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.
Most new HIV infections in Africa occur in cohabiting couples. Abstinence is not an appropriate message for such couples, and faithfulness is not effective in the 15-20% of couples who have one HIV positive and one HIV negative partner (‘discordant couples'). Joint testing and counseling decreases transmission of HIV in discordant couples, and reduces sexually transmitted infections and unplanned pregnancies in all couples. Testing only one partner in a couple does not result in decreased HIV risk.
The Zambia Emory HIV/AIDS Research Project (ZEHRP) was established in 1994 in Lusaka. ZEHRP counselors have provided couples' voluntary counseling and testing (CVCT) to more than 23,500 Zambian couples. In 2005 alone, ZEHRP's three CVCT centers in Lusaka tested over 4,300 couples. Over 1,300 individuals were referred to district clinics for evaluation for antiretrovirals (ARVs), 805 were treated for syphilis, and 174 women were referred for prevention of mother to child transmission (PMTCT). Fiscal year (FY) 2006 funds were awarded in September 2006.
Translation of research findings into public health practice is a primary goal of ZEHRP. Counselors from ZEHRP, along with their counterparts in Kigali, Rwanda, and partners at Emory University in Atlanta, GA, collaborated with CDC-Atlanta and the Liverpool School of Tropical Medicine to produce a procedure manual for CVCT. CDC has since used this manual in regional training in Southern and Eastern Africa.
ZEHRP Lusaka's three CVCT centers and contributions to the CDC-CVCT procedure manual have been funded by a research grant from the United States National Institutes of Mental Health (NIMH). The goals of this grant were to establish sustainable CVCT in Zambia and Rwanda through: 1) Advocacy with government leaders, funding agency representatives, service providers, and community leaders; 2) Development of standardized procedures for CVCT; and 3) Operations research to identify the best ways to promote and provide CVCT.
These goals have largely been achieved in both target countries. Existing NIMH funding for ZEHRP's three CVCT centers in Lusaka ended in mid-2006. The NIMH grant requires that funding be transitioned from research to the health and development sector. In FY 2006 the USG provided funds to ZEHRP in order to provide for provision of couples counseling and testing as a routine service. Funding for this will be available in September 2006 and is earmarked to continue activities in the current three sites in Lusaka and set up a new site in Mazabuka, Southern Province.
Goals for Zambia for fiscal year 2007 through the President's Emergency Plan for AIDS Relief funds are: 1) Continue CVCT in three existing centers of excellence in Lusaka 2) Provide didactic and practical training in CVCT promotion and Couples counseling procedures through these centers 3) Refer for care and treatment all HIV-positive individuals and all syphilis positive individuals 4) Integrate weekend CVCT into existing voluntary counseling and testing (VCT) programs in Lusaka, primarily in the district clinics. Most couples find it hard to come together during regular hours during the week as one or both are in gainful employment. This activity will include providing training and support to existing VCT counselors so that they can counsel couples using the standard Zambia National VCT Guidelines, providing logistical and financial support to promotion of weekend CVCT at existing VCT centers and providing funds for overtime salary for trained staff at existing VCT centers. 5) Continue expansion of CVCT services outside Lusaka by continuing services in Mazabuka (initiation of this site will take place in FY 2006 when funding is received) and opening a new site in Monze, both within Southern Province.
Funds for FY 2007 will be used for training (30%), laboratory supplies (20%) transport and logistics (25%) of running current sites and setting up new sites outside the capital city. Other costs will go towards production of IEC materials, payment of staff for overtime weekend service, travel re-imbursement for participants and other personnel costs.
With greater emphasis on trainings and the incorporation of CVCT in routine VCT centers, plus additional hours to cater for the working population, it is hoped that the program will become part of the routine operations of the district/VCT sites. This will ensure long-term
sustainability of the program even when funding is reduced or limited.
