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.
August 08 reprogramming: Funding increase 200K. The community health worker program in
Mozambique, known as the Agente Polivalente Extraordianaria (APE), is being re-vitalized. The Minister of
Health and the Prime Minister of Mozambique have both been quoted on record regarding the intense need
for community involvement and community solutions to community issues. With only 30-32% of
Mozambicans living in urban areas, the real opportunity is providing community-based prevention and basic
care to more rural populations (approximately seven million people).
The APE program began years ago with a scope of work and modus operandi, which seemed to be
doomed from the start. The community was to pay the APE through the setting of a fee schedule as well as
enjoying a small profit off the medicines in the kit provided by the Ministry of Health. However, in actuality,
the APE's were rarely paid for their work and this resulted in a distortion of their use of the medications in
their kits. The APE's are still active in a few areas of Mozambique, normally supported by NGO partners
working in the community. The Government of Mozambique's new commitment to this program is
particularly extraordinary given the Minister of Health's felt aversion to clinical work being undertaken at the
community level.
The APE program, is in the initial stages of review, and is being implemented in the three northern
provinces of Mozambique (Niassa, Cabo Delgado, and Nampula) through the World Bank. The first activity
will be to review the existing interventions utilizing APE's and to document current practice in country across
donors and implementing partners. More thought will need to be invested into the revision of the
curriculum and the operational details, which will ultimately heavily influence its success. USAID, directly
and through her partners, seeks to provide technical assistance to the Department of Community Health, to
ensure a proper curriculum and thoughtful roll-out of the operational plan. In its entirety, it is estimated that
Mozambique will train approximately 5,000-6,000 community health workers.
This re-programming is timely and important to be responsive to the Ministry of Health's request. It is also
an opportunity for South-to-South collaboration with Brazil. Brazil enjoys a fertile, productive, and efficient
community health worker program. The funds attributed to GH-Tech will be utilized to hire Brazilian
consultants to work with their Mozambican counterparts. Given Brazil's vast experience in this area and
their Lusophone capability, it is thought that this type of cooperation is ideal.
April08 Reporgramming Change: Reduced $200,000. The GH Tech mechanism was to address technical
assistance needs in the area of PMTCT. After reviewing current technical needs and the desire to
strengthen programming opportunities in MCH/MTCT Integration, it was decided funding would best be
placed with Chemonic's existing Forte Saude program as well as a more cost effective intervention.
This is a new activity under COP08.
This funding will allow the GH Tech Project of The QED Group to provide technical assistance and general
support to the Mission. Tasks may include assessments, evaluations, program design, technical reviews,
workshop support, and short/medium term staff assistance. PMTCT specific technical assistance needs
could include an overall program assessment across USG partners, pertinent quality improvement
approaches, exploring strategic wrap arounds, and standardizing a comprehensive PMTCT model.
The community health worker program in Mozambique, known as the Agente Polivalente Extraordianaria
(APE), is being re-vitalized. The Minister of Health and the Prime Minister of Mozambique have both been
quoted on record regarding the intense need for community involvement and community solutions to
community issues. With only 30-32% of Mozambicans living in urban areas, the real opportunity is
providing community-based prevention and basic care to more rural populations (approximately seven
million people).
August 08 Reprogramming: Funding increase $130K.
April08 Reporgramming Change: Reduced $60,000.
workshop support, and short/medium term staff assistance. AB specific technical assistance needs may
include providing SOTA updates in behavior change, epidemiology, and regional issues and initiatives to
USG and implementing partners.
workshop support, and short/medium term staff assistance.
workshop support, and short/medium term staff assistance. Adult and pediatric treatment specific technical
assistance needs could include an overall program assessment across USG partners, pertinent quality
improvement approaches to a comprehensive program, exploring strategic wrap arounds that more fully
respond to the needs of patients on treatment, and standardizing a comprehensive treatment model, which
ensures a continuum of care that is consistent with international and national standards . Particularly
pertinent to pediatric treatment is the need for specific technical assistance on how to better recognize and
respond to loss to follow up and assisting partners in putting systems in place that address this critical
issue.
