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
Tulane Universitys goal is to provide technical and financial assistance to the Ministry of Health of Haiti in order to achieve the Ministry and PEPFAR objectives. Tulane's specific objectives are to support capacity building for human resources for health (HRH), the national HMIS system, and MOH Information System, training of health professionals in the areas of M&E and HMIS, and pre-service training of Health Technicians. The population targeted for intervention includes all health professionals involved in data collection, management and analysis, statisticians and data clerks, District Regional Officers, Regional Information Officers, NGOs, and consultants involved in the M&E of health related data. Tulane works very closely with various Haitian Departments, including the Department of planning and evaluation of the MSPP (UPE), Direction des Ressources Humaines, Progamme Nationale de Lutte contre le VIH/SIDA (PNLS), and the Minister of Interior. Tulane's close collaboration with hospitals, health facilities and other local institutions in the health sector along with the focus on strengthening local resources is the foundation of Tulanes exit strategy.
To ensure cost efficiency, Tulane will work primarily with in-country partners to implement its programmatic objectives. Through our focus on capacity strengthening for Haitian health personnel and the expansion of health professionals in Haiti, Tulane plans to further impact the cost of health services in the country. Tulane will develop M&E mechanisms to monitor the quality of intermediate health education in collaboration with the MSPP and the CDC advisor.
In Haiti, more than 85% of patient records are available in the Electronic Medical Records (EMR) as well as the aggregated data on MESI. Therefore, it is important for the MOH to develop a standardized National Health Management Information system to assess the functionality and sustainability of these systems and ensure that users are adhering to national and international standards for data elements, security, confidentiality, storage, transfer and utilization of information. Tulane will assist the MOH by performing an assessment of the existing health information system at the MOH to understand the existing process, to define the organizational structure, and human resource needs of the new MOH. Tulane will also conduct a three-week training course in Health Management Information Systems for 50 epidemiologists, statisticians and M&E officers selected from the MSPP, and provide educational materials and ICT support.
Tulane will support the MSPP with the development of an M&E plan for Health. The objective of this activity will be to develop the standards for operation of health facilities and develop a set of M&E indicators that will be used for certification and for licensing purposes. Examples of standards include equipment maintenance and availability, the ratio of medical and nursing staff to patients, surgical infection rate, and PMTCT. To develop these standards we propose: 1) assessment of health facilities with a standardized protocol using global tools and comparisons with international standards; 2) collaborative development of standard requirements by category of health facility and health cadre; 3) development of standard monitoring forms and formative and process M&E tools for improving personnel supervision and quality of care; 4) conduct training on the use of the tools developed; and 5) ensure that the M&E framework developed for this activity builds and complements the existing M&E system. Tulane will conduct various certificate courses in Monitoring and Evaluation and procure educational materials and equipment to support and strengthen the campus network infrastructure at the University of Notre Dame based in Port-au-Prince, and at the Institut Superieur de Cadres en Sante in Les Cayes. These courses include: 1) a 2.5 day Introduction to M&E course at the University of Notre Dame for all 4th year medical students and 3rd year nursing students of the Universities of Notre Dame, State Medical and Pharmacy School, Lumiere and Quisqueya; 2) a 3-week long higher level M&E course for 25 participants from the MSPP and its local and international partners; this course will provide prerequisites for the establishment of a functional national M&E system in Haiti; and 3) a one-week M&E workshop for staff of the MSPP and its Planning Department (Unite Programme et Evaluation-UPE) to develop a M&E Plan and M&E Work Plan for the Ministry; the workshop will be preceded by an assessment of the National (Central and Departmental level) M&E System and will focus on analyzing needs and developing recommendations to inform the M&E plan and detailed implementation workplan; HIV/AIDS/TB will serve as the core detail areas in the development of this workplan, but all priority health problems in Haiti will be included.
Through PEPFAR and the Global Fund, Haiti has experienced a growth in local, regional, and national health care programs. To accommodate the need for increased healthcare personnel, and to respond to donors demand for accountability and efficiency, Tulane will assist the Haitian Ministry of Health with: 1) training of new cadres of health workers, such as Health Technicians and Health Extension Workers; and 2) training of faculty and nurse health educators at 4 schools of nursing, in Les Cayes, Jeremie, Fort Liberte and Gonaives.
Despite significant investments made available to hospitals and other health facilities to provide for women and children, many pregnant women continue to die from complications related to pregnancy and childbirth. Children under five years of age continue to suffer greatly due to malnutrition and acute respiratory infections. Aware of these problems, the MSPP has decided to resurrect and adapt distinctive community-focused health personnel, Health Technicians and Health Extension Workers who will be deployed in remote areas of the country.
Health Technicians will be required to deliver a minimum package of services, with an emphasis on prevention and promotion. They will be based at the first response health centers (SSPE,) but the bulk of their activities will take place in the community during home visits that will absorb 80% of their time. Activities are aimed specifically at pregnant women and children under five. A 13-month course to train Health Technicians will be initiated in Les Cayes at lInstitut Superieur de Formation de Cadres en Sante located at LEcole Nationale des Infirmieres des Cayes, Fort Liberte, Gonaives and Jeremie
Tulane will also continue its support to lEcole Superieur de Formation des Cadres en Sante and the school of nursing in Les Cayes by adding a program to train Auxiliary nurses for an extra year to receive a certificate in Community Health. This new group of health professionals will be called Health Extension Workers. They will be based at SSPE and HCR (Community Reference Hospital) and will deliver a preventive and curative healthcare package of services.
