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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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: 2012
The overall goal is to strengthen the HIV/AIDS prevention capability within the Rwanda defense forces through safe voluntary medical male circumcision services. In order to align with GOR priorities to strengthen human resource for health, JHPIEGO is committed to: transfer skills and knowledge to Rwanda defense force health care providers by training a pool of trainers and managers who will be able to handle subsequent VMMC program implementation within the RDF (more than 20% of program effort will be dedicated to this area); establish a center of excellence within the Rwanda military hospital that will be used for development of skills and innovations in male circumcision in general; and ensuring an enabling environment for quality and safe services as well as creating demand within the RDF.
In order to mitigate the issues of staff turnover as well as ownership and sustainability within the defense force, JHPIEGO will work closely with the Directorate of Military Medical Services and Medical Battalion to ensure a staff retention and replacement plan through innovative approaches like on-site training, mentorship, self -paced learning and supervision. Task-shifting/sharing will also be encouraged for efficient and accessible service delivery as per national standards and international guidance. Innovations such as MOVE (Model for Optimization of Volume and Efficiency), collaboration with nearest public health facilities within the Ministry of Health structures and Mobile VMMC Clinics will be promoted in order to meet the national goal of 2 million of the 15-49 year old HIV negative men by June 2013 as part of a comprehensive HIV prevention program. This will not only ensure transfer of skills but also be more cost efficient.
No vehicle purchases are planned in COP12.
The geographic coverage considers all the five provinces with 13 sites in addition to the mobile clinic services reaching 15,000 soldiers including family members to be circumcised. The pool of national trainers and supervisors will be strengthened and used for quality control follow-ups with nationally agreed standards for VMMC. In collaboration with PSI and DMS, IEC materials will be disseminated and messages promoted within the target population. VMMC is not replacing other known methods of HIV prevention and will be considered as part of a comprehensive HIV prevention package which includes routine counseling and testing for all men and, where possible, their partners attending MC services; age-appropriate sexual risk reduction counseling; and counseling on the need for abstinence from sexual activity during wound healing; and promotion of correct and consistent use of condoms. All trainings will be based on WHO/UNAIDS/JHPIEGO MC reference manual and will be tailored to the Rwanda National MC guidelines. A linkage strategy to other HIV/AIDS and Reproductive health services will be clearly defined.
JHPIEGO in collaboration with RDF will put in place a detailed and focused M&E plan that will rigorously monitor project activities. A management Information system will track inputs and outputs such as number of providers trained, equipment and consumables used and the number of clients seeking and receiving MC. The Rwanda Defense Forces health facilities will require renovation and refurbishment in order to meet the minimum standards to offer safe and quality VMMC services.