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 2013
The goals of the project are to reduce HIV incidence by increasing safer sexual behaviors among members of Rwanda Defense Forces (RDF) and their partners and to mitigate the impact of the HIV/AIDS epidemic by increasing access to and use of VCT and care and support services. PSI and Directorate of Medical Services (DMS) will reinforce the BCC messages transmitted through a peer education approach to military personnel and civilians surrounding military camps. These messages include: correct and consistent condom use, VCT and VMMC. Messages are communicated through IPC sessions and anti-AIDS clubs. These messages include the link between SGBV, alcohol abuse and HIV acquisition.
PSI is building the capacity of the DMS staff to assume leadership in HIV prevention, VCT and HIV care among the military. PSI has initiated joint supervision of the VCT team with the DMS personnel as a way of mentoring them in supervision and quality assurance. In collaboration with DMS, PSI has developed M&E tools which are used to collect data from BCC and VCT activities. PSI has trained DMS staff in data analysis using SPSS and DMS is now conducting analysis of the military VCT data. Similarly, military anti-AIDS clubs now lead in the implementation of HIV BCC and condom sales and distribution among the military. In COP12, PSI will develop the ability of the DMS to implement high quality VCT programs, and scale up their ability to provide a comprehensive package of HIV and STI prevention, diagnosis and treatment services through the brigade clinics. Cost savings will be achieved by shifting to decentralized programming, reducing travel expenses, and by use of DMS counselors for VCT instead of hired counselors.
Two vehicles were previously purchased; no additional vehicles are planned.
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? No
New VCT counselors will be trained on the VM MC IEC materials (counselor flipcharts, male and female pamphlets, take home post-operative pamphlets). VCT counselor training will integrate VMMC content into pre- and post-test counseling using the appropriate IEC materials. PSI will produce playing cards (using already-approved messages) about condom use after MC to increase the knowledge on continued condom use after circumcision. Joint supervision visits will be carried out by DMS and PSI to provide guidance and encouragement to public opinion leaders and/or PEs in each anti-AIDS club. VCT QA Managers at PSI will carry out supportive supervision of DMS VCT Supervisors and counselors to ensure that MC is integrated into VCT services. New VCT counselors will be trained on MC IEC materials (counselor flipcharts, male and female pamphlets, take home post-operative pamphlets). These VCT counselors will integrate MC content into pre- and post-test counseling using the appropriate IEC materials. PSI/Rwanda will train 200 PEs and military anti-AIDS club members on MC communications in order to create demand, educate about the procedure, and promote sustained safer sexual behaviors after MC (partner reduction and/or consistent condom use).
Description of the targets: 15 New VCT counselors and 100 PEs will be trained, 100% of uncircumcised men tested HIV negative will be referred to military hospitals for MC.
In COP12, PSI/Rwanda will build the capacity of the DMS to train the VCT teams in eight brigade clinics to provide quality VCT services to RDF, their spouses and surrounding community members (eight brigade clinics will be rehabilitated and their VCT staff trained to provide out-reach VCT services). A human resource development approach will include the provision of refresher training for RDF health care providers. This approach will help ensure ownership and sustained health impact at the end of the funding period. PSI/Rwanda will support the ongoing, regular data collection and analysis of client intake forms at DMS. Family planning (FP) and Voluntary Male circumcision (VMMC) messages will be integrated into pre- and post-test counseling using already-developed IEC materials on FP and VMMC. Additionally, a booklet promoting couples testing in the military will be produced. HIV negative, uncircumcised soldiers will be referred to VMMC services, when and where available in the location soldiers are operating. Messaging about the importance of continued correct and consistent condom use after voluntary medical male circumcision (VMMC) will be highlighted. Joint supervision will be carried out by DMS and technical PSI staff (VCT QA Manager and Counselor Supervisors) to provide support to VCT counselors and ensure high quality counseling and data collection, with renewed focus on the client intake form. PSI/Rwanda will mentor DMS staff trained in SPSS in Phase 2 (Option Year 1) to carry out routine VCT Data analysis and publish the results in a report before the end of this phase.
Description of targets: 15 VCT counselors will be trained this year, and 8,000 individuals and 100 couples will be tested.
PSI/Rwanda will transfer skills to the RDF to enable them to provide a comprehensive HIV prevention program to the Rwandan military and the community immediately surrounding the military barracks. PSI will train the RDF to use PSI's DELTA program planning process to use data generated through research and M&E to inform the development of a comprehensive BCC campaign that includes both interpersonal communications (IPC) and mid-media (e.g. print materials, events and video). This training will give the RDF the tools needed to design and implement their own BCC program with decreasing support from partners like PSI over time. PSI will further develop the capacity of the RDF to train, support and supervise 100 military, civilian and commercial sex worker (CSW) PEs from anti-AIDS-clubs. The RDF will ensure that PEs are equipped with condom demonstration kits and are able to deliver high quality individual and small group IPC sessions. Messages disseminated by PEs will focus on correct and consistent condom use, VCT/STI services and care and treatment. These IPC activities will be supported by print materials and mobile video unit (MVU) events. PSI will build the capacity of RDF staff to implement MVU events independently, and to maintain their MVU equipment.
PSI/Rwanda will support the RDF to train military anti-AIDS clubs in retail outlet creation for condoms and community-based distribution of Prudence condoms and Sur Eau point-of-use water treatment solution. These efforts will ensure the availability of condoms in retail outlets and hotspots in communities surrounding military camps. Revenues will be used to strengthen anti-AIDS clubs. PSI Rwanda will continue to produce military-specific camouflage condoms to create demand, encourage military personnel to use condoms and to increase consistent condom use. The military condom will be supported by promotional materials including branded polo and regular t-shirts and playing cards promoting correct and consistent condom use.
Description of targets: 50,000 individuals will be reached with OP messages through small groups and 30,000 individuals will be reached through special events, 100 PEs will be trained and 1,000,000 condoms will be distributed.
