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.
The TBD partner will receive funding through a cooperative agreement to provide technical and logistical support for the development of the Mozambique Field Epidemiology Laboratory Training Program (FELTP) at the University of Eduardo Mondlane (UEM) and the MOH. The purpose of the FELTP is to strengthen Mozambique's capacity to respond to public health emergencies, improve laboratory participation, strengthen the link between field epidemiology and public health laboratory practice, provide current public health data for decision makers to support evidence based decision-making, and to provide epidemiologic service to the MOH and others. Specifically, the program is designed to assist the MOH in building a sustainable network of highly skilled field epidemiologists who will measurably improve public health services.
FELTP activities include the provision of technical support to assist in the establishment of the FELTP, mobilization of international and Mozambican resources, curricula and training materials for the short course and Master in FELTP. In addition, administrative, logistical and technical assistance to MOH and UEM to strengthen the Mozambique laboratory network at the national, provincial and district levels for surveillance activities will also be supported under this cooperative agreement. The support to Mozambique FELTP aligns with the objective III of the Partnership Framework of strengthening the public health system, including human resources for health by supporting training and other development programs. The FELTP will have national coverage as it will include participants from all provinces as participants in the short course and Masters of FELTP. Initial investments in curricula design and adaptation, computers, and training of public health leaders/implementers are expected to increase the capacity of the government health system thus reducing the need for outside technical assistance in the future.
In Mozambique the level of vulnerability to epidemic diseases and natural disasters is very high. The country has witnessed high incidence of cholera outbreaks, particularly during the wet season, mainly in urban settlements. Other ailments such as malaria, diarrhea, and meningitis are also yearly threats to the health of many in the country. However, the National Health System has had great challenges in detecting these outbreaks promptly resulting in higher rates of morbidity and mortality.
The impact of FELTP will be felt on an individual basis as individuals gain skills in conducting outbreak investigations, analyzing real time data and presenting findings. Also the contributions of the FELTP will be felt programmatically as policy and public health practice is influenced. It is anticipated that the FELTP will address the surveillance and epidemiology human resources gap while strengthening the epidemiological and laboratory capacity of the health system. The success of FELTP will be monitored and evaluated using the following parameters: a) ensuring timely and effective outbreak investigation response, b) creating a culture of evidence based decision-making in public health, and c) developing a well trained public health workforce comprised of leaders and implementers.
In FY 2009, SI funds supported an assessment visit to ascertain the readiness and interest of the MOH and UEM for a FELTP, and OHSS funds supported design and offering of the first short course to MOH participants and initial design of the curriculum for the Masters of FELTP course. In FY 2010, 60 public health professionals will be trained in 2 short FELTP courses while the first group of Masters of FELTP will begin their studies with the goal of graduating in 2012. FY 2010 funds will support the offering of these courses, finalization of the curriculum and initiation of the Masters program.
Under this new implementing partner, technical and logistical support to the MOH and Faculty of Medicine at the University of Eduardo Mondlane (UEM) to develop and strengthen a Field Epidemiology Laboratory Training Program (FELTP) will be provided. Given the lack of Mozambicans with experience and knowledge in surveillance, epidemiology and outbreak investigations, it is critical to the success of this program to secure ongoing technical support in these areas to support the FELTP short courses and Masters program. In addition, through this new mechanism, graduates from the FELTP will be linked to fellowship programs, within and outside country that provide opportunities for young scientists to develop their skills and competencies in field epidemiology and public health.
The intentional spillover is in developing the surveillance, epidemiology and outbreak investigation skills
of existing health workers. Mozambique is a large country and it is common for health problems/emergencies to manifest each year, often ones that have impact on those with HIV and on the health system's capacity to support HIV affected citizens. Using more real time data could improve response rates and mobilize needed resources.
Monthly meetings with the partner will take place to assure quality of activities. Monitoring and evaluation of activities will be provided through USG quarterly reporting form and continuation request for cooperative agreement in accord with standard report.
Currently the USG is the sole donor supporting this activity.
