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
The main goals of JSI/DELIVER project are to increase the availability of condoms and essential health supplies in public services through strengthen national supply chain-Central de Medicamentos e Artigos Médicos (CMAM), and other supportive environments for commodity security in coordination with SCMS, SIAPS and HR. In FY12 the project will continue to work with CMAM, CNCS, CTWG to improve condoms logistics at Central, Provincial and local levels. Activities will includes, pharmacy curriculum development, advocacy within the MoH and HR for including a SCM component in PST curriculum for identified health courses.
JSI/DELIVER project works at national level building institutional capacity for CMAM and CNCS to improve the build in-country capacity to strengthen SCM. There are no direct targets for this activity, although support condom logistics will support overall prevention efforts to increase condom availability and use.
There is not costing data available at the moment. USG plan to include central level mechanisms in the next expenditure analysis and costing exercises.
The primary focus of JSI/DELIVER project has been on establishing sustainable systems for the government and it is expected that the partner will work closely with the MOH to build ownership in strengthening the logistics system. This is in line with the goals outlined in the USG-GOM Partnership Framework, to build capacity of CMAM and MOH to fully manage the health related commodities by the end of PEPFAR II.
Monitoring and evaluation plan for the pharmaceutical sector is under development. This includes a chapter that specifically addresses the Pharmaceutical Sector, Strengthened pharmaceutical management.There will be no vehicles purchased or leased under this mechanism.
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 JSI/DELIVER activities will be to support the, Ministry of Health (MOH), Central Medical Stores (CMAM), National AIDS council Control Program (CNCS) and provincial and district warehouses in the implementation of a Logistics Management Information System (LMIS) for male and female condoms . The priority areas in FY12 includes the support the Ministry in coordination with SIAPS, to develop of pre-service logistics modules for health training institutes, job description development, curriculum development, training for pharmacy courses. 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 FY12 JSI/DELIVER will continue to 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 Human Resources for Health (HRH) cross-cutting budget attribute is for curriculum development and pre service training in commodities and logistics as well as advocacy for cadre development for logisticians. The spillover benefit will be the concurrent improvement in the family planning and reproductive health commodity tracking.
Additionally, in 2012, JSI/DELIVER in coordination with SCMS and other stakeholders will continue to support the MOH to implement the completed and approved Pharmaceutical Logistics Master Plan (PLMP) to be, a 5-year strategic plan hole pharmaceutical sector 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.
Since 2008, the public health system in Mozambique has faced multiple periods of stock outs of rapid test kits for HIV, hampering implementation of USG and GOM priority programs to scale up HIV treatment and care services, including PMTCT. Further the lack of RTK availability has resulted in missed opportunities for testing, particularly among pregnant women and TB patients.
The Supply Chain Management System has been in country for several years, but has not succeeded at identifying the main challenges at the periphery, as the focus in their activities has been at central level and with the Central Medical Stores (CMAM). In 2010, Village Reach initiated a pilot with EGPAF to include rapid test kits for malaria and HIV in the last mile initiative for activity with EPI, using district and provincial EPI coordinators. This initiative resulted in a detailed understanding of the challenges and barriers to improving the Rapid test kit logistics system.
USG will provide $150,000 in CT funds to Village Reach to provide focused support to the Ministry of Health CT program and partners to strengthen the RTK logistics system, including documenting key barriers and challenges; establishing relations with the MOH CT program and CMAM, and supporting the development of an action plan for strengthening the RTK logistics system; and in collaboration with SCMS, development of any necessary tools or systems required to improve their management. These funds will support the recruitment of one additional person, as well as visits to provinces and any additional technical assistance from their Home office.
Major focus of this activity will be on strengthening procurement and logistics systems in order to ensure a consistent supply and timely condom availability at the distribution points at all levels. Coordination, supervision and technical capacity building of existing condom technical groups at central and provincial levels will also be addressed in order to assure correct planning and forecasting of condoms, this also includes 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.
