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
Since 2004, USG has funded JSI/DELIVER through health and population funds to provide technical assistance to the national central medical stores, Central de Medicamentos e Artigos Medicos (CMAM), to build their capacity in commodities logistics and management. JSI/DELIVER also supports the preparation of the coordinated Contraceptive Procurement Table (CPT), the bi-annual forecasting and supply planning process for USAID/Washington, which involves Ministry of Health Reproductive Health
and Family Planning (RH/FP) Department, UNFPA, the NAC, and CMAM.
Since FY 2008, JSI/DELIVER has been providing significant technical assistance to the Condom Technical Working Group (CTWG) for condom forecasting, logistics, and resolving bottlenecks to condom storage and distribution. Due to the level of effort in supporting HIV activities through condom logistics technical assistance (TA), USG is allocating funds to complement the existing MCH/RH activities supported by health and population funds.
A key focus of the Partnership Framework is on prevention to reduce the spread of HIV. A component of this is the promotion of correct and consistent condom use to communities at risk and vulnerable populations, especially sero-discordant couples. In FY 2010, USG will improve targeting, uptake efficiency, social marketing and sustainability of male and female condoms. Demand and use of condoms is expected to increase as they become available in more places outside of health centers. A strategy is in place to increase acceptability of female condoms and a sizable initial supply exists to support increased use among targeted populations such as CSW. USG funds will also support promotion of male and female condoms among PLHIV and their partners as part of a comprehensive positive prevention program.
Further support to the Partnership Framework goals is JSI/DELIVER's support to CMAM and the MOH to strengthen the supply chain and improve availability and access to condoms. During 2009, a large quantity of male condoms was stuck at the central warehouses. A recent assessment conducted by the CTWG identified a variety of bottlenecks and challenges to the distribution and availability of condoms in the public health system and for NGOs, including lack of financing and transport for distribution condoms due to the volume and quantity, miscommunication and lack of awareness of the directives for condom distribution for community-based organizations (CBOs) and NGOs, and lack of knowledge of procedures for condom resupply at health facilities. Through DFID financing, UNFPA supported an emergency distribution of condoms to all provinces and districts.
During the assessment, JSI/DELIVER developed and disseminated a paper-based condom distribution tracking tool for the MOH used by Provincial Nuclei of the National AIDS Council (NPCS), Provincial Coordinating Committees of the NAC and NGOs. This tool records the quantity of condoms distributed through their offices to CBOs. This information system improves the Central and Provincial warehouses ability to track condom quantities issued to those organizations.
The CTWG with support from JSI/DELIVER will continue to work with the MOH to develop a long-term plan for male and female condom distribution that is feasible for Mozambique. JSI/DELIVER will also continue to develop capacity within the MOH for forecasting and procurement while continuing to involve
all stakeholders in the financing of male and female condoms. The group will also support the dissemination of the 2006 MOH directive for the provision of free condoms through NGOs and other civil society led prevention and care programs. This directive will be updated to incorporate female condoms.
JSI/DELIVER has made efforts to reduce costs through sharing administrative costs with JSI/Supply Chain Management Systems (SCMS) Project (shared office and administrative staff), cost-sharing capacity building and other technical assistance activities with SCMS, and by using an integrated approach to strengthen the supply chain (integrated supervision, integrated training). Its main contribution to health systems strengthening is by strengthening the supply chain for condom logistics.
These activities will be monitored through joint site visits with CMAM, joint work planning among members of the CTWG.
Strengthening the supply chain system is critical for ensuring regular availability and access to male and female condoms in the country and is a key activity outlined in the Partnership Framework (PF) for health system strengthening. A major focus of this activity will be to support the NAC, MOH, CMAM and provincial and district warehouses in the implementation of a Logistics Management Information System (LMIS) for male and female condoms. The priority areas in FY 2010 include an evaluation of the results
of the condom inventory tracking tool implemented at the provincial warehouses and (NPCS) and support for in-service training in logistics and supply chain management. JSI/DELIVER will also support the integration of female condom distribution information into the condom inventory tracking tools and strengthen overall logistics management of female condoms.
In FY 2010 JSI/DELIVER will increase coordination efforts with condom stakeholders as well as with clinical partners, CBOs and NGOs, who will have an expanded role in increasing the distribution and utilization rate of free condoms to ensure the sustainability of generic condom availability. JSI/DELIVER will also work with the USG prevention team and partners to integrate positive prevention activities into condom logistics. There will be linkages among the information systems, commodities, and leadership building blocks. The spillover benefit will be the concurrent improvement in the family planning and reproductive health commodity tracking.
Additionally, beginning in 2010, SCMS and the JSI/DELIVER will support the MOH to implement the Pharmaceutical Logistics Master Plan (PLMP), a 5-year strategic plan to re-design the distribution chain of medical supplies and products in the country, including condoms. There are no direct targets for this activity, although support to condom logistics will support overall prevention efforts to increase condom availability and use.
