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
The main goal is to provide technical assistance to the MOHSS to establish a Quality Improvement (QI) program that enables regular assessments of the quality of HIV care.
As part of the USG contribution to the goal of enhancing the quality of care in the partnership framework implementation plan (PFIP), USG will provide TA to enhance quality management throughout the HIV care and treatment system.
This mechanism has a national geographic coverage.
Building the capacity for QI and use of strategic information for program improvement, HIVQUAL contributes to efficiencies and better patient outcomes. HIVQUAL is also a model for HEALTHQUAL a broader healthcare system quality improvement initiative.
HIVQUALs performance assessment and quality improvement modules contribute to building HRH.
HIVQUAL works through MOHSS structures, providing TA through targeted use of consultants and extensive use of USG Namibia staff. Cost reductions are also sought through training of trainer courses.
HIVQUAL is required to submit bi-annual progress reports to the HRSA project officer in Washington. Routine monitoring meetings are held with the CDC Namibia technical advisor, financial manager and cooperative agreement manager. Evaluation is an integral component of HIVQUALs quality improvement strategy project officer in Washington. Routine monitoring meetings are held with the CDC Namibia technical advisor, financial manager and cooperative agreement manager. Evaluation is an integral component of HIVQUALs quality improvement strategy.
This activity is conducted under the leadership of the MOHSS Directorate of Special Programs (DSP) in close collaboration with CDC Namibia and the US-based HIVQUAL team for technical support. The program has been rolled out to all 34 health districts of Namibia, with at least five health centers offering HIV care through the Integrated Management of Adolescent and Adult Illness (IMAI) strategy. Specific activities include;
Quality Improvement (QI) training: The USG-MOHSS HIVQUAL team will continue to build capacity for QI in public healthcare facilities and among MOHSS technical staff. Advanced in-service trainings will be provided to staff who received training in prior years. Basic training in QI will be provided to all relevant new staff. Training activities will be done in collaboration with ITECH. Specific activities will include; Training of Trainers workshops to promote decentralization of QI trainings throughout Namibia, and TA and training in support of the expanded national quality program.
Assessment of quality management programs at the participating clinics: An assessment tool to measure the capacity of the quality management program at each facility will be used to measure the growth of quality management activities as well as the quality of staff members skills. The findings from these assessments will guide coaching interventions. Aggregated facility-specific data will provide population-level performance data to indicate priorities for national quality improvement activities. Similarly, local performance data will be used to identify facility-specific gaps in the delivery packages of care and then devise customized interventions to improve services at local facilities.
Performance measurement on selected core indicators: HIVQUAL will continue to develop providers skills for collecting and using performance data within their own organizations to improve their HIV treatment and care. Indicators will track the provision of the basic treatment and care package. Selected national core indicators will monitor proportions of pediatric patients receiving HAART, ART adherence, Cotrimoxazole prophylaxis, pediatric nutrition, immunizations, growth monitoring and TB screening.
Ongoing QI coaching and mentoring at participating sites: The program will continue to invest in transferring knowledge and skills to local technical advisors in the MOHSS. The transfer of QI skills will be accomplished through coaching and mentoring for MOHSS staff and health care providers. These QI skills will include performance data interpretation skills, quality program planning and design of quality improvement projects and implementation through improvement project cycles.
Promotion of consumer engagement in HIV care: HIVQUAL will provide technical assistance to the MOHSS to develop local, regional, and national strategies and programs to increase consumer (patient) involvement in HIV/AIDS programs. Increased participation by patients, pediatric patients parents and guardians, and other consumers will improve HIV care and treatment services by enhancing the feed-back loop between patients, providers and the MOHSS. The plan will outline structures to ensure active participation of people living with HIV/AIDS in the development and improvement of HIV/AIDS programs.
This activity is conducted under the leadership of the MOHSS Directorate of Special Programs (DSP) in close collaboration with CDC Namibia and the US-based HIVQUAL team for technical support. The program has been rolled out to all 34 health districts of Namibia, with at least five health centers offering HIV care through the Integrated Management of Adolescent and Adult Illness (IMAI) strategy. Specific activities include:
This activity is conducted under the leadership of the MOHSS Directorate of Special Programs (DSP) in collaboration with CDC Namibia and the US-based HIVQUAL team for technical support. The program has been rolled out to all 34 health districts of Namibia, with at least five health centers offering HIV care through the Integrated Management of Adolescent and Adult Illness (IMAI) strategy. COP12 will focus on quality program implementation in these sites, and in additional health centers. For the first time, this mechanism will include technical assistance to military sites providing ARV treatment.
Advanced in-service refresher trainings: Basic training in Quality Improvement (QI) will be provided to all relevant new staff. Training activities will be done in collaboration with ITECH. Specific activities will include: Training of Trainers workshops to promote decentralization of QI trainings throughout Namibia, and TA and training in support of the expanded national quality program.
Assessment of quality management programs at the participating clinics: An assessment tool to measure quality management capacity at each facility will be used to measure the growth of quality management activities and the quality of staff members skills. Aggregated facility-specific data will include performance data to indicate priorities for national QI activities. Local performance data will be used to identify facility-specific gaps and devise customized interventions to improve services at local facilities.
Performance measurement on selected core indicators: HIVQUAL will continue to develop providers skills for collecting and using performance data within their own organizations. Indicators will track the provision of the basic treatment and care package. Selected national core indicators will monitor proportions of pediatric patients receiving HAART, ART adherence, Cotrimoxazole prophylaxis, pediatric nutrition, immunizations, growth monitoring and TB screening.
Promotion of consumer engagement in HIV care: HIVQUAL will provide technical assistance to the MOHSS to develop local, regional, and national strategies and programs to increase consumer (patient) involvement in HIV/AIDS programs. The plan will outline structures to ensure active participation of people living with HIV/AIDS in the development and improvement of HIV/AIDS programs.
HIVQUAL will coordinate and collaborate with the USAID/BLC program in at selected facilities.
Assessment of quality management programs at the participating clinics: An assessment tool to measure quality management capacity at each facility will be used to measure the growth of quality management activities and the quality of staff members skills. Aggregated facility-specific data will include performance data to indicate priorities for national quality improvement activities. Local performance data will be used to identify facility-specific gaps and devise customized interventions to improve services at local facilities.
