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: 2007 2008 2009
The funding level for this activity in FY 2009 is straight-lined from the FY 2008 level. Narrative changes
include updates on progress made and expansion of activities.
United Nations Children's Fund (UNICEF), a co-sponsor of the Joint United Nations Program on HIV/AIDS
(UNAIDS), is a lead advocate for maternal neonatal and child health (MNCH). UNICEF is currently working
at all levels to improve programs addressing the prevention of mother-to-child HIV transmission (PMTCT)
and pediatric AIDS treatment and care.
UNICEF has worked in Zambia for a number of years and led the effort to: 1) initiate and implement PMTCT
demonstration projects (1999); and 2) advocate and support national-level government scale-up and roll-out
of PMTCT and pediatric treatment and care programs. UNICEF has supported the Government of the
Republic of Zambia (GRZ) to develop PMTCT and Pediatric HIV/AIDS guidance documents, implemented
several child survival programs, and continues to play an important role in aiming to reach the 2015
Millennium Development Goals in maternal and child health (MCH).
With the wealth of experience that UNICEF has, the United States Government (USG) in FY 2007 funded
UNICEF to assist in implementing important national PMTCT activities, namely: 1) the scaling-up of routine
opt-out HIV testing in PMTCT settings whereby UNICEF worked with GRZ and stakeholders to advocate for
and support routine offer of HIV testing to all pregnant women; and 2) included the routine offer of HIV
testing policy in national guidelines and incorporate training into all HIV training curricula.
In FY 2007, UNICEF supported GRZ and stakeholders in supporting and developing systems to identify HIV
-exposed infants and refer them for treatment, care, and support. This was achieved by: 1) standardizing
the documentation of mother's HIV status on Under Five cards in Zambia; 2) the training of health workers
to routinely review MNCH cards for HIV status to provide clinical care accordingly and also supported
institutionalization of cotrimoxazole prophylaxis for HIV exposed and infected infants; and 3) supported the
institutionalization of infant dried blood spots (DBS) for early HIV diagnosis and confirmatory testing,
utilizing polymerase chain reaction (PCR) capacity developed in Zambia with support from USG.
Another important achievement in FY 2008 was the support provided to the use of traditional birth
attendants (TBA). Many women in Zambia use TBAs for their prenatal care and may visit antenatal care
(ANC) only once during pregnancy. More than 50% of deliveries in Zambia are outside regular health care
facilities, with the majority occurring at home with the assistance of a TBA. Building on previous initiatives
involving TBAs, UNICEF would work with TBAs to develop their capacity to promote PMTCT in the
community and to refer pregnant women for HIV testing and counseling at antenatal clinics. Traditional
birth attendants will also be empowered to follow mother-infant pairs and provide referral and support.
Other community providers will be engaged in the process as feasible.
In FY 2009, UNICEF will continue to support the PMTCT national program through continued strengthening
and support to the activities that were initiated in FY 2008. Furthermore, UNICEF provided technical
expertise in the updating of national protocols to ensure that MOH adheres to current World Health
Organization's technical updates and guidelines pertaining to PMTCT and pediatric antiretroviral therapy
services through the updating of the national guidelines and training curriculum.
With USG support, UNICEF in FY 2008 printed national job aids for use by all cadres implementing the
PMTCT program, which included flip charts and training materials for use by lay counselors. UNICEF also
printed and disseminated copies of the revised PMTCT protocol guidelines, and procured buffer supplies
such as RPR kits and hemacues to strengthen the broader MCH services. The national facility health
worker training PMTCT in-service curriculum was reduced from 12 days to six days. With the FY 2008
funds, UNICEF was a key USG partner that called for meetings, material development workshops and
ensured that MOH rolled out the updated tools at all levels of the service delivery.
With USG support, UNICEF in FY 2009 will work with GRZ to facilitate the implementation of the PMTCT/
Pediatric ART scale-up plan through training and mentorship of community and facility health workers in
implementing the PMTCT/Pediatric ART program using the revised protocols, flip charts and other job aids.
The focus will be on implementation and consolidation of the HIV "opt out" counseling of pregnant mothers
through the roll-out of mother-baby pair follow up using the revised under five card and male involvement.
UNICEF will add on the initiated activity of supporting MOH in act ivies such as print more copies of the
updated PMTCT protocol guidelines, and procure buffer supplies to strengthen the broader MNCH services.
Train more health cadres at all levels in PMTCT and Pediatric HIV including early infant diagnosis with the
aim of meeting the goals that have been set in the National PMTCT/pediatrics scale-up plan. With the FY
2009 funding, UNICEF will continue to be the key USG partner that calls for meetings, material
development workshops and ensure that MOH rolls out the updated tools at all levels of the service
delivery.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15573
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15573 9741.08 HHS/Centers for United Nations 7188 5264.08 UNICEF $350,000
Disease Control & Children's Fund
Prevention
9741 9741.07 HHS/Centers for United Nations 5264 5264.07 UNICEF $275,000
Emphasis Areas
Health-related Wraparound Programs
* Child Survival Activities
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
