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.
In FY07, CDC-Namibia will initiate twinning through the AIHA Twinning Center to strengthen Namibia's national laboratory system, a new initiative for FY07. Activities are carried out to "twin" the National Institute of Pathology (NIP) with CIMAS laboratory in Zimbabwe. CIMAS is owned by the Commercial and Industrial Medical Aid Society of Zimbabwe and has acquired medical laboratories in Zimbabwe since October 1985. CIMAS processes over 60% of all pathology tests conducted in Zimbabwe. The laboratory is managed by three qualified pathologists, and its extensive network of branches and satellites are staffed with qualified medical laboratory scientists, nursing staff, and administration personnel. It is supported by computerized testing equipment and has linked databases to ensure access of information to all of its branches.
The twinning partnership will focus on building the capacity of NIP to perform the quality laboratory testing that is needed to meet the goals of the PEPFAR program. While it is important that the partners themselves determine the key objectives, it is anticipated that the partners will engage in on-going consultations, sharing of expertise, and exchange of staff for training periods. Twinning activities will begin with a visit to Namibia by CIMAS leaders to observe the NIP's current capacity and operating procedures. This visit will be quickly followed by a visit of key NIP personnel to CIMAS to learn first-hand about the services and resources CIMAS can bring to the partnership. At this meeting, AIHA will facilitate the development of a partnership work plan, timeline, and budget that identifies specific activities the partners will undertake together. Thereafter, the twinning centre will issue a subgrant award to NIP to manage the partnership funds and each partner will select a partnership coordinator. Partnership funds will be used to support technical assistance/training visits and pay for materials and supplies for the activities the partners elect to undertake. Although the partners themselves will finalize their joint activities, it is anticipated that activities might include: strategic planning; reviewing and adaptation of organization structure, management and transport systems, and operational procedures and practices; development or adaptation of training for different cadre of laboratory staff and information systems management The expected outputs and products from the partnership activities include: -Partnership work plan and budget -Technical assistance/training visits between Namibia and Zimbabwe -Tools and materials, e.g. strategic plan; revised policies, training materials, etc. -Mapping of laboratory services in Namibia— to determine the transport network and management systems -Sharing of partnership results and best practices with colleagues in other African nations via articles, conference abstracts, meeting presentations.
This activity relates to ITECH system strengthening (7352), Comforce palliative care (8024). In FY07, CDC-Namibia will initiate twinning and volunteer activities through the AIHA Twinning Center, a new partner for Namibia. PEPFAR funds will be used to develop a twinning partnership between external partner(s) skilled in HIV/AIDS nursing care with the University of Namibia (UNAM) and the Namibia Nurses Association. This activity will focus on developing a twinning partnership to strengthen activities in the policies/other service delivery systems category by working with the University of Namibia (UNAM) School of Nursing and the Namibia Nurses Association to expand the role of nurses in ARV care, with particular emphasis on the post-basic nursing training program. This will be in support of the roll-out of the WHO integrated management of adult illnesses (IMAI) program.
Human capacity development remains a major challenge in the fight against HIV/AIDS in Namibia. With a limited number of physicians available for HIV/AIDS service delivery, there is a critical need to more effectively utilize the Namibian health workforce for quality HIV/AIDS service delivery. Currently there are 1,541 (75%) out of 2,070 registered nurse posts filled and 1,688 (69%) out of 2,432 enrolled nurse posts filled for a total of 3,229 nurses employed in the public sector (71 PLWHA per nurse). Note that with 205 (62%) out of 333 medical officer and specialists posts filled, there are an estimated 1,122 PLWHA per doctor in the public sector. In spite of an aggressive and new training program in the first 2 ½ years of PEPFAR, the vast majority of nurses have not received sufficient training to play a significant role in the direct provision of HIV clinical care and treatment. Models of advanced nursing practice for nurses to play a larger role in management of ART care have been discussed; however, program development is required at policy, education and service delivery levels.
The Faculty of Medical and Health Sciences of the University of Namibia (UNAM) is charged with training registered and advanced nurses and the Namibia Nurses Association represents Namibia's nurse population. The UNAM School of Nursing and Namibia Nurses Association will be integrated into a multinational partnership that will focus on increasing the stature, skills, and role of nurses in ARV treatment sites in Africa. This will be accomplished through a multinational partnership between nurses, nursing faculty, and nursing leaders in Namibia, the US and an African partner with exceptional leadership and expertise in models of nurse-managed comprehensive HIV/AIDS care, including ART. The Namibia partners will be the UNAM School of Nursing and the Namibia Nurses Association; the US and African nursing partner will be identified in partnership with AIHA and the Namibia nursing partners. Opportunities for potential twinning partnerships are being explored with nurse-managed ART programs in other African countries and with the Association of Nurses in AIDS Care (ANAC), a US nursing organization and leader in response to HIV/AIDS who seeks to meet the global needs of nurses in HIV/AIDS care, research, prevention, and policy.
The main partnership activities will be to support the UNAM post-basic nursing program to integrate HIV/AIDS into its curriculum, and to develop clinical practicals to give nursing students first hand AIDS care practice. Partners will apply lessons learned from the US and Africa to review and advise on the Namibian legal and prescribing framework for nurses in HIV/AIDS care and treatment, advanced practice training and skill development and realistic models of supportive supervision by ART physicians which are critical to nurse-managed ART care. This would include bringing nurses and key stakeholders from the three countries together for information exchange, strategic planning and training in models of nurse-managed ART care. As much as possible, this twinning relationship will interface with I-TECH nurse education initiatives involving UNAM and IMAI. Lastly inclusion of Namibian nurses in HIV/AIDS nursing leadership forums in the US. Beyond training, results would include skill development and a detailed action plan that would mobilize policy, education and service delivery recommendations that strengthen the overall development of nurse-managed ART care in Namibia. The expected outcome of these activities is increased synergies and support between nursing schools and leaders in Namibia, an African twin, and the US to strengthen the role of nurses generally and in ART specifically.
In FY07, CDC-Namibia will expand twinning and volunteer activities through the AIHA Twinning Center, a new partner for Namibia. PEPFAR funds will be used to develop a twinning partnership between the Polytechnic of Namibia (PoN) and a university skilled in
training medical technologists. Human capacity development remains a major challenge in the fight against HIV/AIDS in Namibia. With a limited number of Namibian medical technologists available to carry out HIV- and HIV-related laboratory testing, there is a critical need to more effectively and expeditiously train students with interest and aptitude for this field. This partnership will pair an African university with PoN to provide experts to assist PoN with curriculum development and classroom instruction. This effort will further allow for capacity building, as the guidance shared through this twinning effort will further benefit PoN as they continue to expand their allied health programming. This activity will also lessen the "brain drain" of medical technologists from neighboring countries.
