Appendix 4 - Description and Categorization of Budget Codes by Program Area


PREVENTION

01-MTCT Prevention: PMTCT- Includes activities (including training) aimed at preventing mother-to-child HIV transmission, including ARV prophylaxis for HIV-infected pregnant women and newborns and counseling and support for maternal nutrition.

02-HVAB Sexual Prevention: AB– Includes activities (including training) to promote abstinence (including delay of sexual activity or secondary abstinence), fidelity (including partner reduction), and related social and community norms.

03-HVOP Sexual Prevention: Other sexual prevention- Includes other activities (including training) aimed at preventing HIV transmission including purchase and promotion of condoms, STI management (if not in palliative care settings/context), messages/programs to reduce other risks of persons engaged in high-risk behaviors. Prevention services focus on target populations such as alcohol users; at risk youth; MSM; mobile populations, including migrant workers, truck drivers, and members of military and other uniformed services (e.g. police); and persons who exchange sex for money and/or other goods with multiple or concurrent sex partners, including persons engaged in prostitution and/or transactional sexual partnerships.

04-HMBL Biomedical Prevention: Blood Safety– Includes activities supporting a nationally-coordinated blood program to ensure a safe and adequate blood supply including: infrastructure and policies; donor-recruitment activities; blood collection, testing for transfusion-transmissible infections, component preparation, storage and distribution; appropriate clinical use of blood, transfusion procedures and hemovigilance; training and human resource development; monitoring and evaluation; and development of sustainable systems.

05-HMIN Biomedical Prevention: Injection Safety– Includes policies, training, waste-management systems, advocacy and other activities to promote medical injection safety, including distribution/supply chain, cost and appropriate disposal of injection equipment and other related equipment and supplies.

06-IDUP Biomedical Prevention: Injecting and non-Injecting Drug Use– Includes activities including policy reform, training, message development, community mobilization and comprehensive approaches including medication assistance therapy to reduce injecting drug use.

07-CIRC Biomedical Prevention: Male Circumcision– Includes policy, training, outreach, message development, service delivery and follow-up, and equipment and supply purchase related to male circumcision. ABC messaging, condom provision, prevention counseling and STI treatment should all be part of a comprehensive male circumcision package.

14-HVCT Care: Counseling and Testing– Includes activities in which both HIV counseling and testing are provided for those who seek to know their HIV status (as in traditional VCT) or provider initiated counseling and testing.

CARE

08-HBHC Care: Adult Care and Support– Includes all facility-based and home/community-based activities for HIV-infected adults and their families aimed at extending and optimizing quality of life for HIV-infected clients and their families throughout the continuum of illness through provision of clinical, psychological, spiritual, social, and prevention services. Clinical care includes prevention and treatment of OIs (excluding TB) and other HIV/AIDS-related complications including malaria and diarrhea (providing access to commodities such as pharmaceuticals, insecticide-treated nets, safe water interventions and related laboratory services), pain and symptom relief, and nutritional assessment and support including food. Psychological and spiritual support includes group and individual counseling and culturally-appropriate end-of-life care and bereavement services. Social support includes vocational training, income-generating activities, social and legal protection, and training and support of caregivers. Prevention services include “prevention for positives” behavioral counseling and counseling and testing of family members.

10-PDCS Care: Pediatric Care and Support– Includes all health facility-based care for HIV-exposed children aimed at extending and optimizing quality of life for HIV-infected clients and their families throughout the continuum of illness through provision of clinical, psychological, spiritual, social, and prevention services. Clinical care includes early infant diagnosis, prevention and treatment of OIs (excluding TB) and other HIV/AIDS-related complications including malaria and diarrhea (providing access to commodities such as pharmaceuticals, insecticide treated nets, safe water interventions and related laboratory services), pain and symptom relief, and nutritional assessment and support including food.

12-HVTB Care: TB/HIV– Includes exams, clinical monitoring, related laboratory services, treatment and prevention of tuberculosis (including medications), as well as screening and referral of TB clinic clients for HIV testing, and clinical care. The location of HIV/TB activities can include general medical settings, HIV/AIDS clinics, home-based care and traditional TB clinics and hospitals.

13-HKID Care: OVC– Includes activities aimed at improving the lives of orphans and other vulnerable children (OVC) affected by HIV/AIDS, and doing so in a measurable way. Services to children (0-17 years) should be based on the actual needs of the child and could include ensuring access to basic education (from early childhood development through secondary level), broader health care services, targeted food and nutrition support, including support for safe infant feeding and weaning practices, protection and legal aid, economic strengthening, training of caregivers in HIV prevention and home-based care, etc. Household-centered approaches that link OVC services with HIV-affected families (linkages with PMTCT, palliative care, treatment, etc.) and strengthen the capacity of the family unit (caregiver) are included along with strengthening community structures which protect and promote healthy child development (schools, churches, clinics, child protection committees, etc.) and investments in local and national government capacity to identify, monitor and track children’s well-being.

TREATMENT

09-HTXS Treatment: Adult Treatment– Includes infrastructure, training clinicians and other providers, exams, clinical monitoring, related laboratory services, and community-adherence activities.

11-PDTX Treatment: Pediatric Treatment- Includes infrastructure, training clinicians and other providers, exams, clinical monitoring, related laboratory services, and community-adherence activities.

15-HTXD ARV Drugs– Includes procurement, delivery, in-freight of ARV drugs. All antiretroviral Post-Exposure Prophylaxis procurement for rape victims should be included within this program area.

16-HLAB Laboratory Infrastructure– Includes development and strengthening of laboratory systems and facilities to support HIV/AIDS-related activities including purchase of equipment and commodities and provision of quality assurance, staff training and other technical assistance.

OTHER

17-HVSI Strategic Information– HIV/AIDS behavioral and biological surveillance, facility surveys, monitoring partner results, reporting results, supporting health information systems, assisting countries to establish and/or strengthen such systems, and related analyses and data dissemination activities fall under strategic information.

18-OHSS Health Systems Strengthening– Includes broad policy reform efforts and system-wide approaches, for example national procurement and logistics systems or strengthening of Global Fund programs and donor coordination.

19-HVMS Management and Staffing– Includes costs of supporting USG mission staff to manage, support, and administer HIV/AIDS programs including related training, salaries, travel, housing and other personnel-related expenses.

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