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 IS NEW IN FY 2009.
The TB services at the National Reference Laboratory (NRL) continue to require support in order to meet
the PEPFAR priority of providing reliable Acid-Fast Bacilli (AFB) microscopy at the local clinical level, and
culture and drug susceptibility testing at the national and regional levels.
Technical assistance to support the NRL, Central University Hospitals in Kigali and Butare (CHUK and
CHUB) TB laboratories ensure high quality smear microscopy, liquid culture and drug sensitivity testing
capability will be provided. These TB diagnostic and treatment capabilities are essential in order to provide
PLHA adequate access to comprehensive quality TB-related services. These capabilities are also essential
for the support of patients with multi-drug resistant TB (MDR TB). Extrapulmonary TB diagnostics will be
available through continued support to CHUB and CHUK anatomical pathology laboratories.
Atelier Central de Maintenance (ACM) and NRL maintenance units for laboratory equipment will continue to
be strengthened with training and staffing to guarantee the quality of results within the national laboratory
network. Also, small laboratory renovations will be performed to assure building sustainability inside the
national laboratory network.
PEPFAR will also continue to strengthen and integrate QA/QC/QI at the NRL into all HIV-related laboratory
areas: serology, biochemistry, hematology, CD4, TB and malaria. New QA/QC approaches will continue to
be explored in those HIV specific areas. National specimen transportation systems will continue to be
strengthened. Specific laboratory target evaluations on new technical alternatives and new technologies
will be supported to improve the accessibility and reliability of care and treatment programs. For example,
new alternative technologies will focus on specific HIV areas like, CD4 or TB infant diagnostics. Protocols
and/or indicators will be designed to evaluate laboratory performance impacts on care and treatment
programs.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.12:
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Program Budget Code: 17 - HVSI Strategic Information
Total Planned Funding for Program Budget Code: $5,943,712
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
Since FY 2004, PEPFAR has provided support to the GOR (The National AIDS Control Commission -CNLS; Rwanda Defense
Force- RDF; TRAC Plus- Center for Infection Disease Control CIDC; and Ministry of Health- MOH) for strategic information (SI)
activities. This has included updating indicators and reporting requirements, providing information technology (IT) equipment and
internet connectivity, conducting surveillance of HIV among specific population groups, and supporting the implementation of the
unified M&E system for the "Three Ones" to better coordinate the national response. With PEPFAR assistance, the country has
also built an operational unified M&E framework, successfully rolled out advanced technological systems to support scale-up of
HIV care and treatment, and markedly strengthened surveillance capacity. In FY 2007, the Rwanda Partner Reporting System
(RPRS) was developed to improve the management of PEPFAR reporting and utilization of data for program improvement.
Despite considerable achievements in the domain of strategic information in the health sector, significant challenges remain.
These include the existence of several parallel information systems, a lack of coordination and harmonization among the systems,
and a large number of indicators which are for the most part redundant. In addition, although the health sector is at the forefront of
deploying advanced technological solutions for data collection and presentation (i.e. TRACnet), the culture of information use in
decision making is still weak. These factors contribute to a generally poor quality of data and to a very limited use of routine health
information in management particularly at the district and health facility levels.
To address these problems, the MOH is elaborating a health management information system (HMIS) strategic plan during FY
2008 and identifying a minimum set of core indicators. The overarching SI priorities in FY 2009 will be the improvement of data
quality, the enhancement of data utilization, and the coordination of reporting systems. Support will be provided for the
implementation phase of the national HMIS strategic plan. The integration of information systems, standardization of data quality
and supervision, and the drafting of a data dictionary will figure among the main activities.
To aid the GOR and its partners better understand the dynamics of the HIV epidemic in Rwanda, PEPFAR will support data
triangulation to identify drivers of the epidemic based on recent surveillance and survey data. Assistance to CIDC will be given for
both ongoing surveillance activities and for new studies which include an assessment of behavior among youth sub-groups to
identify high risk groups. Through CDC, PEPFAR will also support training in epidemiology and surveillance.
Building sustainable capacity to implement SI activities within national and local agencies, implementing partners, and the USG
team remains central to PEPFAR support. The Rwanda team will contract through SFR for certain SI functions and will employ
strategic use of TA in order to address the above-mentioned challenges. The proposed SI activities will continue to strengthen the
collection, analysis, reporting and use of information for decision support, including program management and coordination. The
activities will enhance in-country SI capacity in M&E and surveillance, and they will improve the ability to conduct public health
evaluations. PEPFAR will also support the CNLS in the implementation of the unified M&E system for the "Three Ones" with a
focus on coordinated reporting systems and processes.
PEPFAR will also provide M&E capacity building support to CNLS and CIDC for the implementation of the "Third One" through
training and TA in data quality and data utilization for program improvement, enhanced planning, reporting and sharing of
information among all Rwanda stakeholders. PEPFAR will implement specific capacity strengthening interventions for M&E for
program managers (national agencies, USG agencies, implementing partners and local organizations) in utilization of data for
program improvement and dissemination of best practices. CNLS will receive support to operationalize the National HIV/AIDS
M&E System, and effectively implement the district level reporting system. PEPFAR, in collaboration with other partners, will
sponsor the organization of an annual HIV/AIDS Research Conference.
Significant assistance will continue to be provided to build data analysis skills at district and facility levels through the consolidated
M&E support mechanism. PEPFAR support will continue to strengthen Rwanda's national system for monitoring and reporting of
the HIV/AIDS response, including synthesis and use of clinical and non-clinical data collected by CIDC and CNLS, respectively.
The Rwanda SI team works closely with these agencies that are an integral part of the PEPFAR reporting process and reporting
to the GFATM and OGAC.
The interagency USG SI team is made up of an SI Liaison, an HIV/AIDS Management Information System (HMIS) Advisor, an
M&E Program Manager, and a Surveillance Specialist. The team will develop one inter-agency SI strategy including collaboration
on surveys, results reporting, and HMIS. This strategy is updated on an annual basis as part of the COP development process.
The COP process includes validation of targets at the agency level to document how targets are set and to ensure de-duplication
of targets. These targets, which have detailed explanations of calculations, are recorded in a master spreadsheet that includes all
program areas. In addition, calculations of both direct and indirect targets for USG and its implementing partners are
synchronized with the national HIV targets set by the GOR. During FY 2009, TA will be provided to all PEPFAR program leads
and implementing partners on utilization of data and data quality assurance for program improvement.
The processes outlined above constitute the data quality assurance systems of the Rwanda SI team and follow guidelines
developed by the GFTAM and OGAC.
Table 3.3.17:
