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
This implementing mechanism is unchanged from last year.
Overall Goals and HIV Specific Objectives In Cambodia, Population Services International's overall goal is to improve the health of low income and vulnerable Cambodians through social marketing (SM) models. PSI implements programs that support the Government of Cambodia's national policies and strategies to increase sustainable access to health products, services and healthy behaviors related to HIV/AIDS, reproductive health (RH), child survival (CS) and malaria. PSI implements a highly targeted approach to HIV prevention programming with implementing partners to reach MARPs with evidence based behavior change messaging, improved access to products and services and increased national capacity to implement sustainable programming. PSI aims to reduce the number of new HIV infections by:
delivering an essential package of prevention and services supporting a structural approach to HIV prevention messaging; addressing the specific needs of MARPs; improving knowledge & awareness through evidence-based behavior change interventions (BCI) to reduce high risk behaviors;
increasing access to affordable, quality condoms (and lubricant) through targeted distribution to hot spots and high risk venues such as beer gardens, guesthouses, karaoke bars, and massage parlors;
increasing Cambodian national capacity to manage and sustain results over the long term with reduced dependence on donors; and
fostering an increased knowledge and evidence-base among partners for effective and efficient HIV programming, SM and BCI targeting MARPs.
Target Populations
Interventions will target MARPs including sex workers (SW), entertainment workers (EW -beer girls, karaoke women, massage girls); clients of SW and/or EW; males who have sex with males (MSM), persons living with HIV/AIDS (PLHA) and their sexual partners; and drug users/injecting drug users (DU/IDU).
PSI will reach 162,036 MARPs through its HIV prevention programming.
Geographic coverage
Social marketing of condoms and lubricant occurs nationwide. Targeted condom SM and BCI for prevention take place in high risk/hot spots in urban and peri-urban areas, focusing on areas with high rates of HIV and a high concentration of MARPs including Phnom Penh, Sihanoukville, Kampong Chnang, Battambang, Kampot, Banteay Meanchey, Kampong Cham, Kandal, Srey Reing, Kampong Thom, Pursat, Prey Veng, Takeo, Kampong Speu & Siem Reap.
Making the Most of HIV Resources
PSI uses funding from the Global Fund to increase the reach of its HIV behavior change interventions targeting MSM & clients, and support for social marketing of condoms and lubricant for MSM and SW. GF also supports PSI malaria prevention & treatment SM interventions in the private sector. KFW and other foundations support SM of short and long term family planning contraceptives, while USG and complementary funding also supports health systems strengthening. PSI supports private sector providers, improve their knowledge, ability, and willingness to deliver high quality and affordable referral services and products supporting multiple health areas, including RH/FP, child survival (CS), malaria, and HIV, including improved FP knowledge & skills for midwives at PMTCT sites. A unique DFID/USAID partnership supports SM for HIV and RH interventions.
Cross-cutting areas
PSI supports gender equity in HIV programming through the involvement of men & women in the development of BCI. PSI uses evidence-based messaging to improve male subjective norms, while complimentary messaging reaches EW to improve condom negotiation skills. PSI works with organizations that work with PLWA to include USAID-funded safe water treatment in comprehensive home based care packages. Diversified funding described above enables PSI to better support its CS, FP, malaria and HIV programs.
Enhancing Sustainability
PSI project objectives are achieved through fostering sustainable markets using a Total Market Approach (TMA). The principles of TMA guide all programmatic decisionsfrom targeted BCI to drive demand for all products and services to better consumer segmentation for donor subsidized commodities. Improved targeting of subsidies through the public and social marketing sectors ensures access to those who cannot afford to pay commercial prices, while programs create opportunity in the commercial sector for affordable products for wealthier populations. Carefully managed pricing strategies emphasize cost recovery for SM condom brands, while maintaining affordability among target populations, and thus towards reduced reliance on donor subsidies.
Sustainability of activities is also enhanced through the transition of PSI to a locally governed social marketing entity led by Cambodians. Capacity building programs have been developing staff's technical and leadership skills to prepare for localization. PSI's program also relies on a partnership model, building the capacity of the United Health Network (UHN) of local NGOs who work directly with MARPs to implement program activities. PSI provides training and technical assistance in BCI and condom social marketing to 22 UHN members, with the aim of creating sustainable program operations through a strong network of local NGOs.
M&E
PSI monitors programs through a robust MIS, M&E and operational research plan. This includes output tracking surveys, surveys among MARPs to measure changes in behavior determinants and behaviors over time. These studies are linked to intervention exposure and measurement of product access.
