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
Total Control of the Epidemic (TCE) is an integrated HIV intervention model that aims to reduce the spread of HIV and to increase care and support for those infected or affected by the virus. TCE will be carried out in cooperation with Ministry of Health (MOH) and with technical support from the Federation Humana People to People (HPP). Project volunteers will reduce stigma by addressing public gatherings. Field workers are governed by terms of reference and are trained in confidential counseling and testing using the finger prick method and national guidelines. There are 50 field workers in each TCE area that meet twice a month to report, train and share experiences. Work will continue in Monze and Sinazongwe districts with plans to expand to 1-4 districts to reach up to 500,000 people. The TCE project will continue mobile ART services in Monze and start them in Sinazongwe utilizing MOH personnel with allowances and fuel provided by TCE. The project will provide a vehicle to Sinazongwe. TCE plans to start resource centers in Mazabuka, Monze and Sinazongwe in cooperation with MOH. TCE will work with AIDS Healthcare Foundation training HIV Medics from communities that lack medical personal. TCE will partner with established support groups, youth clubs and womens clubs in the operation areas in order to increase care and support for people living with HIV/AIDS (PLWHA) and MARPS and to make prevention and care activities for OVCs and PLWHAs sustainable through income generating activities. TCE will finalize operation in Mazabuka district and hand over operations to relevant partners. Focus will be on support to discordant couples, MARPs and youth. TCE will target service providers to increase their knowledge and participation in prevention, care and support activities.
Policy dialogue meetings at provincial level: Two (2) meetings will be conducted in COP 2012 with participants from stakeholders at district, provincial and national levels. The project will be used to carry out dialogue on policy and implementation of HIV related programs in order to strengthen an internal evaluation of results and to develop and institutionalize best practices. Will carry out, or assist another agent to carry out, a retrospective evaluation of their work in Mazabuka District.
Smart Care medical electronic record systems will be used to store data and link from mobile Art to District Medical Offices and the project will set up trainings with MOH Smart Care to assist medical personnel in the Districts and FOs. In order to scale up the Smart Care systems.
Low uptake of Counseling and Testing (CT) is the main contributing factor to the spread of HIV. The ZDHS (2007) indicates that 75% of men and 57.3% of women in Southern Province have never accessed Counseling and Testing.
Door-to-door BCC, home-based counseling, testing and support: The field workers will provide key messages in relation to HIV health issues as well as BCC, counseling and testing, care and support. The home based approach has been designed using the following 5 steps: A) Introduction, B) HIV information counseling and testing, C) HIV Prevention strategies, D) Disclosure and knowing partners status, E) Supporting and encouraging others. The field officers will adjust interventions according to the need of each individual, such as discussion of risk reduction plans for those testing HIV negative, PwP support for those testing positive, referral for TB screening and PMTCT.
A minimum of 40,000 individuals will have counseled, tested and received result for HIV in each year in target disticts in COP 2012 and 80,000 in COP 2013. Field workers will carry out quality door-to-door HIV Counselling and Testing using the message guide developed by CDC in cooperation with DAPP.
Train community volunteers as counselors and train lay counselors to carry out finger prick testing: The project will identify 30 volunteers and 60 already trained counselors in areas without government CT services in each COP, to be trained to provide counseling and finger prick testing. The training as counselors will be at district level for 3 weeks, followed by 3 weeks practical exercises in their local clinics. The training of already trained counselors will be for 4 days on carrying out finger prick testing. The idea is to ensure sustainability of the CT services after completion of the TCE program.
Capacity building in communities carried out by field workers will include sensitization and mobilization of faith based organizations and traditional leaders, in order for them to take part in prevention and care activities and be in the forefront to fight stigma and discrimination and reduce misconceptions or harmful traditional practices. Community meetings will be organized by community volunteers ( passionates ) and facilitated by field workers in order to promote an open dialogue on how to influence HIV related practices and norms in the communities.
MARP activities: 1000 people identified as being part of Most at Risk Populations (MARPs) will have been reached with individiual and small group level interventions in COP 2012 and 2500 MARPs will be reached in COP 2013.
MARP activities will include migrant workers such as people living in and attached to the fishing camps and fishing trade in Monze, Sinazongwe and Choma, sex workers and truck drivers especially connected to the coal mine in Sinazongwe.
The identification of and personal support to MARP will be carried out by peer educators in cooperation with local and district stakeholders. The peer educators will pay special attention to these groups in terms of referral services.
Action to reduce the risk of HIV transmission for MARPs will be implemented to meet the specific needs of the target groups and include: establishment of Night STI Clinics in areas attracting many sex workers and truck drivers, training and supporting peer educators,, physcosocial counselling, and other income generating activities.
Establishing condom distribution outlets and distributing condoms: The project will strengthen existing condom outlets, establish 750 additional outlets in COP 2012, train peer educators to distribute condoms and mobilize the District Medical Office (DMO) to ensure sufficient condoms from the MOH central supply. Similar activities will be carried out in COP 2013 establishing additional 750 condom outlets.
Providing PwP information to PLWHA: The field workers will strenghen existing support groups for PLWHA and will mobilize people testing positive to join existing support groups and, where needed, to establish new groups. One person from each group will be trained as trainer in order to train the whole group in PwP, mobilize the group members to take part in preventive advocacy and to improve management and leadership of the groups. The goal is to train 100 PLWHA as trainers to reach 100 groups in COP 2012.At least 6,000 PLHWA will have received information and support through a minimum Positives with Positives (PwP) package as defined by CDC during COP 2012. These activities will continue in COP 2013 and be doubled up when starting in new areas.
