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 primary goal of Baylor College of Medicine-Childrens Foundation Malawi (BCM-CFM) is to expand the scope and reach of its Tingathe outreach program, which provides comprehensive PMTCT and Early Infant Diagnosis (EID) services to mothers and infants at participating facilities and facilitates prompt entry of infected infants and mothers into a continuum of care for optimal treatment outcomes. Tingathe strengthens systems to improve the quality and utilization of PMTCT, EID, and pediatric HIV care services thereby contributing to the reduction of maternal, neonatal and child mortality and morbidity and, ultimately, the reduction of new HIV infections. These targeted interventions are priority areas of USG support under the Malawi Partnership Framework and the Global Health Initiative (GHI) Strategy.Currently, Tingathe operates in four sites in Lilongwe district, with plans to expand to four new sites in FY 2012. Additional activities under Tingathe include conducting operational research to identify service-delivery barriers and to develop strategies to overcome them. Addressing such obstacles will strengthen coordination and linkages between services to help ensure provision of comprehensive medical care and improve the quality of existing services and their capacity to absorb increased patient load via training, mentorship, and supervision of Ministry of Health (MOH) staff.Through its robust monitoring and evaluation system Tingathe will improve adherence supervision and defaulter tracking activities (patient retention in care). BCM-CFM plans to procure one vehicle to assist program expansion outside of Lilongwe.
In partnership with the Ministry of Health (MOH), BCM-CFM aims to scale up the provision of comprehensive pediatric HIV care at antiretroviral therapy (ART) clinics across the country through the pediatric HIV outreach and training program. BCM-CFM has developed a systematic approach and comprehensive training package for on-site training and clinical mentorship of MOH providers in PMTCT, EID, and pediatric HIV care and treatment. BCM-CFM clinicians and nurses work with hospital and health center systems to ensure better linkage between departments, identification of high-risk patients, and help the health facilities set up PITC systems. These activities have contributed to the improved capacity of ART clinics and providers to offer quality care and increase the enrollment of HIV-infected and exposed children. To ensure the quality of care remains consistent, MOH providers will be trained and supervised so all sites participating in the program will be able to offer this minimum package of services.
BCMs Tingathe program focuses on using community health workers (CHWs) to bridge clinical services, improve linkages between programs and providers, ensure proper follow-up, and increase access to services for HIV+ children and their families. The goal is to create a decentralized, complete continuum of care for mother-infant pairs between ANC, PMTCT, ART, EID, and pediatric HIV care and treatment. CHWs follow clients to their homes and health center, from initial diagnosis until final negative diagnosis, or successful enrollment of HIV+ infants into care. HIV+ infants are followed to ensure they are receiving appropriate services.Tingathe continues to make major contributions to scaling-up PMTCT programs in Malawi through the expansion of geographic coverage from the current four sites in Lilongwe, which has 1,946 active and enrolled clients, to 10 sites in four districts in the central region by end of FY12. By end of FY13, the target is to reach 3,900 mother-infant pairs. Tingathe will continue to track progress toward targets through patient registers, database, and monthly reports from the sites.Tingathe is involved in community sensitization and education through daily health talks at health centers, regular meetings with teachers and village leaders, and large-scale sensitization events. Tingathe works with Feed the Children to provide Vitameal to all pregnant mothers and infants, and links clients with acute malnutrition to outpatient therapeutic programs.Tingathe estimates $200 per patient/unit receiving PMTCT. To help decrease cost and increase efficiency, the program is planning to utilize patient groups as piloted by MSF in Mozambique and fostering more involvement of Ministry of Health (MOH) staff in the program.
