5
PEPFAR’s Treatment Category

CATEGORY, TARGET, AND RESULTS

The Treatment Category

The President’s Emergency Plan for AIDS Relief (PEPFAR) defines treatment narrowly as antiretroviral therapy (ART), and for purposes of budgeting and performance targets, ART is categorized separately from all other related care services. PEPFAR’s treatment category includes only activities that directly or indirectly support the provision of ART, including procurement of antiretroviral medications (ARVs), essential laboratory monitoring, equipment and training of personnel for the provision of ART and laboratory monitoring, development of adequate laboratory infrastructure, and support for supply chain management systems for ARVs and related commodities. For purposes of budgeting, complying with budget allocations, and counting progress toward targets, PEPFAR categorizes other services in the care continuum under its other categories. For example, PEPFAR includes most treatment for the prevention of mother-to-child transmission in its prevention category1 (see Chapter 4), and therapy for coinfections such as tuberculosis and malaria, as well as nonclinical care, in its care category (see Chapter 6). The consequences of this definition and categorization are discussed further in this chapter and in Chapter 8 in the section

1

Only services in which the mother is receiving ART (termed prevention of mother-to-child transmission plus) are included under the treatment category. Provision of ARVs solely to prevent transmission of HIV from mother to infant is included under the prevention category.



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