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: 2013 2014 2015 2016 2017
Even though evidence-based, simple, high-impact interventions capable of saving lives and alleviating suffering are available, many patients and clients are still not benefiting from them. Much of this implementation gap is likely related to weak health systems and processes of care delivery. These weaknesses may exist in the quality of care, including effectiveness, efficiency, patient/client-centeredness, equity, safety, accessibility, timeliness, community involvement, and inability to achieve the MDG targets.
URC, in Lesotho, will work with the Ministry of Health (at the forefront) in establishing an integrated country design to coordinate improvement activities, research and evaluation (R&E), knowledge management (KM), scale-up, sustainability, and institutionalization. This will be aimed at ensuring that planned outcomes of the Lesotho PEPFAR Program are achieved while enhancing the capability of the Government and Local Partners to implement and sustain them. URC will align evidence-based interventions in technical content areas such as maternal, newborn, and child health (MNCH), HIV/AIDS, and health workforce with evidence-based approaches in improvement, including collaborative improvement, human performance technology, standards, and others.
The ASSIST Strategy will be in alignment with the goals of USG and global initiatives, including the Global Health Initiative (GHI); USAID Forward; and HIV-free Survival. URC will work with the Country team and relevant PEPFAR IPs to identify and resolve gaps in programming, especially as linked to linkages between different programs and retention in HIV Care, TB/ HIV management and HIV treatment.
URC and its partners are uniquely positioned to engage with local stakeholders to achieve PEPFAR Lesothos aims.
Clinical Services and Community Programs
In PMTCT, TB/HIV, HIV Care and Treatment, URC will collaboratively work with different partners to define:
QI Gaps in care (clinical and community)
Opportunities for linkages and sustained quality health services; retention in services too
Strengths in programs (e.g quality services, best practices that are replicable, feedback, customer satisfaction, QI approaches, etc)
Quality improvement in services integration approaches
National Technical Assistance
URC will provide technical assistance to MOH to:
Build QI capacity within the MOH QI department and other programs
Own and manage existing and new QI interventions
Support QI interventions effectively at district and facility level
NACS Implementation
Improving care at the patient/provider level: Once health workers know what services to provide, they still need to learn how to provide these services in their context. Quality improvement (QI) is a management approach front line health workers can use to analyze and solve their own problems.
Spreading knowledge using peer-to-peer learning: To help ensure that knowledge about how to improve care that is generated at one site is spread to other sites we suggest organizing meetings where teams from multiple QI teams come together to share with each other.
Supporting a national quality management program: In addition to working directly with facilities and communities, HCI will support the MoH to strengthen a quality management system for the nutrition program
Build QI capacity within the MOH QI department and other programs for PMTCT
The overall objective of this project (USAID) is to foster improvements in a range of health care processes, and to document these improvements with evidence of change in quantitative indicators of quality, based on the application of modern QI methodologies by host country providers and managers, to allow providers in another health system to design and implement a similar intervention.
GHI Principles to be addressed within URC ASSISTs scope of work
1. Addressing gender issues in country activities;
2. Addressing the integration of services through QI approaches;
3. Promoting country ownership by effectively addressing policy makers improvement ?priorities and by making providers and managers the implementers of all QI ?activities;
4. Strengthening global health partnerships through expert support for QI activities in ?partners programs;
5. Making the sustainability of improvements the subject of monitoring, evaluation, and ?research; and
6. Improving metrics, monitoring, and evaluation by applying these approaches to health ?care processes; by promoting research and innovation through a dedicated research program; and by the systematic testing of changes in health care processes.
In PMTCT, TB/HIV, HIV Care and Treatment, URC will collaboratively work with different PEPFAR Lesotho partners to define:
Strengthen programs linkages
PEPFAR Deliverables
Development of Retention Action Plan for Lesotho.
Assist with Scale up of District and Facility Level Support for QI; Evidence base for PMTCT and ART Service Improvement;
he overall objective of this project (USAID) is to foster improvements in a range of health care processes, and to document these improvements with evidence of change in quantitative indicators of quality, based on the application of modern QI methodologies by host country providers and managers, to allow providers in another health system to design and implement a similar intervention.
