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: 2010 2011 2012 2013 2014
As part of CDC's support in the area of Strategic information, pointed efforts will be focus in the improvement of: 1) Surveillance 2) Monitoring and evaluation Management and 3) Health Information Systems (HMIS). Activities are aligned with needs identified by GoDR counterparts in each of these areas.
The National Surveillance System in the Dominican Republic has faced many challenges that have inhibited the availability of accurate, timely notification of STI and HIV cases. This has severely limited the country's capacity to monitor STIs and HIV, relying primarily on Sentinel Surveillance and the Demographic Health Surveys to observe trends.
In 2009-2010, together with CDC technical assistance, the MoH's National EPI Program developed a more efficient, comprehensive tool for case notification and follow up, integrating information required for case notification of the different diseases that require surveillance. This resulted in the development of a web-based information system that will allow for case notification at the National level and communication of data via the internet. In 2011, CDC will provide technical assistance to aid in the implementation of the aforementioned electronic system at the provincial and health facility levels to allow for case notification and follow up of STIs and HIV, both of which have presented important weaknesses to date. CDC's assistance will consist of technical support, provision of equipment for notification sites and training of local epidemiologists. In trainings, efforts will also be placed on integrating private sector facilities, which have traditionally been left out of provincial surveillance systems. This system will interface with the National Health Information System as it evolves in the health system reform process. By linking all levels of health delivery, this system will raise the visibility of comprehensive and timely quality Information.
In monitoring and evaluation, the CDC will build upon its current efforts to continue to provide support to the MOH for the development and implementation of a national M&E system for STI, HIV/AIDS. In 2010, progress was made in the development of an inter-institutional technical working group for M&E, and harmonization of key indicators to be included in the national set. In 2011, CDC will work together with UNAIDS and the Global fund to develop a National M&E plan, with harmonized indicators and targets that will allow for further focus of the country's marked direction and benchmarks for HIV/AIDS efforts in the upcoming years. Upon completion of this exercise, strengthening the local capacity for M&E will be a priority, working to develop M&E plans at the Regional and provincial levels and adjusting information systems and data collection tools to ensure the availability of timely, quality data for program monitoring. This will involve the training of provincial authorities, health personnel and NGO representatives involved in the provision of both clinical and community-level services at the local levels. Following this, CDC will provide capacity building to MOH and NGO staff on the use of existing HIV/AIDS/TB/STI data. This process will seek to improve the collection, analysis, monitoring and dissemination of accurate epidemiological information. This technical assistance will contribute to increase the understanding of the magnitude of the local epidemic. It will increase the local capacity to develop reliable, timely and cost-efficient interventions.
Support to the strengthening of health information systems will be closely aligned to these initiatives. Current tools used for information gathering will be assessed and adjustments will be made. Where new tools are needed, they will be developed together with MoH counterparts to ensure that they are integrated with current systems currently operating at the National and health facility levels.
1) Survelliance
In support for the MoH's Epidemology Directorate, CDC will work to aid in the implementation of comprehensive survelliance systems that will allow for improvement of case notification in STI, HIV and TB at the National level. This will include:
1.1- Support for training of epidemiologists at the provincial and health facility levels.
1.2- Provision of equipment (computers, printers, etc) in target provincial offices and health facilities.
1.3- Support in the continued development and refinement of electronic system that will facilitate case notification and analysis of information. This will also include development of manuals to guide use of the system.
2) HMIS
Significant effort will be focused on aiding in the improvement of information systems at the Central, Regional and local (provincial and health facility) levels to ensure access to quality data.
2.1 Assessment of current information systems together with GODR
2.2 Continue to develop and implement plans together with inter-institutional technical working group to address weaknesses identified in HIS.
2.3 Revision and adjustment of instruments used for primary data collection and consolidation of data at the Regional/provincial and National levels, as needed. This will be conducted in partnership with the MoH and in collaboration with Global Fund, UNAIDS, PAHO and other collaborators.
2.5 Development of new instruments (manual and electronic) for consolidation of data at the local, provincial, regional and national levels.
2.6 Training of health authorities and providers on data collection in selected pilot sites.
3) M&E
3.1 TA and support for the development of a National M&E plan, with targets and harmonized set of indicators.
3.2 Review and adjustment of Regional/provincial work plans to ensure that activities focused in STI and HIV/AIDS are included.
3.3 Development of M&E plans in select Regions with Regional and provincial authorities and local health care providers. These plans should also take into account the efforts of private sector and NGOs.
3.4 Support for Regional workshops together with GoDR program managers to facilitate capacity building in data analysis and the use of data for decision making.
3.5 Development of tools to aid provincial and regional authorities in supervision of STI and HIV/AIDS services.
3.6 Aid in implementation of supervision tools.
