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.
In Mozambique, two partners received Track 1 awards in 2004 for expansion of ART services: Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) and Mailman School of Public Health of Columbia University (Columbia). These two partners have played a critical role in mobilizing the scale-up of ART treatment in Mozambique. By September 2009, both Track 1 partners were supporting approximately 67,000 patients on treatment (more than 40% of all patients on ART in the country). In FY 2009, a three-year non- competitive extension of the Track 1 program was granted that requires Track 1 partners to transition management of their programs to "local partners" by February 2012.
The goal of this new funding mechanism is to initiate the handover of specific HIV care and treatment activities that have been until now supported by international USG partner organizations (Track 1 partners) to provincial governments in Mozambique. This transition needs to occur while sustaining and continuing to scale up care and treatment services for PLHIV without life-threatening disruptions of services. Activities towards achieving this goal will focus on the areas of (1) HIV care, support, and treatment; and (2) human resource capacity and infrastructure development, especially for disease surveillance and training.
The activities of this implementing mechanism are linked to Partnership Framework (PF) goal 3: Strengthen the Mozambican health system, including human resources for health and social welfare in key areas to support HIV care, prevention and treatment goals. The benchmark for this goal is number of inhabitants per doctor and clinical technicians. This activity is also linked to PF goal 4: improve access to quality HIV treatment services for adults and children.
HIV infected children, women and men, and local government and non government organizations implementing HIV prevention care and treatment programs are the targeted groups/
This mechanism will make key contributions to health systems strengthening that include development of sustainable locally maintained health services through: training, supervision and mentoring of health workers in provision of quality HIV care and treatment services; and procurement and logistics management of health related commodities needed for operations of health facilities.
Cross cutting programs within this new mechanism include logistics management of commodities that include lab, OI and antiretroviral drugs and medical equipment. The long term gains in cost efficiencies result from the transfer of program funding and implementation from international NGO partner organizations to local organizations which eliminates overhead costs.
An M&E plan that includes benchmarks such as meetings held, reports submitted will be used to track program implementation. In addition, the next generation indicators will also be used to monitor prevention, care and treatment outcomes including those related to quality of service provision.
As part of the Track 1 transition process, this funding will be awarded through a competitive process to a new partner to implement program activities in 2-3 provinces in Mozambique. The goal of this award is to increase provincial government ownership of programs, using existing systems to channel funds for program activities and promoting Mozambican run programs. Through a transition process, the grantee will be responsible for managing program implementation of prevention, care and treatment activities in 2-3 provinces in Mozambique. These activities will focus on Antiretroviral therapy (ART), Prevention of mother to child transmission (PMTCT); HIV and tuberculosis collaborative activities (TB/HIV); expansion of HIV counseling and testing (CT), linkages between community based and HIV programs; and comprehensive HIV care and treatment services.
USG activities will include: orientation on USG regulations and requirements; review and approval of i) grantee processes for selection of key personnel and sub grantees and ii) grantee annual work plans; review expenditures, technical and financial progress reports; provide technical assistance and in country administrative support; and collaborate with grantee on project design and planning.
Grantee activities include: 1) Training of technical staff from at all districts in the province in the provision and M&E of quality HIV services; 2) Conduct quarterly supervision visits to monitor implementation of activities by District Health Teams; 3) Procure medical equipment and commodities needed for health centers, provincial and District health sites. This activity also includes providing the necessary logistical support; 4) Reproduce and distribute HIV prevention, care and treatment training, monitoring, and supervision tools, and clinical guidelines as needed; 5) Program monitoring and evaluation including holding of monthly provincial ART committee meetings;
6) Hire additional staff including clinical, technical and administrative staff (e.g. accountants, financial managers and administrators) as required for the DPS's and care and treatment sites to provide quality services.
