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
This grant will enable Kagera Regional Health Management Team (RHMT) to coordinate the HIV/AIDS responses and improve the coverage and quality of HIV/AIDS prevention care and treatment services in the region. The following activities will be implemented: clinical mentoring and supervision to health providers to ensure quality implementation of HIV program; improving the logistics of supply chain management for commodities like ARVs, test kits, STI medicines, laboratory reagents, and others through trainings, supervision, mentoring, and backstopping; strengthening the M&E system; and improving communication from the periphery to the central level.
The program objectives are to improve RHMT managerial, leadership, organizational, communication, and technical capacity to enable RHMT to improve capacity of district health providers. This will ensure quality planning through use of data for care and treatment programs, improved capacity of RHMT and DHMT on clinical mentoring and supervision of ART services, including drug provision and laboratory reagents supply, and enable Kagera RHMT to support community-based interventions and respond appropriately to uptake of services and retention of clients in care.
These funds will complement financial resources from URT and other partners through the basket funding mechanism. The goal and objective is in line with the PF strategy that emphasizes building and strengthening local capacity, strengthening of the health system by increasing long-term viability and sustainability while building synergies with other resources to increase efficiencies in existing programs, including Global Fund and PPPs. GHIs core principle emphasizing collaboration to maximize impact is also highlighted through the projects activities.
Kagera region has a population of 2,641,702 with a community HIV prevalence of 3.4% (89,818 people), although programmatic HIV prevalence shows 9.2 % (243,036 people), according to 2010 VCT data. The role of the Regional Health Management Team (RHMT) is to provide supportive supervision and mentoring to the district level (Council Health Management Teams (CHMT) and facilities), coordination of HIV interventions, and monitoring and evaluation of the program. In order to improve the quality, effectiveness, efficiency, and sustainability of HIV interventions, the RHMT has to be capacitated to acquire skills in quality improvement, supportive supervision, and mentorship as stipulated by the MOHSW guidelines and facilitated to prepare a regional monitoring and evaluation plan. All five RHMTs signing agreements with the CDC are working under the same four programmatic objectives, and thus start off with the same template of recommended actvities to complete these objectives.
In tracking and evaluating clinical outcomes and other performance data, the RHMT uses national indicators and six standards of care to monitor performance. In this regard, health facilities providing CTC services are provided with tools and registers for patient monitoring and data capturing. In addition, monthly and quarterly reports are prepared and utilized at the facility level for patient monitoring, forecasting of commodities, and planning. Furthermore, facilities submit monthly and quarterly reports to the districts where a district wide report is prepared. The district uses this information for their planning and reporting purposes at the regional level. The region, in turn, summarizes the districts reports and submits to the national level. The RHMT uses the regional reports for planning, coordination, and evaluation as well as provide feedback to the districts on their performances during quarterly reviews and data sharing meetings.
Moreover, different levels of implementation require different working and reporting tools, including ARVs, commodities, and supplies. Therefore, ensuring proper commodity management that emphasizes accurate and timely forecasting and ordering of supplies remains the milestone for prevention, treatment, and care in HIV and AIDS interventions.
