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: 2012 2013 2014 2015 2016 2017 2018
The Systems for Improved Access to Pharmaceuticals and Services Program (SIAPS) is a 5-year cooperative agreement managed centrally by the Health Systems Division of USAID and awarded in October 2011. SIAPS will assure the availability of quality pharmaceutical products and effective pharmaceutical services to achieve desired health outcomes consistent with the Global Health Initiative. SIAPS will provide next generation technical leadership and assistance in pharmaceutical system strengthening with a deliberate focus on patient-centered services and health outcomes. Importantly, SIAPS will assist USAID and the SAG to reconcile the long-term goals of country ownership, system strengthening, and sustainability with the immediate requirements for continuing scale-up and expansion of prevention and treatment programs without adversely affecting health outcomes. SIAPS result areas will address the intersections of five health systems components (governance, human resources, information, financing, and service delivery) and the ways they interact with the medical products building block to expand access to quality pharmaceutical products and effective pharmaceutical services. As SIAPS develops its technical program, it will identify issues associated with each health system component and consider its necessary contribution to potential interventions supporting HIV/AIDS. The five Intermediate Results are:
IR1: Pharmaceutical sector governance strengthened
IR2: Capacity for pharmaceutical supply management and services increased and enhanced
IR3: Utilization of information for decision-making increased
IR4: Financing strategies and mechanisms strengthened to improve access to medicines
IR5: Pharmaceutical services improved to achieve desired health outcomes
The Systems for Improved Access to Pharmaceuticals and Services Program (SIAPS) is a five year Cooperative Agreement managed centrally by the Health Systems Division of USAID/GH/HIDN awarded in October 2011. Using HTXD and HVTB funds, SIAPS will improve access to medicines, improve availability of medical products and improve the rational use of medicine and patient safety. South Africa is embarking on the implementation of new national strategies to improve equitable access to health products and services by streamlining procurement (Central Procurement Authority), providing universal coverage (National Health Insurance) and improving disease prevention and management at the lowest level (PHC re-engineering). These strategies have a strong financial component that justifies their cross-reference to SIAPS objectives. SIAPS will collaborate with the SAG, civil society, and other stakeholders (incl. the private sector) to support this objective. The availability of medical products is one the key components of the access framework to strengthen service delivery. Under these objectives, SIAPS will improve quantification practices, strengthen provincial pharmaceutical warehouses and improve medicine supply management at facility level in partnership with SAG personnel at the provincial and district levels. Improved access and availability of pharmaceutical products should contribute to improved services and a patient centered approach. SIAPS will support end users, through strengthening rational medicine prescribing and dispensing practices of health care providers, enhancing systems to monitor patient safety, increasing patient knowledge and awareness about the need for rational medicine use. This objective will also address other issues related to the wellness of the patient, both indirectly by supporting the National Infection Prevention and Control program, and directly by strengthening the monitoring of adherence to treatment and the implementation of the required support measures. These activities will also contribute to a reduction in antimicrobial resistance. Activities will be conducted at the national, provincial and facility levels and will include interaction with the community.
The Systems for Improved Access to Pharmaceuticals and Services Program (SIAPS) is a five year Cooperative Agreement managed centrally by the Health Systems Division of USAID/GH/HIDN awarded in October 2011. The goal of SIAPS is to assure the availability of quality pharmaceutical products and effective pharmaceutical services to achieve desired health outcomes. Using HVSI funds, SIAPS will improve the use of information for decision making for pharmaceutical services. Data is generally available at various levels. It is, however, not always transformed into information that can be used to support decision-making and/or shared among programs. This objective will support the strengthening of the production of timely and accurate routine information at the national and provincial levels by developing and/or implementing systems and building capacity in their use. It will also contribute to the M&E frameworks under development. Work will be done with national, provincial and local governments as well as other PEPFAR partners. Specific activities may include:
Implement National Pharmaceutical Data Warehouse
Roll out provincial pharmaceutical depot (warehouse) electronic reporting system(s)
Develop and implement provincial data warehouse(s) for the provinces using RxSolution ©
Improve RxSolution © using new development platforms
Develop middleware to facilitate integration and/or sharing of RxSolution© data with other new or legacy systems
Support RxSolution implementation at existing sites, roll-out to new sites and increase the pool of users and super users
Train pharmacy managers and other relevant personnel in the analysis and use of pharmaceutical data for decision-making
Develop M&E frameworks for provincial pharmaceutical services
Support M&E system(s) to monitor availability of medicines
The goal of the Systems for Improved Access to Pharmaceuticals and Services Program (SIAPS) is to assure the availability of quality pharmaceutical products and effective pharmaceutical services to achieve desired health outcomes. Using OHSS funds, SIAPS will strengthen pharmaceutical sector governance. This objective will contribute to the improvement of key elements that need to be in place to guide access to medical products and the provision of pharmaceutical services. This includes the development and implementation of policies, laws, regulations, rules and guidelines (e.g. National Medicine Policy, Pharmacy Act and regulations and rules published in terms of this Act, EML, National Core Standards, etc.) to support good governance in the South Africa pharmaceutical sector. Work will also be done to ensure that the principles of good governance are applied in the procurement and distribution of medicine and medical products. This work will be done in close collaboration with the SAG and the relevant statutory and regulatory bodies. SIAPS will also enhance the capacity for pharmaceutical supply management and services. This will entail increasing the availability of sufficient numbers of human resources (HR) with the appropriate knowledge and skills has been identified as one of the key challenges facing the provision of pharmaceutical services in South Africa. This objective focuses on developing and implementing strategies to ensure that qualified pharmacists and pharmacy support personnel are available according to approved HR norms and standards to support the implementation of priority health programs and that the right tool(s) to monitor progress are in place. Collaboration with local pharmacy schools and the South African Pharmacy Council (SAPC) will be one of the key success factors in achieving this objective.
South Africa is embarking on the implementation of new national strategies to improve equitable access to health products and services by streamlining procurement (Central Procurement Authority), providing universal coverage (National Health Insurance) and improving disease prevention and management at the lowest level (PHC re-engineering). These strategies have a strong financial component that justifies their cross-reference to SIAPS objectives. Under these objectives, SIAPS will improve quantification practices, strengthen provincial pharmaceutical warehouses and improve medicine supply management at facility level in partnership with SAG personnel at the provincial and district levels. Improved access and availability of pharmaceutical products should contribute to improved services and a patient centered approach. SIAPS will support end users, through strengthening rational medicine prescribing and dispensing practices of health care providers, enhancing systems to monitor patient safety, increasing patient knowledge and awareness about the need for rational medicine use. This objective will also address other issues related to the wellness of the patient, both indirectly by supporting the National Infection Prevention and Control program, and directly by strengthening the monitoring of adherence to treatment and the implementation of the required support measures. These activities will also contribute to a reduction in antimicrobial resistance. Activities will be conducted at the national, provincial and facility levels and will include interaction with the community.
