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: 2008 2009
THIS IS AN ONGOING ACTIVITY. THE NARRATIVE IS UNCHANGED EXCEPT FOR UPDATED
REFERENCES TO TARGETS AND BUDGETS.
1. LIST OF RELATED ACTIVITIES.
This activity is related to Macro International's Strategic Information activity (#6988), which will conduct two
other surveys (AIS and DHS). It also links to the Strategic Information activity carried out by NASCOP
(#7002).
2. ACTIVITY DESCRIPTION
(1) This activity will assist in funding the Department of Policy and Planning in the Ministry of Health to
conduct the 2007 National Health Accounts (NHA) Survey and in particular the HIV/AIDS sub-analysis. Part
of the FY 2007 funds will be used to complete analyzing and reporting of the work started using COP 2006
funds. Funding will also be used to undertake the third round of NHA as indicated by the Hon Minister for
Health during the launch of the 2nd round of the NHA in March 2005. The primary focus of the third round
will be the assessment of the impact of large inflow of funds (from GFATM, PEPFAR and GOK) on the
households seeking HIV care. It will also include three distinct sub-analyses focusing on HIV/AIDS,
Reproductive Health and Child Health. This will assist in estimating resources towards the support of key
programs necessary to attain the Millennium Development Goals (MDGs). Currently, there exists capacity in
MoH to undertake the NHA. However for quality control, it is important to seek Technical Assistance from
PHR+. The bulk of this cost will thus go towards local survey costs incurred by MoH with PHR+ providing
minimal but critical TA especially in the areas of survey design and analysis. In the process of carrying out
the activity, 40 (MoH and CBS) staff will be trained in sampling techniques, data collection and analysis,
with 2 local organizations being provided with technical assistance in strategic information. ($200,000). (2)
Electronic Medical Records (EMR): HIV/AIDS is a life-long chronic illness requiring numerous visits to
health facilities for continued monitoring and these visits generate lots of data at the health facility for each
patient and can easily overwhelm the current paper system. PHR+ have already started implementing an
ART Health Management Information System (HMIS) in Eastern and Nairobi provinces as an early effort
towards establishing a functional EMR in MoH ART facilities. FY 2007 funds will be used for further
development of the system, training of health care workers and installation of the system at facilities in two
more provinces. The model will have been implemented in four provinces and NASCOP will then be in a
position to complete the national scale up with support from other partners. This system, which is based on
NASCOP's patient cards and registers, will, in addition to providing health care workers with critical
information they need for patient care, provide data for the ART component of the integrated M&E tool
(MoH form 726). The EMR will not only make it easier to evaluate the program e.g. evaluating treatment
regimens for the program and providing data on their effectiveness and thus allowing NASCOP to
determine when certain treatment regimens are not working and need to be changed; but, will also improve
the flow, quality and timeliness of information collected at the service delivery points and send upwards to
NASCOP/PEPFAR databases.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
The activity will contribute to improved national monitoring and evaluation systems by providing critical data
for health care financing indicators needed for HIV/AIDS program planning and funding. It will also
contribute to the strengthening of Health Management Information Systems at the Ministry of Health.
4. LINKS TO OTHER ACTIVITIES
This activity is related to the Strategic Information activity to be carried out by MACRO (#6988) where two
other surveys (AIS and DHS) will be carried out. It also links to NASCOP's Strategic InformationI activity
5. POPULATIONS BEING TARGETED
The activity targets the general population for sampling, and SI and program managers for training in survey
design/implementation, data analyses and presentation. It also targets healthcare workers in public (MoH)
facilities.
6. EMPHASIS AREAS
The major emphasis area is population survey and minor emphasis includes monitoring and evaluation
systems. NASCOP is currently evaluating all the EMRs in Kenya through a consultancy funded by WHO.
This will provide information to complement work already started using PEPFAR funds to develop training
materials for healthworkers on ART Health Management Information System (ART HMIS). These additional
funds ($200,000) will be used to engage stakeholders to agree on the standard tools as well as initiate the
development and rollout of an agreed upon electronic system through NASCOP. The system will also be
rolled out in sub-district hospitals with high volume of HIV/AIDS patients. An appropriate international or
local partner will be identified to support NASCOP carry out this activity.
The private sector already plays a significant role in delivering and financing health care in Africa. On
average, it delivers 50 percent of the industry's goods and services, with 60 percent of financing for those
goods and services coming from private sources. The private sector can be the only option for delivering
health care services in remote rural regions and poor urban slums. Often perceived as serving only the rich
and elite in Africa, private sector providers (including for-profit and not-for-profit) in fact serve all income
levels and have broad geographic reach.
The activity will support to an in-depth country assessments for the business environment for private health
care, and identify areas for USAID program development . The assessment will identify areas of
government reform in private health care regulation and strategies to expand formal public-private
partnerships. The assesment will obtain information from local businesspeople, financial intermediaries,
policymakers, donors, other countries through south-to-south visits and other stakeholders in the
international community.
