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.
These funds will be used to support technical area staff.
Since FY 2004, USAID has supported the GOR in its Adult Care and Support activities, and will continue to support access to a comprehensive range of basic care and support services, including clinical and non-clinical (prevention, psychological, spiritual, and social care services) interventions at both the facility and community level. In FY 2010 USAID will continue to support the GOR nationwide plan to rapidly scale-up HIV prevention, care, and treatment services.
USAID anticipates continuing direct financial and technical support to Rwanda NGOs in sponsoring or attending conferences, workshops and technical meetings on HIV treatment. USAID will also support direct TA to other GOR agencies as needed, in particular CNLS which oversees community and home- based care activities in Rwanda.
In FY 2009, as part of the USG's commitment to a multi-sectoral comprehensive care approach to PLWHAs, PEPFAR incorporated best practices of IGAs into the design of a new community care program starting. Through PEPFAR, Title II food assistance, and economic growth activities, PEPFAR is engaged in promoting IGAs in Rwanda to improve livelihoods through increased incomes from running profitable businesses. USG supports a range of IGAs including a ten year investment in the specialty coffee value chain for farmers to one-time small grants to community associations for livestock or arts and crafts. Many of PEPFAR and other donor financed IGAs target vulnerable populations including people living with HIV.
It is envisioned that follow-on IGA activities in community care will be managed by the Economic Growth team and provide opportunities for wrap around programming. USAID is interested in identifying how many of these IGAs are operated by PLWHAs and/or associations funded through PEPFAR as well as the impact of these programs. This will enable PEPFAR to move to a more structured approach to IGA programs and ensure long-term sustainability of those programs.
To monitor and support the implementation of these activities, three positions are funded through this activity. These positions include the vacant PSC Community Health Advisor, partial funding for the FSN Senior Clinical Advisor, and the FSN Care and Support Specialist. In FY 2010, it is proposed to add a new FSN Nutrition Specialist position.
In FY 2010, USAID will continue supporting all levels of the decentralized ART network, starting from central level institutions and extending to the community as the most peripheral point of service. USAID will continue to work with GOR and other donors to evaluate and ensure the quality of HIV-related services. The enrolment of patients in the currently supported sites, and expansion of services to a limited number of new ART facilities will continue.
USAID anticipates continuing financial and technical support to Rwanda NGOs in sponsoring or attending conferences, workshops and technical meetings on HIV treatment. USAID will also support direct TA to other GOR agencies as needed, in particular CNLS.
The FSN Senior Clinical Advisor position is partially funded from the HTXS Program Area.
This activity cuts across all Program Areas, and will support all FY 2010 activities. Currently, HVSI funds two PEPFAR staff dedicated to strategic information - an SI Liaison Officer and an FSN M&E Program Manager. The SI Liaison serves as the principal field counterpart to the Core Team SI Advisor and supports all PEPFAR implementing agencies. This position provides leadership and directs high quality technical expertise to the USG PEPFAR team in Rwanda in the development and implementation of strategic information systems to meet the needs of PEPFAR. The SI Liaison also advises senior GOR counterparts in the strengthening of one national monitoring and evaluation (M&E) system in Rwanda and promotes the application of data to improve program performance.
The M&E Program Manager provides TA to USG on all M&E activities, with a primary focus on PEPFAR monitoring and reporting activities. The Program Manager manages the synthesis, analysis and transmission of all PEPFAR-funded partner reports, correspondence, and work plans. The Program Manager also contributes to overall strategy development through analysis of partner reports and country
data.
In addition to these key SI positions, USAID/Rwanda anticipates continuing financial and technical support to local NGOs and GOR agencies by sponsoring attendance at conferences, workshops and technical meetings on HIV prevention, care, and treatment, as well as on health systems development.
USAID/Rwanda has been providing local and international TA to GOR institutions and limited direct grants to local NGOs since FY 2004. In FY 2009, PEPFAR expanded the TA to further build local capacity. These resources covered the cost of sponsoring and attending conferences, workshops and technical meetings on HIV prevention, care and treatment. USAID anticipates continuing this financial and technical support role in FY 2010.
USAID will also support direct TA to GOR agencies as needed, in particular CNLS. In addition, PEPFAR will continue to utilize the expertise and resources of the USAID Energy team to help the PEPFAR clinical partners to better gauge the energy needs of their facilities. This will help ensure that facility upgrades are able to accommodate all necessary equipment and activities. Assistance will include: review of the capacity of Rwandan companies to maintain renewable and hybrid energy systems; train PEPFAR partners and health care staff on renewable energy systems; and recommend methods for partners to self-finance replacement parts to ensure sustainability of the energy systems.
Through Atelier Centrale de Maintenance (ANC), USAID will provide support for the overall National Maintenance of these systems. ANC will develop an inventory of energy services, and a maintenance plan for existing and future energy sources that PEPFAR funds for delivery of HIV services.
The already filled PSC Health Economist position is supported by OHSS funds. In FY 2010 an additional FSN Systems Strengthening position is proposed with OHSS funding.
In FY 2010 USAID will build upon AB activities developed in FY 2009, and will continue local and
international technical support to the GOR. USAID will also support direct TA to other GOR agencies as
needed, in particular CNLS and the Ministry of Gender and Women in Development (MIGEPROF).
Additionally, USAID will continue to provide financial and technical support to Rwandan NGOs in
sponsoring or attending conferences, workshops and technical meetings on HIV prevention. In FY 2009,
the Prevention Advisor position was changed from a Global Health Fellows Position to a PSC. In FY
2010 this position will be partially funded through HVAB. The funding for this position is distributed in
HVAB and HVOP.
USAID/Rwanda has been providing local and international TA to GOR agencies and limited direct grants to local NGOs since FY 2004. In FY 2010, OP activities will continue to strengthen activities developed in FY 2009 to build local capacity, and provide HVOP services in Rwanda. USAID anticipates continuing direct financial and technical support to Rwandan NGOs in sponsoring or attending conferences, workshops and technical meetings on HIV prevention. USAID will also support direct TA to other GOR agencies as needed, in particular CNLS which oversees HIV prevention activities in Rwanda.
Partial funding for the HIV/AIDS Prevention Advisor is supported through HVOP. Funding for this position is distributed in HVOP and HVAB.
In FY 2010, USAID will continue to support sustainability of PMTCT services. USAID will also continue to
provide support to GOR for program coordination and management (including support to decentralization
and district involvement), and capacity building. In line with GOR and PEPFAR strategy and
sustainability goals, USAID will ensure through its partners that sustainability of service improvements
are reflected in program outcomes. In FY 2010 the currently vacant FSN-PMTCT Advisor position will be
supported through PMTCT budget code funding.
To support the Commodity and Logistics Advisor, and to build the National staff capacity, ultimately
leading to transfer of responsibilities at the National level, an additional position for a locally hired
Commodities and Logistics Specialist is proposed for FY 2010.
