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.
In FY09-FY10, USG will implement a new HIV prevention project which will target prevention of IDU-related transmission. The program description for this new project was reviewed by the Technical Working Group at OGAC in August 2009, and feedback from the TWG was incorporated into the Request for Applications (RFA) now on the street. The Russia Team expects that the new award will be made in January 2010.
The new project will aim to strengthen a sustained delivery of HIV prevention interventions for IDU-related transmission. The new project will have two intermediate results:
1. Standardized approach to prevention of IDU-related transmission consolidated.
2. Standardized approach to prevention of transmission related to IDU institutionalized.
The new project is designed as a primarily policy/ Health Systems Strengthening mechanism, as although it will encompass limited support for testing the consolidated package of services through a small grants program in selected regions of Russia, the main focus of the project will on facilitating the adoption and endorsement by GOR of the standard approach to the prevention of the IDU-related transmission. Limited technical assistance will be provided under the new project to assisting the GOR in dissemination of the standardized approach through policy guidelines and technical assistance/training to regions. In collaboration with key stakeholders working in the area of HIV, the project is intended to provide technical expertise and support that will contribute to the endorsement at the federal level of an essential package of HIV prevention services for IDUs. With a growing number of prevention programs and models developed in Russia today, the new project aims to assist in a consolidation of the various prevention approaches into a broad, yet targeted menu of effective services for prevention programs, particularly for IDUs. The project will also emphasize strengthening the technical capacity of civil society and government organizations implementing HIV prevention activities targeting IDUs.
In the implementation of the project USG and the implementing partner will closely collaborate with GOR, which has expressed its support for the new activity, and expressed its willingness to direct and steer the project together with USG. It is envisioned that the new activity will contribute to the goals and objectives of the National Priority Project funded by the GOR.
With a concentrated, primarily IDU-driven epidemic in Russia, addressing the most- at- risk groups is a critical element of an effective prevention response. Within the scope of risks related to injection drug use, there are several key populations who are often categorized by other vulnerability factors but whose risk for HIV is related to injection drug use: sexual partners of IDUs, commercial sex workers who are also IDU, street children who inject, prisoners who inject, and MSMs. who inject are key sub-populations who may be targeted under the broader definition of IDU. Risks related to both drug use and sexual-risk taking among these populations should be addressed in this project. The primary focus of the project will be on IDUs and their sexual partners as the major vulnerable groups. The geographic focus of the project will be identified by USG together with the implementing partner and the GOR. It is envisioned that the coverage of the IDUs will be increasing progressively beyond the 24% reported by GOR in 2007.
The new project will contribute to the strengthening of the health system in a number of areas:
1) by contributing to the sustained delivery of the HIV prevention programs targeting IDU-related transmission, which is critical with the beginning in 2009 phase-out of the Global Fund-supported programs for MARPs;
2) by enhancing the leadership of the GOR in supporting the delivery of the standardized quality prevention activities for marginalized populations, one of the illustrative expected output will be the development and endorsement by the GOR of policy guidelines/normative regulations on the implementation of the HIV prevent ion programs for MARPs;
3) by strengthening intersectoral coordination and collaboration among government structures, civil society, and private sector; one of the outputs is the project is proposed to clearly define the role of civil society in the HIBV prevention activities;
4) by reducing stigma and discrimination.
The HIV prevention project will be monitored through a set of benchmark indicators proposed by PEPFAR for FY09 and behavioral indicators proposed by PEPFAR for countries with concentrated epidemics. The new project will lead to an increased coverage of IDUs and their sexual clients with standardized prevention services, reduction of behavioral risks by MARPs, and as a result, reduced prevalence of HIV among the target groups. It is expected that the institutionalization of an HIV prevention package on the federal level will be achieved through its adoption and broad dissemination by the National Priority Project which the GOR had envisioned to increase funding through 2011.
