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: 2008 2009
SUMMARY:
Scientific Medical Research is developing an innovative monitoring and evaluation program that (a)
assesses the quality and impact of HIV programs in the public sector; (b) generates regular feedback to the
programs and donors; and (c) aims to improve the quality of service to the communities and program
implementing institutions through appropriate feedback mechanisms.
BACKGROUND:
This program is a continuation of a Tucker Strategy supplementary PEPFAR funding proposal which
commenced on 1 December 2006 for the initiation of this novel comprehensive assessment mechanism.
Funds used for the initial set-up phase are allocated to the employment of a small core of appropriately
qualified persons to drive the establishment of this process, and to a relatively small consumables budget.
The response to the HIV epidemic in South Africa is expanding, as public and private institutions scale up
their efforts to prevent new infections, as well as care for and treat those who are already HIV-infected.
These programs are either self-funded or funded by external agencies such as PEPFAR. The quality of HIV
services, however, varies dramatically in both public and private sectors. Many people only have access to
a limited package of prevention measures and/or counseling and testing (CT), while others have access to
a comprehensive package of education, prevention and care including antiretroviral treatment. Even where
CT (and other) services exist, the impact and quality of services varies substantially.
There is currently no agency that assists both public sector funding agencies and implementing institutions
to make objective, external evaluations of the quality of workplace-based HIV programs, and use that
information in a positive way to improve the quality of care offered. A gold standard by which they can
assess the HIV-related activities will tend motivate towards more and better corporate interventions. In the
absence of adequate external review and quality assessment of HIV programs, both donors' and
implementing institutions' management are unable to monitor the successes and failures of the programs,
and where required, institute appropriate changes to improve the quality of the programs.
Scientific Medical Research is an independent organization that has no ties any HIV services providers. Its
staff will comprise a mixture of skilled staff able to develop the systems for this organization as well as staff
with the ability to assess/audit medical programs. The company is "black empowered," in keeping with the
aims of the South African Healthcare Charter.
ACTIVITIES AND EXPECTED RESULTS:
In the initial 12 months of this project, Scientific Medical Research will carry out three activities.
ACTIVITY 1:
A small core of appropriately qualified persons will be employed and trained to drive this process. Staff will
attend relevant monitoring and evaluation courses and conferences.
ACTIVITY 2:
In consultation with CDC Pretoria staff, program assessment methodology will be piloted, initially at two
sites. The pilot will be followed by review and where necessary, modification of the assessment
methodology. Additional sites will be assessed as advised by CDC.
ACTIVITY 3:
Scientific Medical Research will establish appropriately designed databases to manage the program
assessment activities. FY 2008 COP activities will be expanded to include: (1) expanding monitoring at
additional CT sites as identified by CDC, Pretoria; (2) developing monitoring modules for care and
treatment; (3) monitoring at care an treatment sites, as identified by CDC, Pretoria; and (4) assessing
feasibility of (in consultation with CDC Pretoria) expanding the Comprehensive HIV and AIDS Quality
Assurance (CHAQA) monitoring model to other program areas and sharing with other countries.
These results contribute to the PEPFAR 2-7-10 goals by strengthening the ability of local institutions to
implement programs efficiently, especially improved quality assurance and leadership through evaluation of
national prevention, care and treatment efforts.
