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 2014 2015
KINERJA is a project of USAIDs Democratic Governance Office, to improve government service programs. Expansion to Papua began in 2012 through modification of the existing CA. In Papua, KINERJA works with local government to improve the quality of health service delivery, including improved resource allocation for priority health issues, including HIV. It addresses the demand, as well as the supply side, of service delivery and intends to strengthen accountability mechanisms, enabling local governments to better respond to citizens needs.KINERJA will coordinate health systems strengthening and health governance interventions with other USAID-funded projects for TB and MCH. KINERJA objectives in Papua are to develop and ensure the capacity of local governments to deliver effective, safe, quality health services with a minimum waste of resources while promoting (a) an enabling policy environment within the provincial health systems, (b) governance that results in a relevant, responsive, health system, and (c) the substantive engagement of CSOs.KINERJA is designed to support the interventions of a range of health priorities, including HIV and TB/HIV interventions. Cost efficiencies will be achieved through close planning, target-setting and collaboration with the other USG implementing partners and programs that will streamline advocacy efforts, reinforce the disease-specific efforts of each program, and create a more efficient approach in Papua.
Papua has the highest per capita prevalence of HIV/AIDS in Indonesia fifteen times more than the national average. The epidemic is most serious in Papua Province, with unprotected sex the main mode of transmission. In a province-wide, population-based survey in 2006, adult HIV prevalence in Papua was estimated at 2.4%, reaching 3.2% in the remote highlands, and 2.9% in less-accessible lowland areas. Government capacity to make good choices about how to allocate available funding and deliver the appropriate health services is very limited, with major gaps in service delivery, including absenteeism in health centers, limited access to services and commodities, and failure to fully utilize available local and national government funding for health and HIV services. Papuas poor health indicators are not only a serious humanitarian challenge, but also undermine the overall development of Papua.
The expansion of the Kinerja project to Papua will serve as the foundation for a more comprehensive approach by USG to build local government capacity to plan for and deliver critically needed services, to have a positive impact on health indicators. Kinerja will strengthen health governance and systems in support of the range of health investments by USG, including the SUM project and grantee CSOs, TB, and MCH activities.
Kinerja activities will be directed at the Health System Strengthening (HSS) program element, to improve the provincial and district governments commitment to providing quality services to communities where there HIV/AIDS is prevalent. The Kinerja Papua funding from PEPFAR is combined with maternal child health and TB funding from USAID for an integrated approach to health system building.
The objectives of the activities will be to develop and ensure the capacity of local governments to deliver effective, safe, quality personal and non-personal health interventions with a minimum waste of resources while promoting (a) an enabling policy environment within the provincial health systems, (b) governance that results in a relevant, responsive, health system, and (c) the substantive engagement of civil society.Strengthening capacity of District Health Office and district health facilities staff in participatory planning, budgeting, professionalism (service excellence)Providing/increasing access to information and participation to publicEstablish/Strengthening compliant handling mechanisms in district health facilities levelStrengthening accountability of the service unitsAwareness raising in the civic (including reproductive rights, consumers rights) rights so the public can demand for better servicesImproving citizens engagement in the planning and monitoring of public services through multi stake holder forum including mediaImprove access to successful practices in public service delivery.
