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: 2007 2008 2009
THIS IS A CONTINUING ACTIVITY FROM FY 2008, ALREADY APPROVED
New/Continuing Activity: Continuing Activity
Continuing Activity: 17113
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17113 17113.08 HHS/Centers for Ministry of Health, 6316 5108.08 MoH CoAg $300,000
Disease Control & Rwanda
Prevention
Table 3.3.09:
Funds are being transferred under the same Program Area -PDCS to a new mechanism under MoH COAG
II.
ACTIVITY UNCHANGED FROM FY 2008:
In FY 2009 PEPFAR will provide direct support to the UPDC Unit in the MOH, in order to effectively
integrate pediatric HIV and AIDS services into the national health system and foster sustainability. The
UPDC is a technical unit in charge of the decentralization of health services, integration of HIV services in
the health system, equitable distribution of HIV services across health facilities and coordination of partners
involved in health service delivery.
With PEPFAR and Global Fund support, in collaboration with PEPFAR funded Implementing partners,
UPDC will build the capacity building of District Health Teams (DHT) in pediatric HIV care and treatment;
this includes integration of pediatric HIV care and treatment activities into district health plans and
programs, expansion of quality pediatric services at decentralized levels, and improvement of linkages with
other HIV and health programs. Capacity building will also include strengthening of district health teams in
program planning, implementation, coordination, supervision, and performance improvement processes.
This support will also improving the capacity to include scale up early infant diagnostic programs.
In FY 2009, the UPDC staff will undertake formative supervision visits related to pediatric HIV care and
treatment integration within each district at least twice a year, in collaboration with CIDC. A standard
checklist will be used to assess the quality and integration of pediatric HIV services, with emphasis on
regular feedback to sites and sharing of best practices.
The UPDC/ MOH Unit will continue to support the DHTs in developing the Pediatric HIV programming
framework. PEPFAR funds will be used to support a technical position on the Integrated Management of
Childhood Illnesses (IMCI) within the UPDC, in order to accelerate the integration of HIV into IMCI and
improve the identification, care and early treatment of HIV-infected children under five, through community
and health facility services, in synergy with CIDC, USG clinical partners, and the Global Fund. To this end,
UPDC will collaborate with PEPFAR implementing clinical partners and the Global fund to increase access
to HIV care and treatment services, tracking, follow- up and continued care for infants and children.
This activity fully supports the Rwanda PEPFAR five-year strategy for national scale-up and sustainability
and the Rwandan Government ART decentralization plan.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Health-related Wraparound Programs
* Child Survival Activities
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $50,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.10:
This is a continuing activity from FY 2008. No narrative required.
Estimated amount of funding that is planned for Human Capacity Development $37,000
Table 3.3.11:
This activity is being amended to shift the costs ($120,000) associated with hiring five district coordinators
for PBF M&E from the International TA partner (previously MSH) to this agreement with the Ministry of
Health.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS
The following activities will be added in FY 2009:
•Implementation of the national HMIS strategic plan;
•Strengthening the capacity of district level managers to facilitate the search for the root causes of
unsatisfactory performance of health facilities;
•Implementing a case-based, integrated, disease surveillance system;
•Development of a training module on HMIS for in-service training of health professionals;
•Support for the Cellule d'Appui à l'Approche Contractuelle (CAAC) unit within the MOH to further improve
and develop the performance based financing approach.
During FY 2008, PEPFAR is providing substantial technical and financial support to the Ministry of Health to
support the development of a clear vision for strengthening the national health information system (HIS). A
strategic plan, which was elaborated in a participatory process, includes the following interventions:
-Development of an integrated district level data collection system,
-Reinforcement of data management at the local level with a focus on data quality and use,
-Capacity building in the domains of epidemiology, biostatistics and information for decision making.
A thorough review and improvement has been made on the current GESIS (MOH HIS). Consultations are
undergoing to revise numerous indicators collected aiming at reducing the burden of work on health workers
at the grass root level and at the same time improving the quality of the data generated for better analysis
and use for program management across all levels of the health system. Efforts have been made also
through PEPFAR support to enhance the GOR health system using international standards such as ICD10.
All USG-supported health centers are staffed with data managers that complement the efforts made by the
GOR to assign 187 additional data managers to help improve the quality of data collected and used.
PEPFAR will continue to support these activities.
In FY 2009, the activities will focus on the implementation of the national HIS strategic plan through
technical assistance from PEPFAR. PEPFAR will provide both long-term support through the country team
and short-term through its headquarters' experts. Given the multiple systems and databases operated by
current implementing partners in Rwanda there is a need to define commonly accepted standards for the
HMIS to facilitate data exchange.
PEPFAR will continue to support all activities related to the improvement of data quality and its use initiated
by the unit of HMIS at the MOH including elaboration of standardized protocols, guidelines etc. Support will
be provided for the elaboration of a country meta-data dictionary using locally and internationally accepted
standards. It will outline clear definitions and specifications of each data to be collected and how to use
them. The data dictionary will be a useful tool to have a common understanding of indicators across all
stakeholders in order to improve the quality of the data collected. A master registry of health facilities is also
a must if we need to facilitate data exchange and interoperability of system across the country. PEPFAR will
also support the MOH to design an electronic and dynamic system of health facility registry to be
periodically updated by a designated desk at the ministry of health.
The MOH is engaged in an effort to increase its technical assistance to its decentralized bodies at the
district level. In FY 2008 steps are underway to conduct regular supervision to the health centers and the
district hospitals. In FY 2009, this activity will be expanded to include building the capacity of district level
managers to identify the root causes of unsatisfactory performance of health facilities. PEPFAR will support
the development of a supervision protocol and tools for district managers to improve both service delivery
and data use for decision making at the district and health facility levels.
Human capacity building has been a major concern for both the GOR and PEPFAR managers. In FY 2009,
technical and financial support will be provided for the development of a training module on HMIS for in-
service training of health professionals. The intent is to integrate this module at a later stage in a pre-service
training within the health professional training institutes including the National University of Rwanda, the
nursing schools, and the School of Public Health. Support will be provided also to reinforce human capacity
at the national level to roll out the data quality improvement and use initiated during FY 2008. Technical
assistance will be provided for the continuation and enhancement of the M&E unit capacity building at the
Ministry of Health. Moreover, PEPFAR will provide assistance to the CAAC desk for performance based
financing (PBF) interventions at MOH. This assistance will pave the way for transferring some management
responsibilities from MSH/PBF to the MOH.
These activities reflect the ideas presented in the PEPFAR 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 SI system for the national HIV/AIDS program.
Continuing Activity: 12861
12861 9252.08 HHS/Centers for Ministry of Health, 6316 5108.08 MoH CoAg $500,000
9252 9252.07 HHS/Centers for Ministry of Health, 5108 5108.07 MoH CoAg $250,000
Estimated amount of funding that is planned for Human Capacity Development $180,000
Table 3.3.17:
