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: 2013 2014 2015
TBD will work with local government in Papua and West Papua to develop stronger systems on clinical and laboratory management, and to improve the Supply Chain Management systems and improve ARV management at provincial and site levels as well as other HIV commodities. In particular, the focus of this mechanism is to provide support to the West Papua government for decentralization of ARV management and ensure that a supply chain for ARVs is in place. TBD will work with Provincial and District governments in West Papua to make ARVs more available and to conduct training for accurate ARV recording, reporting, and inventory control, forecasting and management. Provincial decentralization of ARV management has shown to be an effective strategy to decrease stock outs at site levels and to create provincial ownership and accountability to accurate ARV recording, reporting and ordering. TBD will also work with GoI in the decentralization of ARVs to improve timeliness and accuracy of reporting and inventory management at the site level.
The health service situation in Papua is characterized by insufficient public infrastructure, inadequate human resources for health, poor socio-economic development, limited health service facilities and weak supply chain for critical drugs and supplies.
In the remote and rural provinces of Tanah Papua, the vast majority of those with HIV live far from health services, and health facilities are often functioning poorly. Geographic isolation contributes to the high cost of living in Papua and has significant impact on all aspects related to hospital and health center operations. There are only two hospitals in the highlands region of Papua Province, with a catchment area of 1.6 million people. Both are inaccessible to many in the region. Puskesmas (health centers) often lack appropriate human resources, laboratory capacity, or essential diagnostics and drugs necessary for management of HIV and other major communicable and non-communicable diseases. In addition, one third of the puskesmas in the Highlands can only be reached by air or days of walking.
To improve the issue of access to services in these remote and rural provinces, USG will provide funding to TBD in coordination with other USG and AusAID funded activities in Papua and West Papua to work with both hospitals and puskesmas level in Tanah Papua to develop stronger systems for clinical and laboratory management, data collection, quality assurance, and appropriate referral pathways, a strong hub will be established at each hospital to support decentralization of services to the puskesmas. The program will strengthen STI, TB, and ANC services at the puskesmas and poskesdes levels in selected districts in an effort to improve HIV case detection and strengthening the provision of diagnostic and treatment services.
TBD will work with Provincial and District government in West Papua to decentralize ARV management and to conduct training for accurate ARV recording, reporting, and inventory ordering and management. TBD will also partner with GoI in decentralization of ARV to improve timeliness and accuracy of reporting and inventory management.
