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: 2007 2008 2009
This activity relates to Palliative care - home-based, Counseling and testing, ARV services, Systems
strengthening, condoms and other prevention, and orphans and vulnerable children.
Building on the USG new private sector initiative which will be awarded in September - October 2007, this
follow on activity will continue to serve as the USG prime mechanism for leveraging the private sector to
increase access to and use of AIDS treatment, prevention and care services through mid and large sized
employers. The new contractor will build on accomplishments and activities implemented in the private
sector through Business Preventing AIDS and Accelerating Access to Anti-Retroviral Treatment (Business
PART) project. Under closed program, Business Part has worked with over 50 mid and large size
companies to expand access to HIV/AIDS and health services. The new activity will be expected to
continue working with existing companies that need additional support and to identify appropriate new
businesses. Focus will continue to be on facilitating businesses to expand their HIV/AIDS prevention, care
and treatment services to employees, family members and the surrounding communities as well as
integrating TB, RH/FP and malaria services.
The Uganda HIV Sero Behavioral Survey (UHSBS) secondary data analysis shows that 88% of men are not
lifetime faithful, compared to 56% of women, and only 10% couples are mutually lifetime faithful. The private
sector initiative shall continue implementing activities in line with the Uganda National Road Map for
Accelerated HIV Prevention that emphasizes the prevention of sexual transmission of HIV as key priority
area. Much as knowledge of HIV/AIDS is relatively high across all recent survey respondents, there is need
for more mature behavior change communication BCC interventions provided to company employees,
dependants and surrounding community.
In FY08, the activities that will be implemented include but not limited to the following:
•Promotion of the USG mass media campaigns promoting faithfulness in the work place setting and
surrounding communities
•Addressing issues related to gender roles and norms in the work place setting and surrounding community
•Training peer educators to promote faithfulness messages in the work place settings and surrounding
communities through outreaches during the private company sponsored counseling and testing sessions
•Provision of relevant information to both stationed and highly mobile worker populations (migrant workers)
e.g. seasonal workers from sugar and tea estates
•Train peer educators to provide information focusing on risks of having more that one sexual partner
•Promotion of consistent use of condoms to avoid the increasing risk of transmitting sexually transmitted
diseases
•Support to private companies to provide prevention programs that benefit employees, dependants and
surrounding community. The prevention programs will include focus on problems related to alcohol
abuse/consumption, substance abuse, etc
•Promotion of responsible behaviors that reduce risks of transmission such as couple counseling and
testing, mutual disclosure within established couples, correct and consistent condom use for both the work
place setting populations and discordant couples
•Leveraging other USG and non-USG activities that promote linkages to the private sector companies with
testing, STI diagnosis, treatment and prevention, family planning and PMTCT services
•Training approximately 250 private sector providers (physicians, clinical officers and nurses) in the
provision of palliative care services. The same training will include peer educators who will be taken through
the skills of providing palliative care services outside the health facility (home based care)
•Support the provision of palliative care services to employees, dependants and surrounding community.
The services will include counseling and testing and HIV prevention services as entry points to care and
treatment offered within the company facility or sources outside the facility
•Increasing palliative care service access to employees, dependants and surrounding community through
reaching the family with prevention, counseling and testing, and palliative care services. HIV+ individuals
will be referred to the company clinics or other facilities where employees are referred for confidential
services such as ARV and TB treatment.
•Provision of palliative care services to the surrounding community will be done in partnership with the
existing community structures including PHA networks, religious leaders, faith based organizations and
volunteers engaged in the delivery of care and referral at community level to provide onward support.
•Promoting the appropriate elements of the basic care package through social marketing. The social
marketing component products and services cover family planning, child survival, malaria, and safe
motherhood. The social marketing component will be supported in partnership with the AFFORD program to
benefit employees, dependants and surrounding community. The costs will be shared between employee
and company where viable or solely by the company where the employee cannot afford the products.
•Develop innovative approaches to support orphans and other vulnerable children through assessing and
designing initiatives that build on experiences from other OVC-related programs in Sub Saharan Africa.
HIPS partnership with national and multinational corporations will expand support to OVCs in the neediest
communities through strengthening capacity of families and the community to access OVC services
supported by the private sector as part of their corporate social responsibility. Consideration should be
given to highly vulnerable children of employees and communities i.e. children of parents working in
estates, factories, and plantations. In Uganda, support to household and community (not just child) is a
critical component of a successful program.
Stakeholder consultations have consistently identified the work place as a major entry point to counseling
and testing. Since workers spend most of their time in the work place, their behaviors are largely influenced
in the work place.
•Support the development of work place policies and programs aimed at reducing stigma and increasing
access and utilization of CT services
•Train peer educators and HIV/AIDS champions in the work place to break the silence on HIV/AIDS from a
personal-private to the public policy sphere and act as change agents
•Support post test counseling services to those that agree to test and receive results. Those who test HIV+
will be facilitated to access referral care and treatment services
•Support the promotion of CT outreach services to benefit employee dependants and the surrounding
community. For the communities surrounded by a most at risk population such as migrant workers, fishing
community and commercial sex workers, greater emphasis will be paced in ensuring periodic mobile CT
outreaches with referrals to care and treatment.
integrating tuberculosis (TB), reproductive health and family planning (RH/FP) and malaria services.
•Leveraging resources from new and previously supported USAID Global Development Alliance (GDA)/
Private Public Partnerships (PPP) to increase access to ART availability through establishing in-house AIDS
treatment programs for their employees and dependants
•Training of peer educators from predominantly semi-urban and rural industries. The peer educators will be
responsible for the dissemination of company funded information, education and communication / behavior
change communication (IEC/BCC) materials to address ART literacy, palliative care and CT for employees,
dependants and members of the community surrounding the company
•Training of approximately 100 private sector providers in AIDS treatment. Trainees will include physicians,
clinical officers and nurses in the provision of up-to-date guidelines on AIDS treatment.
•Expansion and monitoring of support provided to insurance based work carried out by the previous
program. The insurance firms based in both urban centers and local rural areas will be supported to provide
AIDS treatment as part of the standard benefits package.
•Provide support to private sector health facilities in the acquisition of ART accreditation through working
closely with the Ministry of Health (MOH) to strengthen the mechanism for certification of private sector
provider clinics that have staff trained to provide ART in line with national standards.
This project will build Capacity through Supporting initiatives that strengthen the private sector workers'
organizations. Capacity will be built for the Federation of Ugandan Employers (FUE) and the Ugandan
Manufacturers Association (UMA) - two Ugandan institutions that are well positioned to eventually assume
the technical support role started under Business Part and continued through this program to ensure
ongoing support to local institutions to develop or strengthen HIV/AIDS and health workplace programs.
Understanding the roles and interface of FUE and UMA as well as their strengths and weaknesses in
supporting the private sector is essential to this component. Building on the work of Business Part, this
activity will develop and support a sustainability plan for FUE and UMA. Capacity building should focus on
both organization's ability on effectively manage and report on their activities.
illustrative activities in FY08 that FUE and UMA will take on include:
•Expanding FUE and UMA's scope of workplace interventions, as needed, beyond HIV/AIDS to integrate
TB, FP/RH and malaria.
•Supporting companies to develop and implement HIV/AIDS and health policies and programs building on
best practices such the activities undertaken by HIMA Cement
•Calculating loss costs for companies to convince them of the need to provide HIV/AIDS and health services
to their employees.
•Brokering relationships with key partners such as Global Fund, National TB and Leprosy Program and the
Health Marketing Group to facilitate low-cost or no-cost commodities.
•Collaborate with Ministry of Gender, Labor and Social Development to roll-out and operationalize the new
HIV/AIDS in the Workplace Policy.
•Facilitate private sector support of the National Social Health Insurance Scheme (NSHIS)
