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: 2011 2012 2013
NASTAD supports capacity building in the areas of HIV/AIDS program administration, prevention, treatment and care, and surveillance, building sustainability for effective programs. NASTAD focuses on building the human resource capacity of public health staff through transfer of existing experience and skills. NASTAD, with the Haitian Ministry of Health (MSPP), has developed a case-based HIV/AIDS surveillance system (HASS) which permits an un-duplicated count of Haitians infected with HIV, showing the true impact of the disease, allowing for targeted services. NASTAD has positioned itself as a technical assistance (TA) provider and activity facilitator with the MSPP, with the long-term intent of full project management by the MSPP, as stated in a MoU. NASTADs goal in these COP years is to transition a quality HASS to the MSPP; objectives are to grow and refine HASS (perhaps including other diseases); to ensure quality, complete, and timely data submission; to ensure active and effective data use for improved public health; and to ensure skills and capacity of the MSPP to support and manage the HASS, and the staff that use it.
NASTAD has supported the MSPP for the development, implementation, and management of a robust national case-based HIV/AIDS Surveillance System (HASS), with the goal of improved capacity for disease surveillance, M&E, and strategic information use. HASS draws inputs from more than 120 HIV testing, treatment and care sites in Haiti via two low-barrier mechanisms, and then allows for site-level, department-level, and national level reports to be generated. In FY 12 and FY 13, NASTAD will continue to support HASS, expanding efforts in system and data quality assessment and improvement; routine and demonstrated data analysis, dissemination, and use; MSPP-led system support, management, and ownership; and HASS-related training integrated into national institutions and efforts.
- NASTAD will provide ongoing management of HASS, but will emphasize support for ongoing training, knowledge transfer, and technical support to the identified technical staff within the MSPP with the goal of eventual transition of system management and use.
- NASTAD will continue to emphasize and expand upon data quality, completeness, and timeliness initiatives, supporting the ongoing implementation of and reporting out on the HASS M&E framework and epidemiologic trends, and ongoing support to and supportive supervision of departmental staff engaged in site-level support. A model similar to the HIV/QUAL effort will be implemented to engage sites into data quality and use as well as service improvement and disease follow up, through the creation of local surveillance committees
- NASTAD will expand the HIV/AIDS Surveillance System (HASS) to create a stronger system for tracking HIV positive pregnant mother-infant pairs through pregnancy and delivery, thereby ensuring uptake of treatment and care, including maternal and pediatric HIV prophylaxis, creating successful referrals for long-term treatment and care (women), and providing follow-up testing - and where necessary, treatment and care for HIV-exposed infants. NASTAD will support PMTCT service delivery sites to improve their PMTCT-related outcomes. Components of the intervention include: (i) Training, definition of roles and responsibilities, and empowerment of staff for real-time site-level management of prenatal HIV cases using the electronic Dossier de la Femme (where available) and/or a simple site-level, patient-specific tracking form. Activities will support ongoing patient management and monitoring during key sentinel events (iii) Use technology and systems to support real-time, site-level management of prenatal HIV cases via cases reported to HASS. This central mechanism acts as a back stop and a quality flag to the site-level work. When an HIV+ pregnant womans case is reported to HASS, a series of timed flags are set for reminders/queues to be sent to the case manager.
- By leveraging the existing HASS system and its strong partnerships with clinical sites and EMR managers, and strong partnership with local/national clinical training institutes, NASTAD will provide support for the design and implementation of a surveillance system for TB that will be initiated at the PEPFAR supported sites
- NASTAD will continue to support training initiatives with new clinicians and counselors with local training institutes, but will increase emphasis of fully integrated and institutional led curricula.
