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
The purpose of this wraparound project is to implement Health Sector Finance Reform (HSFR) and develop/implement health insurance programs through the existing health sector management system at the national, regional, zonal/woreda, and health facility levels. Health financing reform is a key priority for the GOE, the PF in goal 3 and throughout the GHI strategy. The program will focus on consolidation of health sector reforms, support to the FMOH to implement national health insurance and generation of evidence to inform policy changes including local retention and utilization of resources through the introduction of user-fees at public health facilities. HSFR will 1) strengthen the capacity of the Federal Planning and Program Department of the MOH, RHBs, woreda health management institutions, hospital and health center management bodies and the new health insurance management institution and 2) establish functioning health center/hospital boards while outsourcing non-clinical services. Coverage includes Oromia, Amhara and SNNPR and expansion is expected to Somali. To help minimize the economic burden of healthcare and unanticipated health costs for individual households, HSFR will pilot, evaluate and scale-up community based health insurance (CBHI), establish a health insurance institution and create a legal instrument for health insurance. A rapid assessment of the current reforms in health care financing including user-fee retention and private sector partnerships such as the establishment of private wings in public hospitals will be conducted. Findings will help increase facilities resource base to increase investment in HR and medical equipment to improve quality service delivery at public health institutions. For scale-up the program will need two new vehicles.
The purpose of this award is to implement Health Sector Finance Reform (HSFR), including health insurance programs, at the national, regional, zonal/woreda, and health facility levels to improve access to and delivery of HIV/AIDS and other helath services. The program will address access and efficiency issues by focusing on the consolidation of health sector reforms, supporting the FMOH in the implementation of national health insurance and generating evidence to inform policy changes. COP 12 funds will be used to continue supporting GOE in scaling-up CBHI, provide technical support for the roll-out of the proposed social insurance scheme and wider implementation of HSFR. The program will identify and document challenges as well as the impact of the health care financing on service utilization and service equity. It is expected that the rapid assessment of the program will reveal new opportunities for facility-level health care financing reforms including maximization of outsourcing of non-clinical services and establishment of case-based fees. The program will also continue to provide technical support for GOEs proposed social insurance scheme, including the development of an operational scheme; institutional capacity building; support for the establishment of an institutional mechanism to link insurance administration and accreditation of service providers; and capacity building to create an effective claims process. The program will also work to link national health insurance with satellite activities such as pilot CBHI and other financing programs.
