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
The Ethiopian Public Health Association (EPHA), along with its partners and sub-partners, is a local institution focused on improving public-health practice and service delivery around a range of public health challenges, including HIV/AIDS. Its objectives under this collaboration include to:
1) Build local capacity in Ethiopia for evidence-based decision-making, including the generation, dissemination, and use of strategic information related to HIV/AIDS, STIs, and TB;
2) Expand and strengthen HIV/AIDS prevention, care, and treatment to most-at-risk populations (MARPs), including men who have sex with men (MSM);
3) Expand HIV/AIDS prevention, care, and treatment in private health institutions in Ethiopia, eg, through support to the Ethiopian Public Health Laboratory Association (EPHLA) and Ethiopian Society of Obstetricians and Gynecologists (ESOG);
4) Improve care, eg, through support to the standardization of a basic care package for HIV programs in Ethiopia;
5) Improve overall HIV prevention efforts, eg, through support to youth leadership using a multi-sectoral approach to prevent or reduce multiple concurrent sexual partnerships;
6) Improve specific aspects of surveillance, eg, to provide estimates at the national level on HIV prevalence in and size estimation of MARPs;
7) Improve specific human resource gaps, eg, through support to the MPH-level Field Epidemiology and Laboratory Training Program (FELTP) implemented by Addis Ababa University (AAU) and the Ethiopia Health and Nutrition Research Institute (EHNRI);
8) Build its own institutional capacity and develop a management system for EPHA so as to ensure the sustainability of activities for a broad health agenda in Ethiopia.
This partnership's various activities are national in scope. Some focus on major cities and address various target populations that include, but are not limited to, Regional Health Bureau managers and experts; laboratorians; MARPs, including MSM; private and public sector health care providers working on the provision of basic care services for PLHA, pregnant women and their newborns; high-risk youth; and people and their families affected by HIV.
EPHA's unique niche in Ethiopia often serves as a catalyst for new thinking and action and supports strengthening of the health system in several ways through:
Providing strategic information by conducting or supporting the conduct of public-health evaluations/operations research to provide information for evidence-based policies and interventions. One example is the Amhara MARPS Study conducted in 2008, the findings from which have motivated the government to launch a national MARPS study, to include MARPS in ongoing surveillance, and which are being used for designing HIV prevention programs for MARPS in the Amhara Region. While Amhara accounts for 20% of the population in Ethiopia, it accounts for 30% of the PLHA. EPHA has subsequently begun a new collaboration with the EHNRI to conduct the national MARPS study in 2010. EPHA is also an active participant in the national surveillance technical working group.
Supporting human resources for health (HRH) development through in-service and pre-service training programs. These include adapting CDC's Leadership in Strategic Information Training Program (LSITP), which teaches program managers how to use information from the HMIS, surveillance, and other sources of program data to support decision-making. EPHA also provides resources and equipment to AAU to implement the FELTP program, which is a two-year on-the-job training program in epidemiology housed primarily in the Public Health Emergency Management Directorate of EHNRI.
Providing technical and managerial support to universities and sister associations as sub-partners, including the Ethiopian Society of Obstetricians and Gynecologists and the Ethiopia Public Health Laboratory Association.
Direct funding to a national indigenous organization like EPHA achieves certain cost efficiencies and supports long-term sustainability and ownership of the public health agenda. In order to become more cost-efficient over time, EPHA is engaging its membership from the public and private sector, who now number more than 3,000 and are working throughout the country. Aligning and harmonizing its activities with all the relevant stakeholders (governmental and NGOs), its networking and close collaboration with other professional associations, improving its partnership with the public as well as the private sector are some of the strategies EPHA is applying in order to improve its sector wide engagement and efficiency while implementing the various projects.
A comprehensive Monitoring and Evaluation plan with specific indicators for each of the project activities will be rolled out in order to track the progress of activities and to evaluate if objectives are achieved or not. Regular discussions, the CoAg review process, visits to partners, regular project coordinators as well as management committee meetings, bi-annual Review meetings and quarterly and semi-annual reports will be integral components of the comprehensive M&E plan.
This activity has expanded scope of work and a substantial budget increase and should be part of the streamlined COP10 submission.
In FY09, the Ethiopian Public Health Association (EPHA) supported local capacity development in partnership with the Ethiopian Public Health Laboratory Association (EPHLA). EPHA continued technical assistance to EPHLA to work with all relevant stakeholders to develop skilled laboratory professionals to improve the quality of laboratory services. EPHLA was instrumental in filling the gaps in laboratory training programs in the private sector, emphasizing the development of laboratory management capacity. This effort complemented the national effort to address laboratory management gaps identified in many facilities. EPHLA also supported the development and review of the National Laboratory Policy Guideline.
In COP 2010, EPHLA will continue to strengthen its capacity and system development. It will build its capacity for project management and evolve as a national resource center in the professional field of public health laboratory science. EPHLA will also work toward empowering laboratory professionals by supporting and strengthening capacity-building trainings to member public- and private-sector laboratory professionals in collaboration with EHNRI. EPHLA is in the process of developing its five-year strategic plan. It will work closely with the National Laboratory Technical Working Group and sister associations such as the Ethiopian Medical Laboratory Association (EMLA). Together they will advocate for the implementation of laboratory policies. EPHLA will support the development of local organizational capacity through laboratory education, workplace HIV/AIDS interventions, publications, dissemination of research findings, and strengthening public health laboratory systems.
In partnership with the Associations of Public Health Laboratories/USA, EPHLA will continue supporting local professional associations. It will conduct annual review meetings on laboratory services that support the HIV/AIDS prevention, care, and treatment program. In addition, EPHLA will work with training institutions to advance their development, harmonize and standardize laboratory trainings, and develop accreditation systems for laboratories and laboratory professionals.