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: 2008
Care and support for PLWHA
This is a continuing activity which began in FY05. The activity is closely linked to the USG food aid program
from dollar resources and food commodities provided under Title II of Public Law 480 of the Agriculture
Trade Development Act of 1954, as amended (PL 480 Title II).
In FY06 Catholic Relief Services (CRS) combined PL 480 Title II and PEPFAR Ethiopia resources for care
and support for PLWH. CRS leveraged 9,442 metric tons (MT) of food, worth $5,642,590, from Title II
resources. CRS used both resources to work with the Organization for Social Services for AIDS (OSSA)
and Missionaries of Charity to provide support to approximately 35,000 PLWH in 18 urban communities in
Addis Ababa, Afar, Amhara, Dire Dawa, Gambella, Oromia, SNNPR, Somali, and Tigray regions. CRS also
used Title II resources to work with Medical Missionaries of Mary (MMM) and OSSA to provide support to
100 PLWH in Dire Dawa and Harari and PEPFAR resources to work with the Ethiopian Catholic Church;s
Social and Development Coordination Branch Office of Adigrat - Mekelle in Mekelle. This work included
both home-based care (HBC) and support, and institutional-based medical care for opportunistic infections
and end-of-life care.
The locations of hospices that provide support for HIV-positive orphans, medical and end-of-life care are the
Asco Children's Home/Hospice and Sidist Kilo in Addis Ababa; Dubti in the Afar region; the Debre Markos
Hospice and Debre Markos Children's Home/Hospice in the Amhara region; Dire Dawa in Dire Dawa
Council; Gambella in Gambella region; Bale, Jimma and Kibre Mengist in the Oromia region; Awassa, and
Sodo in the SNNPR; Jijiga in Somali; and Mekelle, Alamata, Adwa in the Tigray region. Outreach work
providing HBC was associated with these hospices. Additional HBC programs were present in Addis Ababa
In FY08, CRS will continue to use its resources to work with the abovementioned partners in collaboration
with the Ethiopian Catholic Church's Social and Development Coordination Branch Office (ECC-SDCOA) of
Adigrat - Mekelle to address basic care and support needs of 26,000 PLWH and their family members—
both in the community and through the hospices and two homes for HIV-positive orphans.
All hospices are located in high-prevalence and highly populated urban areas within the health network
model. This provides a unique opportunity for linking beneficiaries with facility-level ART, PMTCT, and
chronic HIV care services. Many of the hospices are also TB treatment centers ,and during FY08, CRS will
work to strengthen the counseling and referral of PLWH for TB testing and TB patients for HIV testing as
well as the post-test counseling follow-up. This will build on work initiated in FY07
CRS and other PEPFAR Ethiopia implementing partners will provide nutrition support, hygiene education,
counseling, psychosocial, spiritual and medical care, and preventive care including cotrimoxazole
prophylaxis as needed by PLWH both in their homes and through the hospices. Additional educational and
life-skills support will be given to children living with HIV/AIDS. HBC programming partners will undertake
stigma-reduction interventions (information, education and communications) within host communities and
provide counseling and psychosocial support to asymptomatic and symptomatic PLWH.
During FY06 and 07 CRS has been supporting OSSA and ECC-SDCOA-Mekelle to strengthen their
community mobilization; positive living, disclosure and ART adherence counseling; and nutrition, water,
sanitation and hygiene and livelihoods support program components. To facilitate this CRS will involve three
more partners in programming, Alem Tena Catholic Church, Ethiopian Catholic Church - Social and
Development Coordination Office of Harar (ECC-SDCOH) and Progress Integrated Community
Development Organization (PICDO). These partners have previously been programming using CRS private
funds. Cross-learning opportunities have been developed between these organizations and those working
on rural livelihoods, agri-business and nutrition activities.
During FY07, CRS will provide support to OSSA to carry out a strategic planning exercise and develop its
skills as learning organization through identification and documentation of best practice between the branch
offices. FY08 intervention will build on this process and further strengthen OSSA's capabilities to program
The program conforms with the PEPFAR Ethiopia five-year-strategy of focusing on the community as the
key actor in the health network for care and promoting a set of palliative care interventions appropriate to
participating communities. Strong referral linkages exist between many community-based care and support
programs, hospices, and facilities. CRS will strengthen these by identifying and referring adults and children
in Missionary of Charity shelters for voluntary counseling and testing (VCT) and other diagnostics necessary
for the provision of HIV/AIDS care and treatment services. Special emphasis will be given to enabling HIV-
positive children to access quality HIV/AIDS care and treatment services. In 2007, this activity will continue
to strengthen these linkages and collaboration with other PEPFAR Ethiopia partners for treatment, high-
quality clinical care.
CRS continues to work with partners to improve their data quality and reporting systems. The program run
by Missionaries of Charity is designed to provide immediate care for the dying and destitute and does not
have a confidential, patient-centered, monitoring system. For this reason many of the homes struggle to
collect the data required for PEPFAR and it is anticipated that the number of homes receiving PEPFAR in
FY08 will therefore decrease.
This is a continuing activity from FY07. The activity is closely linked to the USG food aid program from dollar
resources and food commodities provided under Title II of Public Law 480 of the Agriculture Trade
Development Act of 1954, as amended (PL 480 Title II).
Catholic Relief Services (CRS) combines PL 480 Title II and Emergency Plan resources to support OVC. In
FY07, CRS used these resources to work with Medical Missionaries of Mary, Organization for Social
Services for AIDS (OSSA) and the Missionaries of Charity (MOC) to provide support to OVC in 17 urban
communities in Addis Ababa, Afar, Amhara, Dire Dawa, Gambella, Oromiya, SNNPR, Somali and Tigray
Regions. In addition, CRS used Title II resources to work with the OSSA to provide support to 200 OVC in
Dire Dawa and Harari and Emergency Plan resources to work with the Ethiopian Catholic Church Social
and Development Co-ordination Branch Office of Adigrate in the Tigray region. In COP08, CRS will continue
to use both resource categories to work with these partners to provide PL 480 Title II to an estimated
12,100 OVC and supplement this with PEPFAR financial support for living costs, shelter, school fees and
supplies, and medical care as needed. Local partners will undertake community mobilization and stigma
reduction interventions within host communities and provide counseling and psychosocial support to OVC.
In COP08, CRS will continue to strengthen links between its Track 1 AB youth activity, in Dire Dawa,
Oromiya and Tigray Regions, and its OVC work. CRS will also strengthen the capacity of Counseling and
Testing (CT) centers, OVC counselors and Catholic Church pastoral leaders to respond to the diverse
needs of OVC. Over the last two years, CRS has supported OSSA and ECC-SDCOA-Mekelle to strengthen
their community mobilization, counseling, nutrition, water, sanitation and hygiene and livelihoods support
program components. Under COP08, CRS will involve three more partners in their OVC programming,
Alem Tena Catholic Church, Ethiopian Catholic Church - Social and Development Coordination Office of
Harar (ECC-SDCOH) and Progress Integrated Community Development Organization (PICDO). These
partners have previously received CRS private funds. CRS will develop cross-learning opportunities
between these organizations and those working on rural livelihoods, agri-business and nutrition activities.
Wrap around funds for the business and livelihoods strengthening will be requested from USAID's Assets
and Livelihoods Transition (ALT) program.
CRS will provide support to 12,100 children, providing them with care based on individual needs. The
majority of these children will receive supplementary food and/or medical support through MOC's program
for the dying and destitute or psychosocial and/or educational support where other direct support is not
required. The remaining children will be supported with a holistic package of services such as shelter and
care, protection, healthcare, psychosocial support and education. The program will leverage CRS private
funds and USAID Assets and Livelihoods Transition (ALT) program food and livelihoods support for OVC.
In partnership with other PEPFAR Ethiopia OVC partners, CRS will work with the new PEPFAR APS
recipients to coordinate activities to achieve the most efficient use of resources for OVC in the highest
HIV/AIDS prevalence areas. This includes harmonization on indicators, reporting, and OVC standards of
care in line with Government of Ethiopia national guidelines, policies, OGAC OVC Program Guidance, as
well as achieving quality assurance in OVC programming as described in the draft Standards of Service for
Quality OVC Programs in Ethiopia. Data from the EDHS 2005 and the results of USG Ethiopia mapping will
be used to identify geographic priority areas to increase services in areas of highest prevalence to OVC.
CRS will link MOC with the PC3 OVC Food Support activity (103967) and the FANTA technical expertise
(10571) to facilitate their access and use of Ready to Use Foods (RUTF). CRS will also liaise with the DAI
Urban Agriculture Program for HIV/AIDS affected Women and Children (10486), supporting partners to
access resources where feasible and/or sharing technical expertise and learning.
CRS' exit strategy states that "all the organizations through which CRS/Ethiopia implements its PEPFAR
funded projects have alternative sources of funding. Similarly, CRS' partner organizations are well
established and network with other funding agencies and cooperating sponsors of the USG. This broad
base of donors and networking with other agencies allows the organizations to source alternative funding if
required. Additionally, CRS supports organizations to better understand and work within the USG
regulations and to access US government funding directly.
CRS continues to work with partners to improve their strategic planning, data quality and reporting systems.
During FY08, CRS will build on the current strategic planning exercise with OSSA to further strengthen
OSSA's capabilities to program strategically. The program run by MOC is targeted at the provision of
immediate care for the dying and destitute and does not differentiate children orphaned or made vulnerable
due to HIV/AIDS and those from other causes. For this reason many of the homes struggle to collect the
data required for PEPFAR and it is anticipated that the number of homes receiving PEPFAR funding during
FY08 will therefore decrease.