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.
ACTIVITY CHANGED FROM FY 2009
SUMMARY:
Funding is set aside by USAID under 'To Be Determined - HCD' to address health systems strengthening and management at a district level.
BACKGROUND AND ACTIVITIES:
Through the new legislation, USG will continue work initiated under PEPFAR, but will pursue Partnership Frameworks under which PEPFAR resources and host government commitments will be aligned to increase the partnership with countries and sustainable transfer of accountability and management of programs to governments. In South Africa the priorities of the DOH include strengthening the management structures of the underlying health system. PEPFAR South Africa will focus programs to address the need for strengthened Leadership, Management, and Accountability at all levels of the health system, especially at district level. Among the commitments requested of the USG within the Leadership, Management, and Accountability goal was to fund capacity building for planning, budgeting, management, accountability and technical oversight by local government and district health teams. This
need is particularly driven by gaps in the system, the result of the transfer of responsibilities for health service delivery from the central level to provinces, provinces to districts and communities in line with the government policy.
The successful program under this TBD will identify at least a nucleus of districts destined for success that can in turn be partnered with other districts. It will also be important to get assurances from the central government that the district team will not be disassembled through transfers during the period of strengthening as a prerequisite to selecting a district. A good leadership team needs time to institutionalize systems and establish productive routines. Also, it will be important to seek districts where there are a significant number of non-state actors or the likelihood that non-state organizations can be enticed into the area. This will leverage and coordinate current PEPFAR programs working to strengthen the civil society service delivery systems and response in districts. The purpose is to model for policy makers how local organizations such as health NGOs, faith-based medical facilities, and private physicians can be mobilized to supplement or even supplant government in selected areas of service delivery.
The overall goal of this TBD is to stimulate stronger programmatic and fiscal accountability at the district level through capacity building for planning, prioritized budgeting, management, monitoring/technical oversight, and financial management by local government and district teams. This activity will initially focus on a limited number of the districts, and develop recommendations and plans with NDOH and provincial departments for the program's expansion. The program will strengthen a small set of critical skills at the district level, using an effective mix of coaching, mentoring, and supervision. These districts must demonstrate success in their ability to prioritize programs, monitor programs, demonstrate results from the investment, and manage funding in an accountable (and auditable) way. It is expected the program will build on what has been done in the past and connect PEPFAR partners together at the district level to sustainably transfer service delivery programs over to government management.
The HCD TBD funds will be utilized for a new call for proposals through an interagency Annual Program Statement (APS) or a direct funded agreement with a technical assistance provider. This activity will be carried out in collaboration with the NDOH, provincial coordinators, PEPFAR implementing partners and the professional councils at the specified geographic location. This work will also link with the technical assistance provided under SAHCD for data use in the Human Resource and Social Welfare systems that can feed into work at a national and provincial level with Human Resource Information Systems.
