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.
The health management information system (HMIS) primarily deals with data generated at health facilities. It does not include indicators for health services that happen outside of health facilities, including community-level activities. Currently in Ethiopia there is no comprehensive community health information system (CHIS). Unlike monitoring and evaluation on HIV/AIDS interventions occurring in health facilities, there are no clear roles and responsibilities for community programs such as those occurring in households and schools. The lack of effective community health information system compromises the completeness and reliability of data, which in turn affects the quality of planning, implementation, and evaluation of programs that mainly occur outside of health facilities, including OVC and home-based care services. Together with the HMIS and other data sources, a functional community health information system will provide a comprehensive picture of health interventions and services in the country. It will also foster community level ownership of health activities, and motivates them for more engagement and action.
Major tasks under this program include conducting a rapid assessment to identify and review existing community-based health information systems; working with relevant GOE offices to map out clear roles and responsibilities on community level health service data; establish a taskforce composed of key stakeholders to oversee the development and implementation of the health information system, critical to building consensus among key players; identify all non-health facility health services and develop appropriate indicators, data collection, and reporting tools and processes; and, rolling out the new system for broader use.
As frontline workers at the community level, HEWs will be instrumental during the design and implementation of the CHIS. This activity will closely coordinate with the ongoing HMIS reform with the long-term objective of integration. It will also be in line with the GOE's Health Extension Program.
Designed processes and tools will be pilot tested before wider implementation of the CHIS.
Ethiopia faces challenges regarding data related to the non facility programs like community based prevention, basic palliative care and OVC. Lack of a defined coordinating body and a Community Based Health Information System (CBHIS) exaggerated the problem. PEPFAR/Ethiopia is having difficulty in harmonizing data regarding the non-facility based programs. Government's Health Extension Program (HEP) is now being expanded to the urban setting. Urban health extension workers (HEWs) and community volunteer workers are the cadres in implementing HIV/AIDS community based programs.
The Federal Ministry of Health (MOH) is completing the design of, and started pilot testing a Family Folder (FF) that contains detailed information about the hygienic and environmental practices of each household, the HEW training it has received, and the health status of its individual members. While the FFs are a rich source of information, capitalizing on this potential will require strengthening the HEWs skills in creating and using evidence, as well as their capacity to pass these skills on to households and communities.
This program will ensure the establishment of community information and data service centers that support community workers, volunteers and functionaries of kebeles. Activities will include: engaging stakeholders in a discussion of what common information they all need and how to collect it with regards to OVC, Basic Palliative care, and HIV/AIDS Prevention. Developing commonly agreed periodic reporting tools; Strengthening regional coordination of community level information reporting; provision of technical assistance for the Federal and Regional governments in the development of a central community based information system and electronic data base/ data warehouse; identifying best practices in data collection and information use; training of urban HEWs and community volunteers in these best practices; strengthening supportive supervision of HEWs; Strengthen the referral chain between HEW and HC and between HEW and support groups outside the health sector will be the focus of this activity.
