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: 2013 2014 2015 2016 2017
IMPACT: This mechanism is designed to directly scale up high quality HIV treatment and PMTCT services at the facility level, through filling service delivery gaps to remove bottlenecks to effective service delivery. This mechanism will be critical to the effective delivery of services, especially focusing on the new Option B+ at the operational level. The expected reduction in new HIV infections and general morbidity and mortality will be realized through increasing the effectiveness, sustainability, equity and efficiency of district-based planning, budgeting and implementation processes in selected districts in Malawi, and supporting evidence-based prevention, care and treatment interventions at the facility level. This program will be fully aligned with district health service and budget planning processes to ensure full harmonization and district level ownership. Elements of this program include increasing alignment with government, and mutual accountability through directly funding zones or districts through sub-grants, while carefully monitoring performance, providing direct financial and technical support to strengthen planning, budgeting, financial and expenditure processes, and integrating strategic information more effectively and directly in district planning. This mechanism will directly deliver needed HIV services, develop or adapt performance-based financing at district and facility levels, promoting the provision of improved health services by strengthening leadership and governance, the health workforce, information systems, laboratory and other health system components at district level by supporting specific critical health services across multiple disease areas consistent with priorities identified in Malawis Health Sector and HIV Strategic Plans.
This implementing mechanism will support HIV programs in strengthening their approaches to linking communities and facilities, ensuring that each facility and provider has a community support services directory, and working with Community Health Committees to maximize bidirectional referrals and retention in HIV care.
For Treatment Scale-Up.
Strengthen laboratory capacity in TB/HIV. USD 200,000 in CDC COP 12 money will be allocated to:
Improve quality and access to fundamental laboratory services necessary for diagnosis, staging and treatment in children and adults, including viral load, POC CD4 and improved TB diagnosis, including scaling up access to LED microscopy and GeneXpert. Additional funding will also be used to support the national scale up of specimen transportation networks for VL, EID and CD4.
Through strengthened PITC and Health Information Systems, this partner will ensure that HIV-exposed infants are identified early, enrolled into the Family HIV Care Clinic using appropriate M&E tools, provided with CPT from six weeks of age, and that DNA PCR testing is expanded to support early diagnosis where feasible. This partner will maximize the MOH concept of the Family HIV Care Clinic to ensure HIV-exposed infants and their siblings are appropriately enrolled and followed in care as a family, reducing the number of individual visits the family makes to the facility.
CDC Malawi was informed in late August that $576,000 of the COP 13 proposed State/RPSO funds was not approved. Because of this, CDC Malawi would like to request for permission from OGAC to move these funds to previously identified priorities based on weaknesses in support to laboratory strengthening, as also identified during the COP13 review. These funds would go to MoH ($500,000) and EGPAF ($76,000) to support a national laboratory supervision system, laboratory information management system, and central reference laboratory strengthening. These changes have been discussed with and agreed to by the PEPFAR Malawi interagency team.
This implementing mechanism will work with districts to ensure that data collected is utilized to support decision-making. Referrals and linkages between community and facility will be strengthened to ensure adherence and retention in PMTCT and other HIV services.
This partner will strengthen the district health planning, financial management, implementation and monitoring processes to achieve a robust and effective district level health sector response; Districts will have a comprehensive annual health plan; Zonal Health Offices will annually review DIPs for completeness and quality as per central MOH guidance; Districts will effectively implement and monitor the activities in the annual health plan with quarterly reviews. Additionally, data use for program planning and monitoring will be improved to ensure that district implementation plans clearly cite rationale for approach and source credible data
Treatment Scale-up: USD 250,000
EGPAF will provide support to Malawi's newest HIV prevention strategy: Voluntary Medical Male Circumcision (VMMC). EGPAF will provide direct service delivery support to scale up MC in targeted districts. This effort will utilize multiple service delivery models including high volume outreach sites, low volume static sites, and high volume static sites. These efforts will be in collaboration with other CDC partners including MOH and CHAM.
This partner will strengthen HTC at facility and district level through improving QA: ensuring national HTC protocols are implemented; increasing the number of providers available to provide PITC, and ensuring all high risk patients have access to HTC, including those in ANC, Maternity, TB, NRUs and STI clinics. This partner will also support quarterly supervision visits to facilities from district level.
This partner will support and provide comprehensive PMTCT services in districts, including integration of FP into ART settings; identification of HIV-infected pregnant women and their partners, improved male participation in HTC at the first ANC visit; early initiation on ART as per the MOH guidelines, strengthened linkages into community and clinical care programs, improved maternal and neonatal clinical service provision in maternity, and improved follow-up of mother-infant pairs. This partner will support improved electronic and paper health information systems to ensure better identification, referral, and retainment of HIV-infected pregnant women and their exposed infants throughout the PMTCT continuum of care.
This partner will support the national ART program through multiple approaches including: Referral of HIV-positive patients to ART clinic; integration of ART into ANC clinics; quarterly supportive supervision, and direct provsion of treatment services at the facility level.
Treatment Scale-up: USD 1,300,000
Through strengthened PITC and Health Information Systems, this partner will ensure that HIV-infected infants are identified early, referred appropriately and inifiated and maintained on treatment. This mechanism will also directly support the provision of treatment services to chlidren.
Treatment Scale-up: USD 300,000
