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: 2012 2013 2014 2015 2016 2017 2018 2019 2020
The PEPFAR Prevention Small Grants program is a new mechanism designed to assist communities and local organizations with projects that promote HIV/AIDS prevention within communities at a grassroots level. The communities will design and implement prevention activities as well as set up monitoring indicators to measure their success in consultation with the PEPFAR team. The goal of this project is to build on the success of prevention efforts to date, by further reducing the acquisition and transmission of HIV through higher quality, more effective, and community identified and led sustainable prevention activities.These funds could be accessed by well organized community groups who have agreed to pursue common goals of ensuring that the incidence rates or some other agreed upon measures, within their catchment area are reduced. The Prevention Small Grants program will help to build local capacity by encouraging new partners to submit applications for review. Applicants will be encouraged to work closely with current USG partners that are Prevention oriented to establish sound referral systems and to ensure continuity of services. The Prevention Small Grants Program will target an average of 25-30 innovative, evidence-based, community approved prevention activities to reach a total of 10,000 (depending on the definition of the community ) people. Community-based groups, women's groups, youth groups, faith-based organizations (FBOs), groups focusing on gender issues, and groups of persons living with HIV/AIDS (PLWHA) from all 9 provinces are among the groups that will be encouraged to apply.
The HIV prevention small grants will also promote MC by creating demand in the respective communities where MC is not part of their culture. The MC will be implemented in partnership with other PEPFAR funded programs. While Prevention Small grants will create demand, other PEPFAR funded programs and MoH will conduct clinical MC. In cultures where MC is practiced and is culturally acceptable, Prevention Small grants will promote clinical MC; and will sponsor traditional circumcisers for training in MC in the same way traditional birth attendants are trained. The small grants will equally integrate MC sensitization with MCH / ANC programs so that mothers could have their children circumcised. This will be done in collaboration with local clinics so that clinical MC could be performed
The PEPFAR Community Prevention Small Grants AB Program will target specific target subpopulation groups in the communities such as young couples, teenagers, unmarried youths, in and out of school youths. Appropriate evidence based AB behavior change approaches from previous PEPFAR AB program would be used for each sub-population group. Appropriate messaging strategies will be developed for couples, out of school youths as well as in School youths. Programs aimed at strengthening couple relations aimed at enhancing being faithful will be supported, as well as programs aimed at addressing gender issues and norms related to male dominance.
The AB Programs will as well include promotion of couples CT and PMTCT, and promote involvement of men in PMTCT. The communities will be required to specify target numbers for their AB programs; and will be encouraged to use evidence based AB interventions.
HIV Prevention Small grants will promote CT in communities by encouraging community members to go for VCT. Recipients of small grants will be expected to engage mobile CT providers so that CT services will be taken to their communities especially in rural areas. It will also train lay HIV/AIDS counselors. It will promote PMTCT and Couples Counselling. Traditional marriage counselors will be mobilized and sensitized on the importance of encouraging new couples in rural areas to go for testing.
All prevention efforts will employ a combination approach, comprising behavioral and structural interventions, to achieve comprehensive community led and designed prevention targets and reduce transmission of HIV. The project will employ lessons learned from other programs that are implementing OP activities. Selected implementing partners will choose from a full range of other prevention strategies and interventions, which may include the provision of male and female condoms, make them widely available through community centers i.e. bars, Tutembas (Little community based tuck shops) and encourage the critical importance of consistent and correct condom use.
In addition to condom promotion and distribution, reduction of risk behaviors including alcohol and other substance abuse, reducing gender-based violence, and addressing behaviors such as soliciting or providing transactional or trans-generational sex in exchange for money or goods will be addressed by this program.
The OP services will equally promote other efficacious prevention activities such as addressing cultural norms that promote male dominance and power imbalance between men and women.
Peer educators across all age groups will be utilized to actively promote the above activities. These have been segmented into different age groups so that information passed on is age appropriate. It would also help in disrupting unethical, myths about HIV/AIDS which circulate within age groups.
