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 activity narrative is a draft and will be revised upon finalization of the follow on SHARe project
This activity will be a follow on to JSI SHARe project focusing on implementing comprehensive AB
programs religious, traditional political and women's organizations. This activity will link to other program
areas including HVCT, OHPS, HVOP. This activity will strengthen and expand the capacity of the
organizations to implement AB programs that support the Government of the Republic of Zambia and the
United States Government (USG) goals.
The project will implement comprehensive AB programs in religious, traditional political and women's
organizations. Appropriate AB prevention models will be promoted to various groups of adults. AB
prevention will be closely coordinated with counseling and testing (CT) mobilization, so that individuals
know their status, and for those that are negative counseled on how to maintain their negative status. The
communities in which the organizations operate in will be involved in developing innovative community AB
prevention approaches such as drama, peer group discussions and social mobilization events ensuring that
the programs are responsive to local needs. Support to AB strategic planning and policy development will
be provided to the organizations.
The project will work with the organizations to strengthen technical and management capacities and
mobilization of financial resources. Activities will include participatory analysis of their current sustainability
levels, sharing of successful sustainability strategies and the development of sustainability plans. The
project will work with the organizations to ensure that HIV/AIDS policies, work plans, and budgets are
developed to sustain their HIV/AIDS activities through government, other donor funding and the private
sector.
In FY 2009, the Project will train persons in AB. Trained educators will reach individuals with AB prevention
messages in workplaces and outreach communities. The project will all focus on improving supportive
supervision to ensure quality of care and to encourage trained peer educators to intensify efforts to reach
out to more individuals and improve reporting.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.02:
This activity will be a follow on to JSI SHARe project focusing on strengthening religious, traditional, political
and community leaders to implement Other Prevention activities and facilitate social change to reduce
sexual transmission. The project will design and implement Other Prevention activities in accordance with
the OGAC abstinence, being faithful and correct and consistent use of condoms (ABC) guidance.
Community involvement will ensure that the activities are responsive to local needs. For example,
traditional leaders will promote the discontinuation of harmful traditional practices, such as widow cleansing,
dry sex, and early marriage. The project will focus on increased involvement of women in the
implementation of Other Prevention activities.
Other Prevention programs will provide education to address HIV high risk behaviors among Most at Risk
Populations (MARPs) that go beyond abstinence and being faithful (AB) and focus on partner reduction,
correct and consistent use of condoms and knowing one's status. Emphasis will be placed on information
on behavior change focusing on promoting respectful relationships between men and women. The project
will address the needs of vulnerable groups such as women and orphans and vulnerable children (OVC).
Peer educators will be trained to implement Other Prevention education, promote condom use, refer for STI
management, prevent and treat sexual and gender-based violence, promote partner reduction, and create
referral links to Post-exposure Prophylaxis, counseling and testing (CT) and antiretroviral therapy (ART).
Sites with high risk groups will be linked to socially marketed and free condoms through collaboration with
the District Health Management Team and the Society for Family Health. CT will be made available on-site
during training and sensitization activities. Information on prevention, care and treatment services will also
continue to be provided.
Sustainability of the Partners will be ensured through strengthening of technical and management
capacities and mobilization of financial resources. Activities will include participatory analysis of their
current sustainability levels, sharing of sustainability strategies of successful NGOs, development and
implementation of sustainability plans.
Emphasis Areas
Workplace Programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.03:
By increasing the number of people who know their HIV status, CT programs are the cornerstone of efforts
to prevent the spread of HIV. The challenge now is to increase the availability and use of CT services by
ordinary citizens in an environment where over 65% of Zambians live in the rural areas which are greatly
underserved by HIV/AIDS treatment care and support services.
SHARe/TBD will continue to focus on extending outreach mobile CT services to religious, traditional,
political and community organizations. This activity will link to other program areas including HVAB, OHPS,
and HVOP.
The project will seek creative ways to engage and connect the religious, traditional, political and women
leaders to CT through community sensitization and mobile CT. The project will focus on working with these
organizations to access rapid test kits through the District Health Management Teams and Medical Stores
Ltd in order to expand nationwide CT services. CT providers will link HIV positive clients to ART and
palliative care services in their respective communities to ensure continuity of care.
The Project will assist the organizations to provide on-site, facility-based and mobile CT services, create
links for referrals to off-site services where on-site facilities are not available, link to the District Health
Management Teams logistic management system and other sources for a consistent supply of CT test kits
and reagents, and network with prevention, care and treatment sites. Is this a new thing here - opt out?
The Project will work with the Ministry of Health to promote adoption of the CT opt-out/provider-initiated
approach to offer CT within all antenatal services, at TB clinics, and during annual medical exams.
Table 3.3.14:
