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: 2013 2014 2015 2016
The purpose of the Cooperative Agreement with the Republic Of Suriname (ROS) Ministry of Health (MOH) is to assist the Republic of Suriname in fully implementing its national HIV/AIDS strategic goals for laboratory services and systems strengthening, and strategic information, including systems for routine surveillance, behavioral and biological surveillance among Most At Risk Populations (MARPs) and HIV Case Reporting and monitoring and evaluation.
For laboratory support, this implementing mechanism will support the laboratory management framework that will prepare laboratories for accreditation and 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, use of paper-based and electronic Laboratory Informatics System (LIS); and training of both new and in-service laboratory personnel to cover key testing areas and quality systems essential components will also be supported.
For strategic information, CDC's five-year commitments are to support the implementation of systems for HIV/AIDS Surveillance and M&E in view of assisting the government to generate high quality, reliable data to characterize the epidemic and plan appropriate responses. Specific activities include: 1. Implementation of systems for HIV Case Reporting; 2. Implementation of behavioral surveys for selected Most-At Risk-Populations; and 3. Support for improvements in M&E data collection, analysis, and use for program improvement. Funds from this Co-ag will support the planning and implementation of HIV surveillance and MARP surveillance activities in Years 1, 2 and 3.
This implementing mechanism is in direct support of USG Caribbean Partnership Framework Goals for Strategic Information (Goal 2), and Laboratory Support (Goal 3). This implementing mechanism will be national in scope, with emphasis on lab systems strengthening, and the collection of surveillance and program monitoring data at national (MOH), health center and community-levels. Laboratory personnel, Surveillance Officers, M&E staff, Community Health Nursing staff and community health providers are the main target audience for this Cooperative Agreement.
This Cooperative Agreement will make a direct contribution to the development of health systems in ROS, adding value to the delivery of laboratory services, and steps to integrate needs for high quality HIV/AIDS data with the collection and reporting of surveillance and program monitoring data within the wider health sector. Linking high quality data to prevention program planning and using data for evidenced-based policy development will be key to assuring success of the Cooperative Agreement partnership.
CDC will work in close collaboration with the Republic of Suriname to ensure the efficient use of USG resources in achieving the programmatic priorities for the 5-year cooperative agreement. The Ministry of Health will be asked to develop an annual work plan with agreed-upon performance benchmarks, starting in Year 1. The MOH will be required to report on progress towards the essential and additional outcome indicators on a semi-annual and annual basis for PEPFAR and for CDC.
The prevention component will focus on using data from surveillance and high-quality MARPS surveys to develop evidenced-based programming.
This Cooperative Agreement will contribute to strengthening the health systems in the Republic of Suriname, adding value to the delivery of laboratory services, and integrating high quality HIV/AIDS data with the collection and reporting of surveillance and program monitoring data within the wider health sector.
CDC will work in close collaboration with the Republic of Suriname to ensure the efficient use of USG resources in achieving the programmatic priorities for the 3-year cooperative agreement. The Ministry of Health will be asked to develop an annual work plan with agreed-upon performance benchmarks, starting in Year 1. 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.
This IM is not included in the ROP FY12 budget request because it is being funded through pipieline funds in 2012.
The Suriname Ministry of Health will utilize the 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, 40 Molecular diagnostics, 5) Biosafety and Biosecurity, and 5) Quality Management System Implementation and Laboratory Accreditation.
Furthermore, funds will support the procurement of reagents and consumables to support the sustainability of the Dried Tube Specimen (DTS) and Digital PT EQA programs and molecular test kits for DNA PCR and viral load testing to support early infant diagnosis and clinical monitoring of patients on treatment.
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.
The focus of this implementing mechanism will be: 1) To strengthen the ROS capacity to coordinate and implement strategic information activities for HIV/AIDS including HIV case reporting, behavioral and biological surveillance among vulnerable groups (MSM and CSW), program monitoring, evaluation, and reporting with specific focus on using data for program improvement; 2) Use SI and specifically surveillance data for decision making, policy development, and program planning.
CDC GAP and CRO technical advisors will work in close collaboration with the MOH to ensure progress towards the goals and objectives of the 5-year Cooperative Agreement. Joint reviews, site visits, and observation of selected activities under the Co-Ag will be core components of a supportive supervision and quality assurance strategy for this implementing mechanism.
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.
TBD
