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: 2012 2013 2014 2015 2016 2017 2018 2019 2020
This is a continuing activity. The Oromia Regional Health Bureau (ORHB) was previously a sub-grantee under Columbia University ICAP (CU ICAP) to build its capacity to plan, implement, coordinate, and monitor HIV/AIDS activities and is now a prime partner. The ORHB is a government institution and oversees all public sector health care within the Oromia region (population 29 million). ANC HIV prevalence was 1.7% in 2009 and the number of PLHA last estimated at 80,000. The goal of the ORHB HIV/AIDS program is to prevent new HIV infections by increasing access to and improving quality of a comprehensive package of HIV/AIDS services within the region. The program will be linked with community-level activities. ORHB will leverage funding from other sources and activities will be coordinated with other stakeholder activities to maximize cost and reduce duplication of effort. With COP2011 funding, one vehicle was purchased at a cost of US $40,487 and under COP2012 additional vehicles will be rented for the purpose of coordinating and monitoring activities and services. The ORHB program supports the goals of the GOE's National Strategic Plan (SPMII) and is aligned with the goals of the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative. In addition, the ORHB program supports the GOEs national efforts to address the Human Resources for Health (HRH) issues in Ethiopia. ORHB has in place a system to routinely monitor and regularly report on program performance. Additional technical assistance will be provided by Columbia University-ICAP to further support ORHBs capacity to implement these activities solely by itself in the long-term.
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.)
ORHB HIV/AIDS activities initially implemented through a sub-grant with CU ICAP are now continuing under the primary direction of the ORHB. ORHB currently oversees 224 ART sites which manage ~53,000 patients on ART. CU ICAP will continue to provide technical assistance as the ORHB assumes the lead implementer role. ORHB efforts will focus on strengthening regional and woreda health planning, coordination of HIV/AIDS activities in the Oromia region and management oversight of comprehensive HIV prevention, treatment, and care and support services. The ORHB will implement capacity building activities at different levels for sustainable HIV/AIDS service delivery. Specific activities to be implemented directly by the ORHB include improving the health network and referral system within the public sector health care system to ensure efficient delivery of the continuum of HIV care and treatment services to PLHIV in its area; strengthen catchment area meetings; establish and support full functioning ART multi-disciplinary teams in all ART delivery sites in the region; implement quality improvement activities; and improve use of site-level data. The ORHB will strengthen clinical and system mentoring and site supportive supervision activities in the region and conduct periodic evaluations to monitor service delivery at health facilities. Regional review meetings will be led by the ORHB to discuss issues and identify solutions. The ORHB will provide minor renovations, furnishings, maintenance, and restoration within health facilities. The ORHB will address HRH issues by supporting and coordinating HIV in-service training of different cadres of health providers and strengthen on-site mentoring. The ORHB will work closely with NEP+ in implementing case management to improve ART adherence and retention of HIV patients in care and treatment services, as well as strengthen linkages among facilities and with community-based organization efforts related to HIV/AIDS care and support.
