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
In 2012, URC has been awarded the Applying Science to Strengthen and Improve Systems (ASSIST) project with a ceiling of up to $184,984,030 by the US Agency for International Development (USAID). This five-year cooperative agreement will assist countries in improving health care and strengthening their health systems and advance the frontier of the science of improvement globally. Despite the availability of simple, high-impact interventions capable of saving lives and alleviating suffering, many patients and clients in low- and middle-income countries are not benefiting from such interventions. Much of this gap is related to weak health systems and inefficient processes of care delivery. In Nicaragua, USAID ASSIST, as a field support implementing mechanism, will continue the previous efforts started by the Health Care Improvement Project (2007-2013) specifically in the transferring of HIV norms, standards and protocols to universities and technical schools. This will include the transfer and use of the 'paquete pedagogico" to 8 universities and nursing schools, the implementation of a quality improvement collaborative among public and private universities (including Caribean Coast Universities) and technical assistance to transgender organizations to develop quality improvement plans and norms for their specific health needs.
The project will concentrate its efforts in health system strenghtening, addressing several technical areas, including Prevention, Care and Support and Treatment, focusing in human resources for health. USAID Nicaragua has been working since 2007 in these areas, providing institutional strenghtening to the Ministry of Health. Technical assistance was provided to improve norms, standards and protocols, and to implement quality improvement collaboratives at the health services network. In 2012, USAID Nicaragua developed a training package which includes all these technical norms that was transferred to the MOH. The remaining gap in the HRH area was the lack of coordination between MOH and medical-nursing schools, for the pre-service training, which caused that the new health resources did not have the competences needed to provide comprehensive services to MARPS and PLWA, based on the national norms and instruments. The proposed mechanism will continue the transfer of this training package to the pre-service training, working with eight universities and nursing schools to close this gap. It will also coordinate actions with the Prevensida project, working in the Prevention area, to address unmet health needs of the transgender groups, providing direct technical assistance to their NGOs to implement quality improvement health plans and norms.The project will be implemented at national level, benefiting public and private health sector, continuing previous efforts to reduce stigma and discrimination, improve gender equality, institutional capacity building, donors coordination and Trans NGO leadership.
