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.
CDC Gap with the support of the TBD partner will strengthen the capacity of countries to more effectively reach and deliver sustainable high quality HIV/AIDS/STI/TB services focusing in the areas of service delivery, health workforce capacity and laboratory strengthening. In addition, CDC GAP and the TBD partner will support the Central America and Panama Ministries of Health with direct expert technical assistance to assist in the development and execution of HIV/STI/TB activities, establishment of a regional surveillance system, staff development for health personnel, and establishment of a Regional HIV/STI/TB Lab.
Epidemiologic HIV/AIDS Country Profiles Epidemiologic HIV/AIDS Country Profiles will be produced for El Salvador, Nicaragua and Panama. The country Epidemiology Profiles are produced to give city and county governments, community-based organizations, health care planners, and educators the data they need to plan and evaluate HIV/AIDS prevention and care activities. It also includes data from ancillary sources such as STD, TB and reproductive health. Triangulation exercises will be conducted in Panama, El Salvador, and Guatemala to support findings from the EPI Profiles. No single data source can fully explain the status and direction of the HIV epidemic. However, research studies, surveillance projects, and prevention, treatment, care and support programmes have accumulated a massive amount of data over the past decade. An analytical approach known as "triangulation" integrates multiple data sources to improve the understanding of a public health problem and to guide programmatic decision-making to address such problems.
HIV/AIDS Regional Database Through a TBD partner CDC will continue the support of a Central American regional electronic database based at the MCR/COMISCA. The GAP Central American office will work on the development of the HIV/AIDS regional information database which will allow sharing country specific information and support appropriate planning of HIV prevention and control with emphasis on cross-border issues. The aims are to create a network of database system and to develop systematic data collection, database and computer software related to HIV/AIDS at the country and regional levels. The following activities will be included: 1) Study and survey existing databases in the regional and country levels; 2) Analyze the existing working systems for example information flowing, contents, and relationship between information and reports. 3) Set up a database framework and developed computer software for data collection and processing report at the regional level. 4) Link country databases to the regional system by using the above software. 5) Evaluate the software and database network for expansion of the project. The development of database network between the different levels (country and regional) will provide timely, up-to-date, information for planning and addressing cross-border issues. An HMIS for laboratories will also be supported in coordination with other priority programs such as Influenza and Tuberculosis.
Training & Communications CDC through a TBD partner will strengthen human resources for health in the areas of HIV, STI, TB, surveillance and reproductive health. A regional training center on strategic information will be implemented in Guatemala that will provide trainings on second generation HIV surveillance, BSS survey planning and implementation, protocol development, interventions evaluation, TB and HIV management, Laboratory quality control, data analysis, monitoring and evaluation, sexuality and AIDS and other areas. The Regional Center will bring together an interdisciplinary strategic core group of epidemiologists, behavioral scientists, physicians, public health specialist, economists and policy makers based at the KH and it would collaborate with a network of experts from other institutions of excellence in strategic information from all over Latin America, North America and the rest of the world. The Centers mission will be to expand human capacity in the region for the implementation of effective, sustainable and context-specific HIV strategic information processes which enable evidence-based development of HIV prevention, care and treatment in the region. The Center will be implemented as a collaborative effort between the UN agencies,the University of North Carolina and Del Valle University of Guatemala (UVG) where it would be based in Guatemala City. The UVG has had a longstanding relationship with the US Centers for Disease Control (CDC), Stanford University, King's College in London, and the Institute for Tropical Diseases. The Center will assist in training of key personnel in the region to develop human capacity for the implementation of strategic information. Scholarships will be provided to a number of regional resources to fill gaps in local expertise. In addition the Center will develop and implement a communications strategy to assist in dissemination of lessons learned and best practices.
Continue to support the HIV regional laboratory and assist in the establishment of a regional laboratory for STI/TB. The regional STI/TB Lab will provide technical and scientific leadership for the network, and will provide technical support for the field laboratory training and quality assurance activities of the national reference laboratories.
Provide technical assistance to improve quality control and enable participation in global quality assurance activities for selective STI diagnostic methods, particularly, for in-house NAAT assays developed by global and regional reference laboratories and newly developed POC tests.
Assist the global reference center at LRRB/DSTDP to initiate and implement laboratory research studies designed to develop and validate new STI laboratory diagnostic techniques.
Collaborate with the global reference center at CDC to implement new and improved laboratory techniques for regional surveillance and response activities through technology transfer arrangements.
Assist in the dissemination of the standardized current approved protocols and manuals; and development of new protocols and manuals for standardized and harmonized STI and TB laboratory testing approaches and quality assurance systems, which will enable the national HIV/STI control programs to monitor the burden STIs and TB over time (trend), and to make inter-country comparisons for global/regional program planning purposes.
CDC and TBD partner will also: conduct integrated training activities on STI laboratory techniques, TB, Quality Assurance Systems and biosafety; establish new diagnostic techniques such as Multiplex PCR diagnostic capacity to support the STI component of the behavioral surveys with biomarkers and TB genotyping and resistance testing; and procure equipment, supplies and reagents for new diagnostic techniques for STI /TB in the Regional Laboratory
CDC will provide assistance to 2 National laboratories for them to participate in the regional laboratory network though improving diagnostic capacity for STI and TB by providing the needed equipment, supplies, and training on new techniques.
To support the engagement of the National Laboratories towards the WHO laboratory stepwise accreditation process, we will also assist with the development of SOPs and Job Aids in support of the accreditation process in the Regional laboratory.
PROVIT is a program that aims to improve detection of HIV among TB patients, TB management and strategic information for TB and HIV. PROVIT was designed by the Regional Office for Central America and Panama of the Global AIDS Program of the Centers for Disease Control and Prevention. CDC through the TBD partner will directly support the implementation of the PROVIT strategy in Guatemala, Honduras and Nicaragua. Each country will have three sites. Technical assistance will be provided by CDC and Del Valle University of Guatemala. Baseline assessments of TB Program activities and monitoring and evaluation to evaluate achievements will be supported.
With a TBD partner, training courses will be designed and implemented, including curricula development, preparation of training materials and implementation of courses. Based on the results of laboratory assessments, equipment and supplies will be provided to improve diagnosis of TB and HIV.
A strategy to improve access and coverage of HIV testing will be designed with the TBD partner. To implement the information system, needs assessment will be conducted at each site, servers, equipment and needed software will be purchased. This system will allow us to monitor the programs impact on increasing detection and follow-up of TB cases and HIV testing.
