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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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: 2012
The Government of Mozambique (GOM) health sector`s national plan aims at improving the health status of the poor, with particular attention to vulnerable groups such as children, women and the elderly (PESS 2007-2012). Although some impressive progress towards improving access to health services, with emphasis on decentralization, integration of services provision and health system strengthening, many challenges remain. Lack of access to HIV services, poor quality of service delivery and patient management, delayed enrollment into HIV care and low retention rates in care and treatment programs are some examples.
The USG is providing technical and financial support to the Ministry of health in the national efforts to address some of these pressing barriers, and envisages introducing initiatives to tackle adherence and retention in care, to ensure that pre-ART and ART patients are kept in care. Monitoring of activities will be done by checking purchase orders and travel requests to ensure that internal controls are met. No vehicles being purchased. No activies under Gender or any other wrap around.
The USG is providing technical and financial support to the Ministry of health in the national efforts to address some of these pressing barriers, and envisages introducing initiatives to tackle adherence and retention in care, to ensure that pre-ART and ART patients are kept in care.
In FY 12, through PEPFAR funds the delivery of a HIV preventive basic care package of commodities and services will be piloted in two provinces, namely Cabo Delgado and Zambezia. Existing data shows that Cabo Delgado province presents very low retention rates in pre-ART and in Zambezia the retention rates in pre-ART are also low.
This intervention, which is in line with GHI principles, is a retention strategy and the main objective is to address adherence and retention in HIV Care and support programs. Moreover it aims to ensure that patients who access HIV prevention, care and treatment programs and ANC services at health facility, benefit from a low cost and evidence based package that prevents the occurrence of preventable opportunistic infections (OIs).The expected outcome of this intervention is to increase retention rates within care, treatment and support programs, ensure early initiation of ART and reduce the number of deaths due to OIs.
The specific target groups are:1) Pre-ART patients (those not yet eligible for ART initiation)2) Patients newly enrolled on ART for the first 6 months of ART3) Pregnant women for the duration of pregnancy and 6 months post-partum4) Children infected with HIV.
Envisioning a more comprehensive approach, the KIT will be changed, so each patient should receive one BCP kit that contains:1) Six bottles of 150 ml of sodium hypochlorite solution to treat drinking water (certeza)2) Six month course of pre-packed cotrimoxazole prophylaxis in tablets;3) Two half bars of washing soap (bingo).4) 30 condoms5) IEC materials
The Basic care package (BCP) intervention will be distributed to the eligible patients every six month through the using the existing health care infrastructure. The total amount for the delivery of the intervention is $184,507 USD. The funds will cover the procurement, packing and distribution of the BCP, training of health facility staff and peer educators, supervision and monitoring and evaluation. It is also expected that an evaluation of the pilot will be done in the selected sites.