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.
The goal and objective of this program is to; 1. Strengthen sustainable national-level monitoring and evaluation systems including support for a implementation of MOH's Community Strategy's Community based Health Information System that tracks and measures social determinants of health; National AIDS Control Council's Community Based Program Activity Reporting System (COBPAR) and their linkages to the one unified national health information systems at the district, regional and national levels, 2. Build the human resource capacity of GOK and local institutions especially the community health workers and community health extension workers to manage and make use of health information and to provide a framework for sustaining health systems at the household/community levels, and strengthen linkages to the health facility systems and upwards to the host country's national health information system.
The host country's health sector currently doesn't have a comprehensive sector M&E framework, but instead have individual M&E strategies for the vertical programs such HIV/AIDS, Malaria Reproductive Health/Family Planning. The need for the development of a sector wide M&E framework to manage activities at all level through a multi stakeholders' initiative was highly by both the host country government and other key stakeholders including health sector development partners. One key area that USAID Kenya's new five year implementation framework identified as critical to achieving improved health outcomes is social determinants of health that in overall will help in improving the well-being of targeted communities and populations. Currently HMIS/M&E systems for the community based programs that largely track and measure social determinants of health at community/household level operate outside the health HMIS/M&E systems. The program will therefore support the development and linkages of the community health systems with that of health facility. It will support activities that may not have been anticipated in the health sector's Annual Operating Plans but which are deemed essential and requested by through MOH's Community Strategy's Community based Health Information System (CBHIS), and M&E support that fall outside of the ministries of health's organization structure and direct mandate, such as the National Aids Control Council (NACC), Community-Based Program Activity Reporting system (COBPAR), Ministry of Gender, Children and Social Development, and other ministries responsible for water, sanitation, nutrition, education, etc. who provide data useful to HIS. Other special programs supported by the HMISD may also be supported.
Broadly this program will support the strengthening of these community-based information systems around the three broad thematic areas: management and coordination, systems capacity development and communication, learning and knowledge-based practices.
Management and coordination: It will support the required coordination and direction between the health sector and other non-health sector programs especially those that work in social health determinants to improve better systems linkages and harmonization of reporting systems at the community level. Accordingly, it will help toward a process to through the GOK established coordination mechanisms of different sector strategic plans review and joint planning for better health outcomes at the household and community levels and upwards the hierarchy of service delivery. Some of the key outputs will be the development of a comprehensive health sector M&E framework and strengthened GOK stakeholders' joint review mechanisms and structures at national, regional, district and community levels.
Systems capacity development: It will support development of stronger linkages between facility and community-based monitoring systems and support rollout of new CBHIS tools that incorporates health sector indicators including NGIs through capacity building, supportive supervision/effective program monitoring, health systems/structures strengthening at facility, district and provincial levels. Supporting and strengthening the implementation and operational level capacity of the CBHIS strategies, functions and linkages to national HMIS at all levelsfacility, district, regional and national levels. Support to improve the CBHIS and COBPAR systems to adequately supply data collection tools and facilitate within community units the data collection processes both for quality and institutionalization. It will strengthen supervision within the CBHIS and COBPAR systems including the development and implementation of supervision standards that support the effectiveness of the community based health information systems. It will support continuous assessment and strengthening of community-based monitoring/reporting systems for the health sector including social health determinants measures and HIV/AIDS's NGIs to increase reporting rates at community to facility and then to the national system through both COBPAR and facility health information system.
Communication, learning and knowledge-based practices: It will facilitate a 'culture shift' that would strengthen the demand for information at community units, to devise and supply various information products to meet the demand for various targeted groups at community household and community levels, and to heighten the actual use of information by the targeted groups in improving their health seeking behaviors. It support the breaking of the 'vicious cycle' of poor data quality, availability and lack of its use in planning and decision making and in facilitating data use to improve household practices and health seeking behaviors.
Human resources for health will also be a priority area as lack of it affects the quality of data the system generates for use in planning and program development.
Geographical coverage will be national.
A key cross cutting issue will include HRH.
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