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.
Reprogramming October 2007 - FANTA will work with Mozambique's National AIDS Council (NAC), Ministry of Health (MOH), Ministry of Women and Coordination of Social Action (MMCAS) and the PEPFAR implementing partners to assess the food and nutritional factors that impact treatment and care services.
Table 3.3.14: Program Planning Overview Program Area: Other/Policy Analysis and System Strengthening Budget Code: OHPS Program Area Code: 14 Total Planned Funding for Program Area: $ 6,858,881.00
Program Area Context:
The WHO-MSH Human Capacity Development assessment conducted in 2004 continues to offer guidance to Ministry of Health (MOH) and USG in their programming decisions in areas of policy, HR management, leadership and partnerships. Following national elections in late 2004, changes in MOH leadership, staffing, and procedures began lasting throughout 2005 affecting the National AIDS Council (NAC) Council and NGOs, as well. Therefore, progress in policy development and system strengthening has been challenging, but new opportunities have also arisen. As a result, the FY 07 COP includes a number of FY 06 activities that were not initiated or completed.
As a post-conflict nation, Mozambique has human resource shortages in every category, limited institutional capacity, and fledgling civil society. Human resource constraints are the single greatest threat to meeting the PEPFAR treatment and care targets. A recent review of physician migration in Africa reported that 75% of all doctors fled Mozambique during the early years of the civil war and have never been replaced. Therefore, OHPS activities are critical to meeting and sustaining PEPFAR goals in Mozambique and other program areas must also address human capacity and system strengthening as part of their implementation. Within OHPS, the FY 2007 priorities are addressing the health sector human resource crisis, developing MOH's management capacity, strengthening the NAC and local NGOs, supporting private and public sector workplace activities, and promoting leadership on HIV/AIDS.
Addressing the health sector human resource crisis require strengthening and standardizing MOH human resource systems and training institutions in order to increase the number of care workers and to upgrade the skills of those already working. Equally important is developing a MOH workplace program to stop the loss of health workers to HIV and management and leadership capacity at all levels. The FY 06 COP supported pre-service and in-service training through evaluation of the medical technician curriculum and revision of selected sections; evaluation of the opportunistic infections curriculum and use of information by medical technicians; completing a resource assessment initiated by JICA; training for faculty on HIV/AIDS and adult learning methods; and development of standardized algorithms for treatment of opportunistic infections. The FY 07 COP will also include support for the MOH accelerated pre-service training plan to increase the number of medical technicians, auxiliary personnel, lab and pharmacy personnel; reviewing all pre-service curriculum; and standardizing curriculum, practicums, and clinical mentoring for pre-service and in-service training. Curriculum revision is essential because most were developed before the HIV/AIDS crisis and skills needed to address HIV/AIDS are not covered. Technical assistance will be provided to the MOH for the analysis of job functions for all levels of healthcare providers and to help the MOH create a new cadre of lower level providers to relieve nurses of non-clinical patient care. Funding will be provided to enable the MOH to upgrade libraries so that these become a viable resource for students. Outputs: # of curriculum revised; # of graduates from supported pre-service health worker training programs by cadre; # of practicum sites utilizing standardized elements
Institutional development of the MOH is another element of Mozambique's strategy. In FY 06, support was provided for continued development of the Training Information Management System (TIMS); to send 2 individuals to the Sustainable Management Development Program (SMDP) and begin development of management training to leadership at training institutions. FY 07 activities will build on these activities. SMDP graduates are planning to offer management training to AIDS provincial coordinators and district managers in Sofala province, and TIMS is slated to expand to more provinces. At present, the MOH has a HRIS system tracking salaries and another tracking numbers of employees. While there are no FY 07 funded activities addressing this, the USG is strategizing with MOH and other donors on how to unify the 2 HRIS databases. Ouputs: # of individuals trained in HIV-related institutional capacity building
Supporting the organizational development of local organizations and leadership is an important element of
Mozambique's strategy. The FY 06 COP focused on assisting the National AIDS Council to develop procedures for grant management in order to better manage the other donor-supported Common Fund more effectively and enable a long-stalled Round Two Global Fund grant to be channeled through it. Technical assistance and training enabled the NAC to complete a national HIV/AIDS communication strategy. The Mozambican nursing association was strengthened and development of a clinical training site at a private university began via twinning were supported. FY 06 activities also included are Quick Impact grants to NGOs, CBOs and FBOs; journalist training; scholarships for medical students; and leadership training for community individuals. Leadership and journalist training focus on understanding the pandemic, role of gender, stigma reduction and importance of prevention. Activities for FY 07 include continuing support for FY 06 activities. Expanded support will be provided for NAC with emphasis on provincial-level grants management and communications capacity; increased emphasis on strengthening institutional capacity of local NGOs to deliver quality home based care, OVC services, and AB activities; and increased in-country scholarships for medical students are planned for FY 07. Prevention with positives activities, including twinning, are included in the treatment section. Policy and institutional development efforts will include efforts to reduce stigma and address gender issues which cut across all other program areas. Outputs: # of local organizations provided with technical assistance for HIV-related policy development; # of local organizations provided with technical assistance for HIV-related institutional capacity building
FY 07 activities addressing retention include housing for rural health care providers found in HTX activities, supportive supervision, standardizing clinical on-the-job mentoring, standardizing curriculums so that faculty do not have to design lesson plans and participating in the donors HR discussions on salaries and incentives.
Workplace activities in the FY 06 COP included support to the MOH in developing a HIV/AIDS policy and interventions; study of knowledge, attitudes and practices of health workers nationwide; and the HIV/AIDS initiative of the federation of Mozambican business associations (EcoSIDA). Private sector support will expand in FY 07, MOH workplace activities and development of an HIV/AIDS workplace policy and program for the US Mission will continue. Outputs: # of local organizations provided with technical assistance for HIV-related policy development
Sofala and Zambezia will be focus provinces for the FY 07 COP. In Sofala, support for the accelerated training plan will include support for development of standardized practicum and mentoring; standardization of curricula; quality improvement of training institutions; management training for institutional administration; purchase of needed library resources; and HIV/AIDS education for students at the training institutions. In Zambezia, a needs assessment will be done to identify specifically how the USG can support the MOH in developing health care workers. In both provinces, faculty development on current HIV/AIDS information and adult learning methods will be offered.
Program Area Target: Number of local organizations provided with technical assistance for 25 HIV-related policy development Number of local organizations provided with technical assistance for 102 HIV-related institutional capacity building Number of individuals trained in HIV-related policy development 29 Number of individuals trained in HIV-related institutional capacity building 389 Number of individuals trained in HIV-related stigma and discrimination 632 reduction Number of individuals trained in HIV-related community mobilization for 242 prevention, care and/or treatment
Table 3.3.14:
