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: 2008 2009
N/A
New/Continuing Activity: Continuing Activity
Continuing Activity: 18289
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18289 18289.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
International Program
Development
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
Continuing Activity: 18290
18290 18290.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Table 3.3.02:
Continuing Activity: 18291
18291 18291.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Table 3.3.03:
Continuing Activity: 18292
18292 18292.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools
and Service Delivery
Table 3.3.08:
Continuing Activity: 18298
18298 18298.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Table 3.3.09:
Continuing Activity: 18293
18293 18293.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Table 3.3.12:
Continuing Activity: 18295
18295 18295.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Estimated amount of funding that is planned for Economic Strengthening
Estimated amount of funding that is planned for Education
Table 3.3.13:
Continuing Activity: 18297
18297 18297.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Table 3.3.14:
Continuing Activity: 18299
18299 18299.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Program Budget Code: 17 - HVSI Strategic Information
Total Planned Funding for Program Budget Code: $1,009,785
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
Strategic Information
Overview and Challenges
A challenge in implementing evidence-based decision making is the poor quality of strategic information systems and data
sources that provide information on HIV/AIDS service use patterns, quality of care, morbidity and mortality. In the last two
decades, surveillance has often been interrupted by conflict. However, ANC surveillance data has been consistently available
since 2004, and results from DRC's first-ever Demographic Health Survey (DHS) are now available. Monitoring of services is also
a challenge. A USG-supported mapping survey was conducted by KSPH to identify HIV services. Data indicated a low capacity to
collect, manage and use data for program decision-making, especially among local community organizations. As a result, there is
little quality data available on HIV. The planning and coordination of the national response is limited due to an outdated HIV
Strategic Plan, which is currently under revision. Currently there are no service delivery databases for PMTCT, VCT, Care
&Treatment, or OVC. In addition, the World Bank reduced financial support to the PNMLS M&E unit, reducing the capacity for
national management.
Leveraging and Coordination
In collaboration with major donors, USG is a contributing member to several national steering committees tasked with
strengthening coordination and implementation of the Three Ones. This collaboration helps to reduce duplication of effort and to
leverage other funding. USG has been instrumental in bringing together donors to support the completion of the first DHS for
DRC. Unlike past years, there have been delays in obtaining the 2006 and 2007 ANC surveillance results due to lack of
coordination of activities and financial constraints.
The USG will continue to promote SI as a foundation for planning and coordinating the national HIV response by identifying the
following: epidemiologic priorities via ANC, BSS and DHS surveillance; geographic distribution of HIV service sites by mapping
exercises; financial assistance to the national HIV response via a Proprietary Assistance Framework grant "Making the Money
Work"; HIV service delivery via a national M&E reporting system; and performance issue with HIV services and grantee
performance via special studies
Current USG Support
As mentioned, the USG supported DRC's first ever DHS, with field work completed and results released in 2008. The USG has
supported mobile counseling and testing to accompany the surveillance work, is also providing laboratory quality control of HIV
test results, and actively participated in the quality control of the DHS analysis that was used for the final report. Donors who
supported the DHS are: USAID, DFID, UNICEF, UNFPA, World Bank and CDC for a total of $3.4M.
USG funds technical support in conducting a UNAIDS CHAT exercise (Country Harmonization Alignment Tool) and the USG is a
member of the steering committee to implement the new CHAT protocol designed to measure progress in achieving the Three
Ones. In addition, the USG provided technical assistance and support in field data collection.
The USG supported geographic mapping of HIV Services through the KSPH. The survey aimed to identify HIV services offered by
public, private and NGO communities in 2006-2007. Over 2000 sites were identified by interviews with donors, programs, local
authorities. The highest concentrations of HIV services were found in Katanga (19%, 2006 ANC prevalence - 5.4%) and Kinshasa
(16%, 2006 ANC prevalence - 3.6%). The lowest rates of available services were found in Equator Province (1%, 2006 ANC
prevalence - 5.31%). Also, the USG provided technical assistance to a second mapping exercise concluded in 2007 by GFATM
and MAP. This mapping exercise provided additional information on GFATM and MAP supported HIV services nationwide that
began in 2006 - after the KSPH report was completed.
The USG also supports program assessments to aid other bilateral and multilateral donors to strengthen their program activities:
evaluation of the national blood safety program; evaluation of GFATM sub-grantees performance reporting in Phase I; evaluation
of ART services; and evaluation of the MAP program supported by the World Bank.
USG continues to provide technical assistance to the PNMLS. Through this assistance, the National M&E Strategic Framework
was validated and several key documents were developed: the National M&E Indicator Guide, the National M&E Training Manual,
the first National HIV/AIDS Epidemic Report of 2005 and the second in 2006. However, with the review process leading up to the
restructuring of the MAP program in 2007, the PNMLS M&E Unit has received minimal implementation funds. An MOU between
the PNMLS (MAP program) and GFATM supports common performance indicators. In addition, USG provided funds to UNAIDS
to conduct a data collection effort on HIV financing by donor agencies called "Making the Money Work". Data analysis will assist
major HIV decision makers to identify funding gaps.
FY09 Support
Working closely with implementing partners, USG agencies will develop and implement a standardized M&E system that will
accurately capture program activities supported by USG funds. Using a simple software package, each agency will be able to
track and monitor timely progress being made to achieve yearly targets and identify problem areas. System components will
include standardized facility-based registers, training registers, policy document matrices, and annual planning and reporting
documents. USG will have access to aggregate data sets to assure no breach in patient confidentiality or violation of Institutional
Review Board (IRB) rulings. USG agencies will draw guidance directly from PEPFAR policies including the Data Quality
Assurance Tool for program-level indicators.
The main intervention continuing in SI is the provision of support to the Center for HIV/AIDS Strategic Information (CISSIDA) run
by the KSPH to strengthen national HIV/AIDS information coordination, collection and use. USG support will enable the Center to
provide technical assistance to national institutions such as the PNMLS, the PNLS, the PNTS, the PNT, local organizations and
international partners in the area of strategic information. CISSIDA will build and strengthen the capacity of organizations
receiving direct funding to collect, use, and report quality data via effective training. The CISSIDA website was completed in FY07
and contains information such as EPP Spectrum estimates, sentinel surveillance surveys, national norms and standards, and
special reports such as the Mapping efforts, BSS+ studies, and DHS results. The Center provides technical assistance to the
PNMLS in producing annual reports on HIV Activities. Work on the HIV, TB and Blood Safety policy matrix will continue to identify
strengths, weaknesses and gaps in HIV national policy. Staff will also assist the PNMLS in the implementation of the National HIV
M&E system by training donor agency M&E staff in order that all HIV donors collect data using national indicators (one of the
Three Ones principles). Training will also take place for key provincial PNLS , PNMLS and others key stakeholders staff.
The USG will continue to work with major partners, including the GFATM, UNAIDS, and the World Bank, to provide leadership in
the coordination of the HIV/AIDS national response. In collaboration with UNAIDS, WHO and the Ministry of Health, the USG will
also continue to provide technical assistance for the development of the new Strategic Framework which will be completed in
FY09. In addition, the USG will continue to work with the NACP and the Clinton Foundation to strengthen data collection and
reporting system for program interventions. An ASPH fellow is currently assigned to UNC to conduct detailed analysis and
evaluation of the family-centered HIV programs and a second one with also be assigned to the KSPH to complement the staff for
SI activities being implemented by CISSIDA.
The USG supports national surveillance activities to provide HIV prevalence trend data for the general population; to develop a
survey protocol and a strategy to increase coverage with the addition of new sites; and to combine BSS and HIV testing in high
risk groups (every 3 years). USG technical assistance will continue on the collection of M&E indicators for OVC, in collaboration
with UNICEF, DFID, WFP, and MINAS in order to complete the RAAAP by December 2008. Analysis of the 2006 ANC
surveillance will be provided in order to complete the final report before the end of the 2007.
USG will provide financial and technical support for the 2008 ANC survey including lab quality control, data analysis, final report
writing and dissemination results to all HIV partners.
Pending availability of funds and the ability to leverage other donors, the USG is also considering support to conduct secondary
analysis of DHS data in order to inform the targeting and prioritization of programs, as well as the revision and development of
national policies.*
Program Area Downstream Targets:
13.1 Number of local organizations provided with technical assistance for strategic information activities: 2085
13.2 Number of individuals trained in strategic information (includes M&E, surveillance, and/or HMIS): 902
Table 3.3.17:
Continuing Activity: 18300
18300 18300.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Continuing Activity: 21121
21121 21121.08 U.S. Agency for To Be Determined 8039 8039.08 Integrated HIV
Table 3.3.18:
