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
In FY 12, one of Nicaragua's program goals is to increase the availability of HIV supplies (ARVs, opportunistic infections treatment, and rapid tests) for health services provided by the MOH through their health services network. This will be achieved by strengthening the advisory role of the DAIRS committee (Comite para la Disponibilidad Asegurada de Insumos de Salud Reproductiva) to advocate for HIV funds, strategic planning, forecasting, monitoring availability, reduction of stockouts, and improving procurement mechanisms. The project will also continue in-service training for pharmacy school students to improve their professional competencies in the management of the country's automatyzed logistic system (PASIGLIM).
The Deliver project supports the Nicaraguan Ministry of Health efforts to improve the comprehensive logistic system, which recently incorporated ARV, OI treatment, and rapid tests. Pharmaceutics and logistic MOH personnel at national, departmental, and municipal levels have been trained in logistic chain management. Currently, the project is implementing a phase out strategy to transfer all these knowledge, skills, and methodologies to the MOH, national universities, and nursing schools. The maleta pedagogical" (a technical and methodological educative tool for in-service and pre-service training) is being designed and validated, and will be transfer to our counterparts during 2012 and 2013. In addition, based on experiences from the family planning graduation process, the project advises the MOH (through the DAIA committee) in order to increase the procurement of HIV products.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesOHSS Ministry of Health Nicaragua and Instituto Nacional de Seguridad Social (National SocialSecurity Institute) 37500 DELIVERis supporting the Ministry of Health with the national logistics institutional strengthening plan, which is a condition that GF required in order to provide funds for second phase. DELIVER also provides support to the INSS which is the Global Fund Principal Recipient.
The program build on previous supply chain work in family planning commodities to ensure the availability of HIV related commodities and continue strengthening the national supply chain. The project will train 100 new health care workers from pre-service training institutions (100 pharmacy students) in logistic system management and 200 health care workers in an in service training in data management and logistic system.
