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 2018
IMPACT: This mechanis is designed to directly scale up high quality HIV treatment and PMTCT services through assisting health care workers to more easily and accurately record patient medical information using a system which ensures adherence to clinical guidelines. MOH HIV Quarterly Report covering April to June 2011 indicates that about 510,000 clients were tested and counseled for HIV within second quarter, and about 277,000 patients are alive and on ART in Malawi. An innovative electronic medical information system is deployed in high burden sites and it is managing health records of 24% of people alive and on ART. This mechanism is supporting scale up and strengthens health information systems capacity at facility level to collect patient level demographic, diagnostic and service delivery information to assist in management of individual patient care and improve quality of service delivery of 33% of people on national treatment and care by 2012 as indicated in HSSP. The same ART information system is expanding to strengthen a comprehensive country-level HMIS that integrates separate health information systems, including patient management, laboratory services, logistics management, and program indicators to improve capacity to collect facility, district and country-level information to assist with clinic and program management and to inform national and sub-national program and policy development. The information platform will create and Improve capacity to exchange standardized health information among public and private sector health facilities, care providers and information systems strengthen national surveillance to detect, track, identify, control and prevent diseases. The partner will purchase 3 vehicles for deployment, supporting EDS in facilities.
Tuberculosis is the most important cause of death amongst persons living with HIV. Consequently, integration of TB and HIV is important because of the close linkages between the two diseases. Successful integration of TB and HIV is the first step in ensuring that both TB and HIV responses are fully integrated into the wider health system. This program will support further development of integrated TB and HIV information system and procurement of equipment to rollout to high burden implementing integrated TB-HIV within TB clinical settings. In addition to support TB-HIV service delivery better screening, diagnosis and clinical management and monitoring and evaluation, it also strongly facilitates and ensures co-infected patients get appropriate treatment at the same time and are not lost to follow-up.
the Malawi HSSP 2011 -2016 states that data for program planning and development is not being used at points where data is generated. The participation of the private sector and central hospitals in HMIS data reporting is limited, leading to under-estimation and under-reporting. Further challenges include limited interface between facility and community information systems, limited analysis of HMIS data, and the limited utilization of data for policy and advocacy at all levels. The report further found that the MOH does not have adequate capacity in core health information sciences including epidemiology, demographics, statistics and Information Technology. A TBD partner will strengthen comprehensive country-level HMIS that integrates separate health information systems, including patient management, laboratory services, logistics management, and program indicators. Activities include:
1)Support routine HMIS and strengthen data use to improve quality of care and treatment services by helping to reduce patient loss-to-follow up and provide better information to health care providers and managers. 2) Achieve interoperability across EDS and HMIS systems this requires making disparate information systems conform to agreed-upon data norms and information exchange standards that promote transparency and accountability within an open architecture. 3) Strengthen connectivity across EDS systems, including District Hospitals, and the Central Repository. 4) Strengthen national surveillance to detect, track, identify, control and prevent diseases and address health concerns that may directly or indirectly have an impact on Malawis population. 5) Provide leadership and technical expertise to ensure surveillance efforts are timely, evidence-based, data-driven, internationally shared and actionable to inform public health policies and decision-making.
Treatment Scale-up: USD 250,000
The new 2010 Ministry of Health and WHO PMTCT guidelines prioritize urgent treatment for eligible mothers for their own health, and to expand the duration of prophylaxis throughout the period of exposure, from early pregnancy throughout breast-feeding. Successful implementation of this approach will depend on high retention of mothers and babies across the entire PMTCT continuum of services.
Broader PMTCT services will result in fewer pediatric HIV infections and fewer HIV-related pediatric deaths. Earlier treatment of mothers will result in fewer pediatric HIV infections and fewer maternal and child deaths.
The MNCH care continuum historically refers to the continuity of individual care, be it the care of the mother, the infant, or the child. These continuums need to be interlinked to follow and retain both mother and baby across time and place. To date, both PMTCT and MNCH programs have been facility-based and focused on patients who present for care. A comprehensive information system is needed to support integration of antenatal, maternity, under 5 services (AMU5), PMTCT/ART and EID with capabilities of tracking mothers through babies and vice versa. Under this program, A TBD partner will continue to develop and roll out electronic data systems to improve capacity to collect patient level demographic, diagnostic and service delivery information to assist in management of individual patient care, Strengthen connectivity across sites with electronic data systems, including District Hospitals, and the Central Data Repository, support interconnection of electronic medical information system in facilities within the same catchment area and district and to enable patient tracking, follow-up and referrals across facilities and services. A TBD partner will support connectivity of information systems, rollout of integrated electronic medical records systems, develop additional modules required to build comprehensive health information to strengthen integrated PMTCT/ART and MNCH service delivery.
Well-managed and coordinated health information systems are critical to the provision of life-saving, disease-reducing public health interventions, and especially for monitoring performance and planning. Under this program, A TBD partner will continue to develop and roll out electronic data systems to improve capacity to collect patient level demographic, diagnostic and service delivery information to assist in the management of patient care, Strengthen connectivity across sites with electronic data systems, including District Hospitals, and the Central Data Repository, support interconnection of electronic medical information system in facilities within the same catchment area and district and to enable patient tracking, follow-up and referrals across facilities and services.
Well-managed and coordinated health information systems are critical to the provision of life-saving, disease-reducing public health interventions, and especially for monitoring performance and planning. Under this program, an integrated system with all modules including Antenatal, Maternity, Under 5 Clinic, PMTCT, HTC, ART and Pre-ART, and EID will be deployed to facilities in catchment area of major referral hospitals to uniquely track, follow-up, link patients to services and manage individual records across facilities using unique patient identifiers. A TBD partner will develop and roll out electronic data systems to improve capacity to collect patient level demographic, diagnostic and service delivery information to assist in the management of patient care, support interconnection of electronic medical information system in facilities within the same catchment area and district and to enable patient tracking, follow-up and referrals across facilities and services.
