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: 2010 2011
This activity will continue activities launched in COP 08 and continued in COP 09. The overall goal of the HEALTHQUAL program is to provide technical assistance through a coaching and mentoring model to an in-country TRAC Plus and MOH/UPDC-led team to develop a more facility-driven quality management program and to assist in the Track 1.0 transitioning process in Rwanda. HEALTHQUAL will collaborate with and complement other PEPFAR related initiatives such as the HSS USAID project and CDC HSS technical support. To reach its programmatic goals, HEALTHQUAL will:
1. Support the monitoring activities for the Track 1.0 transition process and evaluation of the quality of clinical services provided during transition; 2. Provide technical assistance to TRAC Plus and MOH/UPDC to strengthen their quality improvement activities and the capacity of the transition task force to shift the currently partner-driven quality management approach to one that is facility-driven
Evaluation and quality improvement capacity building activities will be provided to those clinical sites being transitioned as well as other health facilities identified as requiring additional support. Furthermore, staff within TRAC Plus and MOH/UPDC units are target audiences for quality improvement capacity building activities and trainings provided by HEALTHQUAL.
HEALTHQUAL staff and the HEALTHQUAL Program Manager, a position subcontracted through the University of Maryland, will implement a scope of work focused on evaluating the quality of clinical services provided during the Track 1.0 transition process and activities conducted to build quality management capacity at TRAC Plus and MOH/UPDC, thereby strengthening the ability of the transition task force to effectively transition currently partner-driven quality improvement activities to a facility-driven approach.
As the monitoring and evaluation plan for the Track 1.0 transition process is developed and implemented in early 2010, HEALTHQUAL will begin to evaluate the quality of clinical services at transitioning sites based on clinical care indicators. Throughout COP 10, HEALTHQUAL will assist with periodic site level assessments conducted to address clinical quality during transition. Assessments will also be made of the quality improvement structures in place at transitioning sites and technical assistance provided to build capacity of sites to develop the programmatic structures necessary to support a comprehensive quality management program.
Through coaching and mentoring services provided to TRAC Plus and MOH/UPDC units, HEALTHQUAL will build quality management capacity in those units. Furthermore, by assisting TRAC Plus and MOH/UPDC in providing quality management training to health facilities throughout Rwanda, HEALTHQUAL will build capacity at the site level through knowledge transfer related to performance measurement and quality improvement.
Transition to country-ownership of a quality management program is at the heart of the HEALTHQUAL methodology of capacity building. All technical assistance and coaching/mentoring provided by HEALTHQUAL is aimed at developing the capacity of in-country TRAC Plus and MOH staff to conduct the necessary activities to support quality management at the national, district, and facility levels, and to assist MOH in the integration of quality management into its approach to HIV treatment as well as other
public health concerns.
HealthQual staff and the HealthQual program manager, a position subcontracted through the University of Maryland, will implement a scope of work focused on evaluating the quality of clinical services provided during the Track 1.0 transition process and activities conducted to build quality management capacity at TRAC Plus, other MOH units, and district health facilities. HealthQual will collaborate with MOH, USG, and stakeholders to facilitate the development of a national quality management program. Additionally, HealthQual will collaborate with and complement other PEPFAR initiative son health system strengthening and technical support.
As the monitoring and evaluation plan for the Track 1.0 transition process is developed and implemented in early FY 2010, HealthQual will begin to evaluate the quality of clinical services provided at transitioning sites based on clinical care indicators. Throughout FY 2010, HealthQual will conduct periodic site level assessment to address clinical quality during transition. Assessments will also be done on the quality improvement structures in place at transitioning sites and the technical assistance provided to build the capacity of sites to develop the programmatic structures necessary to support a comprehensive quality management program.
To complement and strengthen the Integrated Formative Supervision system being developed by MOH, HealthQual will assist in the development and implementation of performance measurement and quality improvement activities conducted by MOH. Through coaching and mentoring services provided to TRAC Plus and UPDC staff and unit heads, HealthQual will build quality management capacity in within the MOH. By providing quality management training to district health facilities throughout Rwanda, HealthQual will build capacity at the site level through knowledge transfer related to performance measurement and quality improvement.
As MOH seeks to harmonize the various quality improvement activities conducted in Rwanda by different implementing partners, HealthQual will assist and collaborate on the development of a national quality management program. HealthQual staff have decades of combined experience in running a government-based HIV quality management program and will provide that expertise to the Rwandan initiative.
Transition to country-ownership of the quality management program is at the heart of the HealthQual methodology of capacity building. All technical assistance and coaching/mentoring provided by HealthQual is aimed at developing the capacity of in-country MOH staff to conduct the necessary activities to support quality management at the national, district, and facility levels, and to assist MOH in the integration of quality management into its approach to HIV treatment as well as other public health concerns.
