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 2015 2016 2017 2018
The goal of APHLs activities is to assist the MOH to create and strengthen a tiered laboratory network to provide quality laboratory services to all Mozambicans. This directly links to the Partnership Framework which calls for USG- GOM collaboration to Strengthen laboratory support services for HIV diagnosis and management . Work is linked to the GHI strategy for Mozambique related to stronger leadership and management of health systems. The PEPFAR II indicators for laboratory serve as important measures of APHLs success in reaching these goals over the life of the cooperative agreement. Activities focus on national level technical assistance and capacity building to strengthen the laboratory network overall and to capacitate MOH to lead and manage the network. To increase cost efficiency, APHL builds local capacity among MOH- National Institute of Health (INS) and University staff to facilitate in-service training courses to decrease dependency on international facilitators. This effort has been prioritized as a means to transition the curriculum and expertise for developing laboratory leaders to the MOH. The INS is home to the technical expertise for the laboratory network and thus represents our strongest local laboratory partner. The same strategy to reduce costs, ie, building local capacity and institutionalizing programs, is also strengthening systems and capacitating Mozambicans to lead and manage their laboratory network. APHL currently uses the WHO Afro Laboratory Quality Checklist to monitor progress towards accreditation, but will also implement one or more of the Laboratory Network Performance Assessment Indicators addressing domain areas of Policy, Access, Quality, and Communication. This partner did not have significant pipeline.
APHL will receive funding via the HLAB Budget Code only. Their work is focused on central level technical assistance and capacity building with an emphasis on transitioning implementation of activities that have previously required outside consultant support to MOH staff. APHL will use PEPFAR II indicators (specifically # of labs with national or international accreditation) and one or more indicators being developed to monitor lab systems strengthening efforts across 5 domains: Policy, Quality, Communication, Access, and Network Support.
Laboratory Policy through technical assistance to the National Institute of Health (INS) APHL is supporting the finalization and approval of a National Laboratory Policy which addresses both clinical and public health laboratories.
Laboratory Quality- APHL is supporting the implementation of SLMTA in Mozambique through workshop facilitation and site supervision, logistical support, and procurement of small supplies for enrolled labs. APHL will support building local capacity for biosafety cabinet certification.
Laboratory Management- APHL will work to institutionalize the Foundations in Laboratory Leadership and Management course by developing local facilitators within the University and the INS. APHL will continue to support advanced lab leadership and mentorship by pairing key individuals with laboratory leaders in US-based public health laboratories. APHL will support the MOH to implement tools and utilize established databases to receive, manage and analyze data to improve forecasting, planning and budgeting for both material and human resources.
Communication- APHL will continue supporting the Lab Information Systems in Mozambique, through both electronic and paper-based systems. APHL will build capacity within the MOH to take on increasingly more leadership and ownership of this area. APHL will support innovative approaches to connecting POCT devices to central servers to manage testing results that are being done in remote sites and establish SMS technology for CD4 and TB culture tests to rapidly return results to the health facilities where the patient receives clinical services.
Access to Testing- APHL will support innovative approaches to connecting POCT devices to central servers to manage testing results that are being done in remote sites and establish SMS technology for CD4 and TB culture tests to rapidly return results to the health facilities where the patient receives clinical services.
