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.
ACTIVITY DESCRIPTION The Office of the Global AIDS Coordinator has encouraged the incorporation of quality improvement (QI) into Emergency Plan activities, and USG teams and partners have requested assistance in implementing quality improvement programs. This HRSA/CDC program will ensure continuous implementation of HIVQual (initially funded in COP06) to support quality management programs at EP supported sites in Nigeria. Activities will include on-going assessment of current quality assurance (QA) and QI activities, consultation to build HIV-specific QI systems, alignment with other clinic quality management processes and with other national QA initiatives. Technical assistance by QI consultants to conduct initial meetings with staff; designation of project staff by the lead agency; selection of sites; selection of clinical indicators for performance measurement; modification of software for appropriate indicators; QI capacity building; and data collection will also be carried out. Following each round of data collection, QI projects are initiated to build upon the results obtained from the first round of data collection. In-country implementation begins with 10-12 pilot sites for the initial phase with COP06 funding with the goal of expansion to an additional 15 sites in COP07.
The program will continued to be managed in country by a CDC SI staff member in conjunction with the USG team and Government of Nigeria (GON) and implemented through a designated focal person at each facility. The project coordinator will work with the GON facilitate indicator development, tools and assessment processes. Project management will include: coordination of activities with other services and projects; coaching in QI and organizational development; assessment & monitoring of progress at each site; monthly conference calls with consultants; coordination with key stakeholders, including the MOH. Other staff needed include a data manager and IT support. Total funding will cover the costs of salaries of project coordinator and data manager/IT support; and fees of a QI consultation (e.g., QI experts from the US) and travel-related expenses for both US-based consultants and the country coordinator to attend trainings in the US.
CONTRIBUTIONS TO OVERALL PROGRAM AREA This HRSA/CDC activity is aimed at assuring that clinical practice at all levels of health care delivery is meeting the country's national standards by a systematic assessment of the quality of the services being provided by programs. HIVQUAL is designed to strengthen systems for documentation which permits monitoring of appropriateness of care and development of capability for self-assessment. The continued scale up of ART delivery in Emergency Plan countries shows great promise in improving quality of life and reducing HIV-related morbidity and mortality.
LINKS TO OTHER ACTIVITIES This RFA is directly related to ARV treatment services HTXS and strategic information HVSI.
EMPHASIS AREAS Local organization capacity development will be a major area of emphasis while Infrastructural development, QA/QI, supportive supervision, training and general maintenance will be areas of minor emphasis.
