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.
NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.
HEALTHQUAL International (HQI) is a capacity building initiative that facilitates sustainable national and clinic-based quality management programs with the goal of enhanced patient outcomes and improved population health—a goal shared by PEPFAR programs worldwide.
HQI was adapted from the HIVQUAL model after HIVQUAL International was launched in Thailand in 2003 and successfully adapted widely by Ministries of Health (MoH). HQI’s framework consists of three main elements: performance measurement, quality improvement, and a quality management program. It works collaboratively with existing staff and resources within MoH to build upon their current base of knowledge and expertise in the areas of quality improvement methodology. Focus areas include data collection, analysis and reporting, as well as process analysis and the use of data to implement QI projects that aim to improve public health systems as well as processes of care. At the core of HQI’s methodology is its emphasis on coaching and mentoring as well as continuous routine monitoring and evaluation of performance based on national indicators of care.
HQI has worked extensively throughout Asia and with PEPFAR programs in Thailand, Vietnam, and Papua New Guinea. The goal of the proposed collaboration between HQI and CDC in the upcoming funding cycle is to create a forum for peer exchange and the sharing of best practices through a regional Quality Improvement Learning Network within the Southeast Asia region. The funding will also support HQI’s coaching/mentoring directly to the Laotian Ministry of Health to build capacity for the development, implementation, management, and sustainability of a country-owned national quality management program for HIV care and treatment services.
Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.
This mechanism has no published performance targets or indicators.
