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
USAIDs MCH Centers of Excellence project contributes to the achievement of Goal Area 3: Promotion and Prevention, by improving the quality of MCH services, including integrating PMTCT and early infant diagnosis into the standard provision of care. Abt has chosen ten hospitalsbased on birth volume and epidemiologic data, three provincial health directorates, and three regional health administrations to be direct beneficiaries of this project. During the final year of the project, these select hospitals are expected to reach out to neighboring hospitals to replicate trainings and interventions, thus creating cost efficiencies and sustainability. The project will leverage host country systems at the hospital, provincial, and regional levels to report on both outputs and outcomes.
A core component of the project is to improve the biosecurity measures taken in Dominican hospitals. Critical to this process has been the buy-in of hospital staff at all levels, from the hospital director to the janitor. A focus in the final year of the project will be to ensure the sustainability of biosecurity as a priority. This includes commodity security (e.g. biohazard bags and safety boxes) and working with local government to ensure a safe final disposition of waste.In its final year of implementation, the Centers of Excellence Project will focus on replicating successful and sustainable health systems models to hospitals throughout the country. The models chosen will be informed by an evaluation to be conducted in the first semester of 2012. Models currently being implemented include: Customer Service Units to improve patient records; Biosecurity committees to reduce hospital-acquired infections and drug resistance; and proper storage and tracking of hospital commodities, among others. The project will continue to better integrate HIV commodities and personnel into the wider health systems activities.
An expected outcome of this project is to improve the quality of MCH and PMTCT services. This program expects to reach 25,241 pregnant women with HIV testing and counseling services during FY 2012 compared to the 13,566 women recorded at the 2008 baseline. The project will achieve this by better integrating PMTCT services into routine MCH services, training health providers, strengthening the referral network and improving supervision.
