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 2012
The goal of this program is to strengthen the capacity of the MOH to integrate TB/HIV services, provide quality pediatric HIV care, and give laboratory support to HIV and TB programs.
SCMOH employs different approaches to ensure capacity-building, including:Transfer of capacity to the staff of various institutions via technical working groups, meetings, trainings and institutional supportShare tools and best practices with MOH and other partners
In COP12, the SCMOH Program will responsibly reduce TA in recognition of increased capacity and ownership in the MOH for these supported activities.
SCMOH will continue to strengthening the capacity of RBC/IHDPC by providing technical support for the implementation of the scale-up plan for TB/HIV collaborative activities with a focus on Isoniazid preventive therapy.
SCMOH will continue to strengthen HIV and TB-related laboratory services within the national laboratory network, through TA to the NRL. This will include support for implementation of the GeneXpert technology, the laboratory accreditation process, and the laboratory component of the national cervical cancer screening and treatment program.
SCMOH will continue to provide technical support to increase national capacity to provide quality pediatric HIV care and treatment. The main focus will be on continued support to RBC/IHDPC and CHUK for the finalization of a training package for decentralized district trainings and adoption of the adolescent curriculum nationally. SCMOH will also continue to support CHUK to implement comprehensive adolescent-friendly HIV services and its expansion to Ruhengeri Hospital Adolescent Model Center.
No vehicles have been purchased or leased during the life of this project or are planned for COP12.
The overall goal of this activity is to build MOH capacity to support national TB/HIV integration at all levels. In the first four years of SCMOH, SCMOH has successfully supported RBC/IHDPC in TB/HIV capacity building including development, revision and updating of TB/HIV guidelines for adults and children, revising training materials and job-aids, sharing best practices, improving TB diagnosis, and enhancing supervision, monitoring and evaluation of TB/HIV collaborative activities.
In COP12, Year 5 of the SCMOH mechanism, SCMOH will scale back its support to RBC/IHDPC for TB/HIV integration activities, while continuing focused technical assistance to the HIV division. A key COP12 focus area will be updating of guidelines, curriculums and tools, specifically for integration of Isoniazid Preventive Therapy (IPT) in the package of TB/HIV collaborative activities. This will include finalization of the implementation model for IPT at HIV care and treatment sites nationwide, based on lessons learned during the initial implementation phase at three selected sites and updating of the TB screening algorithm based on the findings of the public health evaluation on the operating characteristics of the current TB screening questionnaire. SCMOH will work closely with RBC/IHDPC to scale up IPT nationally through support and capacity transfer to the national mentorship team for training, mentorship and supportive supervision. In addition, SCMOH will support the HIV Division to conduct regular program review of the implementation process and results of IPT. Quality of TB/HIV activities and TB/HIV reporting will be a key focus.
SCMOH will support MOH in the elaboration of abstracts to be submitted to national and international conferences and sharing of the Rwanda TB/HIV experience in different fora. Following the GOR guidance on reducing support for conferences and meetings, this is not intended to include support for attendance or implementation.
By the end of COP12, support for implementation of TB/HIV integration program activities at the decentralized and facility level will be fully transitioned to MOH with the goal of maintaining high quality TB/HIV care long-term.
The overall goal of this activity is to support the Ministry of Health to expand high quality pediatric HIV care at all levels. In the first four years of SCMOH, the USG has supported RBC/IHDPC in development and revision of national pediatric guidelines, program tools and training materials and supported the pediatric model center.
In COP12, SCMOH will continue to provide technical support to RBC/IHDPC and CHUK for the revision, update and validation of the adolescent HIV care and treatment guidelines, tools and job aids; and will together implement the adolescent training curriculum for training of trainers in order to enhance expansion of high quality adolescent HIV care at decentralized levels.
In addition, SCMOH will provide technical support to RBC/IHDPC to update and shorten the pediatric HIV care and treatment training materials in use at CHUK to a one week training module to be used by district hospitals to train health centers care providers. These materials will emphasize early HIV diagnosis and treatment, especially for infants and young children, adolescent care, and appropriate follow up and management of treatment failure.
SCMOH will support MOH in the elaboration of abstracts for national and international conferences and sharing of the Rwanda pediatric HIV experience in various fora. Following the GOR guidance on reducing support for conferences and meetings, this is not intended to include support for attendance or implementation.
The overall goal of this activity is to strengthen NRL and the national TB and HIV laboratory network to enhance clinical services by expanding access to diagnostic and monitoring tests for HIV & TB and strengthening QA/QC programs. In the first four years of SCMOH, SCMOH has supported NRL, CHUK and CHUB in renovation and equipment of the TB laboratories, introduction of new technologies (e.g., liquid culture, drug sensitivity testing PCR), quality assurance and development of SOPs and guidelines.
In COP12, SCMOH will continue technical support to NRL and the laboratory network. This support includes strengthening TB diagnostic capacity by supporting NRL to introduce new technologies. Specifically, SCMOH will take the lead in providing technical support for the implementation and roll out of GeneXPert technology for the diagnosis of TB and multidrug-resistant TB through development of SOPs, training materials, supervision and quality control in collaboration with other partner institutions (WB and Global Fund).
SCMOH will continue to provide technical support to strengthen laboratory management towards accreditation through training and monitoring of the accreditation process and technical support for quality assurance (QA) programs via participation of health facility labs in both international and national EQA programs.
In addition, SCMOH in coordination with the technical working group and other implementing partners will support MOH in the laboratory component of the national cervical cancer screening and treatment program for implementation of HPV DNA testing through revision and updating of SOPs and guidelines, organization and facilitation of decentralized specific HPV DNA lab training, QA and supervision.
SCMOH will support MOH in the elaboration of abstracts to be submitted to national and international conferences and sharing of the Rwanda TB and HIV laboratory experience in different fora. Following the GOR guidance on reducing support for conferences and meetings, this is not intended to include support for attendance or implementation.
The overall goal of this activity is to support MOH to expand high quality pediatric HIV care and treatment services at all levels. In the first four years of SCMOH, SCMOH has supported RBC/IHDPC and CHUK in development and implementation of an advanced pediatric HIV care and treatment training program at CHUK.
In COP12, SCMOH will continue to provide technical support to CHUK pediatric center to establish adolescent-friendly clinics, implementing a model with more emphasis on psychosocial support, primary and secondary prevention, reproductive health and life skills building through educational sessions and exercises. Lessons learned from the implementation of the adolescent care model at CHUK will guide national scale up of the model at district hospitals.
SCMOH will also support RBC/IHDPC HIV Division to expand and strengthen adolescent care at the adolescent model center at Ruhengeri District Hospital through regular supervision and mentorship.
