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: 2007 2008 2009
UNICEF, a co-sponsor of UNAIDS, is a lead advocate for maternal and child health services in Zambia. UNICEF is currently working at all levels to improve programs addressing prevention of mother-to-child HIV transmission of HIV (PMTCT) and pediatric AIDS treatment and care. UNICEF has worked in Zambia for a number of years and led the effort to: 1) initiate and implement PMTCT demonstration projects (1999) and 2) advocate and support national level government scale-up and roll-out of PMTCT and pediatric treatment and care programs. UNICEF has supported the Government of the Republic of Zambia to develop PMTCT and Pediatric HIV/AIDS guidance documents, implemented several child survival programs, and continues to play an important role in aiming to reach 2015 Millennium Development Goals in maternal and child health.
With the wealth of experience that UNICEF has, USG will fund UNICEF to assist in implementing the following two important advocacy activities:
1. Scaling-up of routine opt-out HIV testing in PMTCT settings UNICEF will work with GRZ, USG and stakeholders to: - Advocate for, and support routine offer of HIV testing to all pregnant women; - Incorporate routine offer of HIV testing policy in national guidelines and incorporate training into all HIV training curricula and
2. UNICEF will support GRZ and stakeholders in supporting or developing systems to identify HIV-exposed infants and refer them for treatment, care and support. - Standardize documentation of mother's HIV status on under five cards in Zambia. - Train of health workers to routinely review antenatal cards for HIV status to provide appropriate clinical care i. Support institutionalization of cotrimoxazole prophylaxis for HIV exposed and infected infants. - Support the institutionalization of infant dried blood spots (DBS) for early HIV diagnosis and confirmatory testing, utilizing the infant diagnosis algorithm as mentioned in the PMTCT guidelines.
The wealth of experience UNICEF has working in Zambia and its collaboration with GRZ will ensure sustainability of PMTCT programs in Zambia.
In addtion to the planned activities in FY07, UNICEF will use the plus-up funds to review, update and print PMTCT protocol guidelines and training manual to incorporate technical updates and policy changes that have an impact on the provison of PMTCT services in Zambia. Such revisions include recommendations from the joint program mission review conducted in 2006 where, it was recommended that the training manual be revised to include WHO technical updates on effective PMTCT regimens, universal access of services - routine opt out counseling and testing, early infant diagnosis and strengthening of the infant and young child feeding component of the program. In addition, UNICEF will use the plus-up funds to finalise and roll-out the lay counselor training manual for use at health centers.
