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
This is a continuing activity. The Federal Ministry of Health (FMOH) of Ethiopia is the lead Government of Ethiopia (GOE) entity responsible for oversight of the national health care system with the overall goal of improving the health of Ethiopians. The FMOH efforts are guided by a multi-year strategy called a Health Strategy Development Plan (HSDP). Each HSDP is for a five-year period. The FMOH is currently on its fourth HSDP (commonly referred to as the HSDP IV). The HSDP is developed and implemented in collaboration with different development partners and stakeholders, which includes bi-lateral, multi-lateral, international organizations and the private sector. In addition, the FMOH has been a principal recipient of GFTAM funding over the last several years. The USG PEPFAR activities are in line with and support the goals of the FMOH HSDP via the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative. To strengthen the overall management and coordination of HIV funding coming into Ethiopia, the FMOH also developed a Strategic Plan and Management (SPM) for intensifying the multisectoral HIV/AIDS response. The first SPM was for the period 2005-2010. The FMOH recently developed the second follow-on SPM (or SPM II) for the period 2010-2015. The USG provides direct funding and technical assistance to the FMOH to support building its capacity to specifically lead and manage the national health management information system (HMIS), the national TB/HIV program and the national HIV testing and counseling program.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Principal Recipient3. What activities does this partner undertake to support global fund implementation or governance?(No data provided.)
Diagnosis of TB among smear negative suspects, HIV positive individuals and pediatric clients has been a challenge for the Ethiopian TB Control Program. Among the challenges is the limited access to X-ray equipment for TB diagnosis in most regions. In FY2011, the FMOH has made efforts to identify the X-ray needs and existing capacities within facilities and prioritized facilities to receive technical assistance and support based case load, geographic access and infrastructure capacity. The National TB Program has already procured one digital and 15 conventional X-ray machines and six backup generators for selected facilities. Under COP2012, the FMOH will:Procure an additional six X-ray machines and backup generators and support minor renovations of X-Ray rooms to meet Ethiopian radiation authority standards.Provide in-service training for health care workers on X-ray reading and interpretation and will undertake supportive supervision and review meetings to oversee and monitor staff and overall program performance.Conduct periodic site assessments to oversee the functionality of installed X-ray machines and identify additional facilities are ready to receive technical assistance and support.Promote transmission of electronic and paper based TB control messages to the public on regular basis using the public media to raise awareness of TB and TB/HIV.Lead and coordinate TB control advocacy during world TB day commemoration events.Support capacity building training and experience sharing of the national TB control program to improve technical and leadership capacity at central level.
The effectiveness of a health information system in providing information support for decision-makers depends upon the deployment of well-trained staff. Not only must the mechanics of data collection and reporting be mastered, but high familiarity with case definition, disease classification, service standards, and information use are equally important. In prior years, the FMOH has provided in-service training related information management for over 27,000 health professionals and administrative staff. The FMOH has developed guidelines for integrated supportive supervision to oversee HMIS implementation and management within health facilities and printed and distributed HMIS registers and related material for and formats to health facilities. Under COP2012, the FMOH will:Provide in-service training to health workers in health facilities that have not yet started HMIS implementation, un-trained workers who have newly joined the health care system as well as refresher training for those who are currently managing the HMIS.Update and distribute HMIS guidelines and ensure adherence to minimum requirements.Conduct advocacy at the national-level within the leadership of the health care system to create an enabling environment for HMIS and avoid the development of parallel or duplicative information systems.Establish an HMIS performance monitoring team within the FMOH.Print and distribute HMIS registers, tally sheets and cards in a timely manner.Support Regional Health Bureaus for the planning and conduct of regular HMIS supportive supervisions to health facilities.Organize regular national HMIS forums to disseminate best practices and collectively address challenges.
HIV testing and counseling (HTC) is the main entry point to HIV prevention, care, support, and treatment services. During the subsequent five years, there has been a significant increase from 801 HTC sites in 2006/2007 to 2,184 sites in 2009/2010. The number of clients using HTC services significantly increased during the same time period from 564,321 to 9,445,618. To date, the total number of people receiving HTC services in Ethiopia reached 24 million. The accelerated expansion of primary healthcare facilities, the decentralization of HIV/AIDS services, and the innovative millennium AIDS campaign- Ethiopia (MAC-E) launched in November 2006 at the eve of the new Ethiopian Millennium, have been the primary reasons for the significant increase in HTC service uptake. The FMOH has put in place two major national policy initiatives aimed strengthening health care services at the community level in both urban and rural areas. The Urban Health Extension Program (UHEP) will extend primary health care coverage in Ethiopia by using Urban Health Extension Professionals (e.g., clinical nurses) to provide health services at the household-level in urban Kebeles (neighborhoods). These professionals will promote and provide HTC services. The FMOH also is the lead coordinator for the Ethiopian National HIV Counseling & Testing Day, which is observed on the eve of the Ethiopian New Year every year, which is a large-scale national-level promotion of HTC. Under COP2012, the FMOH will continue to provide oversight and leadership in the coordination and supervision of HTC services as well as review and update national policy documents, guidelines and training curriculum as it relates to HTC.
