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
UNICEF supportsPMTCT and Pediatric HIV care services in Luapula Province in collaboration withMOH and FHI in 53 non-partner supported facilities in Chiengi, Samfya and Kawambwa districts. UNICEF will implement strategies focused on:a) Strengthening leadership, coordination and program guidance for integrated PMTCT, Infant and Young Child Feeding (IYCF), Maternal, Newborn & Child Health (MNCH), Pediatric ART and EID b) innovations to improve the delivery of HIV prevention, care and treatment services for women and children by address recognized bottlenecks of low coverage of CD4, efficacious PMTCT regimen, male involvement, institutional deliveries (47%) and postnatal care (39%) coverage; weak EID and high LTFU of mother-baby pairs; high total fertility rate (6.2) and low contraceptive prevalence rate (41%). UNICEF will support the use of SMS technology innovation for EID results and expansion to MNCH and FP adherence services; advocate for point-of-care CD4; support adoption of mama-pack innovation for increase facility deliveries; c)advocate/leverage resources for expansion of Safe Motherhood Action Groups, and communities education programs. UsingPMTCT Acceleration funds ($550,000)will continue to contribute towards the acceleration of the MOH PMTCT program at country level through policy level support and generation and deployment of best evidence. UNICEF will inform future condom programming by undertaking an evaluation of female condom services; inform national level planning for increased access to CD4 services by pregnant women through performing a national CD4 mapping exercise; provide leadership in rolling-out SMS technologies for lab results return and adherence support services, and support the MOH in under-taking national PMTCT program impact evaluation.
Scale-up of SMS TechnologyUNICEF will support scale-up of SMS technology to at least 200 facilities by 2012 to improve the delivery of results for EID in line with the Ministry of Health plans. The resources will be leveraged towards supporting the MOH to roll-out installation of SMS technology systems and related costs for training of staff on reduction of turn-around time for PCR results and maintaining SMS technology systems. Support will also be provide for supervision of facilities in data tracking on the number of samples referred and results returned to collection sites.
Review of IMCI StrategySupport will be provided to the MOH on updating of the Integrated Management of Childhood Illness (IMCI) strategy in line with current guidelines on management of children living HIV. UNICEF will provide resources for printing of training materials for capacity building of healthcare workers in Integrated Management of Childhood Illness.
Strengthening Integration of EPI with EIDAlthough much effort has gone into integration of information of PMTCT on the under-5 card, documentation has been a challenge. UNICEF will support the MOH in capacity development aimed at strengthening documentation and integration of EPI services with EID services. This strategy will result in improvement of EID access through all key service delivery entry points such as immunization clinics, during child health week events, growth monitoring points, and through outreach posts. RED and REC strategies will be applied for outreach early infant diagnosis services. Through collaboration with the Ministry of Health Child Health Unit support will be provided for capacity development, supervision and procurement of under-five child health cards. Emphasis will be laid on reinforcing utilisation of the under-five card for early identification of HIV exposed infants.
Strengthening Integrated Community Case Management (iCCM)In Zambia, 50% of newborn deaths take place at home during the first week of life without reaching a health facility. An estimated 80% of all deliveries in rural areas take place at home. UNICEF will support the MOH to roll-out iCCM as a major strategy for reducing neonatal and maternal deaths building on the existing experiences in the country in this area.
In order to make provide a clear understand the CD4 testing capacity of Zambia and thus inform planning for expansion of CD4 testing for ANC; UNICEF in collaboration with partners will conducting a national CD4 testing mapping, to guide expanded access to CD4 for pregnant women living with HIV, and ensuring timely treatment. Resources from these COP 12 PMTCT acceleration funds will go towards the development and implementation of a CD4 expansion plan for the country, including the roll-out and capacity development for POC CD4 testing, and intra-district lab sample courier systems.
Successful elimination of new paediatric HIV infections demands a clear understanding of the effectiveness of the PMTCT program in Zambia to date. The PMTCT program has been running since 2000, without evaluating its effectiveness, thus a PMTCT program assessment is timely to guide programming and advocacy for the current elimination agenda. The assessment is a key exercise for generating evidence on how the current programming works and to what extent it is making a difference in the survival of HIV positive women and their children.UNICEF working with MoH will source for technical assistance to conduct this assessment, support dissemination of results and generation of knowledge products for advocacy.
Using COP12 base funds, UNICEF will strengthen coordination among stakeholders; this is instrumental in guiding planning and monitoring performance to improve service delivery and realization of the agenda of elimination of new paediatric HIV infection by 2015. UNICEF will work with Ministry of Health (MOH) to ensure that program oversight and integration is strengthened. Support will include formulation of guidelines and capacity development for program staff for maternal and child health at national and provincial levels and conducting annual planning and review meetings. UNICEF will support printing and dissemination of the integrated 2011-2015 plan for elimination of paediatric HIV infections and formulation of guidelines for elimination of congenital syphilis. UNICEF will support institutionalization of provincial MNCH/PMTCT coordination teams based on the Luapula MNCH/PMTCT Initiative model. Further, UNICEF will work with the MOH to strengthen follow-up care through expansion of SMS technology (Result 160 and RemindMI strategy) to improve the delivery of EID results and expansion to MNCH and Family Planning (FP) services for strengthening access and follow-up care during antenatal and postnatal. UNICEF will support strengthening access to CD4 testing; Point of Care CD4 machines will improve access to CD4 testing in hard-to-reach areas; UNICEF will advocate for introduction, formulation, printing and dissemination of national guidelines for point of care technologies. UNICEF will aim to improve facility deliveries using lessons learnt from Luapula MNCH/PMTCT initiative of introducing the mama pack ; UNICEF will leverage resources for replication of this innovation in other provinces. Further, UNICEF will support scale-up of SMAGs to support community mobilization on increasing facility delivery and increasing demand for FP. UNICEF will support the MOH in establishment of community listening groups. UNICEF considers the integration of FP into HIV services as a potential strategy for PMTCT and to ensure a continuum of care and safe motherhood. Building on prior FY11 PMTCT Plus-up funds that were used to pilot FP/HIV integrated service delivery models in one province, UNICEF will utilize the COP12 PMTCT Acceleration funds ($550,000) to support the integration of the FP module in the PMTCT training curricula, pilot the integration of FP in selected HIV testing and counseling (HTC) sites and the procurement and distribution of FP commodities. UNICEF will work with MoH, UNFPA and other stakeholders to ensure development of guidelines for systematic integration of FP into all health services from where HIV positive women can be diagnosed as well as in community HTC programs. A situational analysis will be undertaken and results of this will serve as the basis for the strategy recommendations and development of specific tools including guidelines. UNICEF will support national CD4 mapping exercise and national PMTCT program assessment.
