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 UNCHANGED FROM FY 2008
SUMMARY:
Funding is set aside by USAID under 'To Be Determined - HCD' to address task-shifting within the health
care system with a special focus on primary health care personnel especially nurses, auxiliary staff and lay
health-care workers.
BACKGROUND AND ACTIVITIES:
Task-shifting within primary health care settings and from specialized health workers to lay and community
health workers is one human resources for health strategy that can increase the pool of health workers in
countries with limited human resource for health capacity. Task-shifting creates both job
opportunities and a bridge to the community, complements but does not replace health professionals, and
allows for the greater involvement of people living with HIV/AIDS. PEPFAR partners should use lay and
community health workers within the context of a system that ensures proper support and supervision, and
that is integrated into the overall public and private health system. Partners will be able to enhance quality
of care through standardization of competencies and tasks, initial training and periodic retraining, and
support through supervision and teamwork.
The South Africa PEPFAR Task Force has already engaged in three successful inter-agency Annual
Program Statement (APS) processes. Through these, the current approximately 120 prime partners and
over 200 sub-partners are funded to provide prevention, care and treatment services. The APS involves a
rigorous review process, and review panels include staff from the US Government (USG) and South African
Government. Applications are reviewed in two phases, with an initial proposal review (eight pages), and
then a full proposal (30 pages) review to finally select organizations to be funded. The final selection
process is overseen by senior USG staff, including the Ambassador. The HCD TBD funds will be utilized
for a new call for proposals through an interagency Annual Program Statement (APS) which will encourage,
local regional and international organizations to submit proposals to conduct: (1) assessment of tasks
performed by a variety of health care practitioners (doctors, nurses, pharmacists and lay or community
workers) at primary health care levels comparing this with the current prescribed scope of practice for these
categories and the need/demand within the health care system; (2) and make recommendations for other
categories/levels of health care workers with a prescribed scope of practice; and (3) link into pre-service
training institutions and development/updates of pre-service medical and nursing curriculums focused on
new cadres and preceptor programs. This activity will be carried out in collaboration with the NDOH and the
professional councils with a special focus on the nursing services since they bear the brunt of burden. This
work will also include the development of job descriptions and job competency requirements for all cadres
of health care workers in the health system that can feed into work at a national and provincial level with
Human Resource Information Systems. Outcomes of this work may feed into agreements on job
competencies between NDOH and NDOE and sharing of curricula to non-profit, government and private
sector as well as increasing support for national strategies with innovative approaches to motivate and
retain health care workers.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15186
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15186 15186.08 U.S. Agency for To Be Determined 7072 7072.08 TBD Human
International Capacity
Development Development
(HCD)
Table 3.3.18:
