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: 2010 2012 2013 2014
The purpose of COAG with the Commonwealth of Dominica Ministry of Health (MOH) is to strengthen capacity to expand coordinated HIV prevention, SI, and laboratory programs. The SI component strengthens systems for HIV/AIDS and TB case-based reporting, M&E, and implementation of high quality MARPS surveys (MSM, male prison inmates, CSW). The prevention component focuses on upgrading VCT sites. Laboratory support will focus on: implementing the laboratory management framework to prepare labs for accreditation to ensure continuous testing and release of quality results; increasing access to point-of-care laboratory services (including expanded HIV rapid testing to MARPs and PMTCT programs); participation in external quality assessment (EQA) programs; improving paper-based and electronic Laboratory Informatics System (LIS); and training laboratory personnel to cover key testing areas and quality systems components. All activities support sustainability and staff retention.
This IM directly supports the USG Caribbean Regional Partnership Framework Goals for Prevention (Goal 1), Strategic Information (Goal 2), and Laboratory Support (Goal 3). CDC will work in close collaboration with the MOH to ensure efficient use of USG resources in achieving programmatic priorities and in delivering results more cost effectively. The MOH will develop an annual work plan with agreed-upon performance benchmarks and with a plan for sustainability local ownership. The MOH will be required to report on progress towards the essential and additional outcome indicators on a semi-annual and annual basis via SAPR reporting.
Laboratory training of staff from Dominica:
The Ministry of Health of Dominica will utilize this cooperative agreement funds to support the capacity building of laboratory staff through regional and international trainings. Training workshop content areas will be: 1) TB diagnosis and EQA for AFB smear microscopy; 2) Good Clinical Laboratory practices (GCLP); 3) HIV rapid testing (including algorithm development, quality testing and use of logbooks); 4) and other areas of wet laboratory training.
Furthermore, selected laboratory staff from this country will attend international advanced trainings in CD4, clinical chemistry, hematology, Bio-safety and laboratory management as they prepare for accreditation.
These activities will greatly enhance and support the current cross cutting goal of training, capacity building and ensuring long term sustainability of in-country systems for testing, diagnosis, and patient monitoring.
M&E: Number of laboratory personnel trained.
New/continuing activity: Continuing activity
The Cooperative Agreement will support ongoing collaborative efforts between the Ministry of Health and HHS/CDC Staff to improve national-level systems for strategic information, including the collection, analysis and use of data to better characterize the epidemic within the general population and among Most-At-Risk Populations. CDCs commitments are to support the implementation of systems for HIV/AIDS Surveillance and M&E, including HIV/AIDS case-based reporting, collection, analysis and use of routine monitoring data, and collection of biological and behavioral data on Most-At Risk-Populations (MARPs). The Government of Dominica received assistance under a first phase Cooperative Agreement with CDC to improve systems for the generation of data for SI. Moving forward in FY12, USG will collaborate with Dominicas MOH to maximize USG resources in achieving the programmatic priorities for the cooperative agreement. The MOH will be asked to develop an annual workplan with agreed-upon performance benchmarks.
This mechanism will also focus on surveillance and M&E systems strengthening within the Commonwealth of Dominica. Activities supported with funds will include support for revisions and refinements for the national protocol for HIV and TB Surveillance. The MOH will also undertake a review of its current HIV dataset to address any gaps and improve the range of data being collected. Funds will be used to support the development and implementation of biological and behavioral surveys and special studies among MARPs. Through FY11, a formative assessment and capture-recapture among MSM was conducted. A biological and behavioral survey among male prison inmates and an STI survey are planned for FY12.
Indicator targets related to the HSVI budget code for this cooperative agreement include the existence of high quality surveillance and program monitoring reports for the preceding year, and number of countries completing special studies. The MOH will be required to report on progress towards the essential and additional outcome indicators on a semi-annual and annual basis via SAPR reporting.
The availability of high quality, reliable data remains a cross-cutting and overarching priority for the use of funds under this Cooperative Agreement. The MOH will also undertake a review of its current HIV dataset to address any gaps and improve the range of data being collected. The Government of Dominica will be requested to develop a sustainability plan as part of its Year 2 work plan, which will be in direct support of Partnership Framework (Goal 2) for Strategic information. This mechanism will also focus on surveillance and M&E systems strengthening within the Commonwealth of Dominica, to include support for revisions and refinements for the national protocol for HIV and TB Surveillance. This project will also contribute to the development of health systems in Dominica by targeting the training of a broad spectrum of staff within the health system to include laboratory personnel, Surveillance Officers, M&E staff, Community Health Nursing staff and community health providers.
