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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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
The overall objective of the Maternal and Child Health Integrated Program (MCHIP), a project administered by JPHIEGO, is to provide technical assistance to the MOH at the central, provincial and district and health facility levels to enable the continued roll out of the National Action Plan for MCH/RH throughout the country. In Mozambique, the PMTCT program is an integral component of the National Action Plan for MCH/RH. Therefore with PEPFAR funding, JPHIEGO/MCHIP will support PMTCT programming in the MOH efforts of establishing an integrated Maternal Child Health and Reproductive Health program.
JPHIEGO/MCHIP will provide technical assistance to the MOH and training to PEPFAR clinical implementing partners to improve the quality of integrated PMTCT and reproductive health and maternal and child health services via training of trainers and in-service training. The package of training, supported by wrap-around health funding and PMTCT funding, will be comprehensive including Essential Maternal and Newborn Care (EMNC) and Basic Emergency Obstetric and Newborn Care (EmONC) for healthcare workers that work in maternity services (labor & delivery rooms, postpartum ward), Antenatal and Postnatal Care, and Family Planning.
JPHIEGO is the lead national policy advisor for the MOH an integrated comprehensive MCH/RH package of services. JHPIEGO/MCHIP will support the MOH to address policies, guidelines and training in all aspects of an integrated PMTCT/MCH, which ensures continuity with pediatric and adult HIV care and treatment packages. In addition, they will provide technical assistance to the MOH to print MCH and PMTCT data recording tools, data reporting forms, and IEC materials. PEPFAR clinical partners will continue to be responsible for provincial, district and clinic level implementation of quality MCH/RH comprehensive package.
Moreover, JPHIEGO/MCHIP will assist the MOH PMTCT team to develop communication activities and strategies to increase treatment availability and uptake by HIV positive pregnant women and their infants, reduce stigmatization and improve male involvement.
This project supports the goals of the Partnership Framework with its focus on assisting to improve the quality of services to increase PMTCT geographic coverage, building local capacity and community, supporting country ownership and leadership and strengthening the health systems to deliver and monitor integrated health services for HIV positive pregnant women and their newborns.
Technical assistance for each technical component will come from JPHIEGO/MCHIP's pool of technical experts, based in Mozambique, the region or international.
JPHIEGO/MCHIP will contribute to health system strengthening through a comprehensive approach to care based on simplification, standardization, and integration to scale-up interventions and strengthen health systems to support integrated service delivery and improve quality of care.
JPHIEGO/MCHIP will develop a monitoring and evaluation plan, as well as a performance monitoring plan with appropriate MOH and next generation indicators
Priorities in FY 2010 are coordination with MOH and scale up of PMTCT services within an integrated MCH system. MCHIP's goal is to accelerate the reduction of maternal, newborn, and child mortality through advancing integrated PMTCT and maternal newborn and child health programs in Mozambique. JPHIEGO is the lead national policy advisor for the MOH in the integration of a comprehensive MCH/RH package. JHPIEGO will support the MOH to address policies, guidelines and training in all aspects of an integrated PMTCT/MCH, including crosscutting modules on gender (i.e. male norms and behavior), which ensures continuity with pediatric and adult HIV care and treatment packages. In addition, they will provide technical assistance to the MOH to print MCH and PMTCT data recording tools, data reporting forms, and IEC materials. PEPFAR clinical partners will continue to be responsible for provincial, district and clinic level implementation of quality MCH/RH comprehensive package. These efforts will be supported with additional health funding as a wrap-around to truly create a comprehensive approach to both training and service provision under the platform of MNCH/RH.
JPHIEGO/MCHIP's role as lead technical advisor will support PEPFAR implementing partners' objectives of 1) expanding PMTCT services to new sites; 2) providing greater support for low-performing sites; 3) increasing community demand for these services; 4) expanded provider-initiated counseling and testing and couples counseling; 5) improving ART initiation and more effective treatment regimens; 6) improving HIV+ pregnant women's access to cotrimoxazole prophylaxis; 7) establishing linkages with pediatric care and treatment programs for early infant diagnosis; 8) focusing on prevention of unintended pregnancies among HIV+ women; 9) providing support to PLHIV through community involvement; 10) promoting safe infant nutrition interventions that are integrated into routine services; and 11) disseminate nationally approved IEC materials developed. This collaborative effort will contribute to the scale up of PMTCT services to achieve 80% coverage and reduce under 5 mortality rate and maternal mortality ratio 25% by 2013.