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 narrative aimed at promoting Abstinence/being faithful (AB) is a draft and will be revised upon
award of the new United States Agency for International Development (USAID) social marketing activity in
FY 2009. The activity will be implemented by a partner to be determined in close collaboration with the
following HIV activities implemented by other United States Government (USG) partners HVOP, HVCT,
HBHC, PDCS, PDTX, and HTXS. It is envisioned that there will be a two month overlap between the
current and the new project so that services continue to be provided to new and existing clients. Targets
will be adjusted based on the actual starting date of the new project.
With FY 2009 funding, the activity will train 60 counselors in HIV counseling and testing (CT) with emphasis
on abstinence/being faithful (AB) and will reach 80,000 individuals with AB messages through interpersonal
communication, radio and television broadcasts, drama shows, and print media.
The activity will focus on gender, addressing male norms and behaviors, male reproductive health with an
emphasis on risk reduction, and gender inequities in accessing HIV/AIDS services, including CT services.
The activity will fully support the Government of the Republic of Zambia (GRZ)'s National Gender Policy
which requires all policies, programs, plans, projects, and national budgets to be gender-sensitive in pursuit
of sustainable economic growth, job creation, better household security and poverty reduction. Approaches
to address male norms and behaviors, male reproductive health, and gender inequities in accessing
HIV/AIDS services will include the following activities: 1) conducting surveys on the socio-economic and
cultural determinants of male norms and behaviors, male reproductive health, and gender inequities in
accessing HIV/AIDS services, 2) devising context-specific interventions based on the findings from surveys,
and 3) developing a monitoring and reporting plan for the interventions. The activity will also address
gender mainstreaming within the implementing partner organization by introducing appropriate internal
management structures and personnel processes.
To sustain the AB program (to continue to develop and disseminate appropriate messages promoting AB)
and the positive health-seeking behaviors created through reaching individuals with AB messages, the new
implementing will support the creation of a viable AB network of local organizations, which will continue to
develop and disseminate AB messages to all Zambians, including individuals at high risk of contracting HIV
disease beyond the life of the project. The program will build technical, management, and financial
management competencies among local sub-partners so that they are able to develop and disseminate
appropriate AB messages independently (with minimum management oversight). Approaches will include
the following activities: 1) giving franchise to local organizations to develop and disseminate appropriate
messages promoting AB and providing them with resource with which to operate, 2) training local
organizations to improve technical, financial management, and general management skills, and 3) providing
quality assurance oversight to local organizations implementing AB.
All FY 2009 COP targets will be reached by September 30, 2010.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
This activity narrative for Condoms and Other Prevention is a draft and will be revised upon award of the
new USAID social marketing activity in FY 2009. The activity will be implemented by a partner to be
determined in close collaboration with the following HIV activities implemented by other United States
Government (USG) partners: HBHC, PDCS, HVOP, HVCT, PDTX, and HTXS. It is envisioned that there
will be a two month overlap between the current and the new project so that services continue to be
provided to new and existing clients. Targets will be adjusted based on the actual starting date of the new
project.
The new partner will carry out the following activities with FY 2009 funds: 1) reach 100,000 individuals with
HIV prevention messages through interpersonal communication, radio and television broadcasts, and print
media; 2) promote condom use through interpersonal communication, radio and television broadcasts,
drama shows, and print media; 3) distribute 254,000 female and 15,000,000 male condoms through 2,000
condom outlets across Zambia; and 4) train 300 individuals to promote HIV/AIDS prevention through other
behavior change beyond abstinence and/or being faithful, including consistent and correct use of condoms,
addressing discontinuation and/ or irregular use of condoms, dual protection of condoms from HIV infection
and pregnancy, partner notification about HIV status, and promotion of positive health seeking behaviors
such as seeking prompt treatment for sexually transmitted diseases.
The activity will position/reposition condom distribution in response to current data on consumer
preferences, pricing, packaging, messages, and advertising. The activity will also develop strategies to
encourage female condom use among females and males including those engaged in risky sexual
behaviors for HIV transmission.
The activity will fully support the Government of the Republic of Zamia's (GRZ's) National Gender Policy
which requires all policies, programs, plans, projects, and national budgets are gender-sensitive in pursuit of
sustainable economic growth, job creation, better household security and poverty reduction. Approaches to
address male norms and behaviors and gender inequities in accessing HIV/AIDS services will include the
following activities: conducting surveys on the socio-economic and cultural determinants of male norms and
behaviors and gender inequities in accessing HIV/AIDS services; devising context-specific interventions
based on the findings from surveys, and developing a monitoring and reporting plan. The activity will also
address gender issues within the implementing partner by introducing appropriate internal management
structures and personnel processes.
As part of efforts to sustain the availability of condoms on the Zambian commercial market, the current
implementing partner has already established a condoms market through wholesalers and retailers, where
condoms are being marketed at subsidized rates. The new partner will determine the feasibility of removal
of all subsidies on condoms. Approaches will include the following activities: a detailed market
analysis/survey of the pattern of condoms supply and demand; a comprehensive business plan to
implement the withdrawal of subsidies on condoms; and the creation of partnerships with other private
sector service providers to develop and sustain a viable market for unsubsidized condoms.
This activity will contribute to objective 6.3.2 of the National Health Strategic Plan, which aims to halt and
begin to reduce the spread of HIV/AIDS and STIs by increasing access to quality HIV/AIDS and STI
interventions.
The FY 2009 targets will be achieved by September 30, 2010.
Table 3.3.03:
This activity narrative for male circumcision is a draft and will be revised upon award of the new USAID
social marketing activity in FY 2009. The activity will be implemented by a partner to be determined (TBD)
in close collaboration with the following HIV activities implemented by other United States Government
(USG) partners: HVOP, HVCT, HBHC, PDCS, PDTX, and HTXS. It is envisioned that there will be a two
month overlap between the current and the new project so that services continue to be provided to new and
existing clients. Targets will be adjusted based on the actual starting date of the new project.
With FY 2009 funding, the partner TBD will implement the following activities in Lusaka: 1) train 25 health
care workers (doctors, clinical officers, and nurses) in male circumcision (MC) and 60 counselors in HIV
counseling and testing (CT) with emphasis on benefits of MC; 2) procure $700,000 worth of MC equipment,
including surgical beds, 1,500 MC kits containing MC consumables (needles, syringes, cotton wool, suture
materials, and an anesthetic drug), and MC surgical instruments; 3) provide male circumcision services,
including reaching 5,600 MC clients with Abstinence and Being faithful (AB) messages, providing pre-MC
counseling and testing for HIV to MC clients, circumcising1,500 MC clients, and providing post MC care;
and 4) develop lessons learned regarding cost-effective, sustainable MC service-delivery models to rapidly
scale up services nation-wide (depending on the availability of funds).
To sustain MC services and the positive health-seeking behaviors created through social marketing of MC
services, the new partner will collaborate with and build technical competences of public and private sectors
in the provision of quality-assured MC services. The partner will: 1) collaborate with public and private MC
stakeholders to develop MC training materials; 2) provide MC training to nurses, clinical officers, and
doctors in the public and private sectors; and 3) collaborate with public and private MC stakeholders to
standardize MC services, including the MC surgical kit, MC procedure, and MC messages.
Table 3.3.07:
This activity narrative for adult care and support is a draft and will be revised upon award of the new USAID
in close collaboration with the following HIV activities implemented by other USG partners: HBHC, PDCS,
HVOP, HVCT, PDTX, and HTXS. It is envisioned that there will be a two month overlap between the
The partner will perform the following activities with FY 2009 funds: 1) promote the use of Clorin home
water treatment solution among rural and urban populations in Zambia through interpersonal
communication, radio and television broadcasts, drama shows, and print media; 2) train 70 home based
care and public clinical staff on the importance and benefits of consistently and correctly treating household
drinking water; and 3) sell one million bottles (250,000 liters) of Clorin through a variety of channels—
predominately wholesalers, distributors, public clinics, and non-governmental organizations (NGOs),
including home based care programs and post test clubs.
The distribution of Clorin home water treatment solution will be implemented alongside the safe water
education campaigns conducted by the Government of Zambia, which promote good personal hygiene such
as regular hand washing, boiling of drinking water, and proper storage of drinking water.
As part of efforts to sustain the availability of Clorin on the Zambian commercial market, the current
implementing partner has successfully contracted out the manufacturing of Clorin to Pharmanova, a
Zambian pharmaceutical company, which produces the product at subsidized rates. To expand on this
sustainability effort, the new partner will determine the feasibility of removal of all subsidies on Clorin.
Approaches will include the following activities: a detailed market analysis/survey on the product, a
comprehensive business plan to implement the withdrawal of all subsidies on Clorin, and the creation of
partnerships with other private sector service providers to develop and sustain a viable market for
unsubsidized Clorin.
This activity will contribute to the goals and vision of the Zambian Government outlined in the five-year
Zambia National HIV and AIDS Strategic Framework (2006-2010) and to the strategic objectives of
"strengthening home-based care and support programs" and "promotion of appropriate nutrition and positive
living for PLWHA."
All the FY 2009 targets will be achieved by September 30, 2010.
Estimated amount of funding that is planned for Water
Table 3.3.08:
This activity narrative for pediatric care and support is a draft and will be revised upon award of the new
USAID social marketing activity in FY 2009. The activity will be implemented by a partner to be determined
in close collaboration with the following HIV activities implemented by other USG implementing partners:
HBHC, PDCS, HVOP, HVCT, PDTX, and HTXS. It is envisioned that there will be a two month overlap
between the current and the new project so that services continue to be provided to new and existing
clients. Targets will be adjusted based on the actual starting date of the new project.
The partner will perform the following activities with FY 2009 funds: 1) promote Clorin home water treatment
solution to rural and urban populations through interpersonal communication, radio and television
broadcasts, drama shows, and print media; 2) train seventy home based care and public clinical staff on the
importance and benefits of consistently and correctly treating household drinking water; and 3) sell one
million bottles (250,000 liters) of Clorin through a variety of channels—predominately wholesalers,
distributors, public clinics, and non-governmental organizations (NGOs).
The primary target of Clorin home water treatment solution will be households with children under five (to
prevent diarrhea diseases among children) and children under 12 years living with HIV/AIDS.
education campaigns conducted by the Government of Zambia, which promote good personal hygiene
such as regular hand washing, boiling of drinking water, and proper storage of drinking water.
National HIV/AIDS Strategic Framework (2006-2010) and to the strategic objectives of "strengthening home
-based care and support programs" and "promotion of appropriate nutrition and positive living for PLWHA."
Table 3.3.10:
This activity narrative for HIV counseling and testing is a draft and will be revised upon award of the new
in close collaboration with the following HIV activities implemented by other USG partners: HVOP, HVCT,
The partner to be determined (TBD) will implement the following activities with FY 2009 funds: 1) market
HIV counseling and testing (CT) through interpersonal communication, radio and television broadcasts, and
print media; 2) train 50 counselors to provide client-centered pre and post-test counseling with focus on the
"Abstinence/Be faithful/correct and consistent Condom use" approach, partner notification, and risk-
reduction plans; and 3) provide CT to 100,000 clients through a chain of fixed and mobile CT
outlets/facilities across the country.
The activity will target the general population, including women and men above 25 years, the business
community, discordant couples, people living with HIV/AIDS (PLWHA), persons who exchange sex for
money and/or other goods with multiple or concurrent sex partners (transactional sex) but who do not
identify as persons in prostitution, and incarcerated populations. The activity will also integrate CT with
management of STIs, family planning, male circumcision, and male and female condoms.
of sustainable economic growth, job creation, better household security, and poverty reduction.
Approaches to address male norms and behaviors and gender inequities in accessing HIV/AIDS services
will include the following activities: conducting surveys on the socio-economic and cultural determinants of
male norms and behaviors and gender inequities in accessing HIV/AIDS services; devising context-specific
interventions based on the findings from the survey, and developing a monitoring and reporting plan. The
activity will also address gender issues within the implementing partner by introducing appropriate internal
To sustain CT services and the positive health-seeking behaviors created through social marketing of CT,
the new partner will support the creation of a viable CT network across local organizations, which will be
able to provide quality-assured CT services to individuals, families, and communities at a cost they can
afford through improved technical, financial, and management efficiencies. The program will build technical,
management, and financial management competencies among local sub-partners so that they are able to
provide CT services on their own. Approaches will include the following activities: giving franchise to local
organizations to socially market CT services and providing them with financial resources with which to
operate; providing training to local organizations to improve their technical, financial management, and
general management skills; and providing quality assurance oversight to local organizations providing CT
services under the network.
National HIV/AIDS/STD/TB Strategic Framework 2006-2010. Specifically, it will contribute to the strategic
objectives of "improving access to and use of confidential counseling and testing" and "mitigating stigma
and discrimination against HIV."
All FY 2009 targets will be achieved by September 30, 2010.
Table 3.3.14:
