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: 2013 2014 2015 2016 2017 2018
This is a new implementing mechanism (IM) which supports transition. The Health Financing and Governance project (HFG), is a continuation of the work conducted under Health Systems 20/20. The IM will continue to support the GRN and other national stakeholders support of country-led processes. The purpose of the HFG is to increase the use of priority health care services in Namibia through improved financing systems and governance in the health sector. HFGP will support innovative and catalytic activities to advance health systems priorities in finance and governance. Under USG Namibia guiding principles of transition, HFG is a central to the success of Namibias Global Health Initiative (GHI) and Partnership Framework (PF).
For COP13, HFG activities will focus on: 1) Financing for priority health services; 2) Health governance capacity of Namibias country systems; 3) Namibias public health management and operations; and 4) Measurement of Namibias health systems progress through increased use of evidence-based tools and innovative measurement techniques.
This field support mechanism is expected to be in place for the life of the PF and GHI Strategy, and will transition overtime to the GRN and MOHSS as opportunities for public private partnership (PPP), greater domestic financing for health, stronger governance, and more cost-efficient systems are in place. Activities will be monitored on a quarterly basis and gains in domestic financing, PPP, cost efficiency, and sustainability will all be taken into consideration. A detailed monitoring and evaluation plan is in the process of being developed jointly with the GRN in alignment with its own performance management system targets for the health sector.
No vehicle purchases, construction, or renovations envisaged.
This activity supports transition. Under the OHSS budget code, Abt Associates will improve healthcare financing in Namibia and support effective governance of health services. This activity is designed to address system barriers, specific to transition as USG agencies move toward becoming a technical collaborative model. With COP13 funds, Abt will achieve the following objectives: 1) Improve financing for priority health services; 2) Strengthen health governance capacity; 3) Improve country-owned systems in public health management and operations; and 4) Improve measurement through increased use of evidence-based tools and innovative measurement techniques.
Increasing domestic financing for health is a key area of interest in roll out of transition in Namibia. Abt will support the Ministry of Health and Social Services (MOHSS) and Social Security Commission (SSC) to develop a cohesive strengthening health financing strategy. Abt support to the SSC, which will be rolling out a national health insurance scheme, is a focus of this activity. Activities for the SCC include: development of a national health care financing strategy to achieve Universal Health Coverage, design and operationalization of a national health insurance scheme, and modeling of various financing options to pay for health care, as guided by the National Health Insurance Finance Technical Advisory Committee.
Since 2009, Abt Associates, under HS 20/20 project, has supported the collection of routine financial information to inform the Government of Namibia (GRN) budgeting and planning decisions. Efforts to institutionalize the collection of expenditure data and to update costing estimates for various financial analyses that in turn inform budgeting and planning decisions is ongoing. Abt will also support costing scenarios to inform the Office of the Prime Minister, Ministries of Finance and the MOHSS on the potential budgetary needs of integrating different elements of the HIV/AIDS program into other health services. Abt will provide technical assistance to build capacity of government staff to conduct, analyze and interpret costing data along with instituting quality assurance.
Abt will engage GRN, MOHSS, and private sector of Namibia to build on governance. Strong governance supports the improvement of health outcomes by: increasing accountability and transparency; reducing corruption; empowering individuals to take more responsibility; enhancing public policy debate; and increasing the number of public-private partnerships. Abt will support the MOHSS to address the following systems barriers: 1) MOHSS budgeting, is historically-based and not necessarily linked to priorities and needs, thus weakening the effectiveness and efficiency of budget disbursements; 2) Inequities in accessing health care inhibit progress towards universal health coverage; 3) Paucity of routine costing and expenditure data for planning/ monitoring purposes; and 4) MOHSS organizational set-up is outdated, fragmented (such as for health information systems) and duplicative. Addressing these systems barriers will facilitate transition and ownership of key donor funded HIV/AIDS activities to the GRN. Abt will provide organizational development support to the MOHSS in its restructuring efforts as requested by the MOHSS (e.g. to support the finalization of job function descriptions, change management, decentralization). No construction, renovation, or motor-vehicle is envisaged.
