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
The Maternal and Child Health Integrated Program (MCHIP) is the USAID Bureau for Global Health's flagship maternal, neonatal, and child health (MNCH) program. This 5-year cooperative agreement focuses on reducing maternal, neonatal and child mortality and accelerating progress toward achieving Millennium Development Goals 4 and 5. Awarded in September 2008, MCHIP works with USAID missions, governments, nongovernmental organizations, local communities and partner agencies to implement programs at scale for sustainable improvements in MNCH. USAID's strategic approach for MCHIP identifies 30 "priority countries " - countries that account for 70% of the world's maternal, newborn and child deaths - with documented magnitude and severity of need; established presence of USAID in health; and an ability to implement expanded MNCH programming and achieve mortality reductions.
MCHIP addresses major causes of mortality by:
Implementing high impact, effective interventions at scale, based on the country context;
Building global consensus and sustained government commitment to support results-oriented, high-impact, effective interventions;
Influencing country programs to incorporate effective, feasible, high-impact interventions and approaches based on global evidence;
Strategically integrating critical interventions into existing services and wrap-around programs.
The overarching goals and objectives of MCHIP's male circumcision (MC) and strengthening nursing pre-service education (PSE) programs align closely with those outlined in the Partnership Framework. Jhpiego's MCHIP-supported MC activities will work towards meeting the Partnership Framework "Goal 1: HIV incidence in Lesotho is reduced by 35 percent by 2014, Objective 1.6: 40 percent of males are circumcised in a clinical setting, and 50 percent of newborn males in a health facility are circumcised within 8 days after birth." MCHIP/MC and PSE activities also address Partnership Framework "Goal III: The human resource capacity for HIV service delivery is improved and increased in 3 key areas (retention, training, and quality improvement) by 2014".
Clinician trainings in adult, adolescent, and newborn MC include skill development in counseling about reproductive and sexual health including male norms and behavior, VTC, and family planning. An emphasis on ongoing supportive supervision and quality assurance, conducted by MOHSW and facility-based teams supported by Jhpiego, will ensure that improvements in the quality of health care delivery are sustained.
Jhpiego's MCHIP programs involve cross-cutting budget attribution "Human Resources for Health" through our pre-service and in-service trainings. With over 35 years of experience in PSE, Jhpiego is well-positioned to support the development of high-quality PSE programs for Basotho nurses. Jhpiego will target interventions based on each institution's specific material and human resource needs. Jhpiego will use locally tested, appropriate technologies to support and update nursing faculty and clinical preceptors. Jhpiego, through MCHIP, will work with the MOHSW, and other private and public partners to strengthen facilities' human and infrastructural capacity.
MCHIP M&E plans measure the number of providers trained, progress in rolling out high-quality services, and the provision of TA and supportive supervision to ensure high-quality services. MCHIP will work with the MOHSW other partners to establish routine health information collection. MCHIP will use project data to periodically calculate outcome level indicators and ensure that projects are on target with program objectives, review data quarterly to compare accomplishments against targets, and adjust implementation as needed. Performance monitoring will include routine in-person and written reporting to USAID and the MOHSW to foster dialogue on improving services, and ensuring the ultimate development of capacity needed to independently sustain activities.
