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.
Development Aid from People to People (DAPP) has been implementing development projects in Zambia since 1986. In 2006 DAPP piloted the Total Control of the Epidemic (TCE) program in Mazabuka District in the Southern Province of Zambia and now currently covers the district population of about 245,000. TCE is a three year counseling and testing intervention focusing on HIV prevention and linking individuals to treatment, care and support services through existing structures in the district. Utilizing a door to door approach, each TCE field officer is responsible for reaching 2,000 individuals in their assigned communities where they also become residents. Field offices carry out house to house HIV counseling and testing, provide adherence counseling to people on treatment, and educate individuals, couples, families, and communities about many aspects of the HIV/AIDS epidemic. Field officers follow up with all who have been tested both positive and negative so that they are not infected, re-infected or do not infect others.
By extensive community involvement and activity, TCE seeks to change social norms and behaviors surrounding risk factors for HIV and stigma such that at the end of the three year campaign, the community will own many of the implemented activities, testing will be a norm, and support networks will be in place for PLWHA. Field officers mobilize and work with passionate volunteers who lead income generating activities and support groups. These volunteers identify community specific needs, spearhead initiative solutions, and reinforce the TCE messages throughout the community.
TCE strengthens the referral systems within the community, local clinic, local hospitals, District Health Management Team, and District Health Office networks. Field officers disseminate information on prevention including PMTCT, TB, and early treatment of sexually transmitted infections among other topics related to HIV/AIDS, then links individuals and families to services provided by other implementing partners and local health centers. Field officers follow up with individuals after they have received HIV, TB, and ANC services from other service providers. In collaboration with district health management teams, DAPP will run an integrated model of mobile clinic that is inclusive of counseling and testing, PMTCT and ART services. TCE will continue strengthening established links to referrals for care, treatment and support including PMTCT, TB, STI and pediatric CT/ART services.
In FY 2010, DAPP wishes to expand the TCE program to thee more Districts covering a population of about 500,000 people. DAPP TCE will recruit 250 Field Officers to mobilize communities of 2,000 people in the fight against HIV/AIDS. Field officers will be thoroughly trained in HIV counseling, rapid HIV finger prick testing, HIV prevention messaging, and community mobilization. The program will implement mobile antiretroviral therapy (ART) program in areas that does not have ART sites. DAPP will incorporate prevention with positives activities for patients in the pre-ART and ART programs.
The Field Officers meet weekly to evaluate their work, share experiences, receive training, report, and plan for the coming week. TCE leadership constantly monitors their performance in their fields by bi-weekly meetings, data report reviews, and site visits.
The TCE program will work within the frameworks of the Ministry of Health (MOH) and National AIDS Council (NAC) , signing memoranda of understanding (MOU) with all district health management teams. Key stakeholders and other partners will also sign MOU's in the fight against HIV/AIDS, so that a clear agreement is made on how the organizations will be working in t he districts, preventing duplication of efforts. In the MOH cooperative agreement, $150,000 is set aside for plebotomy training, monitoring and evaluation of these activities. There is also an existing relationship between BD and MOH for training that will be strengthened by this PPP.
Development Aid from People to People's Total Control of the Epidemic (TCE) utilizes a door to door approach to counseling and testing in areas far from VCT sites. The services are brought to the door step where people are comfortable to be tested at their own homes and include follow up to people tested and referrals made to the ART services. Counseling and testing in FY 2010 will increase access to care and supportive services. In FY 2010, TCE will focus their efforts on testing community members with their partners.
TCE charges its field officers to meet and talk to every person in an assigned area of 2,000 people. Field officers will go door-to-door giving information about HIV/AIDS and how to protect one's self and one's family from HIV/AIDS. If someone decides to know their HIV status, the field officer will then offer an HIV rapid test or provide appropriate referrals to services. TCE Field officers serve as a resource on HIV/AIDS to their community. TCE utilizes nationally approved trainers to educate field officers in psychosocial counseling and testing for HIV/AIDS. TCE field officers will follow the Zambia Counseling Council and Ministry of Health guidelines for counseling and testing.
Field officers will follow up with each individual after their HIV test. Those who test positive will be encouraged to form or join existing support groups in the community where they will receive care, support and training on how to live positively with HIV, and how to prevent transmitting the virus to other. TCE will continue to encourage those who test negative for HIV to stay negative by reinforcing messages of correct and consistent condom use, partner reduction, and STI treatment.
Regular on-site supervision, monthly meetings, and data report reviews by TCE management will assure the quality of HIV counseling and testing. TCE will work with the District Health Management Team to hire a laboratory technician to supervise and provide technical assistance on the testing component to the field officers. This laboratory technician will ensure participation in the National External Quality Assessment Program.
Development Aid from People to People's Total Control of the Epidemic (TCE) program has been working in Mazabuka district which has a high population of migrant workers due to large commercial farms, a sugar estate and factory, and a mining project. This activity involves reaching out and increasing condom use to high risk groups like the migrant workers, transient truck drivers, and commercial sex workers, and those sexually active. TCE will establish condom outlets in households, drinking places, guest houses and workplaces. The program targets both male and female seasonal migrants who travel to Mazabuka to work and also considers the spouses left behind. TCE will recruit and train peer educators among the migrant workers and commercial sex workers to spread prevention information to their friends and partners. These will be trained in behavioural change messages and in community condom distribution (CBD) as they are well placed to reach out to their peers. Field officers will increase efforts to promote and distribute condoms to all high risk groups. Field officers will encourage re-testing for HIV negative clients in these high risk groups. TCE will address the issue of alcohol consumption among migrant workers and sex workers through the use of peer educators, field officers, support groups, and entertainment activities. TCE will introduce alternative sources of entertainment like video showing and sports to occupy the migrant workers and transient truck drivers during their off hours in Mazabuka. TCE runs an educational support group that targets both mobile and permanent sex workers in the Districts. TCE helps to support a night STI clinic in Mazabuka and will replicate this model in other districts in the future.
