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.
EGPAF's program goal is access to quality HIV prevention, care and treatment with emphasis on treatment and PMTCT scale-up in the GHI focal province of Gaza. The Track 1 award complements other USG funded EGPAF activities.EGPAF's overall targets: 17,756 new ART enrolments and a total of 51,024 alive and on treatment. In Gaza province, EGPAF will provide support to the DPS, Districts and local NGO partner (Ariel Foundation) as part of USGs transition strategy. Key activities include: training and mentoring of Ariel and District Health management teams in clinical competency, financial management, M&E, planning and data quality monitoring; scale-up of a mobile clinic strategy to provide ART and other essential health services. This approach is projected to increase the number new ART enrollments and improve retention. EGPAF will expand performance based financing (PBF) initiative to all districts. PBF results have demonstrated significant improvement in the quantity and quality of HIV-related services in participating district health facilities. These activities contribute to PF GOALS to : 1) Scale up CT, PMTCT and ARV treatment; 2) Promote community mobilization and linkages 3) Increase Provincial and District Ministry of Health capacity to manage ART programs; 4) Support quality assurance and quality improvement activities. GHI areas addressed are expanded access and uptake of quality MNCH services and helping to Strengthen Governance in the Health Sector. CROSS CUTTING AREAS are Food and Nutrition and Gender.EGPAF has acceptable unit expenditures compared to all clinical partners. Program costs will reduce through USG transitions of programs. MONITORING AND EVALUATION will collect standard data related to quality and impact of HIV clinical services and system
EGPAF supports adult ART services in Maputo Province, Gaza, Cabo Delgado and Nampula provinces. Central funds will be used to supplement EGPAFs treatment activities in Gaza province.
Priority areas are increased treatment access; ART retention; ART Quality assurance; program linkages and integration especially with CT, TB, PMTCT, nutrition, pre-ART services, and prevention with positives. The key strategies to increase treatment access willl be through implementation of Mobile clinics to bring services closer to patients living in rural isolated areas, Scale-up of Community Adherence and Support Groups, Standardizing and universalizing peer educators in all PEPFAR supported health facilities, Standardized quality improvement program, Scale-up of POC CD4 count technology , Implementation of a pre-ART package, Additional task-shifting to include nursing cadres and medical assistants. Gender distribution of access to treatment shows that currently about 66% of patients on ART are female. There are also compartively more females testing HIV positive than men. Continued efforts to promote family centred approached to treatment and care will be promoted to ensure gender equity in access to service.
Programmatic efficiencies are increased by deployment of multi-disciplinary teams of clinicians, psychosocial support, M&E to provide technical assistance in ART program management and capacity building in finance and administration management to site and district health teams. Each team is assigned to 3-4 districts.Adherence strategies include: Patient support groups, Pre- and post-ART adherence counseling, decentralized drug distribution and family centered care and treatment services.
On-site peer educators and follow-up of patients using community volunteers, electronic patient tracking systems, diary/agenda systems and home visits are conducted to trace defaulters or lost to follow up cases and to improve retention rates. The peer educator program will be standardized in all sites in FY12.
The following are systems strengthening and capacity building activities supported by EGPAF:1) DPS sub agreements to finance staff priority activities2) Performance based financing pilot in Gaza and Nampula3) Task shifting ART to nurses, middle-level health and mentoring of providers4) Hiring provincial Clinical Advisors for Maputo Province, Cabo Delgado and Gaza province.5) Joint EGPAF/DPS supervision visits that are linked to Continuous Quality improvement (CQI) program activities.6) Participation in development and implementation of a national QI system. EGPAF participates in the periodic HIVQUAL program activities
In FY12 clinical services management responsibility in Maputo Province and Cabo Delgado shall transfer from EGPAF to Ariel Foundation, EGPAF shall provide managerial capacity building to DPS, districts and to Ariel foundation.In Nampula province ICAP shall be provide site level clinical technical assistance while EGPAF will provide all Systems strengthening support.Clinical outcomes are tracked routinely on paper and electronically. Monthly reports are submitted to MoH. EGPAF also reports quarterly, semi and annual PEPFAR reports. USG Clinical partners meetings take place every 6-8 weeks to review and analyse performance data.
