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
IMPACT: This investment is designed to achieve health impact in the short and long-term by improving the efficiency, quality, effectiveness, equity and sustainability of PMTCT, HIV treatment and VMMC health services, through improved leadership and management at the central, zonal and district levels. The goal of this program is to develop leadership and build management capacities among senior and middle-level public health managers in Malawi through a Fellowship program for graduates with a Masters Degree and a mentoring program for existing managers at District level.Malawi has major shortages of key human resources especially in leadership positions to manage an increasingly complex national HIV/AIDS program. Malawi decentralized its health delivery system and transferred powers, functions and decision-making responsibilities to the district level with substantial independence of the central level. However, the decentralized health sector faces challenges due to inadequate leadership and management skills among public health managers across all levels as identified in MOHs Health Sector Strategic Plan (2011 2016).The program is intended to train the next generation of leaders and provide an initiative of coaching and mentoring of local Malawian public health managers to improve leadership and management capacity. The program supports the Malawi National Action Framework (NAF) Objective 2.1 (To improve the capacity of the health care system to manage HIV and related disease diseases) and Goal IV of the Partnership Framework - To provide targeted, discrete systems strengthening in five key areas (laboratory services, health information systems, human resources, procurement and supply chain management, and health finance).
The Fellowship Program provides financial and mentoring support to local Malawians with a Masters degree and the potential to take up leadership positions in the public sector and NGOs. 25% of the fellowship time is spent at the University and 75% in the field for two years. Graduated fellows, increase the number of new eligible local Malawian candidates for management and leadership positions in the health system within a medium to a long term future. Independent external examiners review the courses and standards to ensure high program and outputs quality. So far, the program has recruited twelve (12) fellows and intends to recruit additional 4 fellows.
The management capacity building program targets public health managers who are serving in leadership and managerial positions in the District Health Management Teams (DHMTs), supervisory Health Support Zone offices and other senior managerial positions in the health sector. The Health Managers, while in their workplaces, participate in management and leadership workshop trainings and are mentored through support visits to ensure that they apply the skills they acquired in workshops. The program empowers local health managers with better management and decision-making skills, and creativity and innovation in problem-solving as well as process improvement. These officials, in turn, optimize the functionality of the decentralized Malawi health system and this contributes to Malawian ownership and long term sustainability of the entire health service delivery system.
The National Steering Committee (NSC), co-chaired by the MOH and CoM and comprising of key stakeholders, oversees the programs and provides guidance by identifying priority areas and reviewing the performance of CoM.
With FY12 funds, the program will facilitate two meetings of the NSC; present abstracts at local and international conferences to share experiences with others; support 12 fellows, conduct short courses as well as provide on-the-job coaching and mentoring; and mentor 50 Zonal Health Managers in all 5-health zones and 250 District Health Managers who will, in turn, mentor 420 District Health Program Coordinators in all 28 District Health Offices.
