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.
One of the key activities to be implemented by Voxiva in FY07 is the design and implementation of an population based HIV registry. Voxiva, in close collaboration with TRAC, have revised the key data elements to be included in this registry. Initial funds allocated for the roll-out of this approved activity in the Voxiva workplan allowed for limited deployment of the registry (1 to 2 districts). The additional funds will support a nationwide patient information data entry exercise over a period of 6 months. This will result in an operational HIV patient registry. The supplemental resources will also support the development of SOPs for outlining roles and responsibilities of health facility personnel, implementing partners, TRAC and the MOH to keep the patient data current.
This activity relates to HVSI (7238, 7240, 7193, 9252), MTCT (7179, 8122, 8185, 8698), HVCT (7178, 8164, 8168), and HTXS (7161, 7174, 7164, 7176, 7190, 7246, 8172).
The overall objective of the TRACnet project is to establish a comprehensive information system for the HIV/AIDS program in Rwanda. Since FY 2004, TRACnet evolved from a pilot to a national ART program reporting system. It collects monthly programmatic indicators via telephone and internet, and has limited lab result collection and drug shortage/stock out reporting capacity.
In FY 2006, the system will expand to collect programmatic data from PMTCT and VCT programs. By the end of FY 2006, TRACnet will be aggregating programmatic data from all health facilities offering PMTCT, VCT and ART in Rwanda. In cooperation with the data analysis and use task order, the information stored in the TRACnet database will be increasingly used in decision-making and information dissemination.
In FY 2007, TRACnet will continue collecting data on PMTCT, VCT and ART programs, and the contractor will transfer more responsibility for system management to TRAC, with the objective of transferring all responsibility for managing the system to TRAC by FY 2008. The major addition to the system in FY 2007 will be the development of an HIV case reporting module, with an initial focus on discordant couples. Approximately 180,000 Rwandans are HIV-positive, and of these, an estimated 50,000 persons are the HIV-positive partners in discordant couples. Unfortunately, few persons testing positive at VCT present for HIV testing as a couple.
As the Rwanda EP matures, it is increasingly important to reduce missed opportunities and improve quality. To this end, the HIV case registry, as a component of the TRACnet system, will build on the family-centered, contact-tracing efforts that are a new focus of VCT in Rwanda. The emphasis will expand previously initiated efforts, which until now have been limited to maintaining a research cohort, into a population-based registry. While only a subset of the broader case-report based HIV registry envisioned for Rwanda, this registry of discordant couples will have unique utility in HIV prevention efforts to monitor issues tied to drug resistance, adherence, reduce losses to follow up and allow caregivers to better monitor their patients. In FY 2007, EP-Rwanda team will draw upon USAID and CDC expertise to pilot this system in selected districts, and evaluate that effort prior to a national rollout. USG will also provide TA to the GOR to develop the necessary legislative framework required for the operation of the case registry system.
This activity reflects the ideas presented in the EP Five-Year HIV/AIDS Strategy in Rwanda and the GOR National multi-sectoral strategic plan for HIV/AIDS Control by directly supporting the development of a sustainable strategic information system for the national HIV/AIDS program.
