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
AIDSRelief is a comprehensive anti-retroviral therapy program in ten countries over sub-Saharan African and the Caribbean. In Rwanda, AIDSRelief is providing treatment to more than 3,721 people, including 524 children. Based on its successes and lessons learned from the past year of project implementation, the AIDSRelief program in Rwanda will continue to expand access to treatment services to reach 4,972 patients by the end of February 2011.
The goal of this Consortium is to ensure that people living with HIV/AIDS have access to quality HIV care and treatment and that they are supported for successful adherence that assures viral suppression. AIDSRelief intends to expand, on a sustainable basis, the provision of ART to the greatest number of needy patients in these ten countries, consistent with good medical science, national priorities and programs, and cost-effective deployment of program resources. In this regard, AIDSRelief is committed to working in close collaboration with the Government of Rwanda and the in-country US government team to help strengthen the infrastructure of the MOH in general, through increasing liaison with the District Health Team, and specifically, the capacity of the health staff of its points of service to provide quality antiretroviral therapy.
AIDSRelief has established a multi-disciplinary technical assistance team for Rwanda, the Country Technical Coordinating Team (CTCT), which is responsible for overseeing the implementation of the program. The CTCT includes people with expertise in HIV/AIDS clinical care for adults and children, palliative care, patient adherence, laboratory diagnostics, prevention of mother-to-child transmission, drug procurement and pharmaceutical services, financial and grant compliance, and the management of strategic information. Together with corresponding sections of the Government of Rwanda, the Ministry of Health/TRAC and the in-country US Government team, the CTCT and AIDSRelief will make an impact on this disease, for the benefit of all persons now living with HIV/AIDS in Rwanda.
AIDSRelief is contributing to the achievement of Partnership Framework goals through its activities notably the expansion of the geographical coverage in Nyamasheke District, the improvement of the quality of the comprehensive HIV Treatment, care and support provided; and the strengthening of national staff expertise on HIV Prevention, Treatment, Care and Support at National, District and Health facility levels:
• AIDSRelief has expanded its HIV services from 3 to 20 LPTFs in Nyamasheke and Burera districts
within the past four years. • As of October 31, 2009, the program has enrolled 9,722 patients in care, of which 3,721 are on treatment. Overall, there has been over a 34% increase in both care and treatment enrollment between FY08 and FY 2009. • AIDSRelief has strengthened staff capacity for the use of the new PMTCT protocol, focused on evidence-based maternal and pediatric HIV care; trained and mentor site staff on early HIV diagnosis (DBS, clinical) and provided transition feeding assistance to exposed Infant. • At all AIDSRelief supported sites, PLWHA systematically receive opportunistic infection prophylaxis, treatment and other co-infection treatment according to national guidelines. • An effective system was put in place by AIDSRelief with facility-based case managers, health community leads, health care workers, and community-based volunteers to ensure continuum, coverage and quality of basic care and psychosocial support to PLWHA which contributes to reduction of stigma and discrimination of PLWHA and OVC in the community. • In collaboration with CAMERWA and SCMS, AIDSRelief provided TA to health facilities to ensure the availability and rational use of quality drugs and commodities.
AIDSRelief is supporting 20 Health Facilities including 19 (17 health centers, 2 district hospitals) in Nyamasheke District, Western Province deserving 353,207 and one health center in Bungwe Sector in Burera District Northern Province deserving 24,810 inhabitants.
AIDSRelief is contributing to health system strengthening at all levels. Staff at Health facilities received intensive clinical training and mentoring, training on data management and use of IQChart software for patient management and monitoring, technical support on finance, compliance and administration. At community level, AIDSRelief emphasized community outreach and home care through PLVIH associations, community health leads and volunteers. As part of AIDSRelief Rwanda's commitment to build the national capacity in HIV care and treatment services, AIDSRelief has been working closely with government counterparts, TRAC Plus-CIDC and the National Reference Laboratory (NRL), training and mentoring over 150 health professionals. Training contents ranged from basic HIV care and treatment to strengthening the capacity for diagnosis of extra pulmonary TB among PLVIH.
To ensure monitoring and evaluation of the planned activities, AIDSRelief will strengthen monitoring and data management systems for collecting, managing and analyzing clinical data at LPTFs. AIDSRelief will work with TRAC Plus by providing technical assistance to the sites to integrate, modify and improve their existing medical records system to meet the reporting requirements of TRAC Plus/MOH, donor and other stakeholders.
With TRAC Plus/MOH, AIDSRelief will continue to identify areas of system strengthening to enable
organizations to enhance and sustain HIV service delivery. Specific efforts will focus on promoting integration of supervision and mentoring activities with district hospitals' support teams and TRAC/MOH mentoring teams, on-going assessment of local partner's strengths and weaknesses, and mentorship in the area of strategic information.
In FY 2010, AIDSRelief will continue to provide technical support to PEPFAR partners using IQChart (International Quality Clinical HIV/AIDS Registry Tool). AIDSRelief will mentor Monitoring and Evaluation officers on the released vision of IQChart containing PMTCT, OIs and STIs indicators; support the National Strategic Information Technical Working Group in process of rolling out the new HIV data management system; and Partner with MOH on the EMR and HMIS working group.
AIDSRelief will continue to build the data quality culture of LPTF staff to ensure quality (clean, complete and valid) of chronic care data through Data Quality Audit mentoring activities at District and LPTFs level. AIDSRelief will continue to support CTCT and district health teams in defining clinical indicators that will help LPTF address gaps in program services. AIDSRelief will also continue to provide local partners with data analysis tools and methods, and build capacity at LPTF in routine program data collection and analysis (using systems including but not limited to IQChart).
AIDSRelief Strategic information staff will continue to build LPTFs capacity to ensure compilation and timely submission of reports required by stakeholders & donors including TRAC Plus, CDC, OGAC and other LPTF & CTCT specific reports. In accordance with transition philosophy, the SI team will provide relevant Technical Assistance to ensure LPTFs receive information in a timely manner and are able to generate their own reports. AIDSRelief will continue technical capacity transfer to local partners that will focus on reinforcing data management capacity and monitoring, building data demand and information use (DDIU) so that local partners can generate their own reports, thereby enhancing data ownership (Sustainability). The SI team and District health Directorate team will develop a plan and outline activities that promote the use of SI to enhance Local Partner service delivery.
AIDSRelief will continue the mentorship on IQChart in LPTFs to strengthen their capacity to accurately collect, enter, store and retrieve program data for use in planning, monitoring, reporting, and improving quality, and demonstrated ability to fulfill GOR/MOH and donor reporting requirements. AIDSRelief will continue the ongoing Information Technology support (Computer Software and Hardware troubleshooting, including anti-virus update) in all LPTFs.
