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.
Years of mechanism: 2008 2009
This is a new activity under COP09.
TA to MOH Global Fund Coordinator ($150,000)
The Ministry of Health (MOH) provides a broad range of health services to the population of Mozambique.
The MOH is also the recipient of extensive grant funding from the Global Fund for various service delivery
activities. Mozambique has well-established donor coordination and financing mechanisms. However, as
funding mechanisms have grown dramatically in recent years, the MOH has had difficulty to properly
manage, monitor and report on the many programs and projects associated with this funding.
The Ministry of Health has requested immediate technical assistance to establish a unit within its planning
department to manage the Global Fund's portfolio and improve the Ministry's capabilities to manage,
monitor, and report on its various programs. In doing so, sound processes for specifying, tracking and
measuring program results to ensure a sufficient level of accountability will have to be put in place along
with the necessary human resources to manage this new unit. This will also require establishing clear links
between human resources planning, and the financial and programmatic systems they manage.
The objective of this task is to help the MOH establish a new unit within the Planning Department to
manage the Global Fund's portfolio. This will require establishing sound processes to effectively manage
the various Global Fund programs and ensure that well trained and competent human resources are
staffing the new unit. Finally, this task will require ensuring that both the organizational structure and human
resources foundation are in place to sustain the new unit.
Health Systems 20/20 will target its technical assistance to the MOH's Planning Department and assess its
readiness to establish a unit to manage the Global Fund's various programs and grants. Particular focus will
be placed on the Department's organizational structure and its ability to establish financial monitoring and
tracking systems, operational policies and procedures, and human resources needs to manage such a unit
effectively.
Proposed activities will proceed in three phases: 1) Assessment of existing organizational structure,
financial monitoring and reporting systems, and human resources capacity; 2) Present and agree on
implementation plan; and 3) Implementation.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $150,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.17:
This is a continuing activity under COP09.
ACTIVITY MODIFIED IN THE FOLLOWING WAYS:
1. CNCS Seconded Positions ($350,000)
In 2008, Health Systems 20/20 provided ongoing technical support in the areas of financial and grants
management and organizational and human resources development at the National AIDS Council (CNCS).
In, 2009 HS20/20 will continue support to CNCS to transform the organization from a preponderantly
bureaucratic implementing role into an effective coordination and support body for national HIV/AIDS
programs in Mozambique. Key areas of assistance will include: work with CNCS to establish the agency as
a formal governmental body, thereby permitting employees to enjoy heretofore lacking opportunities for
tenure (job security), career development, health and retirement benefits and other means of institutional
support. This action is aimed at improving the work environment, boosting morale, ensuring retention, and
raising performance standards. The effort includes a re-examination -- and change where necessary -- of
the current CNCS organic statute (organigram), and supporting job descriptions and requisite qualifications
so as to bring CNCS into line with accepted government structures and practices. Assistance is also
focused on operationalization of key management, communications and Finance & Administration system
improvements at the central and provincial levels of the organization. A principal goal of this activity will be
to ensure that each of the eleven provincial branches is operating in close collaboration with the central
secretariat and is serving its role as principal coordinator and important resource for HIV/AIDS programs in
the field. Particular attention will be paid to improving performance in two specific units: Communications
and Advocacy (UNICOM), and the over-arching Planning & Coordination, Monitoring and Evaluation unit.
These units are key to CNCS' effective implementation of the revised National Strategic Plan which includes
a new emphasis on adjusting prevention programs to address the specific nature of spread of the HIV/AIDS
epidemic in the country's various geographic and demographic areas. Finally, HS20/20 will provide
assistance in the area of reporting to reinforce the current efforts of all stakeholders, including the Ministry
of Health and Partners.
In the financial management area, HS 20/20 will continue to provide technical support with implementing the
action plan for streamlining and improving CNCS' grants management and financial management policies,
procedures and systems. Funding in this activity will support the following activities:
- Senior Financial Advisor (part-time) - HS 20/20 will maintain the Senior Financial Advisor to oversee the
financial components of the project with the CNCS and the Ministry of Health
- Financial Advisor (full-time) - CNCS has requested on numerous occasions long-term, full-time assistance
to improve its financial and grants management systems. HS 20/20 hired the full-time advisor in October of
2008.
- Update and finalize policy and procedure manuals - Targeted updates to operating manuals to assure
efficient, feasible and relevant policies and procedures.
- CNCS policy and procedure training course - Design reusable course materials to train CNCS
administrative staff on manuals in activity
- Support adoption of lessons learned - Assist with follow-up TA visits to provincial level offices to support
adoption of newly learned policies and procedures.
- Grants management training of trainers course - Design reusable course materials to train CNCS grants
management staff. Train CNCS staff to train sub-project staff in grants management and CNCS financial
and M&E requirements.
- Support dissemination of grants management training to IAs - Assist provincial level trainers with initial
training courses given to implementing agencies.
- Support customization and adoption of state-mandated accounting system at the central and provincial-
level CNCS offices.
2. MOH Financial System and Financial Advisor ($1,000,000)
The donors Common Fund is conducting a financial management and expenditure assessment that will
provide comprehensive diagnostic assessment of the current state of financial management in the MOH in
relation to accepted international standards. Health Systems 20/20 will support the MOH and the donors
Common Fund with implementing some of the key recommendations expected from the assessment,
specifically the processes governing the financial management system to ensure that it fulfills donors and
Global Fund's minimum requirements. It is expected that HS20/20 will provide support to the MOH in the
following areas:
- Provide technical support to MOH to customize the government's mandated e-SISTAFE financial
management system, which is designed to improve the accuracy and reporting of financial and accounting
systems at all government ministries including the Ministry of Health. The purpose is to integrate financial
and programmatic data collection, processing, reporting, and use the information for improving health
service effectiveness and efficiency through better management at all levels of MOH. This activity may
include determining what data will be submitted to whom, how frequently data should be submitted to each
level, and determine in what form data will be submitted to each level.
- Address accounting and finance organizational structure ensuring documented roles and responsibilities
and sufficient segregation of duties.
- Address the adequacy of the existing policies and procedures that guide financial activities and ensure
accountability.
- Update the chart of accounts and ensures that it provides the necessary level of detail to effectively
monitor expenditure in a timely manner.
- Provide cross-functional training of government financial and procurement policies and procedures
beginning at the central level and extending to provincial health districts that are perpetually short of trained
staff.
- Support the preparation of regular and reliable financial statements.
Activity Narrative: Deliverables:
- MOH and CNCS financial and human resource capacity strengthened;
- Global Fund resource flow improved.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15857
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15857 5447.08 U.S. Agency for Abt Associates 7276 3721.08 Follow-on to $558,121
International PHRplus
Development
9119 5447.07 U.S. Agency for Abt Associates 5047 3721.07 Follow-on to $375,000
5447 5447.06 U.S. Agency for To Be Determined 3721 3721.06 Follow-on to
Estimated amount of funding that is planned for Human Capacity Development $300,000
Table 3.3.18:
