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.
Overview
This is a new mechanism expected to be in place in FY 2011. This new mechanism is expected to fill a critical gap in programming that arises from having predominantly regional based service delivery mechanisms particularly in providing support to national level programs and other related departments and divisions in the Ministries of Health.
Comprehensive Goals and Objectives
Provide support to key departments in the Ministry of Public Health and Sanitation and the Ministry of Medical Services.
Contribute to the development of key national strategies, treatment guidelines etc. and ensure their linkage to regional service delivery.
Contribute to ensuring coordination of support amongst multilateral and bilateral development partners in service delivery.
Background
In late 2009 USAID/Kenya conducted a review of their APHIA II health portfolio along four main thematic lines Policy, Service Delivery, Health Systems Strengthening and Monitoring & Evaluation. One of the key findings from the Service delivery assessment was that whereas the regional service delivery partners contributed a great deal to improving service delivery particularly in HIV/AIDS the program had tended to bypass the National Government and been largely unresponsive to national priorities and strategies as well as being insufficiently collaborative with National GOK in ensuring synergy particularly in responding to underserved health needs, especially maternal and child health and community health needs.
It is to ameliorate this criticism that USAID/Kenya intends to have a national Service Delivery mechanism that will ensure closer collaboration between national and regional service delivery ensuring regional partners are responsive to national policies, strategies, and guidelines.
Key activities
The mechanism is anticipated to provide support to and help build the capacity of national level Ministry of health departments and divisions. Key amongst these are the National AIDS Control Council (NACC) and the National AIDS and STI Control Program (NASCOP).
In addition the Ministries of Health are anticipating updating the current National Health Sector Strategy beginning calendar year 2011. This mechanism is expected to provide support for this exercise and ensure that the strategy is informed by the field.
The mechanisms is expected to help key departments in the Ministries of health improve the overall coordination of service delivery amongst the multilateral and bilateral development partners.
Linkages to the Partnership Framework/GHI principles
This mechanism will contribute to the following principles:
The principle of increasing impact through strategic coordination and integration through enhancing the capacity of Ministries of Health departments to better coordinate service delivery activities of the various development partners.
The principle of encouraging country ownership and investing in country-led plans by ensuring that not only capacity building of departments but also assisting in the development and roll-out of national strategies in service delivery.
Geographic coverage and target populations
The scope of the program is national and will target all populations.
Key contributions to health system strengthening
Focus on creating a sustainable service delivery program by building the capacity of national departments and divisions to better support their ongoing programs.
Strategy for Cost-efficiency
This project is expected to enhance cost-efficiency by representing regional based service delivery projects at national level meetings thus reducing their travel time and costs to participate in these meetings. In addition the mechanism anticipates enhancing and building the oversight role of national level departments to ensure well coordinated and run country programs.
Monitoring and Evaluation plans
These will be developed and key indicators and milestones highlighted
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