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
The JSI/Focus Regions Health Project will expand the quality of health services for the overall USAID/Ghana Health, Population and Nutrition Office portfolio. It will support improving clinical HIV-related services and linkages with the MARP and PLHIV communities in five regions: Greater Accra, Easter, Central, Western and Ashanti. The project will cover 100 clinical sites.
Funding will be used to enhance quality assurance to support hospitals in developing care centers that can facilitate case identification through training on the special needs of pediatric patients. In select hospitals, support groups will be established for parents with HIV positive children to promote case seeking and treatment adherence. Activities will also include supervision, improved quality of care and strengthening of health services .
There are systemic deficiencies in the quality of care at health care facilities offering HIV related care, treatment and support services. The FRHP addresses this systems barrier by building quality improvement approaches through implementation of COPE exercises to address gaps in HIV service provision at facilities. JHI/Focus Regions Health Project will support the National and Regional Health Authorities to handle critical health systems strengthening issues such as task shifting and linkages of services. They will carry out an assessment and develop guidelines for HIV-related task shifting among health staff. In addition, they will develop trainings and approaches for performance-based grants for health service delivery, and promote further integration and strengthening of HIV/RH/FP activities. To ensure linkages across functional areas, facility-community dialogues to foster linkages and mutual support systems are also being implemented.
The mechanism target general population with special emphasis on pregnant women, the prevalence of HIV in Pregnant women is 1.9% Focus Region Health Project contributed to HIV testing of 10 % of pregnant women in the five focus region which has about 50% of HIV prevalence in Ghana.FRHP approach is provider-initiated HIV testing and counseling undertaken at ANC settings In the past year this approach had a target of 40,000 and results achieved (as per PEPFAR indicators) in the past year was 30,000. About 75 health care workers in FRHP sites will be trained in provider initiated counselling, 20 will be trained in couples HTC and 100 will receive refresher training this year on including the areas in which they were trained .To ensure successful referrals and linkages, including tracking or follow-up of HIV-positive individuals not enrolling in care or treatment services there will be Facility-Community linkages and collaboration in HIV prevention, treatment, care and support established at 40 ART sites. For quality assurance of both testing and counselling FRHP will building quality improvement approaches through implementation of COPE exercises to address gaps in HIV service provision at facilities, training and deploying PLHIV volunteer 'Models of Hope' to offer counseling, care and support for their peers attending ART sites.
The central approach is supporting Regional PMTCT Teams expansion of PMTCT services to the community level to improve the quality of and linkages between PMTCT services and other services. The program will support the provision of food for prescription to HIV positive pregnant women who qualify based on their BMI.
PMTCT support activities will result in a rapid expansion of sites, ensuring quality of and linkages between PMTCT and additional, especially RH, services. Key to this expansion will be working with the Regional PMTCT Teams comprised of trainers and master-trainers, as well as site supervisors. In close cooperation with the NACP, supervision protocols and practices will be reviewed and adapted to cater for the larger number of facilities and to ensure high quality standards. Master training curricula may be updated and supporting supervisory visits conducted as needed. Clinic-community meetings will be held to improve communication; these meetings will also be held with MARP. Clinics will be supported in ensuring that drugs, test kits and communication materials are available, and post-delivery service delivery (e.g., TC and breastfeeding) will be strengthened.
