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: 2008 2009
NEW/REPLACEMENT NARRATIVE
This continuing activity funds the US-based HIVQUAL team for technical support to Namibia's HIVQUAL
program. Funding for HIVQUAL is split between HTXS, PDTX, HBHC, and PDCS because the program
focuses on quality improvement of clinical services in all four areas.
This activity expands on the HIVQUAL work which began in Namibia in FY 2007 COP at 16 ART sites. In
FY 2008 COP, the program will roll out to all 34 districts of Namibia, and will also target at least 5 health
centers offering HIV care through the Integrated Management of Adolescent and Adult Illness (IMAI)
strategy. In FY 2009 COP, the program will focus mainly on transferring knowledge and skills to local
technical advisors in the Ministry of Health and Social Services (MOHSS) and CDC/Namibia with the
ultimate goal of ensuring sustainability of the program in the long term. The USG HIVQUAL team will
continue to focus on building quality improvement coaching skills among MOHSS staff and providers in
Namibia and provide advanced level trainings for sites, as well as basic training for new participants. The
training activities will be done in collaboration with I-TECH. Mentoring of Namibia-based staff will continue
throughout the activity.
In FY 2009 COP, the activity will be conducted under the leadership of the MOHSS Directorate of Special
Programs (DSP) in close collaboration with CDC/Namibia and the US-based HIVQUAL team for technical
support. Continuing activities include:
a. Quality Improvement (QI) training;
b. Assessment of quality management programs at the participating clinics;
c. Performance measurement (at six-month intervals) on selected core indicators;
d. Ongoing QI coaching at participating sites;
e. Promotion of consumer engagement in HIV care;
f. Regular conference calls with the US-based team;
g. Development and dissemination of QI related user guide and IEC materials including the HIVQUAL
International Newsletter.
HIVQUAL provides a framework for health services staff and individual health care providers to engage in a
participatory process of quality improvement based on evidence and data collected locally. Using the
HIVQUAL model, health units, districts, regions and the MOHSS are able to gauge the quality of clinical HIV
services at increasingly higher levels using indicators based on national guidelines. The HIVQUAL project
will support capacity building for quality improvement for health facilities managed by 4 organizations,
namely MOHSS, Catholic Health Services, Lutheran Health Services and Anglican Health Services.
Improved quality of care at these facilities is expected to benefit an estimated 71,900 adult patients on ART
and another 140,000 patients receiving care by March 2010.
Specific activities for FY 2009 COP include:
a. Training of trainers workshops to enable decentralization of QI trainings throughout Namibia and to
support the expanded national quality program;
b. Study tour to New York by a combined MOHSS and CDC/Namibia team to learn from best practices of
teams which have implemented QI for a long time;
c. Development of localized QI tools for specific use in Namibia;
d. Further expansion of indicators to focus on pediatric and PMTCT care.
Activities will strengthen the provision of quality care and the documentation of key strategic information in
health care facilities. An important emphasis of this approach is to develop providers' skills for collecting
and using performance data within their own organizations to improve their systems of care. Use of facility-
level data derived from the national health information system for the purpose of improving quality is an
important goal of HIVQUAL.
The HIVQUAL methodology is facility- and region-specific. At the clinic level, QI methods can be adapted to
each organization's particular systems and capacities. An assessment tool to measure the capacity of the
quality management program at each facility is used and it measures both the growth of quality
management activities as well as guides the coaching interventions. Aggregated facility-specific data can
provide population-level performance data that indicate priorities for national quality improvement activities
and campaigns. Any publication and dissemination of these data will be done under the auspices of the
MOHSS.
The concept of quality improvement using the HIVQUAL model is still relatively new in Namibia.
Consequently, significant advocacy and training will be done to increase awareness and buy-in of the
initiative by health care providers. Advocacy material for quality improvement will be printed and
disseminated to health care facilities.
New/Continuing Activity: Continuing Activity
Continuing Activity: 18825
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18825 18825.08 HHS/Health US Health 7393 3132.08 HIVQUAL $50,000
Resources Resources and
Services Services
Administration Administration
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $18,750
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.08:
program. Funding for HIVQUAL is split between HTXS, PDTX, HBHC and PDCS because the program
FY 2008 COP, the program will roll out to all 34 districts of Namibia, and will also target at least five health
will support capacity building for quality improvement for health facilities managed by four organizations,
by March 2010.
Specific activities for FY2009COP include:
b. Study tour to New York by a combined MOHSS and CDC Namibia team to learn from best practices of
Continuing Activity: 16249
16249 3865.08 HHS/Health US Health 7393 3132.08 HIVQUAL $100,500
3865 3865.06 HHS/Health US Health 3132 3132.06 $50,000
Estimated amount of funding that is planned for Human Capacity Development $75,601
Table 3.3.09:
support for quality improvement specifically in adult treatment. The HIVQUAL project will support capacity
building for quality improvement for health facilities managed by four organizations namely MOHSS,
Catholic Health Services, Lutheran Health Services and Anglican Health Services. The improved quality of
care at these facilities is expected to benefit an estimated 5,900 pediatric patients on ART and 7,300
pediatric patients receiving care in these facilities.
Specific activities will include:
Activities will strengthen systems of care and documentation of strategic information in health care facilities.
An important emphasis of this approach is to develop providers' skills for collecting and using performance
data within their own organizations to improve their systems of care. Use of facility-level data derived from
the national health information system for the purpose of improving quality is an important goal of
HIVQUAL.
Estimated amount of funding that is planned for Human Capacity Development $6,250
Table 3.3.10:
care at these facilities is expected to benefit an estimated 5,900 pediatric patients on in these facilities.
Estimated amount of funding that is planned for Human Capacity Development $15,075
Table 3.3.11:
