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: 2010 2011 2012
MEDUNSA is the Medical University of Southern Africa, based in the Limpopo Province of South Africa. MEDUNSAs primary project is a qualitative evaluation of the supervision models of home-based care (HBC) givers. The objective is to identify best practices or challenges to supervision of these workers, in order to inform future development of these programs on a national level. This aligns with the South African PEPFAR Partnership Framework and the SAG priorities as it will help organize and structure the health system for leveraging community healthcare workers (CHW), who are expected to play a key role in the SAG project of re-engineering the primary healthcare system for management at the district level. The geographic coverage during FY 2012 is two provinces (Limpopo, Free State, and more to be determined based on site recruitment), but the results of the evaluation are expected to be applicable nationally. Populations reached are those HIV positive patients who are receiving HBC, some of whom have HIV and TB co-infection, and have other members of the household who are infected. Upon completion of the evaluation and dissemination of the findings, the SAG will leverage MEDUNSAs recommendations in the planned restructuring and standardization of community healthcare programs including home-based care services nationally. MEDUNSA, as a local organization, will also be well-suited to consult with SAG on such community healthcare and HBC programs beyond this agreement. The monitoring and evaluation plans are based on the CDC-approved evaluation protocol which includes rigorous data collection and leverages strong technical assistance from CDC Atlanta with expertise for such qualitative evaluation protocols.
The system addressed by MEDUNSAs activities is community healthcare, in particular home-based care (HBC). The current barriers include a lack of standardized training, competencies, activities, and supervision of home-based caregivers. A priority of the National Department of Health (NDOH) is to standardize and structure the community healthcare structure. The overarching plan of NDOH is to re-engineer the primary healthcare (PHC) system to enlist and leverage healthcare worker teams, including a cadre of community healthcare workers assigned to cover population territories, including offering HBC services, who will be managed by a team of clinical district health officers.
The project is to complete a program evaluation of HBC supervision across CDC-funded partners. This evaluation addresses the weaknesses or lack of HBC management structures within and outside of individual organizations, and will identify varying models of HBC supervision within certain organizations. It is expected that the evaluation will reveal best practices, gaps, and variances within existing structures, which will inform the development of national policies towards HBC roles and responsibilities and supervision operations.
The evaluation is intrinsically linked to other partners involved in HBC service delivery, as it seeks to evaluate their operational structure. The dissemination of the results amongst all involved recruited HBC-provider partners will further link the organizations, and contribute to joint collaboration in future HBC efforts. There are no other similar HBC evaluation supervision projects under the PEPFAR portfolio.
