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: 2012 2013
MCHIP is a centrally held USAID mechanism that aims to reduce maternal and child mortality in 30 countries through implementations of high impact interventions in HIV, malaria, maternal health including PMTCT, child health and newborn health. The goal of MCHIP is to reduce maternal and child mortality by: 1) Implementing high-impact, effective HIV/AIDS interventions at scale, based on global and local data; 2) building global consensus and sustained government commitment to support results-oriented, evidence-based programs, including mobilizing resources for effective interventions; 3) influencing local programs to incorporate effective, feasible, high-impact interventions and approaches based on global evidence; and 4) strategically integrating critical interventions into existing services and wrap-around programs, emphasizing close-to-client contact and ensuring no missed opportunities.
MCHIP is designed as a national mechanism that will provide technical assistance in coordination of technical activities at the National AIDS &STIs Control Program (NASCOP), Division of Reproductive Health, Division of Vaccines and Immunization, Division of Child and Adolescent Health and Division of Malaria Control. Some key activities in cervical cancer, infection prevention and PMTCT will be rolled out in selected areas in the country. These include screening and treatment of cervical cancer including training of health workers to provide the services, scale of the reaching every district (RED) approach to identify pregnant women and linking them to PMTCT services. MCHIP will also work closely with other programs to ensure scale-up of high impact cost effective interventions. This activity supports GHI/LLC and is completely funded with pipeline funds in this budget cycle.
In collaboration with NASCOP and DRH, MCHIP will provide technical assistance to the Division of Reproductive Health (MOPHS) and the Division of Obstetrics and Gynecology (MOMS) for Cervical Cancer Prevention and Control with emphasis on health systems strengthening and effective and efficient National Cervical Cancer Control program. MCHIP will work mainly at central MOH level but will also capacity build the APHIA projects to scale up CECAP activities at district level. Broadly, MCHIP will undertake the following activities:1. Support the procurement of complete Cryotherapy units for high volume facilities especially in HIV endemic districts.2. Orient health workers on cervical cancer prevention and control with special emphasis on Single Visit Approach.3. Support DRH to review and disseminate the National Cervical Cancer Prevention Plan and the National Guidelines for Prevention of Cervical Cancer.4. Support DRH in advocacy, coordination, monitoring and evaluation of the National Cervical Cancer prevention program.
In collaboration with NASCOP, MCHIP will support implement community injection safety activities in a few selected district/s. This will be done through the existing community strategies, whereby community members within facility catchment areas are selected and oriented on infection prevention and control and proper use of injections and safe disposal of medical waste at the community level. Community Health Workers (CHWs) will be empowered with basic knowledge, skills and competencies on infection prevention and control and medical waste management. This is expected to enable them function effectively as agents of community health and development, to promote good infection prevention practices, safe injection practices and proper management of medical waste at the community setting. Using the PHAST approach, CHWs wil also acquire knowledge and skills on water, sanitation and hygiene related practices and their associated health outcomes and to minimize risks of acquiring waterborne diseases and other related communicable diseases such as HIV/AIDS/STIs, TB and malaria. The partner will also reproduce and disseminate copies of community infection prevention and control orientation packages.
Currently, the project supports implementation of integrated PMTCT/MCH interventions in Bondo district, Nyanza province. In collaboration with NASCOP and DRH, MCHIP will scale up the implementation community based maternal and child health interventions using innovative strategies to identify pregnant women and link them to quality MCH and PMTCT services. MCHIP will work with District Health Teams using an adaptation of immunizations Reaching Every District (RED) approach to identify communities with large numbers of pregnant women, mobilize Community Health Workers (CHWs) to bring these women and later their infants into care, and actively monitor and take action to increase PMTCT and MCH service coverage. MCHIP will undertake the orientation of all the CHWs to the new community strategy, to the MCHIP program and to Community Based Health Information System (CB-HIS).
