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: 2012 2013 2014
The Maternal and Child Health Integrated Program (MCHIP) IM aims to provide technical assistance on the institutionalization of the new health extension worker cadre and the strategic integration of HIV/AIDS into the broader health care system. These goals directly link to the GHI intermediate results and principles of transition, sustainability, and access.
The IM will address the governance, operational, and capacity issues associated with formalizing the health extension worker cadre and HIV/AIDS integration into primary health care and other relevant fields as appropriate. This IM will build upon other COP12 activities relating to task shifting and integration. MCHIP activities will support the National Health Extension Worker (HEW) Steering Committee to develop needed policies, protocols, budget estimates and plans for approval of a new cadre by the Government of Namibia (GRN) (including the Public Service Commission and the Ministry of Finance). MCHIP will also support the Ministry of Health and Social Services to operationalize its new structure for service delivery, including HIV/AIDS, in accordance with its revised minimum district service package, integration goals and GRN decentralization principles.This approach will strengthen the GRN capacity to access underserved populations and sustain service delivery, including those relating to HIV/AIDS. A monitoring and evaluation plan will be developed jointly with the GRN in alignment with its own performance management system targets for the health sector.
No vehicle purchases envisaged.
This is a new activity, implemented by the Maternal Child Health Integrated Program (MCHIP), that will provide technical assistance on the institutionalization of the new health extension worker (HEW) cadre and the strategic integration of HIV/AIDS into the broader health care system.As defined in the Ministry of Health and Social Services (MOHSS) systems review, there are major systems barriers associated with providing needed health care services in the community; the public health care system is largely facility based with no existing government health care cadre based in the community. To address this issue, the MOHSS plans to introduce a new cadre of HEW, which in addition to increasing access, will support task shifting and increased efficiencies in the delivery of care. In addition to this service delivery issue, the Minister of Health has stated that HIV/AIDS services need to be integrated within the broader health care system. This is in keeping with the Health Systems Review recommendation to streamline fragmented and parallel systems. Strategic integration of this magnitude has not been done before so it is important that this process be informed to minimize disruption during transition.This mechanism will draw upon its international expertise as one of the leading technical assistance providers on integrated maternal child health care, to support the following targeted leveraging activitiessome of which are complemented by human resources for health activities supported by UNICEF.Support the institutionalization of the HEW Cadre: MCHIP will support the development of needed policies and plans for approval of the new cadre by the Government of Namibia (GRN), such as a HEW policy, capacity building strategies for HEW (both to become a HEW and to be promoted within HEW cadre), management plans, employment plans and health professional licensing. In addition, the mechanism will support the development of viable recruitment and retention strategies, including an appropriate benefit package. Finally, support will be provided to define and formalize the relationship of HEWs with non-governmental organizations (NGO) volunteers (particularly, in face of declining NGO resources). MCHIPs activities will complement other COP12 activities relating to HEWs that are focused on defining the scope of practice for the cadre (e.g. developing the training curriculum).Support the MOHSS with its strategic integration of HIV/AIDS into primary health care and other related fields as appropriate: MCHIP will support the MOHSS to determine how the new minimum district package will be delivered. In addition, MCHIP will support the MOHSS to operationalize its new organizational structure, including its goal of strategic HIV/AIDS integration, at the facility and community level (e.g. the health care facility patient flow and arrangement of rooms may need to be altered). Strategic integration of an HIV/AIDS program has not been done before to this extent and it will be important to determine what services should and perhaps should not be integrated; this decision process should be well-informed to minimize disruption during transition. The MCHIP activity will build upon other COP12 activities that will support implementation relating to integration and some human resource and costing analyses to inform the path chosen for integration.
