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 2016
The Global AIDS Interfaith Alliance (GAIA) is a 5-year agreement aimed at strengthening Malawi's HIV/AIDS and women's health programs by bolstering the national Malawian nursing workforce through pre-service nursing scholarships.
GAIA will add 130 new Bachelor of Science in Nursing (BSN) students. GAIA will provide BSN students with the necessary assistance for academic success, including supplementary academic assistance and clinical precepting. The project will enhance the pedagogical skills of nursing faculty and practicing nurses in antiretroviral therapy (ART), basic emergency obstetrical and neonatal care (BEmONC), and triage. Scholarships will also be provided to 4 graduate nurses to complete a masters degree in nursing.
The project serves key objectives of the GOMs national plan for training of health care personnel. Specifically, it supports Goal IV: Cross Cutting Systems Strengthening of the Malawi PFIP and the Global Health Initiative's (GHI) priority of providing quality care to reduce maternal, neonatal and child mortality and morbidity, and reducing new HIV infections through health systems strengthening approaches.
Increasing quality human resources to deliver health care is essential. As more faculty are prepared to train others in ART, BEmONC, and triage, the cost of delivering key skills to students and providers will decrease. Over time, the personnel trained will impart the skills learned to others under a training-of-trainers model.
M&E will be achieved through monitoring of key indicators, such as the progress of students receiving scholarships, the number of faculty trained through data collected by in-country program monitoring, and analysis of data by GAIAs Monitoring and Evaluation Officer. One vehicle will be purchased in FY13.
The Ministry of Health (MoH) identified understaffing and low skill development as critical priority areas for PEPFAR assistance. There is a serious need to increase health personnel's skills to provide antiretroviral therapy (ART), child survival, and safe motherhood through basic emergency obstetrical and neonatal care (BeMONC). Additional training in triage will strengthen health personnel's skills to prioritize patients for care, train and oversee para-professionals to assist at over-stretched health centers.
Through USAID and matched funds, GAIA supports a pre-service program to train nurses at the Bachelor of Science (BSN) and diploma levels in Malawi. FY11 funds supported enrollment of 130 BSN students and 4 Master's students. Activities also support an in-service training program of 400 nurse faculty and practicing nurses in key skills of ART provision, BeMONC, and triage. Trainings leverage resources from different partners -- Ministry of Health resources support in-service training on the new ART regimen, leveraged JHPIEGO resources support BeMONC, and funds leveraged from MoH and Kamuzu College of Nursing (KCN) will support triage.
Using FY12 funds, GAIA will also enroll an additioanl 253 Nurse Midwife Technicians (NMTs) in order to reach and 10 additional BSN students in training by 2014-2015 based on MoHs released establishment needs. The 253 NMT students will be educated through 4 CHAM schools selected due to reputation and feasibility of monitoring. Students will enter in cohorts of 21 in each of the four schools over three years (84 additional students supported in year one); the first graduates will be done by 2015 and monitored for two years bonded service after. Funds will support University of California San Francisco faculty consultation with CHAM to develop clinical training skills through simulation lab training, teaching skills using new methodologies, and curriculum review for midwifery, pediatrics and psychiatric nursing and develop hospital-based clinical preceptors
