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: 2011 2012 2013 2014 2015 2016 2017 2018
The objective of this IM is to strengthen local capacity in strategic information (SI) of USG Implementing partners (IPs), including MOH. Key activities: 1) Support integrated behavioral and biological surveillance systems (IBBS) in most at risk populations; 2) Provide logistical support to the trilateral agreement (USG/Brazil/Mozambique) to strengthen the HIV response (inc. M&E); 3) Provide technical assistance (TA) to IPs including MOH to develop and support HIS; 4) Provide TA to IPs including MOH to strengthen national disease surveillance systems to improve the quality of services and data. These activities will build SI capacity within Mozambican institutions to ensure data are available to monitor the Partnership Framework (PF) and Global Health Initiative (GHI). Specifically, activities support the PFs Goals 2 and 3; these activities also directly contribute to the M&E of Mozambiques GHI Strategy by strengthening Mozambican SI systems to provide quality information for monitoring and decision-making. All activities are designed to strengthen national systems; however some activities (e.g. IBBS) will be implemented in specific geographic locations. No specific costing or expenditure analysis was done with SI partners. Over time, activities should increase local ownership and capacity (and reduce overall costs). Also, USG works closely with other donors to coordinate and reduce duplication. This mechanism will build capacity within local partners to create and modify M&E and HIS and conduct disease surveillance, thus reducing reliance on USG TA over the long term. As there are no specific SI quantitative targets, milestones will be monitored against a set of deliverables and qualitative outputs that are agreed upon between USG, MOH, and the IP.
There are four main activities funded with HVSI funds:
1) Support for planning of a follow-up round of integrated behavioral and biological surveillance systems (IBBS) in one key most at risk population (continuing activity, $100,000)
Mozambique is currently implementing its first round of IBBS in three most at risk groups (miners, sex workers, truck drivers). Data collection, analysis, and production of final reports are anticipated in FY12 using previously-planned COP funds. COP 12 funds will be used for planning and protocol development for a second round (follow-up) of IBBS, with a focus on one specific group (TBD). Funding for actual implementation of this second round of IBBS in one group will be planned in COP 13; in the future the MOH intends to institutionalize the IBBS system by implementing surveillance activities in one key group per year for a more continuous system of surveillance in key populations.
2) Provide logistical support to the trilateral agreement (USG/Brazil/Mozambique) to strengthen the HIV response (including M&E) (continuing activity, $100,000 new monies to be added to existing PF monies and pipeline).
A trilateral agreement was signed in 2010 between the US Government and the governments of Mozambique and Brazil to strengthen the response to HIV and AIDS in Mozambique. The trilateral agreement has three main objectives: to strengthen procurement, logistics, distribution and warehousing of drugs and medical supplies of the national health service, to strengthen monitoring and evaluation in the health sector, and to increase effective participation of people living with HIV in the response and strengthen social communication in HIV and AIDS.
3) Provide technical assistance (TA) to MOH and other USG IPs to develop and support HIS (continuing activity, $375,000)
This continuing activity will provide technical assistance to USG implementing partners, including the MOH to develop, modify, deploy, and/or support new or existing health information systems to improve the integration, stability, and functionality of systems. This may include activities related to informatics assessments, database design, development of system documentation, development of training materials and resources, and coordination of these activities at various levels of the MOH (e.g. district, provincial)
4) Provide technical assistance to MOH and other USG IPs to strengthen national disease surveillance systems to improve the quality of services and data (new activity, $500,000)
This new activity is designed to provide technical assistance to USG implementing partners, including the MOH in strengthening national disease surveillance systems to improve the quality of services and quality of data. This may include design of forms, databases and systems, development of national surveillance related standards, policies, and systems and roll out of these components to all levels of the Mozambican health sector.
