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: 2011 2012
Strengthening Health Outcomes through the Private Sector (SHOPS) is a five-year Leader with Associates Cooperative Agreement. With FY 2012 funds, PEPFAR will buy into centrally-managed SHOPS and start to implement recommendations from the FY 2011 private sector assessment. Based on the assessment, SHOPS identified four overarching objectives for the Malawi program: strengthen the enabling environment for public private partnerships; strengthen the capacity of not-for-profit organizations to deliver quality family planning, HIV/AIDS, and other health information, products, and services in a sustainable manner; increase the role of the commercial private sector in the delivery of priority health services; and increase overall demand for both diarrhea prevention and treatment products. The activities to be implemented under these objectives are designed to address pressing needs in overall systems strengthening as well as lay the groundwork for subsequent activities to enhance the quality of and sustainability of service delivery. SHOPS will work primarily in USAID/Malawis 11 focus districts and in close collaboration with the three newly awarded bilaterals under the Support for Service Delivery Integrated (SSD-I) platform. SHOPS will align with Malawis Global Health Initiative (GHI) strategy and the Partnership Framework (PF) through its efforts to strengthen leadership, governance and management of public, not-for-profit and for-profit institutions. FY2012 activities focus on setting the policy and legal framework for PPP and capacity strengthening private sector institutions, including the Malawi Business Coalition to Fight HIV/AIDS (MBCA), will set the stage for sustainable PPP engagement and improved private sector delivery of essential health services.
While the public sector is the largest provider of health services in Malawi, approximately 40 percent of services are provided by private actors including the Christian Health Association of Malawi (CHAM), commercial providers, and other not-for-profit actors. These private actors, particularly CHAM, are crucial for expanding access to essential health services in rural areas given the distribution of health facilities in Malawi. Currently, there are enormous challenges facing the sustainability of CHAM as a network and the relationship between CHAM and the Ministry of Health (MOH) has suffered in recent years. In addition to CHAM, there is a small but growing commercial health sector that can be better organized and engaged.
Given the realities of decreasing donor funding and a policy environment amenable to expanding the role of private providers in the provision of health care, USAID/Malawi commissioned the global SHOPS project to conduct a Private Sector Assessment (PSA) in May of 2011 to examine opportunities and constraints for strengthening the private health sector in the provision of essential health services. Based on the assessment, SHOPS identified four overarching objectives for the Malawi program: strengthen the enabling environment for public private partnerships; strengthen the capacity of not-for-profit organizations to deliver quality family planning, HIV/AIDS, and other health information, products, and services in a sustainable manner; increase the role of the commercial private sector in the delivery of priority health services; and increase overall demand for both diarrhea prevention and treatment products. The activities to be implemented under these objectives are designed to address pressing needs in overall systems strengthening as well as lay the groundwork for subsequent activities to enhance the quality of and sustainability of service delivery. SHOPS will work in close collaboration with the three newly awarded bilaterals: Health Policy and Systems Strengthening (HPSS), Strengthening Service Delivery - Excellence (SSD-E) and Strengthening Behavior Change Communication (SBCC), primarily in the 11 target USAID/Malawi focus districts.
