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 2011 2012 2013 2014 2015 2016 2017
The comprehensive goal of case management is to strengthen the meaningful involvement of People Living With HIV (PLHIV) in the implementation of the national HIV/AIDS program through their associations by initiating a case management program which is client centered and goal oriented. The main objective of the program is to focus on assessing the needs of HIV/AIDS clients so as to achieve maximum ART program and treatment adherence including raising awareness towards positive prevention.
The Implementing Mechanism is planned to reach a local organization as the prime partner which will work per the PEPFAR-supported national guidelines for case management issued by FMOH/FHAPCO in July 2009 for GIPA in Ethiopia. The case management program will be led and coordinated by FMOH and Regional Health Bureaus to ensure that it is integrated into the existing health care delivery system and has strong ownership by the local system per partnership framework.
Case management is a program covering the entire country where ART activity is rolled out to about 500 sites at both hospital and health center levels. The largely US-based PEPFAR partners currently working in the area and employing case managers will be transitioning this activity to local ownership.
Case managers will get training based on the nationally standardized and accepted training manuals. The program recruits, trains and deploys "lay persons" who are mostly PLHIV to work on case management which is in line with the task shifting policy of the Government of Ethiopia to increase access and leading towards efficiency and cost-effectiveness.
This is a new activity for streamlined COP 10 submission. High rates of patient attrition from HIV care and treatment services, as well as early patient mortality among those starting ART are serious program challenges in Ethiopia. Following successful introduction by US-based partners, the GOE believes the establishment of a new cadre of case managers will help to address adherence-related issues, better link patients and families to important community resources, and help decongest overcrowded health facilities. The GOE is considering integration of case managers into the GOE workforce.
The primary focus of HIV/AIDS case management (CM) is the development of a purposeful and proactive approach to the prevention of patient attrition and optimizing adherence to recommended care and treatment services. This approach ensures a continuity of care for patients through the use of trained lay persons who are often PLHA that link patients to the services available at different levels. CM is a client-centered, goal-oriented process for assessing the needs of an individual patient for particular services and actively linking the client with those services. A well-implemented CM program establishes connections between the different tiers of the health system with community services assisting the facilities to prevent patient loss-to-follow-up, tracking lost patients, and minimizing the number of clients that default. CM seeks to enhance the coordination and integration of the health care system by ensuring the continuity of service delivery, facilitating referrals and improving the function of the health network model.
The CM program should be led and coordinated by the Federal Ministry of Health and the Regional Health Bureaus to ensure that it is integrated into the existing health care delivery system and has strong ownership by the local system. The program will be managed and coordinated at different levels, including national, regional, zonal, woreda, health facility, and community levels.
The CM program will be implemented according to the national HIV/AIDS CM guidelines and standards. There will be regular supportive supervision provided to ensure compliance with guidelines and accountability. The CM program will have its own monitoring and evaluation plan and reporting system. The partner being within PEPFAR will play its part in Global Health Initiative (GHI).
