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: 2012 2013 2014 2015
The Association of Schools for Public Health is a cooperative agreement that supports U.S. universities to advance public health research and programs domestically and overseas. The scope of work includes health workforce development and specifically the African Health Profession Regulatory Collaborative for Nurses and Midwives (ARC). ARC is a four year regional initiative with the following objectives: 1) Ensure that global quality standards of practice are harmonized in the East Central and Southern Africa Health Community (ECSA) region; 2) Ensure that national regulatory frameworks are updated to reflect nationally approved reforms to practice and education; 3) Strengthen the capacity of regulatory councils to conduct key regulatory functions; and 4) Establish sustainable African health leadership in nursing and midwifery practice and regulation.
The geographic coverage for ARC includes the 14 countries of ECSA. The target population is the nursing and midwifery leadership of these countries, drawn from the nursing council, ministry of health (MOH), nursing association, and educational institutions. The strategy for cost efficiency and transition to partner government is to build the capacity within ECSA to incrementally assume full management of the initiative over the four year period. ECSA is a regional African inter-governmental health organization that promotes regional cooperation in health among member states. Monitoring and evaluation plans include development of a scientific framework that documents the progress of participating countries and regulatory changes relative to baseline indicators. It also includes monitoring of country planning processes and the degree to which program plans are implemented.
PEPFAR has encouraged key reforms in the pre-service education, tasks, and training of nurses and midwives in Botswana, which are not reflected and institutionalized in the legislative and regulatory framework governed by the Council. This is due in part to weakness in the institutional capacity of the Nursing and Midwifery Council of Botswana (NMCB). NMCB, along with a team from MOH participated in the first ARC workshop in Nairobi in 2011, but were unsuccessful in their bid for the first round of support. In FY 2012, ARC will invite a national leadership team from Botswana to participate in a south-to-south collaborative, whereby the Registrar, Chief Nursing Officer, representatives of the nursing and midwifery council and the professional association, and member of the academic sector will work together to achieve measurable improvement in an area of regulation that they prioritize and define. ARC will support the teams achievement through a direct grant, ongoing technical assistance, and by supporting the participation of the team in quarterly ARC learning sessions, where the Botswana team will learn and share with four other country teams in the region working on similar activities, as well as contribute to key tools and resources made available for the region, through collaborating partner ECSA. Example activities include: creating a continuing professional development program, revising scopes of practice, and creating advanced cadres. ARC will further conduct institutional strengthening of the council, through training and mentorship in planning, grants and project management, monitoring and evaluation, and quality improvement. Linkages across functional areas include tackling this key systems issue in workforce development while also enhancing leadership and governance of the health system by national and regional African institutions.
