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.
This mechanism for follow on activities which will aim to ensure an increase and continuity of services, increase the quality of interventions and yield the proper mix among service delivery, systems strengthening and capacity building to the federal, state, local government and civil society. The new award will ensure a smooth transition from those partners whose projects are closing during FY10 and in subsequent years. It is envisioned that this implementing mechanism will consolidate management burden and geographically tailor the selected geographic regions and health systems strengthening where the activities are needed.
A large component of PEPFAR I and II is the prevention of millions of HIV infections. The USAID Nigeria HIV/AIDS-TB team along with its partners and the Government of Nigeria has made great achievements in obtaining this goal. Due to their efforts, Nigeria has seen a decrease in its HIV prevalence from 4.4 percent in 2005 to approximately 3.6 percent in 2007. While there has been overall achievement, there are signs that the current strategy may need to be strategically augmented as incidence in some regions has increased. There is evidence that drivers of the epidemic include: transactional sex, low risk
perception, high risk behavior and sexual networks amongst Most at Risk Persons (MARPS), multiple and concurrent partnerships, and poor sexually transmitted infection (STI) management. Current activities do not cover all driver activities that are needed.
The new mechanism will tailor its approach to ensure it is aligned with the goals of the National HIV/AIDS Prevention Plan which include: (1) Developing a comprehensive package of interventions to promote abstinence, fidelity and related community and social norms; (2) Developing a comprehensive prevention package of interventions for persons engaged in high-risk behaviors and promoting correct and consistent use of condoms as well as STI management; (3) Implementing the minimum prevention package of interventions targeting the general population and MARPS guided by evidence from recent studies and taking into cognizance the drivers of the Nigerian epidemic; (4) Continuing to build the capacity of Faith and Community Based Organizations to implement high- quality prevention programming; (5) Integrating comprehensive prevention programming in care and treatment services including Prevention with Positives; (6) Supporting evidenced-based programming within the national and USG prevention portfolios.
The HSS prevention follow on will focus on stregthening delivery of HIV prevention services in health
facilities non governmental organizations and communities. The follow on will build the capacity for
human resource cadre skilled in the implementation of a Minimum Prevention Package Intervention in
Nigeria. HIV prevention interventions and activties will be intergrated in clincal and community health
services. The HSS prevention follow on will provide technical assistance to institutionalize prevention
training curricula in training and health instituions.
A large component of PEPFAR I and II is the prevention of millions of HIV infections. The USAID Nigeria HIV/AIDS-TB team along with its partners and the Government of Nigeria has made great achievements in obtaining this goal. Due to their efforts, Nigeria has seen a decrease in its HIV prevalence from 4.4 percent in 2005 to approximately 3.6 percent in 2007. While there has been overall achievement, there are signs that the current strategy may need to be strategically augmented as incidence in some regions has increased. There is evidence that drivers of the epidemic include: transactional sex, low risk perception, high risk behavior and sexual networks amongst Most at Risk Persons (MARPS), multiple and concurrent partnerships, and poor sexually transmitted infection (STI) management. Current activities do not cover all driver activities that are needed.
The new mechanism will tailor its approach to ensure it is aligned with the goals of the National HIV/AIDS Prevention Plan which include: (1) Developing a comprehensive package of interventions to promote abstinence, fidelity and related community and social norms; (2) Developing a comprehensive prevention package of interventions for persons engaged in high-risk
behaviors and promoting correct and consistent use of condoms as well as STI management; (3) Implementing the minimum prevention package of interventions targeting the general population and MARPS guided by evidence from recent studies and taking into cognizance the drivers of the Nigerian epidemic; (4) Continuing to build the capacity of Faith and Community Based Organizations to implement high- quality prevention programming; (5) Integrating comprehensive prevention programming in care and treatment services including Prevention with Positives; (6) Supporting evidenced-based programming within the national and USG prevention portfolios.
Combating stigma and discrimination Ilustrative strategies and activties are as follows:
• Capacity building for CBOs in ACSM and TB control at the community level. Establish TB support groups to ensure treatment adherence and success among patients and establishment of TB networks in the communities. • Promote community mobilization to address the unique needs of rural settings in which access to modern information technology (print, electronic and internet access) is low, literacy levels- including the knowledge of HIV prevention measures - are low, and learning occurs via oral tradition in closely knit small groups often facilitated by community leaders. In such settings, new ideas will be disseminated in the form of story telling, folks songs and parables to aid comprehension.Community facilitators will be trained to to respond to concerns and make necessary clarifications. Facilitators will also be equipped with information to identify signs of adverse drug reactions, TB suspects, etc. and make necessary referrals. • Production of community specific radio and TV jingles, pamphlets, brochure, etc to increase TB awareness at the community level. • Integration of TB information into the Peer Education training for National Youth Service Corps Members. Review of training manual to include TB, TBHIV with particular reference to Infection Control in community settings, during HCT activities, etc. • Review of HCT training guidelines to include infection control measures during HCT sessions, especially at the community level.
