard advertisements to maintain the PlayPumps and to establish revolving micro-financing loans for income generation. PlayPumps International will train youth, such as ABY livelihood participants in these communities, to maintain the pumps.
