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: 2008 2009
This is a new activity being proposed for the first time in FY 2007.
Voluntary Counseling and Testing (VCT) services have scaled-up in much of the country. There are many
partners supporting this activity, however, it is very clear that the rural populations have not been
adequately reached. The Zambia Voluntary Counseling and Testing (ZVCT) services coordinate most of
the CT services in the country, both non-governmental organizations and government run centers. Of the
550 sites to date, very few cover the disadvantaged rural populations.
This activity will support mobile VCT services one of the most underserved rural and remote districts within
the Shangombo District within Western Province. The selection of this district has been done in
consultation with the Western Provincial Health Office.
While VCT is now widely available in Lusaka and other major urban areas of Zambia such as Livingstone,
Kitwe, or Mazabuka, reaching extremely remote areas of the country remains a challenge due to poor roads
and high cost. Yet rural populations must be apart of the President's Emergency Plan for AIDS Relief scale
-up. In FY 2007, the CDC-Zambia wants to ensure extremely remote and some of the poorest areas in
Western province bordering Angola and Namibia have access to VCT.
The funding requested for this activity will be used to implement mobile and boat VCT in the rural villages of
the Shangombo District in the Western Province. The boats will provide services during the rainy season
and the mobile units during the dry season when roads become accessible. The funding will support
purchase of the boats and mobile units for each of the districts, testing supplies, maintenance of the boats
and mobile units, and training personnel both to maintain the units and to provide VCT and make referrals.
Parts of the Western Province, namely the Shangombo District, experiences long periods of rainy and dry
seasons. The rainy season is from November through May and the dry season from June through October.
The region is poorly served with all weather roads and is not accessible by car all year round.
To provide VCT and other HIV services throughout the year it is necessary to have a boat VCT for the rainy
season and a mobile unit for the dry season.
Although the program will be implemented by the University of Alabama at Birmingham, the boat and mobile
units will be assigned to the local government district hospitals and partly managed and overseen by both
the district, and the CDC staff to ensure capacity is built for sustainability. This program will allow us to take
services where they currently do not exist and expand the scope of services and coverage in the country.
The ZVCT and VCT working group of the National AIDS Council will be consulted on the program activities.
Based on lessons learned from this program, it is hoped that same innovation will be employed in FY 2008
to expand services to other remote and wet districts of Zambia currently remain underserved.
The mobile and boat VCT will ensure that CT and monitoring services are offered to people either nearer to
their homes or at outposts within their reach. It is hoped that the mobile units will move from village to
village providing services. Bringing services nearer to the people provides an opportunity to those who are
unable to move to distant VCT centers due to lack of transport, long distance, and lack of time due to
competing priorities. This activity will complement the current activities by the Western Provincial Health
Office to scale-up CT with the support of the USG.
Even though the reality of accessing treatment and care services may be distant for these very remote
populations, the emphasis will be on prevention of transmission in those who test positive (positive
prevention) and prevention of acquisition of HIV in those who test negative.
