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 2018 2019 2020
The CoAg with the Federal Police is ending in 2010. This COP10 implementation mechanism narrative will be incorporated. This is going to be a sole source FOA because this is a government commission that leads the national police force in the country. Its structure and establishment of an advisory board has enabled effective implementation of the HIV/AIDS program for this population which is considered among the most-at-risk populations (MARPs) in Ethiopia. The new Business Process Reengineering has also come up with a new coordinating body for health in general and HIV/AIDS in particular. Over the coming years working with the Federal police Commission itself will ensure sustainability and ownership.
The overall objective of Ethiopia Federal Police Commission HIV/AIDS program in COP 2010 is to avert new HIV infection among the police forces, and create access and link to members of the police forces and their family members to HIV/AIDS services including HIV testing, STI treatment, other opportunistic infections and antiretroviral treatment.
Police forces are among those groups that are at high risk: the majority of the police force members are young, mobile, and sexually active. Summarized VCT data from the Police Referral Hospital showed that among 9,148 VCT clients, 1,481 or 16.2% were HIV-positive in 2006. ANC data from the same institution found 24% of the attendees to be HIV-positive in 2006. In light of all this evidence, this high risk population group warrants comprehensive HIV/AIDS prevention programs. In COP 2010, the Federal Police Commission prevention program reaches 24,000 police force members and their families in Addis Ababa police commission, primarily in the age range of 20 to 49 years. The specific behavioral outcomes under this project include but are not limited to increasing correct and consistence use of condoms, fidelity and partner reduction, abstinence when mobile, increasing use of counseling and testing, accessing HIV care/treatment services, and improving police forces' ability to discuss sexual risks for HIV and HIV/AIDS related stigma.
The Ethiopian Federal Police use a wide range of diversified behavioral change communication activities and HIV and AIDS services to achieve the specific behavioral outcomes. These include the use of Peer Outreach based on the Modeling and Reinforcement to Combat HIV/AIDS (MARCH) approach, targeted IEC/BCC material production and distribution, entertainment education, capacity building, training, promotion and distribution of condoms and treatment services to deliver a comprehensive HIV/AIDS services. Monitoring and evaluation is the major component of the project to assess progress of implementation. All these strategies to avert new HIV infections in the Federal Police incorporate crosscutting programs such as male gender norms, gender based violence, and stigma and discrimination.
The overall strategy uses peer group discussion in smaller groups (5-15) that bases stories on comic books. The peer outreach also uses mobilizing military anti-AIDS clubs, coffee ceremonies and health education on specific topics. The prevention activities using entertainment and comics in the printed serial drama, showing benefits of positive and responsible sexual behavior, and negative consequences of irresponsible and unsafe sexual practices shapes the behavior of the Federal Police force. Peer discussions after every two weeks, subsequent to the personal reading of the comic books reinforce positive characters. Tailored and evidence based IEC/BCC materials serving as glue between service seekers and HIV related services accelerate the behavior change. Under this activity, culturally sensitive and tailored IEC/BCC materials such as posters, brochures, leaflets, are to be produced and properly disseminated to reach target audiences. Capacity building through training staff in the areas of strategic health communication, health project management, financial management, and strengthening Federal Police media professionals helps the Federal Police Commission to have trained and equipped staff to react to multifaceted challenges HIV/AIDS in the long term. Systematic referral system plays a big part to sustainably challenge the problem of HIV and AIDS in the Federal Police. Consultation and workshops are organized among the different stakeholders working on the police force to strengthen service linkages. Linkage and referrals create a platform to consolidate fragmented prevention and treatment services to support the national effort of reducing the prevalence of new HIV infection and mitigating HIV/AIDS impact.
All prevention programs are rigorously monitored to assess the progress of the project implementation. Periodic reports of peer group discussions, supportive site supervision, and number of education entertainment programs are the major program indicators of the Federal Police comprehensive HIV/AIDS prevention project.
This continuing activity has had a significant budget increase due to expand programming to this important MARPS group. This activity was previously funded through a Cooperative Agreement with the Federal Police (FP). The Cooperative Agreement is expiring and will be re-announced with limited eligibility.
Prevention funding for all uniformed services includes 90% for OP and 10% for AB. MARCH peer education is linked with comprehensive services including condom access, VCT services, STI management, PMTCT, care and treatment at Federal Police facilities as indicated.
As part of an institutionalized evidence-based peer education MARCH program, every month 20,000 print serial drama copies are printed and distributed to members of the FP Force. There are currently more than established 2,400 FP peer groups conducting regular discussions every two weeks. The program is now well-integrated into the routine command structure and owned by senior management of the FP.
Small group discussions provide opportunities for participants to practice HIV prevention skills and understand positive health care-seeking behaviors. This activity encompases training of peer leaders and production of reinforcement manuals. These tailored IEC/BCC materials promote health-seeking behaviors, reinforce positive models in the printed serial drama, and provide information on STI, ART, and HCT services. FP Anti-AIDS clubs supplement these activities by organizing dramas and sporting events, World AIDS Day activities, and other outlets for the clubs to meet and to share information with their audiences.
Additional training supported by this activity includes: training in finance management, computer applications and other competency areas to support capacity building within the FP; and training on managing the problem of HIV/AIDS in the workplace for FP leaders.
To monitor the program, the partner will provide reports on the number of peer groups that discuss each episode of the PSDs, and the number of police men/women attended other reinforcement activities. The partner will continue site visit to assess peer group discussions for regularity, group and member participation, and to identify major challenges that arise during the discussions.
This continuing activity has had a significant budget increase to expand programming for this important MARPS group. This activity was previously funded through a Cooperative Agreement with the Federal Police (FP). The Cooperative Agreement is expiring and will be re-announced with limited eligibility. MARCH peer education is built upon a print serial drama designed for the FP and linked with comprehensive services including condom access, VCT services, STI management, PMTCT, and care and treatment at FP facilities.
The PSD characters convey accurate information about HIV risks, proper condom use, and the importance of HIV testing and STI treatment. The PSD characters help motivate the 24,000 FP members and enhance their self-efficacy to adopt other HIV prevention behaviors. The reinforcement component takes place every two weeks with peer group discussions that provide an opportunity for participants to demonstrate correct condom use and to exchange information about what services are available, such as STI, ART, HCT, and PMTCT.
Capacity building and peer leader training take place as officers and leaders learn how to facilitate group discussions, manage health communication effects, and provide leadership. Leaders are trained in managing workplace HIV/AIDS policy and programs and supporting police in their efforts to access services and information. These activities also help reduce stigma and discrimination among the FP.
The partner will enhance working relationships between the FP Force Referral Hospital and other organizations providing HIV and HIV-related services. Doing so improves referral linkages and builds the capacity of the Referral Hospital. Routine monitoring will assess the project's progress. Follow-up reports track various activities: the number of peer groups discussing each episode of the PSDs, the number of officers attending other reinforcement activities, the number of project staff and peer leaders trained, and the number of condoms distributed. Site visits monitor peer group discussions for regularity and members' participation. They also identify major challenges presented during the discussions.
