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.
This activity is linked to activities 8593 and 8545.
Columbia University's (CU) proposal for FY07 Track 1 funds and in-country supplemental funding in the amount of $5,411,250 builds on FY04-FY06 treatment activities. With this funding, CU will support the Ministry of Health (MoH) in the provision of ART treatment to 25,500 PLWHAs (23,000 with ongoing Track 1 Funding) and the expansion and improvement of service referral networks.
To achieve this target, CU will increase its current number of treatment sites from 18 currently to 24 in FY06 and 36 in FY07. CU's expansion is guided by the USG PEPFAR team's five-year strategic vision that ARV treatment services should reach beyond provincial capitals to include rural health facilities. The additional facilities supported in FY07 (primarily through the supplemental funding) will be outside major urban cities.
Beyond direct support of patients on ARV therapy, specific activities to be undertaken with Track 1 funds include:
1) Human Resources: CU will continue to supplement existing staff at 24 HIV care and treatment facilities by financing, training, and providing ongoing mentorship to 15-20 MoH clinic staff per facility in the provision of HIV care and treatment services for adults and children (400 staff total). These providers include doctors, medical technicians, nurses, counselors, pharmacists, data technicians and administrative staff. This relationship and support contributes to skills building and transfer at the point of service delivery.
Human Resource staffing is financed through sub agreements with Provincial Health Authorities in the six provinces supported by CU plus the Central Hospital in Maputo City.
Training: CU will continue to provide ongoing training by clinical-support teams to staff working at CU HIV care and treatment facilities in 6 provinces plus the Central Hospital in Maputo. Each team includes a Clinical Supervisor, 1-3 Clinical Officers, 1-2 Logistics Officer and a Data Officer. In particular, they provide refresher training for all health care providers to reinforce national guidelines and centrally-developed training programs. The teams also conduct on-site training and mentoring of clinicians in the management of HIV-exposed infants at CU-supported pMTCT facilities
All team members are hired directly by CU, based at Provincial Hospitals, and regularly travel to CU-supported facilities.
3) Infrastructure: CU will continue to provide supplies and additional equipment to maintain and expand services at 24 facilities through FY06. In addition CU will conduct renovations to existing health facilities as needed.
4) Policy and guidelines: CU will continue to provide technical support at the central level MOH to the Department of Medical Assistance (DAM). This support contributes to the development of policies and guidelines for managing the national ART effort. Specifically, CU technical staff will assist the HIV Management and ARV Committees to develop and revise clinical guidelines and an HIV service decentralization plan in addition to designing/updating training curricula and materials. CU will also work with the National Adherence Support group to develop adherence and psychosocial support materials. Internally, CU will work to strengthen their electronic patient-tracking system and paper-based systems for program monitoring purposes and will advise Emergency plan staff and other partners on the process for renovation of MOH facilities, including design, tendering and implementation.
4) Coordination: Columbia University will continue to participate in coordination meetings of the PEPFAR treatment partners as well as quarterly PEFAR partners meetings to ensure exchange of information, coordination of Emergency plan efforts and to provide regular updates of the program during the course of implementation.
