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 2016 2017 2018
SUBSTANTIALLY CHANGED FROM LAST YEAR The CDC cooperative agreement with University of Washington/I-TECH is a continuing mechanism from FY09. It aims to strengthen graduate-level public health education in the Republic of Namibia.
Objectives: UW/I-TECH has five objectives under the award: (1) To enhance the UNAM MPH program through specializations in Nutrition, Strategic Information, Health Policy and Management, and integration of HIV and AIDS content into MPH courses; (2) To institutionalize support to MPH students to complete their thesis requirements within 2-4 years; (3) To strengthen institutional capacity of UNAM by increasing faculty development opportunities; (4) To strengthen the UNAM Health Resource Center library systems and services; and (5) To establish and maintain on-going collaborative relationships with UNAM to ensure sustainability of project results.
Partnership Framework: By promoting Namibian institutional capacity to strengthen public health leadership competencies, this mechanism directly contributes to several of the goals and benchmarks of the Namibian Partnership Framework currently under development. This mechanism addresses USG commitments in Goal 4, Coordination and Management, objectives 3 and 4, Human Resource Capacity Building, and Monitoring and Evaluation, among others.
Coverage: The activities of this mechanism are national in scope. The target population is MPH students, lecturers, and librarians at the UNAM Faculty of Medical and Health Science at the UNAM campuses in Windhoek and other satellite campus in the north of the country, including Oshakati. These targeted beneficiaries include the incoming cohort of students of the UNAM MPH degree program in years 2010- 2014 and at least fifteen UNAM MPH lecturers, administrators, and librarians.
Health systems strengthening: Key contributions to health systems strengthening through this mechanism include providing better trained and higher numbers of public health professionals for the health sector of Namibia, through a competencies-based public health curriculum at UNAM. This support will help Namibia to exceed the targets outlined in the Human Resources Development Strategy 2008- 2014.
Cross-cutting/Key issues: This mechanism will contribute to Human Resources for Health objectives through cross-cutting support for management and leadership development and pre-service education for public health professionals.
Cost efficiency: This mechanism has been designed from the start with cost efficiency in mind. Supporting a Namibian institution for graduate-level public health education will obviate the need to send Namibians abroad for similar training. Investments in the public education sector will also support the public sector career ladder for faculty and staff, and contribute to a retention of talented Namibian
instructors. This mechanism will promote innovative cost-effective approaches including distance communication and e-learning technologies, such as digital video conferencing for distance-based co- teaching, guest-lecturing, mentorship, and professional development workshops to students and MPH lecturers. The use of electronic journals and texts such as the World Health Organization's HINARI e- journal database will replace the costs of purchasing and shipping expensive hardcopy textbooks and teaching resources while contributing to UNAM's collection of educational resources. Over the course of the life of this mechanism, UNAM and UW/ITECH plan to enhance sustainable regional collaboration through a partnership with the University of Western Cape in South Africa.
M&E: A detailed monitoring and evaluation plan for the five years of the cooperative agreement has been developed to monitor progress towards achieving the stated goals and objectives. Benchmarks and indicators have been developed to ensure the implementation of each component. Progress will be reported semi-annually to CDC. The indicators tracked through this mechanism are drawn from the Next Generation PEPFAR indicators and are aligned with the GRN indicators in the NSF. This mechanism will also contribute to the targets outlined in the Human Resources Development Strategy 2008-2014. The monitoring and evaluation plan for the five year project will be modified and adjusted as the years progress to ensure that arising needs are accommodated.
NEW/REPLACEMENT NARRATIVE WITH SUBSTANTIAL CHANGES
This is a continuing activity from COP09. It aims to strengthen graduate-level public health education in the government of the Republic of Namibia under PEPFAR. This activity has 6 main components: (1) Enhance the UNAM MPH program through increasing specializations in Nutrition, Strategic Information, Health Policy and Management, and greater integration of HIV and AIDS content into MPH courses; (2) Institutionalize support to MPH students to complete thesis requirement within 2-4 years; (3) Strengthen institutional capacity of UNAM by increasing faculty development opportunities; (4) Strengthen Health Resource Center library systems and services at UNAM; (5) Establish and maintain on-going collaborative relationships with UNAM to ensure sustainability of project results (6) Enhance the Distance learning systems in UNAM 1. Enhance the UNAM MPH program: With FY10 funds I-TECH will continue with the development of specialized MPH program and will continue strengthening the nutrition, strategic information, and health policy and management components of the MPH program while ensuring integration of HIV/AIDS content into all areas of the curriculum. 2. Support to MPH students to complete thesis requirement within 2-4 years: With FY10 funds, I-TECH will continue supporting the development and strengthening of strategies for thesis advisors and students to ensure the overall thesis completion and graduation of MPH students. By strengthening strategies for the finalization of thesis within the MPH program, students within MPH program will graduate within the course timeframe and thereby deliver needed public health services for the nation. 3. Increasing faculty development opportunities: With FY10, I-TECH will continue capacity building of MPH lecturers by implementing the recommendations of the faculty needs assessment that was carried out in FY09. In addition, with FY10 funds, I-TECH will facilitate MPH lectures to twin with Global Health Faculties within the MPH course at the University of Washington so the lecturers from both universities can share and exchange experience of teaching public health. 4. Strengthen Health Resource Center library systems and services at UNAM: In order to provide the latest information and resources in public health including teaching, learning, and research material for the MPH student and lectures, I-TECH with FY10 funds will continue procuring the necessary books and equipment for the MPH resource centers at UNAM. 5. Establish and maintain on-going collaborative relationships with UNAM: In an effort to promote long- term cost effectiveness and sustainability, I-TECH will facilitate the establishment of regional collaboration between the University of Western Cape in South Africa and UNAM. This collaboration will include exchange visits between the universities and bringing topical specialists from UWC to coach and work with MPH lectures in UNAM. In addition, University of Washington topic specialists in the areas of nutrition, strategic information, and policy and leadership will continue working with both UWC and UNAM lecturers to ensure that the overall MPH course meets UW standards. 6. Enhance Distance Learning Systems in UNAM: In FY10 I-TECH will work with UNAM to strengthen its
distance learning system in order to reach students in remote sites with lectures in real time. I-TECH will install and utilize basic technologies and educational methodologies developed and used by the Computer Science Department at University of Washington. Through the FY10 funds this technology will be piloted in three sites in order to validate feasibility and efficiency of this method of teaching. Furthermore, with FY10 funds, the distance learning infrastructure will be built and UNAM distance learning staff will be trained. Supportive supervision/Quality Assurance: UW/I-TECH and UNAM have jointly developed a robust M&E plan for this project in collaboration with the designated CDC GAP project officer. This M&E or Performance Plan includes benchmarks and indicators to monitor outputs and outcomes. Indicators, data sources, and persons responsible have been clearly defined. These indicators and benchmarks will be reported on semi-annually and an annual program review will be undertaken to take stock of achievements, identify areas for improvement, and make modifications for subsequent years' activities. Sustainability The human resources crisis in Namibia is a severe constraint in achieving national and PEPFAR targets for HIV prevention, care, and treatment. This program will contribute to sustainable Public Health human resources in Namibia will contribute to PEPFAR goals to train 140,000 new HCW. Strengthening the MPH degree program at UNAM will also ensure that more public health professionals graduate each year with skills in policy development, capacity building, strategic information, and nutrition related to HIV and AIDS and these graduates will work within the Namibian public health system.
