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: 2008 2009
This is a continuing activity from FY 2008. No narrative required.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16885
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16885 16885.08 U.S. Agency for Social and 7585 7585.08 Prtnr Rprtng $100,000
International Scientific Systems System
Development
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $100,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
ACTIVITY UNCHANGED FROM FY 2008
This activity will continue unchanged with a new prime partner. The purpose of the Monitoring and
Evaluation Management Services (MEMS) Project is to assist USAID/Rwanda, the USG Rwanda
Interagency President's Emergency Plan for AIDS Relief (PEPFAR) and President's Malaria Initiative (PMI)
teams to develop and implement a comprehensive performance management, monitoring, and reporting
program. This program will support compilation and use of data and information that meet and inform
reporting and programming requirements. The MEMS team works closely with and supports the reporting
and performance management needs of these several USG teams, including the PEPFAR, PMI, and three
USAID strategic objective teams. The program is also required to establish strong linkages with host
country institutions that are involved in the monitoring of HIV / AIDS, malaria and other health and
development activities in the context of the national response.
In FY 2008 MEMS deploys a web-based database that facilitates USG data reporting, aggregation,
analysis and use, as well as the development and update of annual workplans by implementing partners
(IPs). The version 1.0 of the database will be operational by March 2009 and continuously upgraded to
respond to changes in PEPFAR, PMI and OP requirements, and to increase the user friendliness for both
implementing partners and the USG teams. MEMS staff work closely with the USG teams and
implementing partners and are building their M&E capacity for improving analysis and use of quality data for
programming and decision making. Taking advantage of the reporting periods, MEMS are training USG and
IP staff on sharing the same understanding of indicator definitions and reporting requirements, as well as
other key dimensions of data quality, as to immediately improve the validity, reliability, precision and
integrity of data reported to and used by USG teams and IPs.
Following collaborative M&E needs assessments, MEMS staff will work with USG teams and related IPs to
develop or update their PMPs. MEMS will use the results of these assessments to target its technical
assistance to particular USG teams and implementing partners facing specific M&E challenges. Working
collaboratively with USG teams, IPs and relevant host country institutions and M&E technical working
groups, MEMS will also facilitate an agreement on common standards for data quality with USG teams and
IPs, as to provide the basis for the implementation of data quality assessment and improvement (DQAI)
activities.
In support of FY 2010 planning meetings, MEMS will work with USG teams, technical working groups and
IPs to prepare a series of data analyses and thematic maps providing insights regarding progress against
set targets and coverage of USG supported interventions, while identifying opportunities for improved
performance. MEMS will equip USG teams and partners with a range of worksheets to facilitate
comparative and trend analysis and settings of targets. MEMS will also facilitate a common understanding
of the GoR requirements among USG teams and IPs, as to improve USG's responsiveness and alignment
to GoR's programmatic priorities and reporting requirements.
Building on the numerous interactions with USG teams, IPs and host country institutions, MEMS will
facilitate the development of a USG analytical agenda. Up to three special studies are planned to be
launched/completed during FY 2009. The topics of these studies will be determined by the PEPFAR SI
team and will be designed to shed light on key programmatic challenges facing USG and IPs.
Finally, one important MEMS activity will be to develop a comprehensive training strategy and customize a
5-day training curriculum building on the collaborative M&E needs assessments. The M&E training course
will place particular attention on integrated programming and the importance of implementation monitoring
for informing targeted evaluation/special studies and use of data for program improvement.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.02:
In COP08 MEMS will deploy a web-based database that will facilitate USG data reporting, aggregation,
analysis and use, as well as development and update of annual workplans by implementing partners (IPs).
The version 1.0 of the database will be operational by March 09 and continuously upgraded to respond to
changes in PEPFAR, PMI and OP requirements, and to increase the user friendliness for both implementing
partners and the USG teams. MEMS staff will work closely with the USG teams and implementing partners
and build their M&E capacity for improving analysis and use of quality data for programming and decision
making. Taking advantage of the reporting periods, MEMS will train USG and IP staff on sharing the same
understanding of indicator definitions and reporting requirements, as well as other key dimensions of data
quality, as to immediately improve the validity, reliability, precision and integrity of data reported to and used
by USG teams and IPs.
launched/completed during FY09. The topics of these studies will be determined by the PEPFAR SI team
and will be designed to shed light on key programmatic challenges facing USG and IPs.
Continuing Activity: 16982
16982 16982.08 U.S. Agency for Social and 7585 7585.08 Prtnr Rprtng $100,000
Program Budget Code: 03 - HVOP Sexual Prevention: Other sexual prevention
Total Planned Funding for Program Budget Code: $5,664,000
Total Planned Funding for Program Budget Code: $0
Table 3.3.03:
Continuing Activity: 16984
16984 16984.08 U.S. Agency for Social and 7585 7585.08 Prtnr Rprtng $100,000
Evaluation Management Services (MEMS) Project is to assist PEPFAR and President's Malaria Initiative
(PMI) teams to develop and implement a comprehensive performance management, monitoring, and
reporting program. This program will support compilation and use of data and information that meet and
inform reporting and programming requirements. The MEMS team works closely with and supports the
reporting and performance management needs of these several USG teams, including the PEPFAR, PMI,
and three USAID strategic objective teams. The program is also required to establish strong linkages with
host country institutions that are involved in the monitoring of HIV / AIDS, malaria and other health and
In FY 2008 MEMS is deploying a web-based database that facilitates USG data reporting, aggregation,
The version 1.0 of the database will be operational by March 2009 and continuously upgraded to respond to
making. Taking advantage of the reporting periods, MEMS will train USG and IP staff on indicator
definitions and reporting requirements, as well as other key dimensions of data quality, to immediately
improve the validity, reliability, precision and integrity of data reported to and used by USG teams and IPs.
Program Budget Code: 04 - HMBL Biomedical Prevention: Blood Safety
Total Planned Funding for Program Budget Code: $3,635,001
Program Area Narrative:
BioMedical Prevention
Blood Safety
The goal of the National Center for Blood Transfusion (NCBT) of Rwanda is to reduce the risk of medical transmission of HIV and
other blood borne pathogens and to ensure adequate supplies of safe blood and blood products. The NCBT is responsible for all
transfusion services in Rwanda. With TA from the American Association of Blood Banks (AABB), the NCBT will work towards
these goals through the implementation of blood safety activities in FY 2009. PEPFAR strategy currently supports the NCBT and
AABB through direct funding to improve blood transfusion safety and prevent HIV infections and other infections transmissible
through blood.
In the period covering 2007 to 2008, the NCBT had many notable accomplishments. There have been no blood shortages over
the past 12 months and the Centers in Kigali, Butare and Ruhengeri have collected over 32,000 units of blood. Blood donations in
Rwanda remain 100% voluntary and non-remunerated. All blood units are screened for HIV, Hepatitis B&C, and Syphilis. From
April 2007 to March 2008, 0.51% of all donated blood units tested HIV-positive. The NCBT was also granted autonomous status
by the MOH. Furthermore, key local blood safety staff have been identified and trained. Motor vehicles (double cabins) and a mini-
bus have been purchased and mobile teams use them for blood donor mobilization and collections. MOH/NCBT signed a
Memorandum of Understanding (MOU) with Rwandan Centre for Purchase of Drugs and other Consumables -CAMERWA, a
parastatal institution working under the auspices of the MOH. This MOU has enabled NCBT to have a steady supply of
consumables. The rehabilitation of Kigali regional blood transfusion centre was completed, and the Musanze-Ruhengeri center
was started. Quality assurance manuals and standard operating procedures (SOPs) were developed and validated, and are now
ready for implementation, monitoring and evaluation.
Along with ongoing blood collection, screening and transfusion services, targeted activities in FY 2009 will expand and strengthen
blood safety in Rwanda. There will be an emphasis on building local capacity through the training of blood safety staff at the
NCBT in the areas of blood transfusion medicine, technical components, management, and quality assurance (QA) activities.
New protocols will be implemented to improve donor recruitment in conjunction with community mobilization and sensitization
projects that aim to increase the number of low-risk donors. To ensure donor coverage to a greater percentage of the country, the
western province's center in Kibuye will be rehabilitated. Quality indicators will be developed for blood safety. Finally, the NCBT
will work towards linking blood transfusion to counseling and testing services through the donor notification system, which will
inform sero-positive donors of their HIV status.
Injection Safety
The goal of the PEPFAR Safe Injection Program is to prevent the transmission of HIV and other blood borne pathogens by
reducing the number of unsafe and unnecessary injections and minimizing contact with infectious medical waste. With PEPFAR
support, Rwanda will continue its safe injection activities by: 1) developing and implementing national policies on safe injection, 2)
improving medical practices through the training of healthcare workers and medical waste handlers, 3) procuring necessary
materials for safe injections, 4) improving the safe management of sharps and medical waste and, 5) reducing unnecessary
injections through the development and implementation of targeted advocacy and behavior change strategies.
John Snow, Inc. (JSI), the implementing partner for HMIN, continues to successfully implement safe injection and medical waste
management activities in Rwanda. Since 2004, the Making Medical Injections Safer (MMIS) Program has reached all 30 districts
in the country. In FY 2009, JSI will maintain activities in four technical areas: logistics and central level procurement, training and
capacity development, advocacy and behavior change communication and medical waste management. JSI will provide safe
injection equipment such as auto-disposable syringes and safety boxes to all health facilities and needle cutters to 147 public
health facilities through a continuing procurement partnership with CAMERWA and BUFMAR. Centralized procurement and
supply chain management will be scaled-up to ensure consistent delivery and quality of injection safety supplies to health facilities
throughout Rwanda. JSI will conduct trainings of trainers for healthcare professionals in injection safety and medical waste
management. In FY 2009, PEPFAR will continue to reinforce partnerships between clinical sites and schools of nursing.
In previous years, JSI has been effective at implementing activities that reach the healthcare and general communities with clear
and consistent messaging surrounding safe injection behavior change. These interventions will be sustained in FY 2009 to
reduce the overall number of unnecessary injections.
In FY 2009, JSI will also track safe injection practices and monitor accidental needle sticks of healthcare staff in all public
hospitals and health centers. JSI will begin to work more closely with USG partners to incorporate messages and work practices
of injection safety into their programs.
Supplies needed for injection safety will be purchased by SCMS in FY 2009. JSI will assist SCMS to identify the appropriate
materials and help to develop specifications for the products to ensure that safety injection supplies and distribution of supplies in
Rwanda will be maintained by CAMERWA as a sustained activity.
Male Circumcision (MC):
The overall goal of this activity is to decrease new HIV infections through male circumcision. The program will start with targeted
populations such as the military. However, the long term goal is to scale-up circumcision to the general population. This activity
will be undertaken as a part of an expanded approach to reduce HIV infections in conjunction with other prevention programs,
including HIV testing and counseling, treatment for other sexually transmitted infections, promotion of safer-sex practices and
condom distribution.
The PEPFAR program has worked closely with the MOH and other donors in a national task force to develop a policy that
recognizes the MC is an effective HIV prevention method alongside the ABC strategy. The MOH has also requested donor
support for the initiation of MC services beginning with the Rwanda military (one of Rwanda's most at-risk populations).
In FY 2008, PEPFAR supported the provision of safe male circumcision practices, which included ensuring that MC-provider
training needs are met, and that access to post-circumcision care, the ability to manage and report adverse events, and a system
of risk compensation are in place prior to commencing the MC activity in the Rwanda Defense Force (RDF). In FY 2009 alone, it is
projected that 13,000 MC procedures will occur in the RDF.
This activity supports the PEPFAR and GOR Prevention priorities
Table 3.3.04:
ACTIVITY UNCHANGED FROM FY 2008:
The purpose of the Monitoring and Evaluation Management Services (MEMS) Project is to assist
USAID/Rwanda, the USG Rwanda Interagency President's Emergency Plan for AIDS Relief (PEPFAR) and
President's Malaria Initiative (PMI) teams to develop and implement a comprehensive performance
management, monitoring, and reporting program. This program will support compilation and use of data and
information that meet and inform reporting and programming requirements. The MEMS team works closely
with and supports the reporting and performance management needs of these several USG teams,
including the PEPFAR, PMI, and three USAID strategic objective teams. The program is also required to
establish strong linkages with host country institutions that are involved in the monitoring of HIV / AIDS,
malaria and other health and development activities in the context of the national response.
In FY 2008 MEMS will deploy a web-based database that will facilitate USG data reporting, aggregation,
Continuing Activity: 17065
17065 17065.08 U.S. Agency for Social and 7585 7585.08 Prtnr Rprtng $100,000
Table 3.3.08:
THIS IS A CONTINUING ACTIVITY FROM FY 2008, ALREADY APPROVED
Continuing Activity: 17039
17039 17039.08 U.S. Agency for Social and 7585 7585.08 Prtnr Rprtng $100,000
Table 3.3.09:
establish strong linkages with host country institutions that are involved in the monitoring of HIV/AIDS,
In COP 2008 MEMS will deploy a web-based database that will facilitate USG data reporting, aggregation,
Program Budget Code: 11 - PDTX Treatment: Pediatric Treatment
Total Planned Funding for Program Budget Code: $2,348,199
Table 3.3.11:
This activity will continue unchanged from FY 2008. No narrative required.
ACTIVITY UNCHANGED FROM FY 2008.
changes in PEPFAR, PMI and OP requirements, and to increase the user friendliness for both IPs and the
USG teams. MEMS staff will work closely with the USG teams and IPs and build their M&E capacity for
improving analysis and use of quality data for programming and decision making. Taking advantage of the
reporting periods, MEMS will train USG and IP staff on sharing the same understanding of indicator
definitions and reporting requirements, as well as other key dimensions of data quality, as to immediately
Continuing Activity: 17029
17029 17029.08 U.S. Agency for Social and 7585 7585.08 Prtnr Rprtng $100,000
Program Budget Code: 13 - HKID Care: OVC
Total Planned Funding for Program Budget Code: $13,315,591
Approximately 52 percent of Rwanda's population is under the age of 18 (source: Rwanda General Population Census 2002). The
double impact of genocide and AIDS has resulted in Rwanda having one of the highest proportions of orphans in the world.
UNICEF estimates that by 2010, the majority of orphan cases will be attributable to HIV. The Rwanda National OVC Strategic
Plan (2007-2011) estimates that there are 1,264,000 OVC in Rwanda (of all causes). The UNAIDS report for 2008 puts the
number of orphans due to AIDS in Rwanda at 220,000. An additional 27,000 are children living with HIV.
The USG is the primary donor in OVC service provision and focuses on beneficiaries aged 0-17 infected or affected by HIV and
AIDS. UNICEF, the other major international donor working with OVC, focuses only on central level TA and provides no direct
services. As of March 2008, USG assistance had reached an estimated 52,883 OVC with a menu of services that mirrors that of
the GOR, including school fees, vocational training, health insurance, food aid, psychosocial support, and HIV prevention
education.
In its final year Community HIV/AIDS Mobilization Program (CHAMP) is, in FY 2008, playing the lead role in coordinating USG
efforts to assist OVC and their families. CHAMP is assisting the GOR with strengthening district and sector level children's forums
and orphan care committees. These efforts are ensuring the participation of children and local leaders in OVC activities as well as
coordination of services for OVC. In the past year, OVC programming used a model of service delivery through Rwanda Partner
Organizations (RPOs), which will be scaled up in FY 2009 under the CHAMP follow-on activity. This model ensures that
identification of beneficiaries is transparent, services are appropriate, and the program is sustainable as local capacity is built and
strengthened through on-going skills transfer. The follow-on activity will be designed to prepare for the end of Track 1-funded
agreements.
To expand OVC access to include direct food aid, USG awarded a cooperative agreement in FY 2008 to a consortium of food
partners (Ibyiringiro Project) led by Catholic Relief Services (CRS) to provide other essential OVC services in addition to food
assistance. To ensure OVC access to legal aid, PEPFAR funding is providing support to Avocats Sans Frontiers that works
closely with the Kigali Bar Association to provide legal services to vulnerable groups. In FY 2008, PEPFAR will fund a follow-on
activity that will have several months of overlap with the existing community services program in order to ensure a smooth
transition for existing beneficiaries. This overlap will ensure continued support to OVC and the retention of existing targets. To
enhance the coordination of OVC services, PEPFAR is supporting a full-time position at Ministry of Gender and Family Promotion
(MIGEPROF) in FY 2008.
In FY 2009, the overall strategy for providing services to OVC will not change. Partners will either directly provide OVC services or
refer them to other care and support programs in USG districts. PEPFAR and its partners will continue as active members of the
OVC TWG which coordinates quality OVC programming, and is presently analyzing the recently completed OVC situation
analysis and vulnerability criteria. Service delivery and quality of care will be improved in FY 2009 by standardization of services
among implementing partners and the use of the Child Status Index to monitor the children's wellbeing. The CHAMP follow-on will
oversee the task of significantly increasing the number of beneficiaries by providing the needed technical and programmatic
assistance to allow local partners and communities to take the lead in providing OVC services.
In FY 2009, OVC partners will continue to work closely with local women's groups, community and faith-based organizations
(C/FBOs), and PLHIV associations to provide technical training in OVC care and support as well as institutional capacity building
for these C/FBOs. Implementing partners will continue to use the household centered approach which links OVC services to the
family unit caring for OVC. In an effort to sustain the gains made in the past, the focus of OVC programming in FY 2009 will be to
strengthen households' socio-economic capacity to care for OVC through scaling up of income generating activities (IGAs) and
saving schemes. Implementing partners will mobilize communities to increase their participation in OVC care, monitoring and
evaluation. To ensure that the needs of children most affected by HIV are addressed, stronger links will be established and
maintained between OVC services and other programs (TC, PMTCT, palliative care and ART). The GOR and USG clinical
partners will continue identifying and treating HIV-positive OVC. In FY 2009 PEPFAR will support GOR in strengthening central
and local level coordination, monitoring and evaluation of OVC services by funding and rolling out the M&E framework of the
National Strategic Plan of Action for OVC through a collaborative process involving all stakeholders. Implementing partners will
support GOR in improving the OVC database by regularly providing updated information on: number of, gender and age
disaggregated OVC being served, type of services provided, and area of operation.
The PEPFAR OVC strategy will continue to leverage other sectors to provide optimal services to the affected population,
wraparound programming and adopting best practices. PEPFAR activities for OVC will wrap around PMI, microfinance, education,
youth employment, food assistance, HIV prevention and TC activities to ensure integration and linkages with other USG
funded/PEPFAR activities. In FY 2009 the CHAMP follow-on, Regional Outreach Addressing AIDS through Development
(ROADS), Ibyiringiro and Track 1.0 partners will reach an estimated 61,560 OVC and train over 8,044 OVC caregivers.
Table 3.3.13:
with and supports the reporting and performance management needs of several USG teams, including the
PEPFAR, PMI, and three USAID strategic objective teams. The program is also required to establish strong
linkages with host country institutions that are involved in the monitoring of HIV/AIDS, malaria and other
health and development activities in the context of the national response.
In FY 2008 MEMS is deploying a web-based database that will facilitate USG data reporting, aggregation,
In support of FY 2009 planning meetings, MEMS will work with USG teams, technical working groups and
comparative and trend analysis and settings of targets. Accordingly, MEMS will facilitate joint performance
analysis to raise common understanding of key programmatic issues, maximize data driven programming
and encourage constructive dialogue between activity managers and their respective implementing partners
on areas of concerns related to programmatic issues and/or target setting. An important focus will be to
support analysis of USG support and partner data with respect to the overall country context and
achievements, as specific planning and reporting requirements of the Government of Rwanda (GOR).
MEMS will also facilitate a common understanding of the GOR requirements among USG teams and IPs,
as to improve USG's responsiveness and alignment to GOR's programmatic priorities and reporting
requirements.
launched/completed during FY 2009. These studies will be designed to shed light on to key programmatic
challenges facing USG and IPs.
Continuing Activity: 17031
17031 17031.08 U.S. Agency for Social and 7585 7585.08 Prtnr Rprtng $100,000
This is a new mechanism in FY 2009. This activity was TBD and now has a new prime partner.
In FY 2008, MEMS will deploy a web-based database that will facilitate USG data reporting, aggregation,
five day training curriculum building on the collaborative M&E needs assessments. The M&E training
course will place particular attention on integrated programming and the importance of implementation
monitoring for informing targeted evaluation/special studies and use of data for program improvement.
Continuing Activity: 17034
17034 17034.08 U.S. Agency for Social and 7585 7585.08 Prtnr Rprtng $100,000
Program Budget Code: 15 - HTXD ARV Drugs
Total Planned Funding for Program Budget Code: $10,860,593
The Government of Rwanda (GOR) and its USG partners are committed to scaling up quality HIV/AIDS treatment services to
allow universal access to anti-retroviral drugs (ARVs). Many successes have been realized to date which have resulted in
reduced HIV transmission and many saved lives.
As of the end of July 2008, according to the CIDC, 57,960 patients (52,816 adults and 5,144 children) were on ARV medication
(supported by all donors). Each month an average of 1,100 additional persons are placed on ARVs in Rwanda. It is estimated
that approximately 150,000 persons in the country are living with HIV (EPP Spectrum Epidemiology 2008).
Out of 308 projected ART sites in Rwanda, by June 2010, 149 of these will be supported by PEPFAR, with approximately 65,000
patients anticipated to be on ART.
PEPFAR is also supporting the scale up and coordination of rational drug use, pharmacovigilance, and supply chain management
programs through efforts of the MOH, the Pharmacy Task Force, Supply Chain Management System, DELIVER, Strengthening
Pharmaceutical Systems and CIDC.
Various strategies are being utilized to enhance the efficiency and effectiveness of ARV treatment for people living with HIV/AIDS.
These include rehabilitation of district pharmacies; training of pharmacists; coordinating and streamlining Logistics Management
Information Systems; utilizing the newly developed warehouse computer system at CAMERWA to limit stock outs and ensure
medications with short expiration dates are used in a timely manner; and utilization of updated communicable disease treatment
guidelines. Finally, close collaboration and integration of HIV counseling and testing, PMTCT and TB/HIV programs is further
enhancing ARV treatment efforts in Rwanda.
PEPFAR is facing an imminent challenge in its support to the Rwandan HIV/AIDS treatment program. The GOR is proposing to
switch to the more expensive Tenofovir (TDF) second-line treatment regimens by July 2009 and all new patients as well as those
already on first-line treatment regimens that experience treatment failure are expected to switch to this TDF regimen. As many as
13,200 or more patients per year could be on the TDF regimen within a year after it is implemented.
This switch in drug regiment poses significant challenges to PEPFAR given available funding levels.
PEPFAR has partially addressed these modifications in the national ART treatment policy by increasing the ART procurement
budget by $500,000 beyond the FY 2008 funding level to try and ensure that clinical partners can comply with the new national
guidelines. The total cost of ARVs based on utilization of the new regimen could by itself amount to over $12,900,000 per year.
Close coordination with other partners whose financial support helps pay for ARV medications will be needed to ensure continued
ARV treatment success in Rwanda.
Table 3.3.15:
This activity will continue with a new prime partner. The purpose of the Monitoring and Evaluation
Management Services (MEMS) Project is to assist USAID/Rwanda, the USG Rwanda Interagency
President's Emergency Plan for AIDS Relief (PEPFAR), and President's Malaria Initiative (PMI) teams to
develop and implement a comprehensive performance management, monitoring, and reporting program.
This program will support compilation and use of data and information that meet and inform reporting and
programming requirements. The MEMS team works closely with and supports the reporting and
performance management needs of the USG teams. The program is also required to establish strong
analysis and use, as well as development and update of annual work plans by implementing partners (IPs).
The version 1.0 of the database will be operational by March 2009, and it will be continuously upgraded to
respond to changes in PEPFAR, PMI and OP requirements and to increase its user friendliness for both
implementing partners and the USG. MEMS staff will work closely with the USG and implementing partners
develop or update their performance monitoring plans (PMPs). MEMS will use the results of these
assessments to target its technical assistance to particular USG and implementing partners facing specific
M&E challenges. Working collaboratively with the USG, IPs, the M&E technical working groups and relevant
host country institutions, MEMS will also facilitate an agreement on common standards for data quality with
USG teams and IPs as to provide the basis for the implementation of data quality assessment and
improvement (DQAI) activities.
performance. MEMS will equip the USG and partners with a range of worksheets to facilitate comparative
and trend analysis and settings of targets. MEMS will also facilitate a common understanding of the GOR
requirements among USG teams and IPs, as to improve USGs responsiveness and alignment to GORs
programmatic priorities and reporting requirements.
Finally, one important MEMS activity will be to develop a comprehensive training strategy and to customize
a 5-day training curriculum building on the collaborative M&E needs assessments. The M&E training
Continuing Activity: 16958
16958 16958.08 U.S. Agency for Social and 7585 7585.08 Prtnr Rprtng $200,000
Estimated amount of funding that is planned for Human Capacity Development $55,000
Table 3.3.17:
