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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
+ Prime partner I-TECH/University of Washington has been competitively selected to implement the activity
to help develop the implantation framework for a national EMR and lead the implement the phased rollout
SECONDARY CROSS CUTTING BUDGET ATTRIBUTIONS
This the activity supports key cross-cutting attributions in human capacity development by training health
workers and data handling staff on data management, electronic reporting tools, analysis of patient data at
health facility level and monitoring and evaluation in support of HMIS activities. Clinicians will also be
trained on generating key reports such as cohort reports, adherence reports, for better patient management.
COP 2008
1. ACTIVITY DESCRIPTION
In the recent years, several implementing partners have initiated HIV treatment activities using PEPFAR
funds or through other donors. As the volume of patients on treatment continues to grow, the paper systems
that have been traditionally used to monitor patients became ineffective. In response to these, treatment
and care providers have developed disparate electronic systems to store patient data, generate
appointment lists, track regimens, and generate cohort reports among other things. Many of these systems
cannot uniquely track patients within the health facilities and this gets worse when patients transfer in or
out.
The SI team in Kenya proposes to work closely with NASCOP and WHO to identify a team of consultants to
review the major computerized systems used nationally and define some minimum standards that they
ought to implement. The recommendations of the consulting team should include unique identification of
patients, interoperability between systems (providing the possibility of transferring patients together with
their medical records between health facilities), establishing the minimum data set based on the Ministry of
Health's standard national tools and setting up common definition of indicators across the board.
Under this activity, partners will be supported to convert their systems into more widely used and supported
systems such as OpenMRS and CareWare where it is necessary. Partners whose systems specifications
closely match those recommended by the consultants will be supported to improve on their weak areas so
that they continue running the improved versions. If they are interested in changing over to the more
established systems then a transition plan will be worked out and technical assistance provided to facilitate
the migration. The data management and M&E staff from the MOH health facilities will be trained on these
systems and follow-up support provided. The health workers will also be trained to use computerized
systems for patient management as well as for reporting. It is projected that 300 health workers,
pharmacists and data clerks from 114 health facilities will be trained in the first year. Training will be further
scaled up to cover other cadres who see patients at medium to high volume sites.
The recommended systems will be interfaced with the Phones-for-Health infrastructure to facilitated easy
flow of data from local computers at the health facilities to a central database. These activities should
complement each other in the provision of timely data for decision making and resulting in overall quality of
patient care.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
The implementation of standards for EMR systems will enable healthcare providers to have timely data for
informed decision making, which results in better patient management. Vital treatment outcomes,
adherence to treatment and other critical information required by clinicians can be obtained fast. Any patient
transferring from one health facility to another can be easily tracked and their records moved along with
them.
The standardization and implementation of harmonized systems will also result in speedy and more
accurate reporting. Once the trainings are completed and backlog of data entered into the health facility
computers the reports to the Ministry of Health's HMIS and PEPFAR will be automatically generated. The
systems that are currently used (including the paper based ones) are not guaranteed to produce reliable
reports.
3. LINKS TO OTHER ACTIVITIES
This activity is linked to NASCOP's M&E activities and KEMRI's HMIS.
4. POPULATIONS BEING TARGETED
This activity target health workers, data/records/M&E officers, pharmacists but will eventually benefit the
general population.
5. EMPHASIS AREAS / KEY LEGISLATIVE ISSUES ADDRESSED
The emphasis is strategic information (M&E, HMIS, survey/surveillance, reporting).
6.TARGETS
As part of this activity, 300 individuals from 74 institutions will be trained and provided with technical
assistance.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17689
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17689 17689.08 HHS/Centers for To Be Determined 8138 8138.08 Electronic
Disease Control & Medical Records
Prevention
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $250,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.17:
