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
There is a need to develop periodic, ongoing monitoring of the quality of care delivered to adult HIV/AIDS patients at Guyana hospitals so that information gathered can then be used as a basis to improve quality, build capacity for quality management (QM), and to measure the results improvement projects.
In FY 2009, HEALTHQUAL International (HEALTHQUAL) provided technical assistance to build national capacity for an HIV quality management (QM) program. These capacity building efforts included the development of data collection systems; the training to undertake QI projects; and the establishment of the infrastructure needed to sustain quality improvement efforts that are linked to improved HIV care delivery systems. In the pilot phase of the program, HEALTHQUAL's technical assistance primarily targeted staff at the Government of Guyana/Ministry of Health (GOG/MOH), PEPFAR implementing partners, and 20 HIV and MCH clinical pilot sites. In FY 2009, this quality management capacity building project provided information to assist the MOH, regional health officials, faith-based, private, and Government hospitals to:
1. Measure performance indicators to determine if the treatment and care provided to Guyanese adults (including children aged 15 years and over) infected with HIV complies with national guidelines for HIV/AIDS care;
2. Provide a basis for targeting efforts to improve the quality of treatment and care provided to adults infected with HIV/AIDS through the analysis of performance measurement data;
3. Evaluate the results of projects to improve the quality of HIV/AIDS treatment and care at the participating hospitals
4. Test the feasibility of making comparisons of quality of care provided to HIV/AIDS patients among different public and faith-based hospitals.
As there continues to be a growing need to improve the QM program in Guyana, in FY10 HEALTHQUAL will work with GOG/MOH and CDC to ensure that the program is successful and sustainable over time.
In FY 2010, in collaboration with the GOG/MOH, HEALTHQUAL will support scale up the quality management program to PMTCT and TB service sites, the number of which to be determined with GOG/MOH. HEALTHQUAL's technical assistance will continue to focus on: 1) the development of the in-country infrastructure and the systems needed to sustain and expand efforts to monitor the quality of care delivered to HIV/AIDS patients throughout Guyana; 2) assisting the GOG/MOH, Implementing Partners and site level staff to ensure that information gathered can continue to be used to (a) improve the quality of HIV services; (b) build capacity for quality management; and (c) both measure and maintain the results of improvement projects that improve HIV services; and 3) provide support to the Georgetown Public Hospital Corporation's efforts to promote quality services for inpatient care through the development of indicators and performance measurement and evaluation systems addressing infection control and helping to reduce any adverse health outcomes or morbidity for PLWHA.
This activity will continue technical assistance provided through HRSA by HEALTHQUAL. With expanded funding, HEALTHQUAL will continue to provide technical assistance and assist GOG/MOH with the expanded implementation of the local QM program. The increase in funding in FY 2010 is based on an escalating need to improve the QM program in Guyana and to scale up this successful pilot program to additional sites.
