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
COP 2010 Overview Narrative
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.
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. Support coordination of UNAM programs and curricula with other training institutions (e.g., Polytechnic, NHTC, National Council on Higher Education).
Continuing Activity Estimated Budget = $200,040
Institutionalize support to MPH students to complete thesis requirement within 2-4 years. This will include a thesis workshop to strengthen students' understanding of research methods.
Continuing Activity Estimated Budget = $80,000
Strengthen institutional capacity of UNAM by increasing faculty development opportunities. Continuing Activity Estimated Budget = $180,000
Strengthen library services at UNAM to build research capacity in support of national public health goals such as disease surveillance, outbreak investigations and emerging disease threats. This activity will also strengthen UNAM librarians' research skills through distance learning.
Continuing Activity Estimated Budget = $20,000
Continue and develop a transition plan for the expert twinning program between UNAM and University of Washington faculty; continue to build UNAM management capacity to allow UNAM to potentially "graduate" to prime partner status.
Continuing Activity Estimated Budget = $100,000
Enhance the distance learning systems in UNAM.
Continuing Activity Estimated Budget = $66,000
ADDITIONAL DETAIL:
COP11 funds will support activities in 6 main areas to strengthen graduate-level public health education in the Republic of Namibia. The focus of activities is within the University of Namibia (UNAM) Faculty of Nursing and Public Health, and is guided by the UNAM Public Health Working Group (PHWG), consisting of the Dean, public health lecturers, and staff from I-TECH.
1) Assure sustainability and transfer of knowledge and financial assets by the end of five years. With COP11 funds the UNAM PHWG will continue to be supported to conduct ongoing meetings, ensure grant deliverables are met, and implement a multi-phase, multi-year strategic plan for MPH program expansion and specialization. PHWG members are involved in all aspects of work plan development, implementation and monitoring and are partnered with external universities and staff from I-TECH to assure long-term sustainability. A key component under this objective is identifying strategies for increasing the number of lecturers. I-TECH will continue to address this via: short-term faculty exchanges, study tours and guest lecturers; sabbaticals; recruitment and salary support for one position at UNAM annually, based on the university's ability to eventually absorb these expenses; building of content expertise among existing UNAM faculty via collegial mentoring, co-teaching, and a joint process for developing new course materials; and identifying mechanisms to support new schools, departments and programs that are synergistic with the strengthening of the MPH degree program.
2) Strengthen content and delivery of the MPH programme. Activities continue in the strengthening and building of content in nutrition, strategic information, health policy, environmental health and other needs identified by UNAM and stakeholders including CDC and the MOHSS. Additionally, technical assistance is provided for course institutionalization, or partnering with UNAM lecturers and administrators to build human resource capacity, subject mastery, administrative support and a foundation for long-term adoption of new course content.
3) Improve retention and graduation rates for MPH students. With COP11 funds UNAM trainers will institutionalize and lead thesis development and completion workshops for public health lecturers and students, successfully utilizing workshop materials developed by I-TECH and building upon mentoring by lecturers and experts in research methodologies identified by I-TECH. Building student support initiatives, including more robust student tracking systems, is a key component under this activity, and will be advanced by an MPH Course Administrator.
4) Strengthen institutional capacity for teaching public health. UNAM lecturers will continue to participate in a twinning and leadership training program with University of Washington faculty. The intent of this twinning program is to build UNAM lecturers' teaching skills and content knowledge. In COP11, UW will work to develop a transition strategy for the twinning program. Specific COP11 activities will include establishing an alumni association and/or founding a professional network for public health professionals in Namibia, and either will be a critical step for building a nationwide presence that can provide advocacy, leadership and collegial support. External partners, such as the University of the Western Cape (UWC), will continue to play an important role in these activities, sharing reflections and assessments of public health educational approaches, resources, attendance of each other's faculty development activities, and ongoing distance learning exchanges. I-TECH will continue to actively foster South-South institutional relationship building as a sustainability measure. In addition to faculty training, UW will continue to work with UNAM program managers to build institutional capacity to manage grants and programs. The ultimate objective of this work will be to prepare UNAM to potentially graduate to prime partner status.
5) Strengthen library services and resources for the MPH program. I-TECH will continue to build librarian skills via trainings and tutorials in accessing and utilizing health sciences resources and reference materials. These skills building activities increase the rigor of public health research and thesis development and contribute to a higher caliber student and public health professional. Where appropriate, I-TECH will share technical expertise in library sciences and distance learning with the biomedical library at the Polytechnic of Namibia.
6) Enhance Distance Learning Systems at UNAM. In COP11, I-TECH will work with the Distance Learning Task Force (DLTF) at UNAM to teach, interact with and support public health students in remote sites. Activities include procurement, installation, training, piloting, and adaptation of technologies for educational purposes.
