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, 8574, 8580, and 8545.
This activity will expand upon the HIVQUAL-MZ work which began in FY 2006 to reach (South and Center) at 10 sites. In FY 2007 the program will be expanded to 6 new sites in the northern region and an additional 10 sites in the southern and center regions.
The goal of HIVQUAL is to allow health services and individual health care providers to engage in a participatory process of quality improvement based on evidence and data collected locally by their own teams.Using the HIVQUAL model, Health Units, Districts, Provinces and the Minstry of Health (MoH) at central level will be able to gauge the quality of services provided to the HIV+ population using indicators based on national guidelines and to propose feasible and sustainable strategies to improve quality through implementation of these established standards of treatment and care.
Established indicators measured through HIVQUAL-MZ determine the level of continuity of care, access to antiretroviral therapy and CD4 monitoring, TB screening, prevention education, adherence assessment and PEP implementation. The specific emphasis of this activity is at the clinic-level, adapting the methods of quality improvement to each organization's particular systems and capacities. An assessment tool to measure the capacity of the quality management program at each facility is used and will both measure the growth of quality management activities as well as guide the coaching interventions. Facility-specific data that are aggregated can provide population-level performance data that indicate priorities for national quality improvement activities and campaigns.
The unique approach of HIVQUAL-MZ is that it targets regional networks of providers who are engaging in quality improvement activities that enables them to work together to address problems that are unique to each area, including, for example, human resource shortages and coordination of care among multiple agencies as well as adherence to care services. Quality improvement training will be conducted for groups of providers. The Project will work in partnership with all treatment partners who will help disseminate quality improvement strategies and activities throughout their networks.
The USG HIVQUAL team will expand its focus to build quality improvement coaching skills among MOH staff and providers in Mozambique and provide advanced level trainings for sites as well as basic trainings for new participants. Mentoring of MZ-based staff will continue throughout the activity. Work will continue in partnership with the University of Pittsburgh and with JHPIEGO, which has recruited the project manager and provides logistical coordination for activities. Working with JHPIEGO facilitates the coordination of other QI activities in Mozambique which address infection control practices. One of the goals for 2007 will be to identify a lead staff person in the MoH to assume direction for the project. Travel funds for this individual to the US for an intensive mentoring program in New York and Pittsburgh is included.
Additional staff for the activity will be recruited as necessary although efforts will be directed to promote sustainability through building capacity for management in direction within the MoH.
