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: 2013 2014 2015 2016
The mechanism will use a combination of approaches to implement demand creation and linkages from (and to) couples HIV testing and counseling (CHTC) programs. Within these programs, AMREF will focus on communications and demand creation activities to enhance uptake of VMMC, PMTCT as well as care and treatment services. In collaboration with other partners, the partner will strengthen linkages and referrals to all of these services. The target population is male and females aged 24 to 49 years, who will be reached with messages and other interventions that aim at increasing the uptake of VMMC, PMTCT as well as care and treatment services.
AMREF will be implementing this program in Simiyu region. The region has HIV prevalence above the national average. One district will be selected for implementation during the first year of program roll-out. In addition, the partner will work with the MOHSW to play a coordinating role among all CHTC provider in order to maximize the national impact. In line with the Partnership Framework and FY2013 COP guidance, this mechanism aims at increasing the impact of CHTC programs at the individual, group and community level. This evidence-informed intervention includes process and outcome monitoring and evaluation plans to access the effectiveness of the intervention.
In this new mechanism, AMREF will take a lead role in supporting the Ministry of Health and Social Welfare (MOHSW) in coordinating and expanding coverage of couples HIV testing and counseling (CHTC) services across all implementing partners, and will assist with the development of a communication strategy to increase service uptake. The partner will be the lead in supporting demand creation and promoting CHTC services nationally.
In addition to its role as national coordinator, AMREF, in collaboration with MOHSW, will implement CHTC services in Simiyu region where the HIV prevalence, at 7.4%, is higher than the national prevalence. Simiyu is a new region which is a product from the division of Shinyanga into three regions. Consequently, estimates are based on Shinyangas prevalence. The proposed budget will also go toward creating demand in the region, and promoting and strengthening linkages and referrals to other prevention, care and treatment services, including VMMC and PMTCT.
The funding level takes into consideration the fact that the partner will be supporting other already existing PEPFAR efforts in HTC through PITC and VMMC. The budget is planned at a sufficient level to address the demand creation activities planned for Simiyu in the FY2013 COP. This partner is not funded through this mechanism to provide direct HTC services and thus no targets are reported.
Local media (FM radio) will be used for community mobilization and dissemination of information about HTC services (general and CHTC) as well as provision of information about post-test follow-up to ensure strong referral for VMMC, PMTCT and care and treatment services. The partner will use nationally developed promotional materials to reach a significant proportion of sexually active couples in both urban and rural settings. AMREF will strengthen outreach services to couples across the region. If necessary, adaptations to fit the regional or local context will be made. These might include the engagement of local authorities as well as community health workers. In line with PEPFAR II guidance on country ownership and transition of programs, AMREF will work in collaboration with other local indigenous organization to build the capacity for longer term sustainability of the program activities. All partners supporting HTC use National AIDS Control Program (NACP) M&E tools to report to national and local levels.
The OP component of this mechanism will focus on demand creation for couples HIV testing and counselling program in Simiyu. In addition, AMREF will focus on communications and demand creation activities to enhance uptake of VMMC, PMTCT as well as care and treatment services among those seeking couples counseling and testing. In collaboration with other partners, the partner will strengthen linkages and referrals to all of these services. The target population is male and females aged 15 to 49 years who will be reached with messages and other preventive interventions that aim at increasing the uptake of VMMC, PMTCT as well as care and treatment services.
AMREF will be implementing this program in Simiyu region where the HIV prevalence is above the national average. One district will be selected for implementation during the first year of program roll-out.
In line with the Partnership Framework and FY2013 COP guidance, this mechanism aims at increasing the impact of couples testing and counseling programs at the individual, group and community level. Tools will be developed to assure strong linkage between couples counseling and testing programs and care and treatment, PMTCT and VMMC programs. This evidence-informed intervention has inherent process and outcome monitoring and evaluation plans to assess the effectiveness of the interventions in different settings.
