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.
The Master of Public Health (MPH) degree in Zambia is offered only by the University of Zambia School of Medicine. The MPH program graduates an average of 30 students per year who become leaders in public health delivery including policy making in Zambia and contribute to improving health service delivery for HIV/AIDS and related services. The MPH program in the School of Medicine is a major contributor to the human resource development in public health in line with human resource development and health priorities of the Government of the Republic of Zambia. The Community Medicine Department in the School of Medicine has basic infrastructures and curriculum that need further strengthening with additional resources that will be provided under this program. The funding in this program will strengthen the capacity of a local institution in developing its curriculum and necessary human resources that will be involved in HIV/AIDS work thereby ensuring long term sustainability in human resource development for the countrywide work in TB/HIV/AIDS/STI. To ensure the sustainability of human capacity building for public health evaluation methods and public health delivery in TB/HIV/AIDS/STI in Zambia, FY 2007 funds will enable the UNZA Master of Public Health program to develop concentrations in epidemiology and biostatistics by supporting student scholarships and faculty in curriculum development, teaching, and resources to build these programs. Developing these concentrations will enable the Master of Public Health program to support and train additional HIV/AIDS health research professionals with expertise in public health evaluation methodology, including study design, data management, statistical analysis, scientific writing, preparation of manuscripts for publication in the scientific literature, methods and resources for accessing international electronic health information and literature, and communication of health information and research results to health professionals, policy makers, and the general public. Support to sustainable institutional mechanisms is critical to effectively support Zambian educational institutions and build partnerships with organizations and individuals in need of training and support to develop critical human resources for public health care delivery.
Table 3.3.15: Program Planning Overview Program Area: Management and Staffing Budget Code: HVMS Program Area Code: 15 Total Planned Funding for Program Area: $ 10,384,677.00
Program Area Context:
Continued dialogue with all partners involved in HIV/AIDS in Zambia is one of the U.S. Government (USG)'s highest priorities to ensure the program's overall success and ultimate sustainability. Therefore, adequate staffing at the U.S. Mission is necessary to actively coordinate and collaborate with the Government of the Republic of Zambia (GRZ), cooperating partners, and stakeholders. Achievement of PEPFAR goals in FY 2007 is highly dependent on adequate staffing not only within the host government structures and USG partners, but also within the five USG agencies at Post that administer, manage, and implement PEPFAR programs. As the PEPFAR program matures in Zambia, the USG will continue to support technical and administrative staff across agencies in order to manage the increased programming successfully and efficiently in order to meet PEPFAR's 2-7-10 goals and to assist the GRZ in achieving its national goals.
The staff skills necessary to ensure efficiency, reasonable costs, and long-term sustainability of PEPFAR achievements in Zambia is a balance of high-level technical leadership and experienced program managers.
As of September 2006, the USG Team has a total of 90 positions working a minimum of 50% effort on HIV/AIDS; of this number, 80 work full-time on PEPFAR activities and programs. There are 38 Peace Corps volunteers working 100% on PEPFAR; an estimated 30 additional Peace Corps Volunteers will be added in FY 2007, and another tranche of 30 volunteers is expected to begin in FY 2008 to support Zambia's response to HIV/AIDS.
Under the leadership of the Ambassador, the U.S. Embassy will continue to serve as the locus of PEPFAR coordination. The PEPFAR Office is led by the PEPFAR Coordinator who reports directly to the Deputy Chief of Mission. In FY 2007, the PEPFAR Coordinator and three full time positions will manage the State PEPFAR programs and coordinate the overall USG effort.
Full PEPFAR supported, CDC/Zambia focuses primarily on technical and financial assistance in the capacity building efforts of the local organizations and Zambian Government entities (including ministries, provincial health offices, and parastatal organizations). The total staffing of CDC/Zambia will brought to 48 in FY 2007 to carry out and scale-up activities in the area of pediatric and adult ARV services, strategic information, laboratory infrastructure, and program support. CDC will continue to provide national support for the development of laboratory capacity to monitor and manage the treatment of HIV and opportunistic infections. CDC's core capabilities also lie in the technical implementation of activities that have been established with the Ministry of Health (MOH), the University Teaching Hospital, the National HIV/AIDS/STI/TB Council, the Tropical Disease Research Center, HIV/TB/STI national laboratories in Zambia, and a growing number of non-governmental organizations, faith-based organizations, and university partners.
The U.S. Department of Defense (DOD) directs its efforts on building the capacity of the Zambia Defense Force (ZDF) and strengthening the HIV/AIDS response in the military population. DOD's expertise with construction and renovation helps to guide other USG agencies on the best approaches to planning. The DOD PEPFAR Coordinator works closely with other USG agencies, such as CDC, on renovation activities and helps support the monitoring of the projects. Three DOD staff persons will be fully PEPFAR supported in FY 2007. In FY 2007, USAID will broaden their OVC activities to reach the military youth.
Peace Corps' unique strength is its ability to reach the rural populations through volunteer placement. In FY 2007, the Peace Corps will work closely with other USG agencies to strategically place the new HIV/AIDS volunteers to expand the reach of existing PEPFAR programs. PEPFAR will support seven Peace Corps staff in FY 2007.
The U.S. Agency for International Development (USAID) has a total of 30 staff that work at least 50% on PEPFAR activities, with 12 staff that dedicate 100% of their time to PEPFAR activities. USAID is the lead
agency in behavior change communication, community-based palliative care, human rights advocacy, policy analysis, national systems strengthening, workplace programs, and overall strengthening of national, district, and community HIV/AIDS coordinating structures.
The total planned spending on management and staffing for FY 2007 does not exceed 7% of the total planned budget for the year.
Table 3.3.15:
