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 overall goal of TBD-IAETC is to develop a global network that supports the development of a skilled health work force and well-organized national health delivery systems, in order to provide effective prevention, care, and treatment of infectious disease in the developing world. Their focus areas are: health systems strengthening; human resources for health; operational research and evaluation; and prevention, care and treatment of infectious diseases.
In Mozambique, there is a need for technical support in the areas of in-service and pre-service curriculum design (emphasis on competency based participatory educational methods), strategic planning for health worker education, task shifting, faculty development, clinical mentoring, and information systems. Their activities align with the Partnership Framework goal of strengthening the Mozambican health system including human resources for health and social welfare in key areas to support HIV prevention, care and treatment. The benchmark is number of new health worker graduates by cadre.
The geographic coverage is national with emphasis on select pre-service institutions for faculty development activities. The target audiences are government health workers, pre-service students and faculty and implementing partners.
The key contributions to the health system are: continue developing clinical mentoring for maternal child health nurses by evaluating the effectiveness of the program existing; continue working with maternal child health nurses to pilot and evaluate training materials for Mothers' Support Groups and submit finalized training materials to the MOH; complete development of the basic course on opportunistic infections and submit finalized course to MOH followed by 3 regional training of trainers for implementing partner and MOH trainers; continue to conduct combined adult and pediatric clinical mentoring trainings for clinical officers by doing training in remaining 6 provinces followed by intensive on-site support to the mentors; scale up faculty development work by conducting technical and adult education faculty development trainings, mentoring, development of nucleo pedagogic units per pre-service institution and quality assurance activities via the standards based management and recognition program at pre-service institutions implemented by JHPIEGO; and complete course materials and pilot the new 30 month clinical officer course at 8 pre-service institutions; and conducting 4 week HIV, TB, opportunistic infections, malaria, and malnutrition course for 12 graduating clinical officer cohorts.
Given the strong emphasis on pre-service education the cross-cutting program is human resources for health. The implementing partner works closely with the MOH's Training Department as they develop national products (i.e. curricula) and systems (i.e. clinical mentoring). The MOH views clinical mentoring as a primary means for maintaining quality assurance and continuing training for clinical officers and nurses so that their skills are up to standard. All of the activities of this implementing partner are ones that will be handed over to the MOH and clinical implementing partners upon completion. In terms of organizational staffing, this implementing partner has developed a timeline for mentoring Mozambican staff to move into each position that is currently held by an expatriate.
In FY 11, funds will continue to support the clinical mentoring activities under the TBD-IAETC, with the MOH's National Directorate for Medical Assistance (DNAM) and USG clinical partners, will continue to support the clinical mentoring program provincially. A combined adult and pediatric ART clinical mentoring training will be conducted in six provinces that consists of a 2-week training for mentors and a training in Adult and Pediatric ART to clinical officers. Following training, TMs are mentored at their health facilities and TBD-IAETC clinicians provide 1 week of intensive support to mentors on-site followed up by a visit 3-6 months later.
In FY11, TBD-IAETC, with the MOH's National Directorate for Medical Assistance (DNAM) and USG clinical partners, will continue to support the clinical mentoring program provincially. The following activities will be implemented:
1) Support for trainings and mentoring visits to health facilities at the provincial and district level.
2) Technical, financial and logistic support to DPSs to enable them implement clinical mentoring activities.
3) Provide overall technical assistance, training materials and tools needed by tutors and participants during training and in the field.
The key contributions to the health system are: complete development of the basic course on opportunistic infections and submit finalized course to MOH followed by 3 regional training of trainers for implementing partner and MOH trainers; continue to conduct combined adult and pediatric clinical mentoring trainings for clinical officers by doing training in remaining 6 provinces followed by intensive on-site support to the mentors; scale up faculty development work by conducting technical and adult education faculty development trainings, mentoring, development of nucleo pedagogic units per pre-service institution and quality assurance activities via the standards based management and recognition program at pre-service institutions implemented by JHPIEGO; and complete course materials and pilot the new 30 month clinical officer course at 8 pre-service institutions; and conducting 4 week HIV, TB, opportunistic infections, malaria, and malnutrition course for 12 graduating clinical officer cohorts.
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