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
Measure Evaluation's Monitoring & Assessment for Results (MMAR) project provides the government of
Côte d'Ivoire and PEPFAR implementing partners with technical assistance to (1) strengthen the collection,
management, dissemination, and use of HIV/AIDS data and general health management information
system (HMIS) data, and (2) integrate these two information systems. In Cote d'Ivoire, the Ministry of the
Fight Against AIDS (MLS) is responsible for planning, coordinating, monitoring, and evaluating the national
multisectoral and decentralized response to HIV/AIDS. The Ministry of Health (MOH), through its
Department of Information, Planning, Monitoring, and Evaluation (DIPE), is responsible for HIV/AIDS data
management within the health sector. Other ministries, such as Family, Women, and Social Affairs
(MFFAS), Education (MEN), and Defense, are responsible for sector-specific HIV/AIDS data collection and
use.
Activities in FY09, now under Measure Phase III (MMAR III), will build on previous work by providing
continued support to the MLS, MOH, MEN, and MFFAS with the objective of building monitoring and
evaluation (M&E) capacities at the national, regional, and district levels and thus contributing to continued
improvement in the quality of data and better use of information for decision-making.
With FY08 funds, MMAR is continuing the process of building and strengthening a unified national
monitoring and evaluation system, in accordance with the "Three Ones" principle. MMAR has particularly
emphasized consolidation of the country's HMIS system by assisting with the implementation of a
nationwide longitudinal HIV-positive patient-monitoring system. MMAR has also assisted the government in
developing sector-specific data-collection systems, which will constitute an important milestone in creating a
national HIV data repository.
With FY09 funding, MMAR will continue the process of building and strengthening a single national M&E
system through the same activities, with the addition of the following:
Overall
• MMAR will support the development of Ivoirian human capacity for HIV M&E. Short-term training will be
provided to current M&E officers for the four ministries. In addition, in collaboration with CESAG, another
training session of at least 20 national trainers will be organized by MMAR. The adapted M&E curriculum
will include communication, leadership, and planning modules. MMAR also plans to support the definition of
M&E core competencies for HIV/AIDS programs in Cote d'Ivoire. The project will assist partners with the
M&E post-training follow-up.
• MMAR will provide technical and financial assistance in conducting supportive supervisions and data
auditing. The government staff appointed in districts for health data management (CSE) will be trained in
HIV data quality assurance, as will the M&E stakeholders of the other line ministries. MMAR will continue to
support the development and implementation of a national patient unique identification number in order to
improve care and treatment services and reduce the high level of duplication noticed in reports.
Specifically, the following technical assistance will be provided:
A. MLS
MMAR will continue to strengthen (1) coordination among HIV/AIDS stakeholders by supporting the
ministry's strategic information division (DPSE) in the mapping of implementing partners and (2) the use of
information for decision-making by assisting the promotion of data use in this ministry.
The project will support the improvement of the national HIV reporting system by facilitating consensus
building around a set of data collection tools that will enable the ministry to capture non-health sector results
(e.g. number of persons sensitized on abstinence, number of condoms distributed) and build M&E staff
capacities in data analysis and data quality control.
MMAR will support the MLS through M&E training for 15 staff members from central and decentralized unit
levels. This qualifying training will be organized in Côte d'Ivoire in collaboration with CESAG/Dakar. With
regard to data analysis and data quality control, at least 15 people will be trained by Measure staff in
collaboration with a facilitator from ENSEA.
The project will also continue to support the development of national and sub-national HIV databases.
MMAR will help develop the databases, will ensure the connection of sector-specific databases (in
development) to the MLS national database, and will make sure that a clear plan is in place to transfer data
management activities to a national organization.
B- MOH
Technical assistance to the MOH's DIPE and National HIV/AIDS Care and Treatment Program (PNPEC)
will:
1. Continue to strengthen the use of information for decision-making according to the recommendations of a
routine health information systems (RHIS) evaluation. MMAR will also assist the MOH in updating HIV
indicators and service-delivery indicators through a Web interface.
2. Strengthen information transmission at all levels of the health system by promoting and supporting
quarterly or biannual meetings with data managers from health district and regional levels. In addition,
MMAR will continue to support communication among districts, regions, and the central level in
collaboration with the SNDI (National Informatics Development Co.).
3. Improve the health-sector reporting system by involving the national public establishments (blood bank
and others) and the private health sector in data transmission to the central level, in collaboration with the
Directorate of Public Health Establishments and the Central Directorate of National Public Establishments.
MMAR will provide computers, network printers, and communication equipment to the DIPE, as well as
Activity Narrative: transmission kits (fax, prepaid landline, Internet) to districts and regions. The DIPE has put in place a
technical support unit for health information systems, located at the Sub-Directorate of Health Information,
that is in charge of activating data transmission by telephone and maintaining SIGVision software. To
strengthen health district capacities to report data from all implementing partners, the project will provide
support to this unit to decentralize its activities to district and regional levels by creating formal links with
these two levels (identification of focal persons, bi-monthly meetings by zone to update partner and district
data), and formalize the validation of data with partners before transmission to upper-level management.
MMAR will assist the PNPEC with development of a database containing both programmatic and RHIS
data.
4. Support formative supervisions and data quality auditing by (1) strengthening partners' capacities in
supervision at decentralized levels and (2) building capacity of health district teams in data management,
data quality assessment, and database maintenance.
MMAR III will ensure the training of 15 staff members from the MOH in M&E, five from the central level and
10 from the decentralized level. To increase critical mass in human resources skilled in health management
information systems, MMAR will organize, in collaboration with CESAG, a training session on routine health
information systems for 30 persons from central and decentralized levels. This will be followed by a training
of 20 trainers from health districts and regions as well as implementing partners. The project will continue
capacity building in data quality control through training in routine data quality assessment for at least 15
other district and regional-level actors.
C- Ministry of Education
MMAR will continue to provide technical assistance to the MEN to strengthen its sector-specific M&E
system. The following activities will be carried out with MMAR technical and financial support:
1. Strengthen coordination among HIV/AIDS data stakeholders by ensuring the participation of MEN staff in
SI coordination meetings and by building the MEN M&E team's capacity to develop strategies to implement
decisions.
2. Develop the MEN M&E team's capacities in data collection, analysis, transmission at all levels, and
dissemination, as well as in the use of HIV-related information for decision-making. MMAR will support
evaluation of data collection tools in use since 2007 and capacity building in analysis through training for 30
staff members in charge of data management. To improve data transmission, MMAR will finance Internet
connections for 10 regional MEN directorates to be opened in 2009. MMAR will provide support in the
development and implementation of a data dissemination plan, including the elaboration of feedback
bulletins and M&E results dissemination workshops. The use of HIV data will be promoted through training.
At least 15 M&E staff members from MEN regional directorates will participate in national training sessions
on M&E, organized in collaboration with CESAG.
3. Assist the MEN M&E unit in preparing job descriptions to build a stronger M&E team.
4. Improve the reporting system by connecting the MEN database to the national database located at the
MLS.
D- Ministry of Family, Women, and Social Affairs (MFFAS)
MMAR will:
1. Strengthen coordination among HIV/AIDS data stakeholders by ensuring the participation of MFFAS staff
in SI coordination meetings and assisting the MFFAS M&E team in developing strategies to implement
decisions taken there.
2. Improve the use of information for decision-making by assisting the MFFAS in analyzing, interpreting, and
disseminating data and information.
3. Assist the MFFAS in the development of an M&E Web-based application for OVC data management.
4. Continue to strengthen information transmission at all levels of the MFFAS system.
5. Assist in updating OVC M&E data (OVC service delivery and coverage of implementing partners).
6. Strengthen PNOEV staff capacity in routine data quality assessment (RDQA) by organizing a training of
trainers for 15 staff members.
7. Assist in the evaluation of the PNOEV M&E unit and subsequently develop a strengthening plan.
Sustainability
MMAR will continue to promote sustainability by building local organizations' capacity to mobilize resources
and implement evidence-based programs, including appropriate data collection, data processing, data
analysis, and data demand and use. The project will continue to provide leadership to the national SI
technical working group and will initiate and monitor the development of the M&E partners' database. Pre-
service training on routine health information systems will be introduced into the two national training
institutes' basic curriculum, and follow-up support will be provided to all on-the-job trainees. Special
attention will be devoted to coordination mechanisms in order to meet the challenges and expectations for
improvement..
New/Continuing Activity: Continuing Activity
Continuing Activity: 19371
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19371 19371.08 U.S. Agency for University of North 8656 8656.08 MMAR III GHA- $1,236,000
International Carolina at Chapel A-00 8 Measure
Development Hill, Carolina 2008
Population Center
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $1,000,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.17:
In April 2009 reprogramming, FY09 funds made available for development of a Partnership Framework are
being allocated to Measure/Evaluation to support rapid data analyses to lay the groundwork for strategic
planning.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.18:
