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 2016
Goal of MALAMU: To support the MOH in its goal of Eliminating Pediatric AIDS in DRC. The broad objectives of MALAMU are:Increasing access to PMTCT including expanded delivery of services to achieve elimination of mother to child transmission of HIV.Sustained Quality, Comprehensive, Integrated PMTCT services at supported facilities.Strengthened National Health System by working directly with Health Zones in accordance with the MOHs plans for Health Zones.MOHs policies, protocols and guidelines for PMTCT services to be reviewed and improved on a regular basis.Links to Partnership Framework Implementation Plan Objectives:As described in the PF, improving the quality of PMTCT services and the integration into broader MCH and HIV care and treatment programs will be a priority for MALAMU in FY2012. EGPAFs program is closely linked to the following key interventions identified in the PF: decentralized and improved quality of HIV services. To minimize disruption of service provision caused by the MOH policy of frequent staff rotation, EGPAF will continue to provide ongoing training and site support, M&E Plan
During the Y1, MALAMU project will implement the peer to peer site strategy in order to improve the coverage and quality of PMTCT services in Kinshasa and Lubumbashi. This strategy consists of organizing the health facilities into service delivery networks in order to implement PMTCT services in the most cost effective manner within the targeted health zone. Under this model, high volume sites, serve as central sites in charge of supporting the peripheral sites.
Central sites:EGPAF team has identified 13 centrals sites in Kinshasa and 5 in Lubumbashi. Central sites will be validated based on transparent criteria established in consultation with PNLS, including presence of highly trained and functioning staff able to serve as mentors, adequate infrastructure, and working systems and procedures. The highest volume facilities have been visited and selected as central sites based on pre-determined criteria including presence of PMTCT services, presence of skilled staff, and strength of maternal and child health services at the sites, etc
Satellite sites:In collaboration with the health zones and provincial PNLS teams, all potential health facilities surrounding the main PMTCT sites were identified and classified by volume of catchment area populations seeking services, e.g. the number of pregnant women attending ANC services at those sites. The satellite sites will be linked to the central sites via a network of training, cross visits, and ongoing mentorship and support. EGPAF team has identified 40 satellites sites in Kinshasa and 17 in Lubumbashi.The EGPAF team will use the tools to identify SGBV risk for pregnant women attending ANC in the EGPAF supported PMTCT sites
EGPAFs strategy for PDTX activities will include early identification of infected children and provision of a basic package of services: ART, vaccinations, malaria prevention, vitamin A, and nutritional status assessments, to reduce morbidity and mortality and improve quality of life. EGPAF will work closely with health zones and other partners to establish referral systems to capture children in need of care, including siblings of those enrolled. Establishment of strong formal linkages between communities and health facilities will increase access and retention in care for HIV-exposed, -affected, and -infected children. Family-centered HIV care and support services will be performed at all entry points (PMTCT, family planning, vaccination, and CPS). Facilities will reach out to families of index children or mothers. Activities will provide high quality and efficient care and support to improve childrens quality of life. These services may include: palliative care and psychosocial support programs for children families; Referral to care and TX services. Malamu will focus on the integration of HIV services within MCH settings, and integrated follow-up of mother-baby pairs. EGPAF will introduce a bidirectional referral system by integrating messages to families of HIV-exposed, affected, and infected children to improve quality of life, promote family centered care and support activities, and strengthen care networks. We will support clinical pediatric ART and care by:1. Organize trainings in PDTX for site and health zone staff; 2. Training in clinical pediatric ART; 3. Using pediatric patients as entry points for testing parents/guardians in order to improve parent/guardian health and c child survival; We will provide pediatric adherence counseling and psychosocial support by: 1. Identify and train peer educators in pediatric adherence counseling of children on ART; 4. Training peer educators in disclosure counseling; 5. Strengthen referrals and awareness on child sexual abuse and the availability of HIV prevention strategies for abused children. The EGPAF team will use the tools to identify SGBV risk for pregnant women attending ANC in the EGPAF supported PMTCT sites.
