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: 2008 2009
New/Continuing Activity: New Activity
Continuing Activity:
Program Budget Code: 17 - HVSI Strategic Information
Total Planned Funding for Program Budget Code: $1,225,000
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
Overview
To date, national level HIV-related data in Angola is limited to surveillance in pregnant women and a limited number of Voluntary
Counseling and Testing (VCT) sites. The 2004, 2005 and 2007 national HIV (hepatitis B and syphilis) antenatal clinic (ANC)
surveys are the only estimates of HIV prevalence. During the first two surveys, the USG played a critical role in building local
government capacity enabling the National AIDS Institute (INLS) to take the lead in the 2007 survey. Angola has no systematic
process for monitoring and evaluation (M&E), routine surveillance, or standardized Health Management Information System
(HMIS). Consequently, the Government of Angola (GoA) and the INLS recognize the need for high quality data and technical
assistance support to program development and policy implementation.
Between 2007 and 2008, the Global Fund to fight HIV/AIDS, Tuberculosis (TB) and Malaria (GFATM) trained a total of 272
Angolan nationals in financial program management, program administration, strategic planning and M&E for HIV/AIDS, TB, and
Malaria. An additional 165 nationals will be trained in 2009. A USG partner, World Learning, leveraging GFATM funds, trained
150 of these people, who are members of NGOs funded through PEPFAR. The USG will support an M&E program officer tasked
with liaising with local government and other stakeholders to facilitate the fulfillment of PEPFAR reporting requirements as well as
coordinate efforts across donors so that the national M&E program conforms to the "three one's". The INLS' ability to perform
M&E for program effectiveness and inform critical indicators is not evident and relies on a technical working group comprised of
consultants from various stake holders and members of the INLS. The INLS continues to rely heavily on the Brazilian Corporation
(BC) consultancy group (a private company) to strengthen the national capacity, record and report national PMTCT data, and
create data collection tools for M&E of PMTCT, VCT and antiretroviral (ARV) distribution programs. The USG continues to
support the INLS with data management where requested however the INLS has begun implementation of the proposed Oracle-
based IT system for VCT and ARV M&E designed by BC consultant's. The extent of the functionality of the system is unknown.
The USG supports and maintains an Epi Info database for program data from 17 VCT sites. A CDC staff epidemiologist analyses
the information and produces monthly summaries which are shared with the INLS.
Discussions have been raised with the local government regarding the importance and need of conducting a census to inform and
facilitate future surveys, for example a DHS.
Leveraging and Coordination
Due to human resource limitations, the USG has collaborated on a limited basis with GFATM, WHO, UNICEF, UNAIDS and
HAMSET, and continues to offer technical assistance in the harmonization and standardization of M&E policies and indicators for
prevention, diagnosis, care and treatment of HIV disease.
The USG is actively involved in coordination of the GFATM proposed national population-based behavioral survey (BSS)
scheduled to commence in November 2008, to avoid overlap in programmatic activities and efforts. The USG coordinates with the
Brazilian Corporation and the M&E Officers from other donors like UNICEF in monitoring and evaluation activities to ensure
effective implementation and no duplication of effort. The arrival of the USG M&E program officer, and the physical presence of
50% of his/her time in the INLS, will enhance this collaboration.
Current USG Support
•In February 2008, the USG successfully assisted with capacity building in M&E by supporting the implementation and completion
of an M&E "101" course relying on technical assistance from CDC Brazil and Atlanta.
•The USG recruited for a full time M&E staff member to assist the INLS with M&E policy development and harmonization of
PEPFAR and local indicators. This position is yet to be filled, with the selection of a candidate anticipated to conclude in late 2008.
The M& E officer will be responsible for harmonizing national indicators with those of PEPFAR and other agencies such as
UNAIDS; working with INLS to improve recording and reporting in VCT centers; assessing the obstacles to better reporting and
recording utilizing CDC interagency expertise; supporting a standardized process for informing PEPFAR indicators; and gathering
information from all USG partners and sub partners.
•The USG continued dialogue with the INLS regarding routine information gathering and any technical assistance needs.
•The USG successfully concluded and officially presented the INLS with the National Epi Report.
•Dialogue was initiated with the MOH and INLS regarding the importance and the possibility of a national demographic health
survey (DHS) to create a national baseline for indicators in all areas of the health system.
•The USG continues to provide the INLS with technical assistance in developing epidemiological surveillance and M&E evaluation
tools.
•Formative research for the BSS is also ongoing with data collection is planned to begin in early March 2009. Completion of the
survey is projected for late 2009.
•The USG was a critical catalyst in establishing communication and coordination among the TB and HIV Institutes as well as other
stakeholders. Collaboration among these players will facilitate achievement of the following USG goals:
- To provide technical and logistical assistance with the establishment of TB/HIV sentinel sites for the purpose of providing routine
HIV surveillance and TB/HIV program M&E;
- To continue regular database and basic data analysis training for the INLS and TB/HIV personnel.
•FY08 funding for the Household Cluster survey will be reprogrammed for the TB/HIV sentinel surveillance system (see FY09
support).
USG FY09 Support
Angola continues to face particular challenges regarding both HIV SI and the tools and trained personnel to implement SI
initiatives. In addition, several limitations in the working environment of HIV in Angola make the USG goals of capacity building in
SI difficult. Despite these limitations, in FY09, the USG will provide funding and technical assistance to the extent possible for the
following activities:
•The M&E officer, once on board, will continue to provide technical assistance to support the INLS with harmonizing national
indicators, improve recording and reporting systems and overall monitoring and evaluation;
•The USG will provide technical and financial support to HIV incidence studies (see Laboratory narrative) at the population level
and individual level, for risk determination in newly infected people (see Sexual Transmission narrative);
•The USG will provide technical and financial support for a qualitative circumcision survey, to determine the feasibility of
circumcision programs in Angola;
•To determine other drivers of the epidemic, the USG will support a behavioral study in groups of which we have limited
knowledge like PLWHA or men. During 2009 a protocol will be elaborated together with the INLS/CDC Atlanta, and others.
•Several TraC studies are planned for high risk groups to increase specific knowledge on risk groups in relation to behavior
change and IEC campaigns (operational research).
•USG will continue to support the management of information systems on provincial and municipal level where the Essential
Health Services Program (EHSP) is working, as well as the training of health workers in order to increase the quality of the
information system, the analysis of data and their use for decision making.
•USG implementers will continue to provide local organizations with technical assistance for strategic information activities and
train individuals in strategic information including within NGOs working with youth and PLWHA.
•The USG will augment FY08 funding to continue its TB/HIV SI activities. It will support the establishment of a national TB/HIV
surveillance system for routine recording and reporting in TB/HIV initiatives and support the establishment and management of a
Sentinel Surveillance database that will support the surveillance activities in TB/HIV and STIs. The USG will then support an initial
cross-sectional surveillance survey of TB/HIV data collected at sentinel sites (once the initiative is established);
•The USG will continue support of the BSS survey in Cunene.
•The USG will support a rapid assessment in Cunene of the socio-cultural demographic issues influencing HIV transmission;
•The USG will provide technical support to the GoA for proposed FY09 ANC survey as well as for STI surveillance.
Targets
13.1 Number of local organizations provided with technical assistance for strategic information activities 66
13.2 Number of individuals trained in strategic information (includes M&E, surveillance, and/or HMIS) 390
Table 3.3.17:
N/A
New/Continuing Activity: Continuing Activity
Continuing Activity: 18940
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18940 11929.08 HHS/Centers for US Centers for 8303 6079.08 CDC $100,000
Disease Control & Disease Control
Prevention and Prevention
11929 11929.07 HHS/Centers for US Centers for 5857 5857.07 $400,000
CDC staff all costs
Continuing Activity: 18937
18937 12189.08 HHS/Centers for US Centers for 8303 6079.08 CDC $392,000
12189 12189.07 HHS/Centers for US Centers for 6079 6079.07 CDC $331,000
Table 3.3.19:
