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 project will continue and expand institutional capacity building at CSO, in conjunction with collaboration and technical assistance on survey design, as well as preparation and implementation of fieldwork. In addition, new capacity building activities will address CSO and a broader group of stakeholders, e.g., NAC, MOH, NGOs and USAID CAs. These activities focus on increasing the local accessibility of ZSBS/AIS data, and promoting the use of this rich data source for purposes of policy analysis, program M&E, advocacy, and education of the public.
The 2007 ZDHS survey will provide a wealth of demographic and health information that is linked to HIV prevalence data. The 2007 ZDHS data, in conjunction with the 2005 Zambia Service Provision Assessment (ZSPA) findings and other country-specific data, can be used to guide national and provincial level evidence-based planning, monitoring and evaluation, and advocacy efforts. To increase access to and use of these data, MEASURE DHS in collaboration with CSO will carry out a range of activities designed to ensure the quality of the ZDHS results and their widespread dissemination. Major activities will include: 1) completion of survey data collection; (2) laboratory processing of HIV specimens including test kit purchase; 3) completion of data processing, tabulation and preparation of recode file; 4) preparation and publication of the Preliminary and Final Reports on the ZDHS survey; 5) Final Report national seminar in Lusaka; 6) a data user's workshop, and 7) further dissemination activities including production of 2 factsheets and a workshop focusing on a host country priority (e.g., provincial results or GIS).
Table 3.3.14: Program Planning Overview Program Area: Other/Policy Analysis and System Strengthening Budget Code: OHPS Program Area Code: 14 Total Planned Funding for Program Area: $ 6,777,849.00
Program Area Context:
The US Government (USG) continues to support and strengthen the Government of Zambia (GRZ) and its citizens in the fight against HIV/AIDS. This includes accelerating the engagement of leadership at all levels, creating conducive policy and regulatory environments, developing human capacity, systems strengthening, building local government and non-governmental institutions, and enhancing coordination and collaborative efforts with the GRZ, bilateral and multi-lateral cooperating partners, faith-based organizations, the private sector, and civil society.
Since 2004, significant progress has been achieved as a result of the USG and GRZ partnership. In FY 2005 and FY 2006, the USG supported the development and adoption of HIV/AIDS related legislation including the Sexual Offence and Gender Violence Bill (SOGV Bill) and the amended Employment Act. Responding to an increase in child sexual defilement due to a belief that sex with virgins will "cure AIDS", the SOGV Bill provides a mandatory 15 year sentence for child sex offenders. The amended Employment Act criminalizes HIV/AIDS stigma and discrimination in the workplace. In addition, the placement of a senior advisor in the Ministry of Sports, Youth, and Child Development led to the approval of the National Child Policy in 2005, a key document in support of orphans and vulnerable children (OVC).
The USG has been working closely with the National HIV/AIDS/STI/TB Council (NAC), UNAIDS, and other partners to support "The 3 Ones". The USG and its partners were fully engaged in developing high level policy documents: the National HIV/AIDS Policy approved in 2005, the Zambia HIV and AIDS Strategic Framework 2006-2010, the National Health Strategy 2006-2010, and the HIV/AIDS and health chapters of the next Fifth National Development Plan. USG partners have been successful in engaging traditional, religious, corporate, and political leadership in promoting social change and in participating in large, high profile HIV/AIDS events. The USG has been instrumental in incorporating HIV/AIDS services, including counseling and testing (CT), into large social mobilization events such as World AIDS Day. In June 2006, during the launch of VCT Day, the Minister of Health and Chieftainess Nkonesha, along with over 2000 individuals, received CT in Chongwe District. In September 2006, USG supported the development and launch of the Judiciary HIV/AIDS workplace policy, which was based on a Boston University study.
In FY 2005 and 2006, the USG supported the establishment of an HIV/AIDS office in the Defense Force Medical Services (DFMS), comprised of an HIV/AIDS coordinator, VCT manager, Home Based Care (HBC) manager, and an information, education and communication (IEC) manager. Currently, all 54 Zambia Defense Force (ZDF) health units have HIV/AIDS coordinators. Through USG and UNAIDS collaborative support, the ZDF HIV/AIDS workplace policy was finalized. Twinning between the Navy Medical Center San Diego and the Maina Soko Military Hospital in Lusaka resulted in the institutionalization of palliative care guidelines for the DFMS.
In early FY 2006, the USG participated in the GRZ-led Joint Assistance Strategy for Zambia in collaboration with other bi-lateral and multi-lateral donors. The USG was selected as the co-chair, along with DFID, for the UNAIDS HIV/AIDS sector cooperating partner group. The USG continues to work in close collaboration with other donors including the UN, DFID, the Netherlands, JICA, WHO, and the World Bank to enhance HIV/AIDS service delivery systems, policies, and coordinating structures in support of the GRZ's national prevention, care, and treatment scale-up plan.
Key in FY 2007 will be the USG efforts in sustainability. This will include creating enabling environments and sustainable systems, local organizations, human capacity, and infrastructure. The HIV/AIDS policy to provide free ART and other health services in all public health facilities has placed further strain on the health system. In response to this, USG will work with MOH to disseminate HIV/AIDS planning and projection guidelines and plan for human resource requirements to deliver a minimum package of HIV/AIDS services. Support will be provided to GRZ, policy makers, and NAC to implement the HIV/AIDS Commodity Security Strategy to strengthen logistics and ensure availability of commodities.
Human and institutional capabilities in health and social sectors remain weak. While there are a growing number of capable local organizations, the vast majority do not have capacity to absorb and account for additional funding or to rapidly scale-up HIV/AIDS services. USG will build sustainable financial and management capacity of local government, NGOs, FBOs, CBOs, the private sector, and workplaces engaged in HIV/AIDS activities and services. With NAC and other key ministries, USG will support the implementation of existing HIV/AIDS laws, policies, and strategies. Technical assistance will be provided to facilitate the drafting, approval, and dissemination of new policies and draft legislation to address issues such as enabling trained lay workers to do rapid HIV testing and increasing access to pain management drugs. USG will expand private partnerships with the corporate sector to engage in HIV/AIDS service provision. Efforts will be intensified to mobilize leadership including political, traditional, and religious leaders in the fight against HIV/AIDS.
USG will initiate a new activity to strengthen the capacity of the Ministry of Finance and National Planning (MoFNP) in economic and budgetary analysis to ensure that appropriate levels of funding are allocated for HIV/AIDS.
USG will continue to support the expansion of laboratory informatics and cater to the equipment needs in targeted provincial health offices. Continued support will be given to the infrastructure enhancement for the Chest Disease Laboratory and the Tropical Disease Research Center TB laboratory. USG will continue to support improved data management, dissemination, and use for decision -making.
USG support will further strengthen ZDF health services, training auxiliary health personnel, and ensuring reliable availability of essential commodities. The program will address capacity of uniformed personnel in HIV/AIDS programming, with particular focus on UN peacekeepers. Building resource mobilizations skills, strengthening policy development and implementation, and increased capacity to effectively plan and manage HIV/AIDS activities will support sustainability of ZDF's HIV/AIDS activities.
In FY 2006, USG supported NAC's Joint Capacity Building Plan for planning, monitoring, and evaluation which emphasizes improved planning and data use at all levels. In FY 2007, support will be provided to fully operationalize the national system. USG will assist districts to improve planning, data use, and resource tracking. USG will continue its collaboration with the University of Zambia's Department of Social Development and the School of Community Medicine to build institutional and individual planning, research, monitoring, evaluation, and information technology capacity for HIV/AIDS. In the Department of Social Development, a short course on planning, monitoring, and evaluation for working and new professionals will be supported. USG will strengthen research capacity in public health at the School of Community Medicine and the curriculum in biomedical research. As a result, more Zambian clinical investigators will have tools to conceive of and manage research endeavors.
USG will support MOH to integrate HIV/AIDS and related teaching modules, training material and teaching guides into pre- and in-service training to enhance strategic information and ARV service provision.
Program Area Target: Number of local organizations provided with technical assistance for 110 HIV-related policy development Number of local organizations provided with technical assistance for 358 HIV-related institutional capacity building Number of individuals trained in HIV-related policy development 295 Number of individuals trained in HIV-related institutional capacity building 2,058 Number of individuals trained in HIV-related stigma and discrimination 1,345 reduction Number of individuals trained in HIV-related community mobilization for 1,650 prevention, care and/or treatment
Table 3.3.14:
