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.
This activity relates to I-TECH activities also described in Policy Analysis and Systems Strengthening (#7492). In addition, I-TECH has a close working relationship with another PEPFAR partner, the Eastern Cape Regional Training Center (RTC) and I-TECH supports their activities in Basic Health Care and Support (#7961), TB/HIV (#7962) and ARV Services (#7963).
SUMMARY: The International Training and Education Center on HIV (I-TECH) will carry out activities to support the expansion of HIV and AIDS, tuberculosis (TB) and sexually transmitted infection (STI) care and treatment in Mpumalanga through six clinical training and mentoring activities. The emphasis areas for these activities are training; minor emphasis is given to quality assurance, quality improvement and supportive supervision; local organization capacity development and development of network/linkages/referral systems. The primary target populations are doctors (public and private), pharmacists (public), and nurses (public).
BACKGROUND: I-TECH has been working in the EC since 2003 to develop the capacity of clinicians in the care and treatment of HIV and AIDS, TB and STI. Four of the activities described here were funded in FY 2006. The placement of two Fellows in-country for six months and hiring a mentorship coordinator will be initiated in FY 2007. This activity will be extended to Mpumalanga province for the management of TB/HIV co-infection. All activities will be implemented by I-TECH's subcontractor, the University of California at San Diego (UCSD) Owen Clinic, with the exception of hiring a mentorship coordinator, which will be implemented by the primary partner I-TECH.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Training Needs Assessment: I-TECH will provide technical assistance to the Mpumalanga Regional Training Centre (MRTC) to conduct a needs assessment of HIV and TB training health care workers. The results of which will be utilized in assisting the MRTC to develop accredited TB and HIV including TB/HIV training courses for health care providers. I-TECH will build on its work with the Eastern Cape Regional Training Centre of utilizing mentors for the Owen Clinic to train and mentor hospital and clinic based staff on management of concomittant TB/HIV. The aim is to build the capacity of the MRTC in developing training for health care providers and at the same time developing capacity of health care providers in managing TB/HIV infections.
ACTIVITY 2: Human Capacity Building and Program Sustainability: In-country Intensive Mentoring of the Mpumalanga Regional Training Centre (MRTC) Clinical Team: This activity continues the work begun in FY 2005 to mentor the Eastern Cape RTC clinical team in-country. FY 2007 PEPFAR support will be used to intensively mentor clinical staff from the MRTC to develop their clinical skills in complex case management, rapidly emerging treatment complications, and evidence-based clinical decision-making. The MRTC medical team members will accompany Owen Clinic doctor/nurse consultant teams as they travel to sites in the province to provide onsite mentoring to Mpumalanga clinicians while seeing together up to 50 patients per week, and facilitate evidence-based clinical decision-making skills building classroom trainings. The intensive mentoring model includes effective mentoring skills, differential diagnosis and treatment discussions, case study presentations, providing educational resources and ongoing e-mail consultation with Owen Clinic HIV specialists (see Activity 5). FY 2007 PEPFAR funds will support UCSD Owen Clinic administrative staff time, and the salaries, travel, lodging and expenses for six two-person Owen Clinic consultation teams to travel to Mpumalanga during FY 2007 for one month stays.
ACTIVITY 3: Human Capacity Development: Educational support of Mpumalanga clinicians via short-term in-country training/mentoring and monitoring. This activity supports onsite training of public sector doctors, nurses and pharmacists at newly accredited and past-accredited EC district hospitals and clinics (i.e. referral clinics affiliated with larger hospital complexes - scheduled for phased accreditation as independent treatment centers) as well as private practice doctors and pharmacists serving in nearby areas. Mentoring includes UCSD consultants seeing patients with doctors and nurse clinicians to provide onsite consultation (but not involving direct medical care by U.S. mentors), conducting small group discussions onsite, distribution of training materials, and case-based trainings developed from the doctor-patient panels. FY 2007 funds will support
UCSD Owen Clinic administrative staff time and the salaries, travel, lodging and expenses of six two-person Owen Clinic teams (physician & nurse or pharmacist), to travel to the EC to provide onsite training/mentoring at 15 sites to 250 clinicians
INTEGRATED ACTIVITY FLAG:
SUMMARY:
The International Training and Education Center on HIV (I-TECH) carries out activities to support the expansion of HIV and AIDS, tuberculosis (TB) and sexually transmitted infection (STI) care and treatment in the Eastern Cape (EC) through six clinical training and mentoring activities. The emphasis areas for these activities are training; minor emphasis is given to quality assurance, quality improvement and supportive supervision; local organization capacity development and development of network/linkages/referral systems. The primary target populations are doctors (public and private), pharmacists (public), and nurses (public).
BACKGROUND:
I-TECH has been working in the EC since 2003 to develop the capacity of clinicians in the care and treatment of HIV and AIDS, TB and STI. Four of the activities described here were funded in FY 2006. The placement of two Fellows in-country for six months and hiring a mentorship coordinator will be initiated in FY 2007. The EC Department of Health (ECDOH) has specifically requested on-the-job training and mentoring to augment the didactic training being conducted by the RTC and other professional training organizations in the EC. The ECDOH also specifically requested the placement of mentors in the EC for six to twelve months to allow ongoing mentoring. All activities will be implemented by I-TECH's subcontractor, the University of California at San Diego (UCSD) Owen Clinic, with the exception of hiring a mentorship coordinator, which will be implemented by the primary partner I-TECH.
ACTIVITY 1: Human Capacity Building and Program Sustainability: In-country Intensive Mentoring of the RTC Clinical Team
This activity continues the work begun in FY 2005 to mentor the RTC clinical team in-country. While the RTC clinical team has expertise in systems of care required for ARV accreditation, and in conducting basic trainings on the implementation of provincial/national guidelines, they lack the clinical expertise required for moderate to high complexity cases and have limited mentoring experience. FY 2007 PEPFAR support will be used to intensively mentor the seven-person RTC medical team (four doctors and three nurses) to develop their clinical skills in complex case management, rapidly emerging treatment complications, and evidence-based clinical decision-making. The RTC medical team members will accompany Owen Clinic doctor/nurse consultant teams as they travel to sites in the province to provide onsite mentoring to EC clinicians while seeing together up to 50 patients per week, and facilitate evidence-based clinical decision-making skills building classroom trainings (see Activity 2). The intensive mentoring model includes effective mentoring skills, differential diagnosis and treatment discussions, case study presentations, providing educational resources and ongoing e-mail consultation with Owen Clinic HIV specialists (see Activity 5). FY 2007 PEPFAR funds will support UCSD Owen Clinic administrative staff time, and the salaries, travel, lodging and expenses for six two-person Owen Clinic consultation teams to travel to the EC during FY 2007 for one month stays.
ACTIVITY 2: Human Capacity Development
Educational support of EC clinicians via short-term in-country training/mentoring and monitoring. This activity supports onsite training of public sector doctors, nurses and pharmacists at newly accredited and past-accredited EC district hospitals and clinics (i.e. referral clinics affiliated with larger hospital complexes - scheduled for phased
accreditation as independent treatment centers) as well as private practice doctors and pharmacists serving in nearby areas. Mentoring includes UCSD consultants seeing patients with doctors and nurse clinicians to provide onsite consultation (but not involving direct medical care by U.S. mentors), conducting small group discussions onsite, distribution of training materials, and case-based trainings developed from the doctor-patient panels. FY 2007 funds will support UCSD Owen Clinic administrative staff time and the salaries, travel, lodging and expenses of six two-person Owen Clinic teams (physician & nurse or pharmacist), to travel to the EC to provide onsite training/mentoring at 42 sites to 126 clinicians, as well as the costs for the Owen Clinic Director, to travel to the EC on three occasions to monitor the quality of care at the same 42 sites. Funds will also support the costs associated with training 120 private and public doctors, nurses, and pharmacists outside of the targeted clinics and CHC via classroom-based skills building sessions.
ACTIVITY 3: Human Capacity Building: Placement of UCSD Fellows to sustain EC clinician/international mentoring
This activity will recruit, orient, and send two UCSD HIV or Infectious Diseases Clinical Fellows to the EC for one year, alternating each Fellow in country every three months to sustain the training of the RTC clinical team at 20 of the 42 sites, and provide ongoing mentoring to 36 additional clinicians at 12 additional sites. The latter expands mentoring to more remote clinics by partnering with the ECDOH community outreach activities. Fellows will spend alternate quarters at the Owen Clinic to further develop their mentoring/training and consultation skills. FY 2007 funds will be used to cover the cost of airfare (four trips per year for two consultants), lodging, and in-country travel and expenses of the two Fellows.
ACTIVITY 4: Sustainability: Mentorship Coordinator
I-TECH will hire a local mentorship coordinator in the EC to plan and coordinate the in-country logistics and support for the UCSD clinical mentors. FY 2007 funds will be used to pay the coordinator salary and in-country travel expenses.
ACTIVITY 5: Human Capacity Building and Sustainability: Precepting senior level EC clinicians at the Owen Clinic
EC clinician leadership is needed to champion HIV treatment issues through further development of clinical skills, knowledge of systems of care and quality improvement methodologies. FY 2007 funds will support the air travel, lodging and per diem for four HIV committed EC clinicians to travel to the Owen Clinic for a two-week intensive training on systems of care and clinical management.
ACTIVITY 6: Human Capacity Building: Distance-based ongoing clinical consultation
During UCSD/RTC trainings, EC clinicians are encouraged to contact the RTC team for clinical consultation as needed, who then forward the query and response to the UCSD Owen Clinical mentors for additional guidance before delivering their consultative advice. FY 2007 funds will support UCSD consultant time (a portion of salaries) related to the time spent fielding consultations; estimated at five consults per week. These activities support the PEPFAR 2-7-10 objectives by building the capacity of EC clinicians to provide ARV therapies with increasing local expertise. In the past year, PEPFAR funds supported the training and mentoring of hundreds of EC physicians, nurses, pharmacists and medical students by six UCSD clinicians.
By training a large cadre of healthcare workers to provide ARV services I-TECH will contribute to the realization of the Emergency Plan's goal of providing treatment to 2 million people. These activities will also support the objectives for ARV services outlined in the USG Five-Year Strategy for South Africa.
This activity relates to activities also described in ARV Services (#7492). In addition, I-TECH has a close working relationship with another PEPFAR partner, the Eastern Cape Regional Training Center (RTC) and I-TECH supports their activities in Basic Health Care and Support (#7961), TB/HIV (#7962) and ARV Services (#7963).
The International Training and Education Center on HIV (I-TECH) activities will be carried out to support sustainability of HIV, AIDS, TB and STI care and treatment programming in the Eastern Cape (EC) province through four components: 1) establishing an I-TECH field office in South Africa (SA); 2) providing organizational development and human capacity building technical assistance (TA) to the RTC; 3) supporting the EC Department of Health (ECDOH) HIV and AIDS program; and 4) providing programmatic TA to other PEPFAR partners in the province. The primary emphasis area for these activities is local organization capacity development. Development of network/linkages; quality assurance/quality improvement and supportive supervision; and training are secondary emphasis areas. The primary target population is non-governmental organizations and host country government workers.
I-TECH has been working in the EC for the past three years to develop the capacity of the RTC to train/mentor clinicians in the care and treatment of HIV, AIDS, TB and STI. Two of the activities described here were funded in FY 2006. In the past year USG funds supported I-TECH providing technical assistance to dozens of individuals at four local sites in topics such as training needs assessment, monitoring and evaluation, data management and auditing, and budget development and justification. The establishment of an I-TECH office in SA, and the provision of programmatic TA to other PEPFAR partners will be initiated in FY 2007. I-TECH is working in SA at the invitation of the ECDOH, and the HIV and AIDS Directorate supports the development of an I-TECH office in the EC. All activities described under this program area will be implemented by the primary partner.
ACTIVITY 1: Establishing an I-TECH Field Office in South Africa
Establishment of an I-TECH office in East London (EL) allows more continuous local organization HIV-related institutional capacity building activity and human capacity building to support sustainability of HIV/AIDS/TB/STI programming in the EC. FY 2007 PEPFAR support will be used to: 1) rent and set-up an office space in East London; 2) cover the salary of the SA country director (CD) and relocate her in East London for a year; 3) purchase a vehicle and pay for in-country business transportation costs including air travel back to the USA on three occasions to attend I-TECH conferences/retreats and air travel to Pretoria for PEPFAR meetings, and coordinate/collaborate with other international and in-country like-programming organizations; and 4) pay travel and accommodation costs for one person to travel to East London to assist with office setup.
ACTIVITY 2: Organizational Development and Human Capacity Building TA to the RTC
This activity for which FY 2007 PEPFAR funds is being requested will provide sustained in-person and distance TA and mentoring by the country director to the RTC Director, four sub-program directors and managers (i.e. Deputy Director of Training, Medical Director, Deputy Director of Research Monitoring and Evaluation and Community Mobilization Manager), and four staff members working on training and/or data capturing/information. TA will center on local organization HIV-related institutional capacity building (i.e., program planning, management, and evaluation) but also on individual capacity building of staff. These activities will be accomplished via three two-day ground travel trips to Mthatha per month and ongoing telephone and e-mail support. Outputs include training 21 RTC staff on training plans, and monitoring/evaluation and quality assurance; revised M&E and data management plans; development of required data/management forms; and written recommendations. FY 2007 funds will also support three one-day site visit trips to
each RTC satellite site to provide TA and mentoring to staff (includes a training coordinator, training assistant, one physician and one nurse at each site) on issues related to program planning, program management, training, and monitoring and evaluation. Outputs are the same as those mentioned above for the RTC office activities.
ACTIVITY 3: Supporting the ECDOH HIV and AIDS Program
This local organization HIV-related institutional capacity building activity supports the expansion, and monitoring and evaluation of HIV and AIDS programming in the EC as requested by the ECDOH. It will support TA by the country director to HIV and AIDS managers in the province on the evaluation and mentoring of PMTCT facilities as the facilities implement the RTC PMTCT manual designed to improve quality of care according to national guidelines. It will also support activities conducted to coordinate the training/mentoring activities being conducted by a host of in-country and international organizations is the EC. Monthly visits by the country director to the ECDOH HIV and AIDS Directorate are expected to result in the potential expansion of the program, e.g. more sites or faster implementation of their plan; the development of required monitoring and evaluation data/management forms; needs assessment reports as appropriate; and written recommendations.
ACTIVITY 4: Programmatic TA to other PEPFAR Partners
This local organization HIV-related institutional capacity building activity supports other PEPFAR partners working in the EC. Activities include field assessments of partner needs and arranging for I-TECH support within the constraints of the I-TECH SA budget. FY 2007 funds will support the country director to travel to one PEPFAR partner per week for four months (16 partners) to conduct field assessments of TA needs which could be supported by I-TECH. Outputs include field assessment reports and recommendations to I-TECH.
These activities support the PEPFAR 2-7-10 objectives by building local organizational capacity and human capacity to sustain HIV and AIDS programming in the Eastern Cape.
