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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
This contract has recently been awarded to Khulisa Management Services. Implementation has not yet
commenced but activities are expected to remain the same in FY 2009.
-------------------------
SUMMARY:
The Quality Monitoring and Assessment Program (QMAP) is a new activity for FY 2008, and was added in
response to the additional funding made available to South Africa for this fiscal year. The purpose of the
activity is to assess performance in adherence to USG and agency-specific policies and guidance;
administrative and financial practices and procedures; evidence-based sound clinical care and
management; evidence-based, sound interventions at the community level; and the policy and practice of
partners in providing support services through on-site visits and consultation. The QMAP is not an individual
partner quality improvement program. These on site monitoring assessments will provide Activity Managers
(AM) with information to identify challenges to partner implementation and ensure that PEPFAR funds are
maximized in promoting evidence-based and quality programming under each program area. Since 2004,
the South Africa PEPFAR team has experienced rapid growth of the HIV and AIDS prevention, care and
treatment programs from over $8 million in FY 2005 to an anticipation of almost $600 million in FY 2008.
Management and Staffing has not proportionately increased in an effort to apply the bulk of funds into
program areas. AMs from the larger agencies (USAID and CDC) have responsibility for upwards of 25
partners and fiduciary responsibility for as much as $15 million. Given the increase in resources, the ratio of
staff to partners or dollars will grow in FY 2008 despite new recruitment. The PEPFAR Task Force and
partners utilize several approaches that aim to monitor partner performance. Quarterly and bi-yearly reports
with follow-up; interim progress reports; partner meetings; and requested budget draw-downs are examples
that are currently in use. On-site visits to partners and subs funded through PEPFAR are rare due to the
heavy and growing workload of AM. In FY 2008, the PEPFAR Task Force agreed to prioritize site visits for
the purpose of monitoring quality and assessing performance. This activity is considered an essential
aspect of strategy development under the PEPFAR reauthorization.
The following activities are to be included:
ACTIVITY 1: Establishment of a QMAP Leadership Team to determine the goals and objectives of the
program
The team membership should consist of South Africa Government (SAG) and appropriate Agency
representatives (technical leads and/or AM). A contractor will be named to carry out the tasks. The
leadership team will collaboratively develop the goals and objectives for the QMAP in each technical and
administrative area. The scope of work for the contract will be developed and bid in limited competition so
as to restrict competition to include only bidders from South Africa-based organizations.
ACTIVITY 2: Review of existing tools
In conjunction with the SAG, USG and PEPFAR partners will carry out a review of currently existing
assessment and performance monitoring tools for healthcare settings. Current PEPFAR partners and
international agencies have developed, piloted, and implemented assessment and monitoring tools that
may be modified for this program. It is important to evaluate those already existing tools to minimize
duplication of effort. Appropriate tools developed by other countries will be included in this review. In
addition, in conjunction with the SAG, PEPFAR will develop new tools to monitor performance in any areas
where appropriate tools have not yet been developed.
ACTIVITY 3: Site visits
After development and validation of the QMAP tools, the QMAP Leadership Team will collaboratively
develop a calendar to visit sites of PEPFAR partners. The intent is to conduct site visits and implement the
QMAP for 70% of partners in the first year. A partner review may include, but will not be limited to a file
review; on-site interview of leadership and staff; on site review of administrative, financial, clinical and
support services (in a clinical setting); review of curricula, plans and observation of activities (in a
community setting); focus group interviews with clients who are receiving services; and each partner will
conduct a follow-up consultation to provide appropriate technical assistance or modify program activity as
needed. SAG involvement will ensure buy-in and strengthen a sustainable health care system for persons
affected with HIV and AIDS.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14570
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14570 14570.08 HHS/Centers for Khulisa 6874 6874.08 TBD- Quality $3,000,000
Disease Control & Management Monitoring
Prevention Services (Pty) Ltd
Table 3.3.18:
