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.
This activity will be linked with Pathfinder's activities (#7785). The activity strengthens the quality of home-based care (HBC) through training health-care professionals using the Mildmay Diploma and HBC focused short courses, and also scaling up Mildmay's existing HBC work in the Kilimanjaro region, helping to increase service capacity across several regions. These activities were initiated with FY06 plus-up funds, and have just started.
The Mildmay HBC program is designed to develop a strong, holistic model of home-based care that supports the Tanzanian Government's National Plan and can be replicated in other districts. A critical ingredient in this program includes working with the Regional Medical Office and with district health managers and faith-based hospitals thus ensuring a continuum of care.
With FY07 funds, the program will build sustainable capacity within the existing health care system by training health professionals on the Mildmay Diploma in the care and management of people living with HIV/AIDS, as well as with short courses. The activity will continue to mobilize and sensitize senior management on best practices and current thinking/science on home-based palliative care. It will also develop and encourage local ownership through stakeholder workshops, including visits to other Mildmay projects to share experiences and lessons learned.
The activity will also work to strengthen replicable community models of home-based care for adults and vulnerable children, using Moshi Rural, Moshi Urban, Same and Rombo, as the program "showcase" sites, especially for improving referrals between the health system and the community, ensuring adherence, follow-up, and supportive care. This pilot will expand new HBC services and develop linkages with existing programs that will support and strengthen anti retro-viral treatment (ART), prevention of mother-to-child transmission (PMTCT) and voluntary counselling and testing (VCT) services in these four districts. The community model would also aim to reduce stigma and discrimination through the involvement of the wider community in participatory action research and in the design and delivery of interventions. Presently there are no other established HBC programs that serve the Rombo and Same PMTCT plus sites that were initiated by Columbia University with USG funding.
Specifically, the activity will support Mildmay's modular Diploma in HIV/AIDS care and management including a training of trainers component module. Eight senior health professionals (two from each district mentioned above) who have already received some training and are currently attending a part-time diploma training course at the Mildmay Centre in Uganda and the Mildmay supported Kenya Medical training College (in Kisumu, Kenya) will be trained as trainers. This modular diploma provides graduates with management and leadership skills to co-ordinate HBC services at the district or regional level. These health care professionals have already completed the first six months of this 18-month modular diploma and FY07 funding will ensure they can complete the full curriculum.
The activity will support 2 workshops in Same and Moshi Urban for up to 20 senior managers selected from local government in the four districts and mission health institutions, as well as stakeholders from other sectors). These workshops will build upon work initiated in FY06. These workshops will ensure senior managers in local and regional health care institutions and departments and ministries are informed, engaged, and sensitized to the aims and objectives of the program. This training will help ensure support for participating staff in program implementation and also assist in challenging and combating issues of stigma and discrimination.
For students who have completed a HBC modular short-course in FY06, small grants will be provided to develop new HBC services and scale up existing ones. The funding will support the active involvement of HIV positive people in the design and delivery of these HBC services, such as training on public speaking skills, HBC, and living positively. Mildmay will provide technical support and financial management of these small sub-grants to ensure performance is well monitored. These small grants are to help accelerate development of HBC services in the surrounding communities to serve the patients who do not have access to other HBC services, and especially those who need referral to Rombo or Same.
The final component is the creation of a patient support center (PSC). One PSC will be opened in FY06 in the Same District. FY 07 funding will continue to support the running of this PSC, helping provide a range of support services and acting as a referral hub for HBC within the districts, thereby supporting an unbroken continuum of care.
