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: 2008 2009
Continuing Activity
The HIV prevalence rate in Guyana's general population is estimated at 2.4%, with approximately 12,000
individuals living with HIV/AIDS. It has the second highest HIV prevalence rate in Latin America and the
Caribbean, and AIDS is currently the leading cause of death among the 20-49 age group. Heterosexual
sexual transmission accounts for approximately 80% of HIV/AIDS cases. The Guyana Defense Force
(GDF) is estimated at 2,000 troops.
This activity consists of prevention activities promoting abstinence, delay of sexual activity, fidelity and
partner reduction, and related social and community norms. In FY08, 94 ranks from various units
participated in HIV/AIDS awareness and prevention sessions presented by GDF peer educators at Base
Camp Ayanganna. Prevention activities engaging military leadership through HIV/AIDS sensitization
trainings included training of eleven (11) Platoon Commanders by Youth Challenge, Guyana. In order to
capture and engage large numbers of military members and their friends and families, in FY08 a soccer
event will be scheduled as part of the Guyana Defence Force's Anniversary events where HIV/AIDS
prevention activities, including peer educator presentations of AB messages and distribution of IEC
materials, will be held.
FY09 activities will target recruits, ranks deploying overseas, officer cadets, reservists and military
dependents. Initial and refresher trainings on AB messages will be carried out for medical personnel and
peer educators throughout the GDF. Activities, including training-of-trainer programs, will extend beyond
Georgetown to outlying military posts. The integration of HIV/AIDS education into military training at all
levels will be promoted. Peer education will be supplemented through the distribution of HIV/AIDS
prevention literature adapted for the military context. Peer education trainers will be supported in recruiting
and training new peer educators. An HIV/AIDS awareness day will be organized, coinciding with a national
HIV/AIDS prevention activity. A health fair will promote prevention messages and HIV counseling and
testing, and provide information on other health-related topics. In FY09, a drama group will use
edutainment events, such as sporting and drama activities, to reach out to military personnel and their
families with messages promoting abstinence until marriage and partner fidelity. Educational presentations
will also address male norms and issues of gender-based violence. Peer educator activities will link with
VCT activities to encourage testing and promote other referral support services.
To strengthen education activities across AB and other prevention, supplies will be procured to support
HIV/AIDS information management and distribution.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13877
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13877 5413.08 Department of US Department of 6640 3717.08 Department of $0
Defense Defense Defense
7863 5413.07 Department of Center for Disaster 4451 3717.07 Department of $45,000
Defense and Humanitarian Defense
Assistance
Medicine
5413 5413.06 Department of Center for Disaster 3717 3717.06 Department of $35,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Military Populations
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
This activity consists of prevention activities promoting partner reduction and the correct and consistent use
of condoms in addition to addressing STIs, gender norms and other behavior change communication
activities. Condoms procured through the Guyana National AIDS Programme Secretariat (NAPS) are made
accessible to all members of the Guyana Defence Force.
In FY09, efforts will continue with GDF leadership to increase the acceptability of condom social marketing
within the GDF. Leadership will be trained and encouraged to provide HIV/AIDS prevention education to
their subordinates through seminars and workshop sessions. Condom dispensaries will be procured and
supplied to all bases to be positioned in key areas of congregation and traffic (e.g. mess halls, restrooms,
social areas/clubs, gym facilities, etc). A drama group will use edutainment to deliver messages throughout
the military regions on multiple issues to include abstinence, fidelity, partner reduction, consistent and
correct condom use, correct knowledge of HIV transmission, HIV counseling and testing, sexually
transmitted infections (STI), stigma reduction, and the influence of alcohol on risk behaviors. Issues of
stigma and discrimination will be emphasized in educational programs such as role play and small group
sessions. A contest will be carried out among military personnel for the development of prevention slogans,
songs, and drama. Information, education and communication (IEC) materials promoting the above areas
will be reproduced and distributed during the drama tours. Other necessary materials (e.g. projectors,
screens, posters, billboards, flip charts) will be procured for prevention initiatives within the GDF. Condom
pouches specifically designed for military personnel will be proposed to the GDF for implementation. Peer
educator and other activities will link with VCT activities to encourage testing and promote other referral
support services.
To strengthen education activities across prevention, supplies will be procured to support HIV/AIDS
information management and distribution.
Continuing Activity: 13879
13879 5310.08 Department of US Department of 6640 3717.08 Department of $0
7862 5310.07 Department of Center for Disaster 4451 3717.07 Department of $25,000
5310 5310.06 Department of Center for Disaster 3717 3717.06 Department of $18,000
Table 3.3.03:
The purpose of this activity is to reduce the number of unsafe and unnecessary injections through training
and refresher training, and promotion of proper waste management techniques. In FY08, twenty seven (27)
medics were trained in Injection Safety training, carried out in collaboration with the Guyana Safer Injection
Project and the GDF Trainers.
In FY09, DoD will continue to assist implementation of universal precautions in Guyana Defense Force
(GDF) healthcare settings. Through the Guyana Safer Injection Project, the GDF's health care personnel
will be trained in the areas of injection safety, handling and sharp instruments, and handling and disposal of
medical waste. Twenty (20) medics and lab personnel will be trained in safe blood drawing and handling
techniques for sharp instruments and medical waste. Post Exposure Prophylaxis (PEP) protocols, already
developed in the civilian sector through the GUM clinic, will continue to be implemented to address
occupational exposures that occur in military facilities. Occupational exposures will be tracked and
reported. Following training, sites will receive essential commodities and supplies to ensure implementation
of improved IP/IS practices. A national logistics system for the provision of materials will be utilized.
Continuing Activity: 13878
13878 5311.08 Department of US Department of 6640 3717.08 Department of $0
7515 5311.07 Department of Center for Disaster 4451 3717.07 Department of $10,000
5311 5311.06 Department of Center for Disaster 3717 3717.06 Department of $6,000
Table 3.3.05:
HIV-infected members of the GDF have access to care and treatment through the St. Joseph Mercy
Hospital where HIV-infected military members receive comprehensive care and support to include medical
care, provision of antiretroviral therapy, treatment of opportunistic infections, pain management, social
support, nutritional vouchers and ART adherence education. Additional care services for HIV-infected
military members will be provided through members in GDF units who will be trained using curriculum
focusing on promotion of health and wellness, support in dealing with HIV symptoms including depression,
and adherence to ART. Activities will seek the involvement of military chaplains in HIV/AIDS counseling,
with emphasis on ministry skills relating to the individual and the family regarding marital relationships,
parenting, and development of peer support systems.
Continuing Activity: 13880
13880 5309.08 Department of US Department of 6640 3717.08 Department of $0
8483 5309.07 Department of Center for Disaster 4451 3717.07 Department of $40,000
5309 5309.06 Department of Center for Disaster 3717 3717.06 Department of $35,000
Table 3.3.08:
This activity aims to enhance care and treatment services through training of providers. In FY09, one GDF
clinician will be sent to the Military International HIV Training Program in San Diego, CA. Training will
improve the quality of clinical services such as antiretroviral therapy, prevention and treatment of
opportunistic infections (OIs), assessment and management of pain and other symptoms, and nutritional
support. The curriculum focuses on advances in clinical care, in particular ART and treatment of OIs, but
also includes concepts and methods of epidemiology and biostatistics, as well as database development,
maintenance, and data entry. HIV diagnostics and laboratory diagnosis of parasitic diseases and OIs will
also be taught. Evaluation of training will be implemented through pretests and posttests of participants.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.09:
This activity will support coordination between TB and HIV programs. Technical assistance for the
development of training, educational resources, and guidelines for TB-HIV management will be provided by
the Ministry of Health. The GDF medical personnel will receive training on TB case identification, diagnosis
and appropriate referral for treatment. The GDF will implement HIV testing and counseling for all TB
patients and TB screening of all HIV-infected personnel. Necessary equipment and laboratory supplies will
be purchased to support program area activities. This activity will link with laboratory infrastructure activities
to strengthen TB diagnostic capabilities.
Continuing Activity: 13881
13881 5308.08 Department of US Department of 6640 3717.08 Department of $0
8551 5308.07 Department of Center for Disaster 4451 3717.07 Department of $20,000
5308 5308.06 Department of Center for Disaster 3717 3717.06 Department of $12,000
Table 3.3.12:
This activity will provide HIV counseling and testing for those who seek to know their HIV status. In FY08,
the VCT site at Base Camp Ayanganna was refurbished, and a vehicle was purchased for mobile VCT and
other prevention activities, to include the transportation of peer educators. Rapid HIV test training was
carried out for twenty five (25) counselors and medics. Counselors and testers also participated in a one-
week internship at Georgetown Public Hospital Corporation. The establishment of another Voluntary
Counseling and Testing site at Base Camp Seweyo at the Soesdyke/Linden Highway is currently underway.
Activities planned for FY09 will continue to strengthen the capacity of the Guyanese Defense Force to
provide accessible, confidential, and quality counseling and testing services. 25 individuals will undergo
training in counseling and testing, and a training-of-trainers program will be developed for continued efforts
to ensure adequate human resources for counseling and testing services. Counseling and testing by trained
counselors will be available at all four GDF locations: Base Camps Ayanganna, Stephenson, Ruimveldt and
Seweyo. Other VCT sites will be refurbished as necessary. The mobile VCT unit will continue to reach
outlying bases and units, and will be equipped with education materials on HIV, ART, STIs/OIs, and other
prevention materials. The VCT vehicle will target remote, underserved regions to address barriers to VCT.
In support of the MOH "Know Your Status" program, personnel in leadership positions and peer educators
will encourage GDF personnel to get tested for HIV. CT activities will link with prevention sensitization
activities to educate participants and encourage testing. Counseling will be performed in accordance with
national guidelines and will include targeted ABC messages, and emphasize the reduction of stigma and
discrimination. Mechanisms to maintain anonymity of those tested and confidentiality of their test results will
be put in place. CT activities will link with Adult Care and Treatment services through a referral system with
the civilian health sector for follow-up care and treatment of HIV-positive individuals. Data collection and
monitoring mechanisms will be supported.
Continuing Activity: 13882
13882 5287.08 Department of US Department of 6640 3717.08 Department of $0
8002 5287.07 Department of Center for Disaster 4451 3717.07 Department of $20,000
5287 5287.06 Department of Center for Disaster 3717 3717.06 Department of $60,000
Table 3.3.14:
This activity will support the procurement of equipment and commodities to improve the care and support of
HIV-infected individuals. Laboratory personnel will be trained in the utilization of laboratory equipment and
data management. This activity will link with CT, TB, and care and treatment services by providing ancillary
support for rapid HIV testing and STI and TB diagnosis. Logistics mechanisms will be sought after to ensure
sustainability of laboratory capabilities. GDF laboratory technicians will be trained to parallel the skills and
capabilities of laboratory technicians functioning in civilian laboratories.
Continuing Activity: 13883
13883 5307.08 Department of US Department of 6640 3717.08 Department of $0
8485 5307.07 Department of Center for Disaster 4451 3717.07 Department of $50,000
5307 5307.06 Department of Center for Disaster 3717 3717.06 Department of $60,000
Table 3.3.16:
This activity will support increased capacity within the GDF in the areas of surveillance, monitoring and
evaluation (M&E), and analysis and utilization of strategic information. Funding will support improvement of
the GDF health information management system. Existing data regarding risk behaviors from VCT intake
forms will be analyzed to understand and target behavior change and other prevention activities. The GDF
and USG country team will work to align the strategic information and M&E programs of the GDF and other
PEPFAR partners. Collaboration will also lead to the development of a health information management
system to: 1) increase availability of HIV/AIDS information, 2) develop and manage HIV/AIDS interventions,
3) develop policies and programs and 4) assure confidentiality and appropriate referrals. Existing data will
be analyzed and additional surveys planned to establish HIV/AIDS prevalence and incidence within the
GDF. Human resource capacity and sustainability for M&E activities will be improved through identification
of trainers and the implementation of a train-the-trainer program. The program manager will be trained in
M&E to ensure proper reporting to PEPFAR. IT materials will be procured for M&E of PEPFAR initiatives
within the GDF.
Continuing Activity: 14642
14642 14642.08 Department of US Department of 6640 3717.08 Department of $0
Table 3.3.17:
This activity will strengthen the capacity of the GDF to plan, manage, and implement HIV programs through
policy development, training for senior leaders, and regional collaboration. In FY09, an HIV military policy
for the GDF will be established. Through the provision of a draft and visits/workshops guided by a US DoD
member knowledgeable in policy, the military central management committee will propose an HIV military
policy for the GDF.
In order to strengthen the capacity of leadership to address HIV policy issues, designated senior leaders will
attend HIV policy development training at the annual Defense Institute for Medical Operations (DIMO)
"International HIV/AIDS Strategic Planning and Policy Development" course in San Antonio, Texas.
In support of regional broad policy reform efforts and system wide approaches, the GDF will host a
conference for militaries within the region to discuss issues related to HIV programs. Capacity building
efforts, leveraging funds, cross-fertilization of best practices and program sustainability will be discussed by
military leaders across the region.
Continuing Activity: 14643
14643 14643.08 Department of US Department of 6640 3717.08 Department of $0
Table 3.3.18:
In FY09, the, the DoD full-time in country program manager will continue to oversee all DoD/PEPFAR-
funded activities. Duties of the program manager include serving as the principal advisor to the Military
Liaison Officer (MLO), Office of the Command Surgeon, United States Southern Command, and the DoD
HIV/AIDS Prevention Program (DHAPP) on HIV/AIDS activities in Guyana. The program manager is also
responsible for collaborating with other implementing partners in the country in order to share information
and coordinate activities. Funds will support the hiring of an administrative assistant, travel costs, and office
supplies needed for monitoring and evaluation. Funds will also cover US Embassy ICASS fees for
contracts and other services.
Continuing Activity: 14644
14644 5435.08 Department of US Department of 6640 3717.08 Department of $0
8486 5435.07 Department of Center for Disaster 4451 3717.07 Department of $90,000
5435 5435.06 Department of Center for Disaster 3717 3717.06 Department of $60,000
Table 3.3.19:
