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.
The Medical Safety Injection Program in Namibia started in April 2004. The project will be implemented over a five year period to cover all the healthcare facilities (health centers and hospitals) in the country. Some facilities will be supported directly while other facilities will be supported through the collaborative approach. A collaborative methodology, linking a number of facilities together in a region, will be used for rapid scale-up of best practices. The major focus of the medical injection program has been to develop quality assurance and quality improvement mechanisms in the health system to reduce the transmission of HIV/AIDS and other blood borne pathogens through injections and sharps among healthcare workers and their clients. URC is working closely with the Namibian Ministry of Health and Social Services (MOHSS) to develop capacity at hospital and health center levels for increasing compliance with safe injection and waste management practices.
By the beginning of FY07, the program will have trained 1600 health care workers in the various areas of safe injection practices, injection administration, the rational use of injections, waste disposal, and behavior change. In FY 07, the project interventions will be scaled up to cover all 13 regions of Namibia. In addition, URC and MoHSS will also continue incorporating private physicians and pharmacists in the safe medical injection program. URC will work with hospitals and health centers to identify a core team representing clinical, pharmacy and administrative staff responsible for improving injection practices. Where possible the ARV or infection control committees will take over the safe medical injection function. The facility teams, with support from URC Regional Coordinators and regional health staff, will be responsible for developing plans for improving medical injection practices. URC will assist each facility team in developing a strategic plan for improving injection and waste management practices. The interventions will include: training in injection administration, rational use of injections, waste disposal, and community behavior change, among others, and will train an additional 500 doctors, nurses, pharmacists, waste disposal and environmental health staff in FY07. The teams will meet quarterly at regional level to share results of their efforts and identify areas that require more work to ensure higher levels of compliance with safe injection guidelines.
URC and RPM+/MSH will continue to work closely to promote the rational use of injectable medicines in the country. Joint efforts will be made by both organizations to empower the "Therapeutic committees" to spearhead the rational drug use and monitor specific injection prescription practices. Approximately 150 community volunteers will be trained in injection safety messages as well as strategies for behavior change to mitigate unnecessary injections as a community practice.
