NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

Through the Service Delivery, Quality Improvement and Health Systems Strengthening Program, EGPAF will scale up high quality, comprehensive HIV prevention and treatment services at 150 health facilities in seven target districts. The program has identified and will address the service delivery gaps that prevent quality HIV prevention, care and treatment services. EGPAF will improve the delivery of services, particularly the implementation of Option B+. The expected reduction in new HIV infections and morbidity and mortality will be realized through increasing the effectiveness, sustainability, equity and efficiency of district-based planning, budgeting and implementation processes in zones and districts, 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 program supports the provision of needed HIV services, promotes improved health services through strengthening leadership and governance, the health workforce, information systems, laboratory and other health system components at the district level by supporting specific critical health services across multiple disease areas consistent with priorities identified in Malawi’s Health Sector and HIV Strategic Plans.

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.