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
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ACTIVITY UNCHANGED FROM FY2009
ACTIVITY NARRATIVE
In COP09 Vanderbilt University (VU) counseled, tested, and provided HIV test results to 6000 pregnant women in 8 sites in Kwara and Niger states. In COP10, VU will build on the successes achieved in COP09 by supporting the government of Nigeria in providing prevention of mother-to-child transmission (PMTCT) of HIV services to a total of 11,280 pregnant women in a total of 8 sites and will provide antiretroviral prophylaxis to 338 HIV-infected pregnant women. To achieve this goal we anticipate training and/or re-training 10 health care workers (HCWs) to provide PMTCT using the National PMTCT Training Curriculum.
In COP10, PMTCT services will continue to be offered at 8 sites in line with the National PMTCT Guidelines. Group health information will be provided to ANC clients during the morning health talk and opt-out HIV testing will be offered to all attendees according to the current Nigerian HIV-testing algorithm. Same day HIV test results will be provided to clients during individual post-test counseling. While we have experienced low levels of partner testing thus far, we will continue to encourage and promote partner testing through the use of "love letters" and personalized invitations for partners.
Women who test positive for HIV will be sent for onsite CD4 testing (where available) or referred to a PEPFAR sponsored comprehensive centers for CD4 testing. Those eligible for treatment will be offered HAART and those eligible for prophylaxis will be provided with ARV prophylaxis consistent with the recommendations of the National PMTCT Guidelines. Replacement doses of anti retro virals will be available in the labor wards of project-supported facilities for women who for any reason have not ingested their medications prior to admission and have not brought them to the labor ward.
Despite availability of HIV testing in ANC, some women will present to the labor ward unaware of their HIV status. In order to provide testing services to these women, VU will continue to support labor ward-based, point-of-care, opt-out HIV testing in all PMTCT sites. Women who test positive will be provided with antiretroviral prophylaxis along with their HIV-exposed infants. Women who present postpartum will be offered HIV testing in the postpartum ward. If the woman tests positive, her infant will receive the standard postpartum infant regimen. All HIV-infected women who are not already receiving comprehensive HIV care will be referred to a comprehensive HIV care and treatment center.
VU will support the training of 10 health care workers on PMTCT using the National PMTCT Training Curriculum in COP10. We anticipate training staff at one new satellite site in COP10 as well as training new staff at our existing sites. In addition, VU will continue to update the skills of previously trained site staff through onsite training and refresher courses.
In COP10, maternal and infant nutrition will remain a priority. PMTCT staff at VU supported sites will continue to provide infant feeding counseling to HIV-infected women according to the National Infant Feeding Training Guidelines. This training arms site staff with the knowledge needed to appropriately counsel HIV-infected women on infant feeding choices and to provide women with unbiased information on infant feeding following AFASS criteria which helps to ensure that replacement feeding is acceptable, feasible, affordable, sustainable, and safe. Four staff members at the new PMTCT site will also participate in this training. VU will continue to conduct nutritional counseling and assessments and provide iron and folic acid to HIV-infected pregnant women. A priority in COP10 will be to further support maternal nutrition through the provision of food supplements for pregnant women. We are currently looking for food support programs in our catchment areas from which we can leverage support.
VU supported community outreach activities will continue to raise awareness of the PMTCT program, encourage pregnant women to receive HIV testing, and encourage the spouses and other family members of pregnant women to be tested for HIV. We will partner with other groups participating in the national network of care and treatment, government institutions and community-based NGOs in the project area in order to ensure that mechanisms are in place to effectively respond to the treatment needs of HIV positive pregnant women attending our ANCs. We will continue to support and expand community outreach programs aimed at increasing community and patient education about PMTCT, encouraging clients to adhere to medication through understanding of treatment and the importance of follow up visits. Using site based home-based care workers, VU will encourage routine follow up of pregnant HIV-infected clients both before and after delivery. We will strengthen the capacity of community institutions to provide quality health-related wrap-around services including family planning, safe motherhood, nutritional support and other services as appropriate.
In COP10, under 'PEPFAR Nigeria's accelerated PMTCT plan', VU, will strengthen its support to PMTCT service delivery by implementing activities that further improve the coverage and quality of PMTCT services. These activities will be directed towards increasing utilization of PMTCT services at existing service outlets through demand creation in collaboration with community resources and ensuring the upgrade of existing supported PHCs offering stand alone HIV counseling and testing to render at least minimal package of PMTCT services. In order to leverage resources, priority will be given to PHCs located in the selected focal states with presence of other donor agencies and in local government areas already earmarked for HSS support through GFATM. Where new sites are envisioned, those that are used for national ANC sero-sentinel surveys but yet to commence PMTCT services as well as PHCs located in communities with high HIV prevalence rates above the National average will be given priority.
