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.
This activity links with Project Concern International's (PCI) activities #9170, #8786, #8787, #8785, #8788, #9171 and JHPIEGO's activities #9088, #9091, #9090, #9089, #9087, in rendering assistance to the Zambia Defense Force (ZDF) comprehensive HIV/AIDS care and treatment programs.
This program will improve infrastructure through the construction and renovation of HIV/AIDS Voluntary Counseling and Testing (VCT) centers, palliative care and ARV delivery sites, training institutions, and HIV/AIDS laboratories. Together these improvements will increase the Zambia Defense Force (ZDF)'s capacity to provide comprehensive HIV care and treatment. The proposed activities involve primarily renovation of existing spaces to be utilized more effectively for HIV/AIDS care and treatment including VCT, examination rooms, laboratory testing facility, and anti-retroviral (ARV) dispensaries.
Expansion of the anti-retroviral treatment (ART) clinic and laboratory services will aid in scaling up the interventions to meet the health needs for the ZDF, their families and vulnerable civilian population living in these areas. In fact, at many sites, the patients are predominantly civilians (non ZDF dependents) who rely on access to Defense Force Medical Service (DFMS) clinical services for all routine care. Years of under funding have left the DFMS with substantial infrastructure deficits, which are compounded by the remote location of many of the 54 DFMS clinics, by the total lack of other donor support for DFMS, and by the lack of Ministry of Health (MOH) funds for DFMS activities.
In FY 2005, the Zambia Defense Force (ZDF) identified four regional sites to focus on strengthening their HIV/AIDS treatment and care services, two in the Copperbelt, one in Southern and one in Lusaka. These four sites received basic laboratory equipment as well as training by the implementing partners. In FY 2006, four additional provincial sites were provided with laboratory equipment, comprehensive staff training, and infrastructure improvement. These are Eastern, Central, Western and Northwestern. These sites are located in remote, isolated areas and complete renovation of infrastructure is needed in order for the clinics to sustain their comprehensive services.
Extensive renovation of these facilities is needed to allow them be qualified for the national HIV program where free test kits, ARV and other HIV related drugs are available. These sites will serve as model sites and will be used as rotation centers for training ZDF medical staff in the regions. Training packages will include prevention for mother-to-child transmission (PMTCT), HIV/TB care, ART and palliative care and will be conducted by PCI and JHPIEGO.
The DoD continuously supported these eight regional sites in FY 2005 and 2006 with laboratory reagents and equipment. New in FY 2007, DoD will work with CDC also to provide technical assistance and procurement of equipment and lab reagents, DoD will expand infrastructure activities into two additional military medical sites: one in Luapula province and one in Lusaka province.
Mansa military clinic will be supported by a major construction activity. Due to the remoteness and isolation of Luapula province, DFMS has been unable to provide adequate HIV care services at this site. This site has not been able to scale up HIV/AIDS care and treatment services due to in adequate infrastructure.
The other site in FY 2007 will be located in Lusaka Province. Although Lusaka already has one model site supported in FY 2005, the ZDF has identified the need for an additional site since Lusaka district is a high density area with a large demand for services and the Maina Soko hospital alone cannot accommodate the large patient burden. L85 unit (Zambia Army) will receive support in major infrastructure support. Other sites that may be supported are ZAF Mumbwa, ZAF Lusaka, ZNS Chongwe, ZA Mikango, ZA Arakaan laboratory, ZA Kabwe laboratory, and ZNS Nyimba which will receive medical and minor renovation support if required. HIV/AIDS unit coordinators as well as medical officers from these units have already been provided adequate training for HIV/AIDS prevention, care, and treatment and therefore these equipment supports will immediately expand capacity to provide these new services. Finally, limited renovation and rehabilitation services will be made available to Maina Soko Military hospital in order to support the development of the Family Support Unit, additional support will be to the Zambian Defense Forces Nursing
College to improve their ability to train nurses (linking to activity #9172).
By working with the DFMS and in the ZDF facilities, DoD will strengthen the physical and equipment infrastructure, implement a facility level quality assurance/quality improvement program and improve laboratory equipment and systems. The DoD will be able to establish a sustainable program. DoD's goal, over the last two years, is to leave behind quality systems to ensure continuity of laboratory support after the program concludes.
