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: 2011 2012 2013
Note: To align COP submission and UTAP budget cycles, FY 2012 funding will support activities through March 2014.
In collaboration with JHPIEGO, Columbia University will support the Ministry of Health and AIDS (MSLS) in the implementation of task shifting of HIV care and treatment from medical doctor to nurses/midwifes.
This pilot project aims to document the scope of practice of nurses in HIV care and treatment before and after the pilot project; document the feasibility of nurse-led HIV care and treatment in 27 clinics; describe the clinical outcomes of the nurse-led model of HIV care and treatment; inform best practices for further scale-up of nurse-led HIV care and treatment in Cote dIvoire.
With FY 2012 funds, ICAP will support the elaboration of national guidelines defining activities to be shifted to nurses/midwifes. Technical and financial assistance will support the MSLS division of training and research (DFR) in the elaboration of a national training manual and the National HIV/AIDS Care and Treatment Program (PNPEC) in the elaboration of national task-shifting standards and procedures and planning for national scale--up of pilot project activities. Columbia will intensify capacity building of health-care providers and monitor their implementation of task shifting. High-performing providers will constitute a potential regional pool of trainers for expansion phases.
Columbia will evaluate the pilot project to assess skills acquired by nurses/midwives, clinical results, and patient retention. The pilot project will be implemented in 27 sites in 17 health districts.
Vehicles:
Through COP11: 0. New in COP12: 1 ($40,000), for coordination and supervision of activities.
Total for life of mechanism: 1.
Large distances, large patient loads, and an insufficient number of physicians reduce the efficiency and retention rates of HIV care programs. To address these problems, Columbia is working with the Ministry of Health and AIDS (MSLS) and its National HIV/AIDS Care and Treatment Program (PNPEC) to implement a task-shifting project on 27 selected sites. This pilot project aims to improve the quality of HIV care by shifting HIV care and treatment tasks from physicians to nurses/midwives.
Unrest in 2010-11 delayed implementation, and Columbia is now working with PNPEC and JHPIEGO to restart activities.
With FY 2012 funding, Columbia will support the elaboration of national guidelines defining activities to be shifted to nurses/midwifes. Technical and financial assistance will support the MSLS division of training and research (DFR) in the elaboration of a national training manual and the National HIV/AIDS Care and Treatment Program (PNPEC) in the elaboration of national task-shifting standards and procedures and planning for national scale--up of pilot project activities. Columbia will intensify capacity building of health-care providers and monitor their implementation of task shifting. High-performing providers will constitute a potential regional pool of trainers for expansion phases.
Columbia will support the MSLS to develop nurses/midwives leadership to obtain a stronger engagement of health-care providers.
Columbia will work with the MSLS information division (DIPE) to reinforce national health system and sustaining all DIPEs initiative in relation with monitoring activities
Columbia will evaluate the pilot project in collaboration with PNPEC and other implementation partners to assess skills acquired by nurses/midwives, clinical results, and patient retention in care.
