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.
The goal of this project is to provide technical assistance to national institutions in support of HIV prevention, care and treatment programs. With this project that builds on achievements of the SCMOH cooperative agreement, ICAP will continue to strengthen HIV related laboratory services through technical assistance to the national reference laboratory (NRL) and the laboratory network. This will include support to improve the quality of laboratory services and the laboratory accreditation process.
In addition, ICAP will continue to provide technical support to increase national capacity to provide quality pediatric HIV care and treatment. For the pediatric program, the main focus will be on continued support to RBC/IHDPC, University teaching hospitals and other MOH institutions to implement and roll-out an adolescent-friendly HIV program, integrating mental health and adolescents sexual and reproductive health (ASRH) services. ICAP will also improve quality of pediatric services by promoting and transferring knowledge and skills for challenging issues as the providers initiated testing and counseling (PITC) for children, ART initiation of all HIV infected children <5 years, regular growth and development monitoring, pediatric TB cases intensive case finding, TB screening and diagnosis, adherence support, as well as early detection and management of treatment failure in children.
In COP13, ICAP will gradually scale down technical assistance to national institutions in recognition of increased capacity and ownership in the MOH for pediatric HIV care and treatment and laboratory activities.
The overall goal of this activity is to support MOH to expand high quality pediatric HIV care and treatment services at all levels.
In COP13, ICAP/UTAP will continue to provide technical support to the 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.
ICAP 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.
ICAP will continue to support the pediatric center of excellence to manage the pediatric HIV care and treatment practical training program as well as the experience sharing sessions. At CHUK and CHUB, ICAP will support quality improvement with a review of indicators, medical charts and viral load measurements to develop and strengthen clinical capacity for more efficient and quality assured patient management. ICAP will also facilitate stakeholders meetings to assess progress made, share best practices, identify challenges and ways for improvement of the pediatric program. For those activities conducted in conjunction with the center of excellence at CHUK, ICAP will continue to support three staff sat CHUK (Pediatric APSS Coordinator, adolescent nursing officer and the pediatric nursing officer). Those pediatric nurses at CHUK will also help train staff from clinical sites on issues related to testing of children in various clinical settings, on counseling childrens parents, and on HIV diagnosis disclosure for children.
Additionally, ICAP will strengthen the capacity of RBC/IHDPC to coordinate and provide technical leadership to the national pediatric HIV program. The support to RBC/IHDPC will include technical assistance to organize regular meetings of the pediatric HIV technical working group to share lessons learnt by different partner institutions involved in the implementation of pediatric program; to promote harmonization, standardization and quality improvement of pediatric care; as well as to jointly seek solutions for identified challenges. Those meetings will be a forum to discuss issues related to pediatric program implementation including ART initiation of HIV infected children below 5 years, providers initiated testing and counseling (PITC) in children, early detection and management of treatment failure, growth monitoring at all the sites, pediatric TB cases intensive case finding, TB screening and diagnosis in children and other topics specific to adolescent care such as mental health integration and ASRH.
The overall goal of this activity is to strengthen NRL and the national laboratory network to enhance clinical services by expanding access to diagnostic and monitoring tests for HIV positive patients as well as strengthening quality assurance /quality control (QA/QC) programs.
In COP13, ICAPs lab support will focus on supporting NRL and the laboratory network through the WHO/AFRO SLIPTA accreditation process including QA/QC activities at different levels of the lab network (NRL, CHUK, CHUB, DH, HC) and for different diagnostic areas (including areas such as HIV, TB, hematology, biochemistry, bacteriology, parasitology). ICAP will continue to support and facilitate the accreditation process for the five labs at central level (NRL, CHUK, CHUB, King Faysal Hospital and Kanombe Hospital) and also at five labs at district level.
ICAP will also support the implementation of external quality assurance (EQA) for various diagnostic areas (including areas such as HIV, TB, hematology, biochemistry, bacteriology, and parasitology) using panel testing and supportive supervision. ICAP will also ensure that supportive supervisions oriented toward data quality assurance (DQA) and data analysis lead to the implementation of the corrective actions proposed.
In addition ICAPs lab support will include support to NRL to expand other national lab systems including support to expand the national samples transportation system through revision and updating of SOPs, development of a sample tracking system, and establishing a feedback system for sites to get the results back
Finally, ICAP will also 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.
The overall goal of this activity is to strengthen national capacity to deliver high quality pediatric HIV services. ICAP technical assistance is expected to improve the clinical skills of health professionals managing pediatric HIV cases at the peripheral level. In COP13, ICAP/UTAP will provide technical support to RBC/IHDPC, the University Teaching Hospital of Kigali (CHUK), the University Teaching Hospital of Butare (CHUB) and Ruhengeri District Hospital for the implementation of an adolescent training curriculum for training of trainers in order to enhance expansion of high quality adolescent HIV care at decentralized levels.
Moreover, ICAP/UTAP will provide technical support to RBC/IHDPC to update pediatric HIV care and treatment training materials. These materials will emphasize changes in the new guidelines.
In addition to the practical training sessions on pediatric HIV care and treatment for multidisciplinary teams from district hospitals and health centers, ICAP will facilitate trainings for mentors who will be critical in harmonizing the approach of pediatric HIV care best practices for all the sites, and continuously improve overall pediatric care and treatment quality throughout the country.
Finally, ICAP/UTAP will support MOH in the elaboration of abstracts for national and international conferences and sharing of the Rwanda pediatric HIV experience in various fora.
