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.
Goals and objectives: The purpose of this program is to improve the management capacity in government hospitals and health facilities throughout Ethiopia so that they maximize the productivity of their human, financial, and infrastructural resources and deliver the highest possible quality services to their patients. The system of health care delivery in Ethiopia, provided by the approximately 102 government hospitals and 800 health centers requires sustained attention and specific skill sets to improve and to retain its health workforce. The Ethiopia Hospital and Health Care Administration Initiative (EHHAI) represents a systems-based approach to improving the functioning and quality of government hospitals and health centers in Ethiopia and reflects a strong and successful collaboration among governmental, non-governmental, and educational partners.
The objectives of EHHAI will be achieved through the provision of technical support to government units (at Federal Ministry of Health and Regional/City Health Bureaus) to monitor functioning and quality of governmental hospitals and health centers in Ethiopia; and creating an educational degree program in hospital and health care administration to foster a pipeline of well-trained administrators and managers to sustain the functioning and quality of government health (and potentially private) facilities in Ethiopia.
The purpose of the EHHAI is to continue to produce a new cadre of Chief of Executive Officers (CEOs) with Masters of Hospital and Healthcare Administration (MHHA) at Jimma University and to help launch a similar program at Addis Ababa University. The CEO will help building management capacity in the areas of process improvement, plant and faculty design and maintenance, financial management and budgeting, program planning and evaluation, and regulatory affairs and governmental interactions.
Geographic coverage The program will be implemented at the national level for technical assistance and at Jimma and Addis Ababa Universities for the MHHA program.
Contribution to health system The Ethiopian health system is undergoing dramatic change and improvement to provide higher quality and more accessible care for the country. Therefore, this initiative will help to improve the quality and functioning of government hospitals throughout Ethiopia through improved governance, leadership, finance, and human resource retention.
Monitoring and Evaluation: Indicators to evaluate the success include the following: a) evidence of improvements in hospitals' adherence to national standards for management and to national standards for diagnostic and treatment services, b) existence of government units for hospital monitoring at the federal and regional levels with clear domains of responsibilities, c) evidence of regular governmental monitoring of hospitals adherence to national standards and use of effective, remedial actions as needed, and d) existence of an educational degree that prepares and supports professional hospital chief executive officers (CEOs) in Ethiopia.
The Ethiopia Hospital Management Initiative (EHMI) is a new activity and represents a systems-based approach to improving quality and streamlining operations of government hospitals in Ethiopia. It reflects a strong and successful collaboration among governmental, non-governmental, and educational partners.
Key management functions of hospitals includes governance, financial management, human resource management, hospital general management and operations, and quality M&E. In Ethiopia, the Federal Ministry of Health (FMOH) and Regional Health Bureaus (RHBs) have been actively engaged in discussions around these issues and are now prepared to implement agreed-upon policies. However, as is often the case, a gap exists between policies and implementation.
FMOH and RHBs are designing a system of governance. Four government referral hospitals are directly managed by FMOH. The remaining government hospitals are managed by their respective RHBs.
Despite agreement on this general framework, extensive work remains to be done to implement effective governmental and managerial systems to ensure high-quality service and efficient functioning of hospitals.
In COP2010, the awarded partner will:
Refine the national Standards and Supporting Blueprint for Hospital Management.
Set national standards for diagnostic and treatment services.
Support the development of needed structures and capacities in FMOH and RHBs.
Monitor the implementation of national standards for hospital management and for diagnostic and treatment services.
Train prospective hospital CEOs through the EHMI, conferring an MHA degree upon completion.
Transfer the program to Jimma University and ensure that it is fully operational and embedded.
Assist hospitals in establishing and maintaining management systems consistent with the Blueprint.
Support equipment and infrastructure as needed to meet national standards and deliver higher quality care.
Support design and implementation of governmental hospital M&E procedures.
Support hospitals' adherence to national standards for management and for diagnosis and treatment.
Support the monitoring of hospital utilization, key clinical metrics, and patient satisfaction.
