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: 2010 2011 2012 2013 2014 2015
Management Sciences for Health/ Leadership Management and Sustainability will implement programs in the areas of Community Care and OVC. Specifically, the partner will implement activities that respond to the care and protection of orphans and vulnerable children and adolescents in Lesotho and that improve community-based care. The partner will provide both technical assistance and direct provision of services in these areas.
MSH/LMS will implement activities that contribute directly to the Lesotho Partnership Framework and PFIP, collaborating closely with the MOHSW to help strengthen the Lesotho National OVC Strategic Plan as well as improve services at the community level. The partner will assist the GOL and other stakeholders in providing a standardized, integrated approach to community-based care and OVC care and support over the next five years.
Activities under this agreement will also include on-going discussions, priority setting and reporting to the MOHSW, the NAC and perhaps other ministries.
Regular planning, policy review and revision and quarterly reporting will be required by the MOHSW, NAC and PEPFAR, with the partner receiving funding to ensure that reporting can and will be linked to a national M&E system.
Strong linkages, coordination and collaboration with other PEPFAR supported program areas, in particular Care and Treatment, TB/HIV, HTC, prevention, MCC and non-PEPFAR supported areas, and e.g. UNICEF, etc. will be important components to ensure that congruent messages around OVC and care and treatment are provided to persons in community-based settings. .
The program will support service delivery and health systems strengthening and sustainability through the following:
Provide institutional capacity building for government ministries (MOHSW, among others) to improve the delivery of services in the areas of OVC and community-based care.
o Liaise closely with the National OVC Coordinator in the Department of Social Welfare (DSW) and build the department's capacity to strategically plan and monitor the scattered service programs now in existence.
o Improve "national standards/quality" for OVC through TA and/or workshops in collaboration with other stakeholders.
o Strengthen national policy and guidelines in support of comprehensive community-based care and a supportive environment for orphans and vulnerable children affected by HIV/AIDS.
o Strengthen the GOL, particularly the MOHSW and NAC, in order to provide needed services at the community care level. Special attention will be paid to the GOL's ongoing decentralization process, assisting in referrals from community settings to clinical settings.
o Link partner monitoring and evaluation data with the national system under development, thereby assisting the transition to a national M&E mechanism for HIV/AIDS programs
Provide OVC and community-based care technical assistance to governmental, non-governmental, faith-based, and civil society organizations
Strengthen systems and enhance linkages between clinical facility-based and community-based providers to ensure continuity of care for OVCs and PLWAs and their families
Provide sub-grants to local FBOs, CSO,s and NGOs for OVC and community-based care service delivery
Strengthen nascent civil society organizations in order to provide needed services at the community care level and for OVC
o Build institutional capacity of the abovementioned sub-grantees, with the goal of identifying the strongest leaders and tailoring capacity-building to "graduate" these key partners to become local direct recipients of PEPFAR and other donor funding, and future leaders in the development community.
Support all stakeholders in the design and implementation of strategies to reach vulnerable OVC with OGAC's six basic services
Strengthen early intervention with at-risk youth ages (12-18)
Support innovative programs in day care programs for OVC, vocational training, gardening projects, life-skills training, age-related psychosocial support, etc.
Link with other OVC initiatives in Lesotho: UNICEF outreach for the EU's Cash Transfer Program which targets 60,000 OVC, and the Child-line program; Global Fund Round 7 and their OVC registration system, supporting basic needs and building capacity for the Child and Gender Protection Units within police stations, etc.
Link with OVC networks, e.g. NOCC and other NOGs that provide services for OVC
Provide legal support to protect property and other essential right of widows and orphans to mitigate their vulnerability when a head of household dies of AIDS.
Advance policy initiatives that support care for OVC, including advocacy for basic legal protection, transformation of public perception of HIV/AIDS, and strengthened school-based prevention and care programs. Critical areas to be address include: inheritance and succession, bereavement among children, child-headed households, access to education and school-related expenses and protective services.
MSH/LMS will provide adult care and support services at the community-based level and target all populations, including OVC. With the GOL's decentralization policy, improved referrals to and linkages with new and existing clinical sites will be emphasized. The MSH/LMS program will establish a workable community-based mechanism that considers MOHSW community health workers and the ausiliary social workers from the DSW. To ensure a systematic referral system, formal linkages will be made with all health sites (hospitals and clinics) to assist facilities with treatment adherence, with tracking patients for reporting test results follow up with pregnant women and newborns, follo-up of infected patients who are not yet eligible for ART, and assisting in referrals from community settings to clinical settings. This will be done within a strictly confidential and stigma and discrimination free environment. At community level, MSH/LMS will establish and strengthen community networks of people living with HIV/AIDS that have direct program activities promoting wellness, sound nutrition, psychosocial support and/or economic security. Programs to support post test negative individuals will also be established to ensure that they stay negative. $150k to be matched with OGAC Gender Challenge Fund, for community based activities
Management Science for Health/LMS will Provide OVC and community-based care technical assistance to governmental, non-governmental, faith-based, and civil society organizations
The MSH/LMS will provide pediatric care and support services at the community-based level and target all populations, including OVC. With the GOL's decentralization policy, improved referrals to and linkages with new and existing clinical sites will be emphasized. The importance of linkages between other partners and program sites with related activities will also be emphasized in the solicitation. The partner will assist in improved quality of care and strengthening of health services through direct service delivery as well as capacity building support for both government and local organizations.
capacity building with MoH and CCM governance and support
