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.
Partnership Framework Planning
1. Support an HIV financial situation assessment through Technical Assistance (USAID) $200,000
PEPFAR Rwanda is developing a Partnership Framework for the next five years. Technical assistance is
required to facilitate the process.
Background
Rwandan Health Sector has recently undertaken a strategic planning exercise as the national health sector
strategic plan (HSSP I) period came to an end. The follow on Strategic Plan for the Health Sector (HSSP II)
was developed with extensive stakeholder contribution, particularly PEPFAR Rwanda and its implementing
partners. Contribution focused on the identification and justification of strategic interventions, indicator
development and target setting. Simultaneously sub strategic plans were developed. Support was provided
through the USG PEPFAR team for development of the HIV, TB and M&E and HMIS sub strategic plans.
On finalization of the various plans a costing exercise began. This process involved the use of the Joint
Annual Work Plan (JAWP), a database of costed activities at National and District level for all health sector
partners. This process contributed to the Gap analysis required for the Global Fund National Strategy
Application.
Objective
This technical assistance, in collaboration with and as a member of the HSSP II costing team and MOH TA,
will continue the costing/gap analysis and other financial assessment. The data collected in the JAWP will
be reviewed, strategy for analysis determined and feedback provided to the Partnership Framework team
and the MOH on funding gaps. The contribution of each stakeholder (MOH/other donors/USG) in the three
year strategy will be determined during this process. In addition, working closely with the MOH counterpart
and PEPFAR implementing partners, this TA will allow a review of the JAWP database and make
suggestions for changes to the database. Finally this TA will provide advice to the USG and its NGO
partners on submission of financial information to the JAWP. The end result of the consultancy will be the
completed and submitted template identifying the contribution of all stakeholders for USG/ MOH review and
incorporation of their comments.
Outcomes
• Report on gap, costing, and other financial analysis
• Identification of funding gap
• Completed table (showing stakeholders/USG contributions over 3 years) as per guidance
New/Continuing Activity: New Activity
Continuing Activity:
Program Budget Code: 19 - HVMS Management and Staffing
Total Planned Funding for Program Budget Code: $7,355,453
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
PEPFAR in Rwanda, under the leadership of the Ambassador, works through an integrated interagency team. Regular
consultations include weekly standing PEPFAR meetings to discuss issues and resolve problems of implementation, monthly
standing meetings with GOR and other stakeholders in the PEPFAR Steering Committee, and frequent ad hoc meetings on
technical issues as they arise.
The PEPFAR team works as a cohesive unit among the five agencies represented in this mission and in collaboration with the
GOR. The team operates under the principle of "co-management," responding to both GOR and PEPFAR requirements. Staffing
includes four continuing cross-agency positions: a Strategic Information (SI) liaison, a monitoring & evaluation (M&E) Coordinator,
a Health Management Information System (HMIS) coordinator, and a PEPFAR coordinator. Local operations also benefit from
several positions that are not funded by PEPFAR, most notably the Ambassador, Deputy Chief of Mission and Public Affairs
Officer.
All USG agencies in Rwanda, with the exception of the Peace Corps, moved to the New Embassy Compound (NEC) in January of
2008. Co-location has facilitated the PEPFAR team's consultative process for planning and implementing the program, although
space limitations in the NEC restrict the ability to add staff. The Peace Corps arrived in June 2008 and is not co-located.
Staffing for PEPFAR Rwanda has been significantly restructured to meet programmatic needs. The Staffing for Results exercises
for FY 2009 resulted in a proposal to add five new positions across the Rwanda PEPFAR team. CDC is proposing to co-locate
two new staff at the Ministry of Health and add one position to work in the embassy. USAID proposes two new positions. The
Peace Corps now has twelve staff positions on-board for its first year since its return to Rwanda. These new positions will
address the persistent understaffing of PEPFAR program in Rwanda. However, it is important to note that several position
approved in FY 2008 remain unfilled. The program has redesigned the terms of reference for several of these position to better fit
the current requirements.
Recruitment and retention of highly qualified local and international staff continues to be a challenge. Moreover, the human
capacity deficiency in Rwanda is widely recognized, and the local pool of appropriately-trained Rwandans is very limited.
Recruitment of international staff remains difficult for a variety of reasons, including continuing misperceptions of post-genocidal
instability in Rwanda. A large percentage of the US staff will be completing their tours in Rwanda during FY 2009, with the strong
probability that staff turnover will be higher than usual. With the new staff, identified for FY 2009, the program will be able to
continue to meet GOR and OGAC expectations of high performance.
Table 3.3.19:
