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.
COMETS shall continue to support the Zambian government's broad based multi-sectoral approach to reduce the impact of HIV and AIDS. This will be through multipronged HIV interventions implemented under the USG Global Development Alliance (GDA) MOU and public and private sector partners (PPP) HIV programs in the workplace and outreach communities. COMETS has expanded the original mining and agribusiness GDA to include 5 new private sector partners. The COMETS project reaches over 250,000 households in 8 of the 9 provinces of Zambia. The overall guiding principle of the GDA's is to reduce the impact of HIV/AIDS on partner workplaces and communities through the provision of quality Prevention AB, Prevention Other, Testing and Counseling services (TC), Care and Support Services, and Strategic Information. These interventions are harmonized with national and international guidelines and standards and build upon existing networks, linkages and referral networks in the GDA Partners sites. COMETS will focus on increasing knowledge and promoting behavior change to promote balanced prevention interventions reaching 270,000 adults, increasing access to TC with a target of 45,600 individuals, and improving the quality of PLWH reaching 13,795 individuals.
During this period, CHAMP will work with the GDA partners to further enhance and expand their existing HIV programs in the workplace and outreach to communities in five key technical areas.
Prevention Other activities will include the regional partnership with International Organization for Migration (IOM) Partnership on HIV and Mobility in Southern Africa (PHAMSA) program. This component focuses on migrant, contract and seasonal workers in two sites, Solwezi and Katete, and seeks to address issues around migrant vulnerabilities, life skills, social change behavior, gender, and integration of migrant populations into local communities. Over 4,000 individuals will be reached with prevention messages and more than 500 individuals will receive TC.
As malaria outcomes are significantly worse in HIV infected individuals, COMETS collaborates with MOH, NMCC and other key partners to expand the existing malaria prevention and control programs that are in six of the GDA partner sites and services. COMETS GDA partners further support implementation of the national malaria program through logistical support to the distribution of nets and IRS through their workplace and community sites.
COMETS will contribute directly to strengthening health systems through the provision of technical support to the PPP partners to (a) implement the national HMIS Smartcare system, (b) train public and private sector healthcare professionals in ART, Palliative Care and TC, and (c) upgrade and standardize the provision of quality care and support services in GDA public and private facilities. The COMETS Virtual Learning Network is facilitating the collection of data from PPP partner facilities particularly in remote areas. At the district and community level, COMETS is providing direct support and capacity building to 56 Rural Health Centers through the Mobile Health Units (MHUs).
COMETS has mainstreamed gender, considering gender dynamics at each point of the implementation plan. The majority of GDA employees, roughly 40,000, are male and workplace male-oriented strategies are employed to influence their role and cultural perceptions from a sexual prevention perspective that leads to behavior change .
The COMETS community grants scheme supports community group interventions in the 56 RHC catchment populations. The grants are awarded through a district level committee which evaluates the grant proposal following agreed upon criteria. The community grant scheme is supporting community led activities in sexual prevention, TC, OVC care and support and home based care and providing households with access to income and productive opportunities.
COMETS also continues to develop individuals through the HIV Resource Persons Network (HRPN) , volunteers who are active in the workplace and the community as peer educators, lay counselors, caregivers and Treatment Adherence Agents. There are 1,500 HRPN who are actively managed and supported through the HRPN database. Together these activities drive the development of human resources for health.
The partnership model of working through existing organizations is inherently efficient as it allows existing infrastructure, networks, and programs to be utilized rather than requiring new resources. Costs will be monitored throughout the program by the PPP partners using the cost-benefit tool, M&E, financial contributions and technical support to capture and analyze resources used. Monitoring will be undertaken on a regular basis through monthly reports following USG reporting requirements. The PPP partners will be trained in participatory monitoring methodologies, to enhance ownership and sustainability.
Interventions under COMETS will be integrated in current partner structures setting the stage for long term sustainability with partners taking ownership of their programs. COMETS harmonizes with the national and local plans and coordinate with the Partnership for Supply Chain Management, USAID DELIVER and the MOH. CHAMP is an indigenous organization working through Zambian organizations so that the project is Zambian in inception and delivery.
