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: 2013 2014 2015 2016 2017 2018
The goal is to strengthen SAG health systems by facilitating training opportunities for 500 individuals to qualify as pharmacist assistants, thereby address the skills gap in the pharmacy sector. This innovative approach creates employment for the unemployed with a qualification to be absorbed at their own community health care facility. Pharmacy systems will be strengthened by allocating 10 designated supervisory pharmacists (DSP) to support 50 PHCs. The program supports 96 PHCs in 21 districts in the EC, KZN, MPL and WC provinces. 70% of target districts are rural with high unemployment rates and poorly skilled populations. The program become more cost effective as the DOH absorbs stipend learners over the life of the project. Ongoing capacity development is given to DOH through posts for Post Basic Pharmacist Assistants (PBPAs). 50 qualified PBPAs working under indirect supervision of a DSP will increase access to care and improve quality of ART and other pharmaceutical services, thereby accelerating the implementation of HIV and AIDS services and improving the quality of care according to the NSP and NHI. 50 000 patients benefit directly by this initiative while cost savings are ensured through the reduction of expired stock in PBPA-supported sites. KI will improve governance and supply chain improvement throughout district pharmacy services by attending regular district pharmacy supply meetings. Quarterly M&E reports are submitted and contain comparison of outcomes with the goals and objectives, analysis and explanation of cost overruns, and data collected according to the M&E plan and related analyses.
KI, in keeping with its mission to support the NDOH achieve its goals for the scale up of quality services for HIV/AIDS and TB, has identified the need to increase pharmacy capacity at PHC level. To achieve this KI prioritises: the training of individuals to become Post Basic Pharmacist Assistants (PBPAs); training, support and mentoring of qualified PBPAs to work under indirect supervision of a pharmacist; and implementation of systems to continue the training of pharmacy support personnel.
The innovative KI pharmacist assistant training project aims to address the shortage of qualified PBPAs by identifying DoH employed unqualified pharmacist assistants unable to complete their training and facilitate their completion and by providing pharmacist assistant learnerships to unemployed individuals. This will increase the quality of clinical care by improving the quality of pharmacy services at the PHC level.
Training of PAs require full time placement within a South Africa Pharmacy Council (SAPC) registered training pharmacy. Placement capacity is limited by the availability of registered DOH training pharmacies as well as the number of SAPC registered pharmacist tutors at these facilities. KI works closely with DHMTs with registration of all training pharmacies.
PAs are trained with accredited training materials. The qualification prepares them to work with all aspects of pharmaceutical services in the health system. To obtain a Basic or Post Basic Qualification, learners have to be enrolled with SAPC for a period of at least 12 months per qualification.
The training program provides full training provider costs for basic and post basic courses, stipends for unemployed learners, SAPC registration and yearly fees, weekly facilitation sessions by pharmacists as per SAPC regulations, assessment by registered assessors, assistance with post qualification SAPC registration, and assistance with employment within the PHC once qualified and registered. KI has 14 pharmacists registered as assessors and 3 qualified moderators. Both learners and qualified PAs are sought by SAG to fill critical posts at PHCs and KI keeps the districts informed as to their availability for transition to SAG.
Qualified PBPAs are placed in PHC under the indirect supervision of a Designated Supervisory Pharmacist (DSP). The PBPAs are up skilled though a 3-6 month mentoring program. DSPs are allocated to mentor PBPAs to a high level of proficiency and professionalism, ensuring these mid-level workers are able to take full responsibility for the spectrum of pharmaceutical services from patient care at PHC level to district depots to ensuring adequate supply chain function. PBPAs, with the technical support provided by DSPs, work with other HCWs, facility and district management to develop sustainable SOPs and systems and conduct cost analysis and governance to ensure ongoing improvement of pharmaceutical care at facilities. The impact of the indirectly supervised PBPA model is measured by interventions done at the site as well as the reduction in stock losses. Data is collected on audit forms monthly by the DSPs and reviewed and reported back to DHMTs. KI will focus on developing course material for the newly introduced Pharmacy Technicians and Pharmacy Technical Assistant courses for possible distance learning to ensure it continues to meet the needs of the SAG pharmacy services.
