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.
Health Care Improvement Project (HCI) is a continuing implementing mechanism from FY09. HCI provides technical support to the Ministry of Health and Social Services (MOHSS) in implementing
several policy and programmatic interventions to improve medical injection safety and waste management practices in Namibia. During 2010-2011, HCI will focus on building the government capacity and ownership as it expands medical injection safety and waste disposal services to lower level health centers, partnering for comprehensive services, and exploring private public partnerships.
1. HCI has three comprehensive goals and objectives under the award reflecting its breadth across technical areas: 1) provide technical support to the MOHSS to improve the quality of systems, equipment and commodities to ensure safe medical injections and waste management, 2) support MOHSS capacity building efforts for health care to improve the quality of their work with regards to control and prevention of blood borne diseases, and 3) support the strengthening of the National Health Information System to ensure reliable monitoring and evaluation of blood borne diseases and waste management.
2. HCI's work is linked to the Partnership Framework's objectives of developing effective tools for building capacity and collecting data related to post exposure prophylaxis (PEP) from the work place. For example, HCI's work will train health care workers on basic prevention skills in line with the universal pre- cautions, integrate PEP in all health facilities offering ARV services, ART and PMTCT, and support in- service and pre-service training on the provision of PEP.
3. The program will be scaled to cover all 13 regions in the country. Clinical services staff, community members, managerial and support staff will be targeted in each region.
4. The program will contribute towards health system strengthening by a) carrying out project planning in collaboration with regional, district, and facility authorities, which ensures incorporation into their comprehensive health plans. HCI will provide support particularly in the establishment and/or effective functioning of regional or district committees. These committees are entrusted with the strategic planning in their jurisdictions and can promote feasible, sustainable programming within the MOHSS system; b) conducting joint periodic site visits with supervisors (national, regional and district), conducted at least monthly. Visits will be characterized by supportive supervision exchanges with health care workers and meetings with site administration and committees to discuss strengths and limitations in the program with a view to building local capacity; c) training focal persons in regions and districts as Trainers of Trainers; d) supporting regions and districts in proposal writing to solicit funding from both local and external institutions; and e) developing sustainable monitoring and evaluation systems at both the site and national levels for the collection of timely, accurate, and complete data.
5. No cross-cutting programs or key issues are anticipated.
6. The strategies used are designed to be cost efficient in of the following ways: a) URC will go beyond
gap filling of commodities to provide support to improve facility-side functioning for ensuring appropriate forecasting of necessary supplies, improving ordering and follow up with Central Medical Stores(CMS). URC will forge partnerships with CMS and SCMS and will work closely with both organizations to ensure a continuous supply of commodities. SCMS will train facility, district, and regional staff in forecasting and procurement while CMS will work closely with district and regional offices on enhancing communication on orders, supplies and stocks; b) the project will build capacity at the region and district level, thus enabling MOHSS staff to take on routine responsibilities; and c) URC will identify, and jointly with regional and district authorities, approach potential local institutions that could provide support to relevant activities (HIV in the work place, incinerators).
7. URC will partner with the Quality Assurance (QA) office of MOHSS in developing, refining, piloting, and implementing national M&E tools and systems for medical injection safety, infection control and waste disposal. URC will support MOHSS staff to conduct regular site supportive supervision visits - a crucial element in data QA. URC will also strengthen data feedback and dissemination mechanisms with monthly feedback to sites, quarterly/semiannual/annual report sharing at the district, regional and national levels.
May 2010 Reprogramming: $300,000.00 in supplemental funding was provided to USAID Namibia to enhance the ongoing expansion and technical assistance in the management, prevention and control of blood borne diseases in Namibia. This supplemental funding will be added to the Health Care Improvement Project implementing mechanism (ID# 12175), increasing that implementing mechanism's total GHCS-State funding amount to $900,000.00. Specifically, the supplemental funding will be added to the HMIN Biomedical Prevention: Injection Safety budget code, increasing the total HMIN budget code amount from $600,000.00 to $900,000.00.
Funds will support: partnerships with 34 district health teams to strengthen their capacity in implementing high impact infection prevention and control interventions at community and facility levels; train 200 non- professional staff on infection prevention and control and safe waste management practices; conduct national and regional meetings to broaden support and commitment for infection prevention and control among policymakers and program managers; strengthen capacity of district/regional management teams in monitoring and supervising infection prevention and control interventions using collaborative improvement model; and conduct a 2-day workshop on infection prevention and control in Windhoek by experts from Stellenbosch University, South Africa. These efforts will complement the ongoing work of University Research Corporation and enhance depth in coverage regionally.
Continuing Activity
