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.
Renovation of ART hospitals
RPSO has more than three years of experience working on renovations in Ethiopia. It has fostered linkages with local construction companies and A/E firm. RPSO, as parastatal of State Department understands US renovation and construction regulations.
As part of implementation of HIV/AIDS treatment, care and prevention, PEPFAR Ethiopia has supported infrastructure development of health facilities including major construction and minor renovation works for laboratory, clinic, VCT, and pharmacy services.
In COP05 and COP06, PEPFAR Ethiopia is working to strengthen the clinical and public health laboratories to increase the capability and capacity to support new efforts towards care and treatment and scale up of ART. CDC Ethiopia has supported the renovation of National HIV Laboratory at EHNRI, hospital laboratories, and VCT, PMTCT and ART clinics through RPSO. For rapid scale up of ART program and achieving the targets, extensive renovation works are still required in most hospitals. The infrastructure for VCT, ANC/PMTCT and ART services are also limited and do not allow rapid expansion of ART.
In COP07, renovation and furnishing will be accomplished in 45 hospitals and 3 regional reference laboratories. The renovation work includes major and/or minor constructions that increase working spaces for clinical and laboratory services. Renovation at hospital levels will be comprehensive to accommodate VCT, ART, PMTCT and laboratory services.
In some ART sites, accelerated renovation using simple construction materials (prefab materials) will also be implemented for construction of ART clinics, VCT, PMTCT and laboratories to expedite ART scale up. Such constructions are expected to be completed in a short period of time, and will be available for services in less than year.
CDC Ethiopia will provide the technical assistance including follow up and regular supervision of renovation/construction activities. CDC Ethiopia will coordinate the renovations with the regional health bureaus and US universities in selecting and determining the need and the type of renovation to be made. The renovation plan will also be linked and coordinated with the Global Fund supported renovations.
PLUS UP: The ART program in Ethiopia has gathered momentum and the number of sites providing ART has dramatically increased. Many sites which started treatment services have inadequate space and infrastructure, which is an obstacle to rapid expansion of services with acceptable quality. As part of HIV/AIDS treatment, care and prevention implementation, PEPFAR Ethiopia has supported infrastructure and capacity development of health facilities, including major construction and minor renovations for laboratory, ART clinic, VCT, and pharmacy services. For rapid ART scale up and to reach targets, extensive renovations are still required in most hospitals. The infrastructure for VCT, ANC/PMTCT, ART and laboratory services is also limited and does promote rapid expansion of ART. PEPFAR Ethiopia has supported renovation of national and regional reference laboratories, hospital laboratories, and VCT, PMTCT and ART clinics.The effort to increase infrastructure capacity needs further augmentation due to the increased number of ART sites so that scale up will continue at full pace while maintaining the service quality to the ever-increasing HIV patients. Hospitals, which are currently managing the vast majority of patients on treatment and serving as referral hubs for health centers, have enormous patient load and demand. Optimal working space for service delivery is critical at this time since most treatment occurs at hospitals. Through the plus up funding, comprehensive renovation of 15 ART hospital sites and three regional reference laboratories to accommodate the increasing demand for quality HIV/AIDS services will be undertaken; this will create an improved environment for program expansion and help maintain the quality of HIV service delivery.
Small Grants Program
This is an ongoing activity. Several factors conspired in FY06 to prevent PEPFAR Ethiopia from offering small grants. However, we feel confident that the program will get underway in FY07 and are aware of the need to reach these organizations in Ethiopia,
During COP07, PEPFAR Ethiopia will craft a granting program that will address the unique needs of nascent community and faith-based organizations in Ethiopia, and allow PEPFAR Ethiopia to provide rapid funding such organizations directly supporting its goals. The granting program will seek C/FBO with new and creative approaches and ones working in targeted areas,
Selection criteria and program parameters will be developed to ensure compliance with USG procurement regulations. Requests will go to the PEPFAR Ethiopia Working Groups for technical review and approval. The PEPFAR Ethiopia Country Coordinator will provide direct oversight and accountability. These grants will be for between USD 5,000 and 30,000 with duration of no more than one year. PEPFAR Ethiopia is aware of the necessity of providing ongoing support to this type of organization and will make every effort to address the organizations' needs. Each grant is expected to contribute to PEPFAR Ethiopia targets.
The PEPFAR Coordination Office, located at the Embassy, serves to facilitate development and implementation of a unified Emergency Plan that makes best use of the comparative advantages and competencies of participating USG agencies. The country coordinator reports directly to the DCM. The project support assistant serves as the coordinator's operational, logistical, and administrative assistant. The amount represents the basic costs of managing the Coordination Office including meetings (partners and technical), personnel, and contractors' fees.
