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: 2010 2011 2012 2013 2014 2015 2016 2017 2018
With FY 2010 funds, USG will invest in the rehabilitation of military health facilities which is linked to the
Partnership Framework objective to improve and expand the public health infrastructure. This implementing mechanism is focused on the cross-cutting program of construction and rehabilitation.
The geographic area served is Tete,Boane and Maputo. The target populations are military and civilian patients and the services will include PICT, PMTCT, ART, PwP, STI diagnosis, among other basic health services. The USG will contract companies TBD which will rehabilitate the aforementioned Military health facilities. More funds will be requested in FY 2011 to complete these projects. The hospital in Boane is particularly important because it is located in a base where the Peace Keeping Force is stationed, there is a sergeant's school and a military neighborhood. The estimated catchment area is of about 4,000 people (2,000 people living inside the base and 2,000 people living in the vicinity).
The projects are cost efficient because, in the case of Tete, the main structure of the building is still usable and the location is good for the civilians' access. In the case of Boane, the hospital is functioning but when the rehabilitation is complete, it will operate in its full capacity. The sterilization room is also operational but it needs to be renovated (painting, supply of water and electricity, etc.), taking in consideration a coherent flow of services in order to reduce and control infections. The equipment is also obsolete. Therefore this must have the capacity to sterilize reusable instruments. Costs will be covered related to provision of sterilization basic instruments, supplies for infection control such as gloves, masks, sharp containers, soap, etc. military hospital clinical staff will be trained on how to design and implement an infection control plan which can be replicated throughout the military health system.
The rehabilitation progress of these facilities will be monitored by the USG and the FADM through the construction companies' implementation schedules and, the quality of services will be evaluated by both the architect contracted to design the project and write the technical specifications and the FADM architect. As payments are to be processed by completion of clearly defined stages, evaluation will also follow the same logic, so that money is only disbursed if all parties agree on the quality of services delivered.
The military health infrastructure is close to non-existent and obsolete. Therefore, investments are
needed to recover this strategic sector to expand health services and offer more people health care
services. The successful completion of these projects will allow the military to offer male circumcision
services, control infections of medical material thorough proper sterilization, provide integrated services
of ART perform laboratory analysis and provide PMTCT services to both military and surrounding civilian
populations. Military health facilities also provide services to civilians in their catchment area thus
shortening the distance some people will have to walk to have access to health treatment services. While
investments are being made in Maputo Military Hospital as the premier military health facility,
investments in the center region are now moving to Tete in the centre of Mozambique. The Tete project
is an on-going activity and the Boane project is new. The rehabilitation of these two hospitals will first of
all address one critical objective which is to increase geographical distribution of good quality military
health services regionally (South, Centre and North). These construction activities are connected to
service delivery and represent spillover investments for increasing health services for the military and
Mozambicans living near each rehabilitated facility.
This activity includes renovation of the sterilization room at the Maputo Military Hospital and the provision
of basic sterilization instruments and supplies for infection control in order to respond to the recently
initiated male circumsion services. There is a lot of contaminated/dirty material coming from varios
medical services which need to be carefuly sterilized before being reused. With the renovation the
sterilization room the USG will be responding to this evident need. In order to ensure safe medical male
circumcision practices are carried out, the Military Hospital needs to be equipt with the proper sterilization
services.
