Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018 2019 2020

Details for Mechanism ID: 17123
Country/Region: Lesotho
Year: 2014
Main Partner: Columbia University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $673,904 Additional Pipeline Funding: $141,096

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

Lack of accurate and timely health data is a major obstacle to the design and implementation of public health programs and to the accurate characterization of the HIV/AIDS epidemic in Lesotho. Data inter-connectivity among health centers and with the central level of the MOH has not been established. Interoperability is essential for the MOH and donors such as PEPFAR to obtain the accurate and timely data that is necessary to understand the evolution of the epidemic in Lesotho and to optimize program activities to impact the epidemic and meet established goals and objectives. The partner has experience with issues of interoperability of health information systems in southern Africa and expertise working within a complex environment of donors and implementing partners to design a connectivity strategy for the pilot Electronic Medical Records system.

USG has planned $815000 contribution to the partner of which $45788 is applied pipeline. The partner's operational plan will ensure rapid start-up and achievement of project milestones by the end of project year 1, SI data are used regularly and effectively by MOH across the health system to drive the national response in cluding improvements of systems to actively monitoring patients. The partner has identified a highly experienced Chief of Party who will be in place at project start, as well as a Basotho Epidemiologist who will be seconded to MOH to provide ongoing mentorship and to lead hands-on capacity building initiatives. These individuals will be supported by the partner's existing expert technical staff to will facilitate rapid initiation of project activities via intimate knowledge of the local health system, existing strategic relationships with GOL, and vast experience with cutting edge SI techniques.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $125,000
Care: TB/HIV (HVTB) $125,000
Care: Pediatric Care and Support (PDCS) $150,308
Strategic Information (HVSI) $273,596
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

MER Indicator MER description Target Fiscal Year Target
SI_HIS Existence of a national registry of health facilities that is updated annually 2015 3
SI_HIS Full coordinated list made available as a common and managed Registry 2015 1
SI_HIS Full national facility list coordinated with PEPFAR 2015 1
SI_HIS USG only or Government only facility list 2015 1
SI_ME Existence of a national HIV/AIDS M&E system based on the UNAIDS 12 components model 2015 1
Key Issues Identified in Mechanism
Tuberculosis