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: 2012 2013 2014 2015
The Partnership for Advanced Clinical Mentorship (PACM) will support the MOH through clinical mentorship, supervision, and continuous quality improvement as well the development of evidence-driven national policies, guidelines, and training materials as needed. The initial goal of this activity is to help sustain quality HIV services at 76 transitioned clinical sites. PACM strives to strengthen the national mentoring program by enhancing the clinical competencies and mentorship skills IHDPC staff and district mentorship teams. PACM will strengthen health facility systems for quality improvement and clinical performance.
A multidisciplinary group of experts including infectious disease specialists (adult and pediatric), quality improvement specialists, and epidemiologists will directly support IHDPC. PACM will also support the new HRH program of the MOH with a focus on the development of the Infectious Disease Specialist Diploma program. Further, PACM will support effective integration of HIV/AIDS with primary care services and will leverage existing HIV care and treatment systems for effective management of infectious diseases such as TB, Malaria, neglected tropical diseases and non-communicable chronic diseases.
A five year Technical Assistance Plan for the MOH will be developed in partnership with the MOH and other partners during the first six months.
No vehicles or leases are planned under this mechanism.
As part of the capacity building plan for the MOH, PACM will identify focal people within IHDPC and healthcare facilities to enhance the quality of care services for HIV-positive patients (both pre-ART and ART patients) including prevention and treatment of opportunistic infections. In order to strengthen HIV care services at the facility and national levels, PACM will support IHDPC to undertake the following activities:
Development of standards of care for HIV-positive individuals who are not yet in need of antiretroviral treatment,
Appropriate implementation of these standards of care, and
Effective tracking of HIV-positive individuals who are in care and not yet on ART to ensure they are not lost to follow up.
As part of the capacity building plan for the MOH, PACM will identify focal people within the Maternal and Child Health Unit of the MOH and the IHDPC to improve the quality of PMTCT services at all levels of the health care system. Specific activities to be undertaken during the year will include:
Updating of key PMTCT guidelines and protocols
Ongoing mentorship of clinicians and other health care workers in implementation of PMTCT guidelines
Effective integration of PMTCT activities with HIV services at the facility level
Augmenting efforts for early diagnosis of children born to HIV-positive mothers and ensuring appropriate follow-up care and/or treatment
Supporting facilities to ensure that standards of care for HIV-positive women are fully implemented including 100% referral to HIV care and treatment services
As part of the capacity building plan for the MOH, PACM will identify focal people within IHDPC to improve the quality of HIV treatment services across the country. Specific activities that will be undertaken to strengthen HIV treatment systems will include:
Increasing clinicians' practical skills for improved management of complex HIV patients,
Developing a national cascade mentorship system that will ensure sustainable capacity of different levels of care to deliver HIV treatment and related services,
Updating training materials for integrated management of HIV/AIDS and related infections,
Implementing continuous quality improvement initiatives at all facilities, and
Augmenting the capacity of facilities and communities to strengthen the HIV continuum of care system.
