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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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
Awarded in FY11, the PROACTIVO project aims to promote normative change and adoption of safer sexual behaviors, with the aim of reducing new HIV infections among MARPs. The project supports USG contributions under the second goal of the Partnership Framework, reduce the growth of the HIV/AIDS epidemic. PROACTIVOs overall goal is to reduce HIV incidence by preventing HIV transmission between MARPs and their sexual partners in five target provinces along the transportation corridor from Cunene in the south to Luanda. Strategic objectives are to strengthen protective behaviors of MARPs and their partners to prevent HIV, and strengthen the environment at national and lower levels for civil-society led advocacy, networking and collaboration with GRA and stakeholders.
The project provides HIV prevention materials and free condoms through a variety of channels. As an integral part of project design, PROACTIVO has established sub-grants with 2 local non-governmental organizations that work with the target populations. With COP12 funding, the project will continue working closely with sub-grantees to strengthen their capacity to maintain and manage outreach activities and referral networks for HIV prevention, counseling and testing, and care. PROACTIVO will also continue collaboration with a broader group of NGOs to strengthen civil society capacity for advocacy and networking to improve access to services and reduce stigma and discrimination impacting MARPs. The results of a prevention program assessment in July 2011 are factored into PROACTIVO work plans. The Performance Monitoring Plan is in place and includes end-of-project targets. An independent, final evaluation will be supported with other COP12 funds.
Plans for FY12 include a continuation of existing MARP-focused activities focused on the following:
Commercial sex workers (CSW): Activities will reach approximately 6900 CSWs and will target key risk behaviors including low-level of condom use with all partners, challenges of negotiating condoms use especially with clients, low risk perception, gender-based violence faced by partners and/or the police, and alcohol abuse. Outreach activities will increase the HIV prevention knowledge of CSW and their patrons, and will be complemented by small group discussions and trainings in condom negotiation and other topics, led by activists and CSW peer educators. Each intervention will include promotion and distribution of generic condoms, both male and female.
Clients of sex workers: This heterogeneous population is not easily identified, but generally belongs to the general population where they bridge the epidemic through their relationships with wives and girlfriends. PROACTIVO will target approximately 8000 current and potential male clients of CSWs in interventions addressing key risk behaviors including multiple and concurrent partnerships, condom use, low risk perception around HIV/AIDS, and alcohol abuse.
Truckers: Mobile populations are frequent clients of CSWs, often engage in multiple sexual partnerships, and also are believed to be a bridging population of the epidemic in Angola. PROACTIVO will work with 2300 men who drive trucks in-country and across borders. Outreach and peer-education interventions will target key risk behaviors including low level of condom use with both steady and casual partners, low risk perception and knowledge, and alcohol abuse.
Men who have Sex with Men (MSM): Widespread stigma, discrimination, prejudice and misconceptions of MSM in Angola contribute to the challenge of identifying and reaching them with HIV prevention messages and products. The project will pilot activities among 700 young MSM in Luanda. Interventions will address key risky behaviors including low condom use, multiple partners, and low risk perception. Activities will be implemented through social networks where peer educators are able to share HIV prevention messages and provide discrete distribution channels for condoms and sexual lubricants. Peer education and outreach activities are complemented by social activities, such as monthly movie nights or parties, to further promote HIV prevention messages and products.
Activities targeting all populations include: conducting a mapping exercise, capacity building of local organizations, interpersonal communication, target group messaging, promotion of correct and consistent condom use, promotion of MARP-friendly services, support GRA to establish a National MARP Working Group, MARP voices in the media, and advocacy. In Luanda and Huambo, PROACTIVO activities also help foster referral networks for MARP clients to access quality HCT and PMTCT services supported under USAIDs Strengthening Angolan Systems for Health (SASH) project. While the project distributes free condoms as part of its outreach activities, messages also create linkages with the Integrated Social Marketing Program which promotes branded condoms for sale nation-wide.