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 HRSA/HIV Qual International has been competitively selected to implement the activity
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key cross-cutting attributions in human capacity development by training health
workers at selected health facilities on data management, analysis and reporting. Clinicians will also be
trained on monitoring and evaluation of the quality of care given to HIV infected patients.
COP 2008
1. ACTIVITY DESCRIPTION (INDICATOR DEVELOPMENT)
PEPFAR and host governments in many countries have deliberately limited the number of process
indicators to the minimum required for program monitoring in order to reduce the reporting burden on the
health facilities and implementing partners. Kenya's Ministry of Health has made the extra effort to
harmonize indicators across programs and came up with standard national tools for monitoring HIV
programs. While these have had a positive impact in reducing the reporting burden on health workers and
eliminating duplications that existed previously, there is potential for further improvements. The currently
available indicators should be reviewed in order to 1) select indicators with denominators, e.g. the number
of persons in need for services, 2) strengthen the collection of the denominator indicators and 3) set up a
quarterly feed back report system to the participating organizations. Selected indicators will include
uptake/coverage and impact. An example for PMTCT may be: % of pregnant women seen in ANC; % of
those HIV tested; % of HIV infected, % of HIV infected treated, % of infants exposed to HIV infected
mothers tested for HIV; % of exposed infants identified to be HIV infected; % of HIV infected infants treated.
NASCOP and other key stakeholders will be closely involved in the process. A literature review will be
carried out in order to extract publications on similar work and build on the work that has been done in other
countries. It is anticipated that this activity will not result in any additional burden to the healthcare workers
by introducing new indicators to the national M&E tools. However, should this become necessary, it will be
discussed with the MOH and all stakeholders. Selected indicators will be linked to the routine process
indicators and the feed back report loop will include the Ministry of Health's national and sub-national level
managers as well as other implementing partners.
In the first year, the indicators will be selected and agreed with stakeholders, covering all program areas.
Data will be captured from one or two provinces for about 6 months and reports prepared for distribution to
the Ministry of Health and implementing partners. Feedback from the stakeholders will be factored in to
improve the indicators and the reports. The revised indicators will then be collected nationally and quarterly
feedbacks sent to the respective provinces and districts.
Part of the activity will be to train the program managers - including Provincial and District Medical Officers
of Health - on the epidemiologic interpretation of the reports in order to target interventions appropriately
and improve planning and allocation of resources. A total of 150 individuals from 114 districts and 10
provinces and MOH headquarter divisions will be trained on the interpretation and use of the reports.
In the second component of this activity, USG SI team in close collaboration with a locally competed and
recruited consultant will work with and/or support partners in the further analysis of program level data in
prevention care and treatment program areas. USG/PEPFAR Partners have over a period of time collected
rich service delivery data that with further analysis and interpretation, can be used to inform the design of
new strategies in prevention care and treatment. Specific areas for further exploration through data
analyses will be developed together with USG Inter-Agency Technical Teams (ITT), GOK counterparts and
other key stakeholders working in the area of HIV/AIDS prevention, care and treatment.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
The selected indicators will provide the information necessary to inform targeted interventions and ensure
that denominators are taken into account when planning interventions. Regular feedback that is sent to the
program managers will enable them make better decisions on how to improve their programs and services
delivery.
3. LINKS TO OTHER ACTIVITIES
The selected indicators will complement or potentially replace those already collected from routine
monitoring. It will be closely linked to NASCOP's M&E activities in SI, APHIA II M&E activities, and KEMRI's
HMIS.
4. POPULATIONS BEING TARGETED
This activity targets the host government records offices as well as health workers, data/records/M&E
officers and program managers 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, 150 individuals from 114 institutions will be trained and provided with technical
assistance.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16837
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16837 16837.08 HHS/Centers for To Be Determined 6909 5090.08 Indicator
Disease Control & Development
Prevention
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $50,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.17:
