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
The Ministry of Health (MOH) Central Medical Stores (CMAM) is responsible for managing logistics for all medicines and medical supplies, including commodities for all priority programs such as HIV, TB, and Malaria. CMAM is responsible for leading the forecasting of needs, conducting procurement, coordinating importation, warehousing, and the distribution of all public health commodities to the provincial warehouses and hospitals. Providing direct funding to CMAM will allow for increased control over implementation of its operations. Engaging in a direct agreement with CMAM is an initial step in the transfer of capacity and ownership to the GOM and local institutions, a key principle within the PFIP and Global Health Initiative. This agreement with CMAM coupled with external TA through SCMS, enables the USG to reduce the need for significant external assistance, including for procurement of commodities. To support CMAM to manage the Agreement, USG is broadening its systems strengthening portfolio to include training in financial and administrative management of CMAM through an existing public private partnership (PPP) with Standard Bank. Results-based financing will be implemented as well by linking fixed amount reimbursements to results, as well as tying an initial 250,000USD as specific performance based financing. The direct agreement, planned for award and implementation in FY 2012. This plan will be managed by the USAID technical advisors, and will be monitored through expenditure justifications and quarterly reporting. CMAM Direct has FY2011 OHSS pipeline, which has not yet been obligated, which is why no funds are requested in this COP. Purchased/leased vehicles from the start will be determined once an award has been made.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesOHSS CMAM 1250000 All activities described in the narrative will assist global fund governance and commodity purchases
CMAM had previously been semi-autonomous, and all procurement, warehouse management, and distribution had been outsourced to Medimoc, a parastatal institution. In 2007, CMAM assumed direct responsibility for conducting procurement, distribution and central warehouse management and in 2008 all financial and administrative autonomy was removed. As a fully public institution, CMAM has had significant challenges managing its operations due to significant infrastructure, human and financial resource constraints, as well as its dependence on the MOH and MOH/Department of Administration of Finance for resources and approvals.
CMAM receives funding for its various activities through the health donor supported common fund budget (PROSAUDE), which includes funds for procurement of medicines as well as for costs of operations. This funding, in addition to the MOH State funds, is budgeted into an annual plan for the Health Sector for carrying out activities, and allocated across various MOH institutions, including CMAM. As resources are limited, CMAM priorities and operations budgets, are not always adequately funded. In addition, CMAMs limited access to the management of financial resources hampers its effectiveness and efficiency as a central medicines stores, responsible for ensuring a reliable supply of essential medicines to the Mozambican population.This cooperative agreement will complement the existing State and PROSAUDE funds that CMAM receives to carry out key functions to manage the supply chain of medicines, laboratory reagents and other supplies. These funds will be used to support supervision visits to 11 provinces; training for provincial warehouse and laboratory staff, districts and sites in line with a national training plan developed by CMAM; hiring additional staff and monitoring staff performance using the KPIs; and implementation of the audit unit. In addition, these funds will also be used to support operations costs, such as clearance fees, fuel for transport, medicine distribution and other operational costs. These funds will be used to support additional components of the strategic plan finalized in early 2012, including contracting technical assistance or training as needed to support development of policies outlined in the strategy, and to carry out assessments identified by CMAM and the GTM. Finally, to strengthen the use of the supervision and supply planning update information in program monitoring and to improve coordination, CMAM will hold bi-annual or quarterly seminars with partners, USG and MOH programs to present findings from supervision visits as well as updates of supply plans to address programmatic challenges and estimated forecasting. This Direct agreement will also include a results-based financing element, where a fixed sum will be tied directly to performance and results agreed upon jointly between USAID and CMAM.
This project has not yet been awarded. Funds from COP11 have been reprogrammed making $1,250,000 available. No new funds are required.
