II. Introduction


INTRODUCTION

This August Operational Plan of the President�s Emergency Plan for AIDS Relief (the Emergency Plan) serves as the third Operational Plan for FY 2006. It is organized into eight sections:

I. List of Acronyms
II. Introduction
III. Focus Country Activities
IV. Other PEPFAR Country Programs
V. Central Programs
VI. International Partners
VII. Technical Oversight and Management
VIII. Strategic Information/Evaluation

Section II, this Introduction, provides a brief overview of this FY 2006 updated Operational Plan, as well as three summary tables. Table 1 summarizes the overall $3.288 billion FY 2006 Emergency Plan budget in terms of sources of funding. Table 2 summarizes this same $3.288 billion FY 2006 Emergency Plan budget in terms of approved uses of funding. All FY 2006 funding has been approved by the Acting U.S. Global AIDS Coordinator (the Coordinator) as of this Operational Plan. Table 2 also identifies $2.381 billion in planned funding from the Department of State (State), the United States Agency for International Development (USAID) and the Department of Health and Human Services (HHS) that is the principal subject of this Operational Plan and an additional $907 million that is described in other agencies� congressional justifications and related documents. Table 3 summarizes how the FY 2006 approved activities are distributed among prevention, care, and treatment program areas.

Section III, Focus Country Activities, provides three summary tables (Tables 4, 5, and 6), and fifteen individual country program descriptions. Every country description is followed by a detailed country budget, which shows funding levels as approved by the Coordinator.

Section IV, Other PEPFAR Country Programs, provides two summary tables (Tables 7 and 8), summarizing increased funding as a result of the Emergency Plan for 24 bilateral and five regional programs outside of the focus countries, followed by brief program descriptions.

Section V, Central Programs, provides a summary table (Table 9), followed by individual central program descriptions. Section VI, International Partners, provides a summary table (Table 10), and describes our contributions to UNAIDS and the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM). Section VI, Technical Oversight and Management, provides a summary table (Table 11) and individual program descriptions. Section VII, Strategic Information/Evaluation, provides a summary table (Table 12) followed by a narrative description.

OVERVIEW

This August 2006 Operational Plan serves as the third Operational Plan for FY 2006. It follows �The President�s Emergency Plan for AIDS Relief � U.S. Five-Year Global HIV/AIDS Strategy� and seeks to have an immediate impact on people and strengthen the capacity of host nations to expand programs quickly over the next several years. With FY 2006 funding, the Emergency Plan will support care and support services for 4,300,000 individuals infected and affected by HIV/AIDS including orphans and vulnerable children (OVCs), and will support antiretroviral treatment (ART) for at least 860,000 individuals. Section III of this document provides information on each country�s contribution to the total number of individuals to be receiving care and support and antiretroviral treatment using FY 2006 funding.

The FY 2006 budget for the Emergency Plan is $3.288 billion (see Table 1). This FY 2006 Operational Plan describes the planned uses of $2.381 billion of Emergency Plan funding (see Table 2) to expand integrated care, treatment and prevention programs in fifteen focus countries; to finance central programs that help focus countries achieve their goals; to provide U.S. Government (USG) contributions to international partnerships, including the Joint United Nations Program on HIV/AIDS (UNAIDS) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM); to fund technical oversight and management, and to develop and maintain the Emergency Plan�s strategic information and evaluation systems.

The planned uses of the remaining $907 million of Emergency Plan funding include support for existing bilateral HIV/AIDS programs around the world; international HIV/AIDS research through the HHS National Institutes of Health; HIV vaccine and microbicide research and development through USAID; and TB programs. These programs are described in a variety of congressional budget justification documents and briefing materials of USAID, HHS, Department of Defense (DOD), Department of Labor (DOL), and State.

The $2.381 billion described in this August FY 2006 Operational Plan is composed of:

$1,975,050,000 from the FY 2006 Global HIV/AIDS Initiative account (GHAI, STATE)
$247,500,000 from the FY 2006 Child Survival and Health account (CSH, USAID)
$99,000,000 from the FY 2006 NIH budget (HHS)
$59,259,000 from the FY 2006 Global AIDS Program (CDC/GAP, HHS)

$2,380,809,000 TOTAL

The FY 2006 figures are actual appropriation figures minus the rescission.

The Emergency Plan focus countries, which are all severely impacted by HIV/AIDS, consist of Botswana, C�te d�Ivoire, Ethiopia, Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Vietnam and Zambia.

PROGRESS TO DATE

Please see "Action Today, Foundation for Tomorrow: the President�s Emergency Plan for AIDS Relief Second Annual Report to Congress" for a complete description of progress and achievements during FY 2005 and the Emergency Plan�s Treatment Fact Sheet for select results through May 31, 2006. It is of note, however, that through September 30, 2005, the Emergency Plan supported care for nearly 3 million people, including care for over 1.2 million orphans and vulnerable children. As of March 2006, the Emergency Plan has supported antiretroviral treatment for 561,000 men, women, and children through bilateral programs in the 15 Focus Countries. The Emergency Plan also has supported prevention of mother-to-child HIV transmission services for women during over 4.5 million pregnancies, antiretroviral prophylaxis for women during 342,200 pregnancies, and prevented an estimated 65,100 infant HIV infection.

DISTRIBUTION OF HIV/AIDS FUNDS

The distribution of the FY 2006 Emergency Plan funds among prevention, treatment, and care is moving in the direction outlined in the authorization of the Emergency Plan.

See Table 3 for the allocation of funds among program areas for activities that have been approved to date. 22.6% percent of the budget is allocated to prevention activities; 30.8% of the budget is allocated to care; and 46.6% is allocated to treatment. Of note, Abstinence, Be Faithful (AB) activities account for 7.5% of the total prevention, care, and treatment budget, 33% of all prevention activities, and 55% of programs that address prevention of sexual transmission of HIV/AIDS. Activities for orphans and vulnerable children (OVCs) account for 12.1% of the total prevention, care, and treatment budget. Please note that pediatric AIDS treatment funding that is attributed to OVC programs is included in the care program area total and is not included in the treatment program area total. Table 3 displays this information in greater detail.

CONGRESSIONAL NOTIFICATION

This Operational Plan includes all sources of funding, some of which are notified to Congress by other parts of the USG. The Operational Plan provides descriptive material to buttress notifications to Congress for funds from the Global HIV/AIDS Initiative (GHAI) account.


Table 1: Sources of Funding FY 2004 - FY 2006
Table 1: Sources of Funding FY 2004 - FY 2006

Table 2: Emergency Plan FY 2006 Budget Allocations
Table 2: Emergency Plan FY 2006 Budget Allocations

Table 3: Approved Funding by Program Area: All Countries
Table 3: Approved Funding by Program Area: All Countries

August 2006 Operational Plan Main Page

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