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: 2010 2011 2012 2014 2015 2016 2017
The Government of the Republic of Zambias vision is to increase number of doctors graduating from Zambian Medical Schools yearly in order to address the human resource shortage. Up till 2010, Zambia had only one medical school that was operating below levels required to produce adequate health manpower to satisfy the health workforce needs to deliver optimal health care in combating HIV/AIDS/TB/STI/Malaria and other health needs. The lack of capacity for adequate health workforce production is mainly due to four factors namely: 1) lack of teaching facilities, 2) lack of adequately trained faculty, 3) poor conditions of service, and 4) lack of adequate student and staff accommodation.The overall objectives under this funding mechanism, in FY 2012 are as follows: (1) Continue to strengthen the quality and scope of the Master of Public Health degree programs (2) Continue strengthening the quality and scope of the laboratory equipment for biomedical training of both undergraduate and graduate courses; and (3) Rehabilitate the infrastructure for teaching basic medical, biomedical and public health sciences; (4) Participate in enhancing effective sexual risk reduction through selected and specific known interventions to community health centers throughout Zambia; (5) Develop and implement circumcision programs in Zambia as part of comprehensive HIV prevention strategies; (6) Continue the development, implementation, and evaluation of a Certificate Program that prepares nurses in Zambia to provide comprehensive care, treatment and support to patients with HIV/AIDS and decentralize the program to all provinces of Zambia.
In FY 2012, USG funds will continue to support the Master of Public Health (MPH) programs in Zambia. TBD will continue to strengthen the quality and scope of the MPH program for effective imparting of skills for care and support services in HIV/AIDS. Additionally, the TBD will continue to emphasize and promote the need for requisite tools necessary for the training of health professionals. The program will broadly aim to achieve the objective for development of a health workforce with necessary skills to combat HIV/AIDS/TB/STI/Malaria. This is critically important and will impact immensely in the provision of health care in the country. Under this program, TBD will develop and support opportunities for a limited number of students to be attached as interns for periods of up to 2 months to local institutions involved in developing and implementing public health programs in areas of HIV/AIDS/TB/STIs. The aim of the internships is to provide students with practical experience in HIV/AIDS/TB/STIs public health programs as part of their training. The selection of these students will be done competitively.
TBD will continue to train Community Health Center (CHC) staff in the implementation of an evidence-based sexual risk reduction intervention among HIV seropositive and discordant couples. The intervention builds on the outcomes of several NIH funded studies carried out in Zambia at the UNZA-School of Medicine (SOM) and the US at University of Miami (UM). Using cognitive behavioral strategies, this sexual risk reduction intervention focuses upon increasing HIV knowledge, skill-building to increase sexual barrier use, sexual negotiation and communication. Since its inception, the sexual risk reduction program has been implemented in Lusaka, Southern and Copperbelt Provinces. A total of 30 clinics have been trained and three are pending; 2,460 individuals have participated in the intervention. In FY 2012, TBD will continue with training and implementation of the program in Eastern and Northern provinces. Initial meetings will be held between the TDB and the Provincial Health Office staff to facilitate random selection of participating community health clinics and staff by the District and Provincial staff. The randomly selected community health clinics will be visited by a combined team of TBD, District and Provincial Health officials in order to introduce the program. This will be followed by a one day Sensitization workshop of District and Provincial officials and subsequently followed by the training workshop of clinic staff from the randomly selected CHCs. The District and the Province are invited to send representatives to attend the workshop. District and Provincial Program Co-coordinators are picked during the training workshop. The Training Program content and methodology for the Eastern and Northern Provinces will remain the same as that being implemented in Lusaka, Southern, Copperbelt and Central Provinces of Zambia. TBD and Provincial Health Office staff will conduct program evaluation, analyze the evaluation and assess program implementation as well as plan for expansions to the remaining Provincial Health Offices.
In FY 2012, TBD aims to support the nursing certificate program to strengthen nurses training for effective care and support for HIV/AIDS in Zambia. TBD aims at developing, implementing, and evaluating a certificate program to prepare nurses to provide comprehensive care, treatment and support, including initiation of antiretroviral therapy (ART) for patients with HIV/AIDS. This is based on the realization that to address the health workforce shortage and increase access to and quality of HIV services, the redistribution of tasks among health workforce teams is necessary. Therefore, there is need to develop mechanisms for clinical training, mentoring and supervision of workers who assume expanded roles, and for developing financial and/or non-financial incentives in order to retain and enhance the performance of these health workers.TBD faculty will support Epidemiology for Data Users (EDU) trainings through input on the development of a curriculum for an advanced version of EDU and the development of training materials. Faculty will also attend provincial-level EDU trainings and present on their respective lectures.TBD will work closely with the Sustainable Management Development Program (SMDP) in Atlanta and CDC Zambia to continue development of the Management for Public Health (MfPH) as a certificate course to enhance the management skills of public health professionals working in Zambia. The MfPH course will consist of an initial two weeks workshop, followed by a 5 month period implementing an applied learning project in the work environment of the participants, with an additional one week of additional modules and an opportunity to present the outcome of the project.
TBD will work with CDC Atlanta and Zambia to develop the Field Epidemiology and laboratory program that is an applied epidemiology and public health laboratory program. The purpose of the program is to work with the MOH to strengthen their capacity to respond to disease outbreaks, conduct surveillance and perform program evaluations.
Additionally, in FY 2012, TBD will strengthen and build local human laboratory capacity by continuing renovation and upgrading of training laboratories, and strengthen curricula for biomedical science students. TBD will support implementation of revised curricula for biomedical students, biomedical training and upgrading of laboratories in other departments within the School of Medicine (such as the public health laboratory in the Department of community Medicine).
