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: 2010
This implementing mechanism is unchanged from last year. Implementing Mechanism Name: TASC III Prasit (FHI)
Overall Goals and HIV-Specific Objectives
FHI will continue to support the Cambodian response to HIV and AIDS and to strengthen and make more cost-efficient the RCG health care system as a whole by implementing the following broad sets of activities:
Target prevention and treatment activities to persons engaged in high risk behaviors.
Strengthen the quality of HIV and AIDS treatment and positive health and dignity programs; and further the integration of VCCT, STI treatment and family planning into sites that address the health needs of most-at-risk populations (MARPs).
Provide advanced surveillance and monitoring support to identify current and future modes of high transmission in addition to providing support to see what models of integration work.
Provide health system strengthening support by the following: incorporating incentive and performance-based efforts into HIV/AIDS prevention and treatment programs; identify areas where cost-efficiency can be improved; and provide support to IA partners so they can be more financially and managerially sustainable.
FHI will reach 18,650 entertainment workers (EWs), men who have sex with men (MSM) and injecting drug users (IDUs). FHI will also plan to reach 70,000 at-risk men and 1,000 drug users (DUs). Furthermore, 33,000 will receive testing and counseling services and receive their test results and 8,000 will be provided with at least one care services.
FHI activities will take place predominantly in Phnom Penh, Banteay Meanchey, Pailin, Kompong Cham and Battambang Provinces because these are the provinces where there is the greatest population of MARPs and highest HIV seroprevalence.
Making the Most of HIV Resources
FHI currently receives over 1.5 million dollars per year in funding from GFATM for an expansion of HIV and TB prevention and treatment activities targeting MARPs in areas where FHI already works with USG funding. FHI receives $500,000 per year in funding from the Asian Development Bank for HIV activities targeting MARPs along certain transport corridors where FHI already has a minor presence secondary to USG funding. FHI also currently receives $100,000 in funding from AUSAID for expanding USG-funded efforts for DU/IDUs. All of these funding sources are expected to increase in value by FY 2010.
FHI will expand its current health system strengthening activities by the following:
Better collaborate with the URC-managed Better Health Services (BHS) Project so that financial and performance-based incentives can be incorporated into HIV/AIDS prevention and treatment programs.
Provide technical assistance support to the RCG especially in areas of making the HIV/AIDS treatment system more cost efficient and higher quality.
FHI will work with health centers targeting MARPs and Family Health Clinics so that family planning (FP), voluntary counseling and testing (VCT), and sexually transmitted infections (STI) services can be fully integrated into locations where MARPs receive their health care.
FHI uses the "platform" concept with branded initiatives such as the SmartGirl program (targeting EWs) and its websites, SMS messaging, and traditional outreach and peer education models. It expands upon these to include family planning, safe motherhood, increasing women's legal rights and protection, and increasing women's access to income to enable them to mollify the harmful aspects of the entertainment industry. The expansion of the SmartGirl platform will include working with the anti-trafficking partners so that anti-trafficking efforts are supplemented by those who are closest to it. The "You're The Man!" "platform" (an existing initiative to address male norms and behaviors) will also be expanded to include more gender- based activities, such as increasing women's legal rights and protection and women's access to income and productive resources. It is estimated that approximately $400,000 will be spent on gender activities and $100,000 on economic strengthening.
FHI strategies for creating a sustainable program, rooted in host country ownership are as follows:
FHI will provide technical leadership in the support of RCG strategic HIV plans by its ongoing work on numerous technical committees (EW, MSM, DU/IDU, HIV costing, etc). In addition, FHI will continue to assist the RCG and its partners in accessing GFATM and other resources so that funding sources can be diversified.
FHI will continue to work with its approximately 30 sub-grantees to enhance their capability to find additional funding sources and properly monitor and manage existing resources. FHI will continue its work of "nationalizing" its sub-grantee efforts whereupon local organizations will provide more and more sub-grantee supervision and monitoring
FHI will ensure proper M&E of PEPFAR old and next generation indicators. FHI will continue its work of providing data so that information gaps on where high risk behaviors (or series of high risk behaviors) can be linked to recent HIV acquisition. FHI will work to evaluate where efforts described in the "enhancing sustainability" section have worked. As importantly, FHI will continue its existing efforts to improve partner organization's abilities to collect, monitor and use data for programming. The use of data from other programs will be put into the context of setting benchmarks so that an incentive and performance based system can eventually be rolled out.
This implementing mechanism is unchanged from last year.