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 is not new but a continuing activity that was captured under SI-4718 in FY06. The USG Uganda Treatment working group agreed that this activity is better placed in ARV Services and not SI, hence the change in program areas in FY07. The database automatically tags this activity as new activity because it was in another program area [SI] in FY06 and has no linkages to an activity in this program area [ARV Services]. The HIVQUAL program in Uganda is executed under the leadership of the Ministry of Health [MoH] and in close collaboration with CDC Uganda for program management and technical support. This activity compliments other quality assurance activities supported by WHO and the USG in Uganda, focusing on facility level data collection and data management, feeding directly into these activities for quality assurance, monitoring and evaluation, under the stewardship of MoH.
In FY07, this activity will expand upon the pilot work begun in FY06 in 4 regions, including 18 sites. Indicators measured through HIVQUAL Uganda (HIVQUAL-U) measure continuity of care, access to antiretroviral therapy and CD4 monitoring, TB screening, prevention education, adherence assessment and cotrimoxazole prophylaxis for all HIV-infected patients. The specific emphasis of this activity is at the clinic-level, adapting the methods of quality improvement to each organization's particular systems and capacities. An assessment tool to measure the capacity of the quality management program at each facility is used and will both measure the growth of quality management activities while also guiding the coaching interventions. HIVQUAL has a strong infrastructure component and works more inside the facilities to build systems there, including documentation systems.
Facility-specific data that are aggregated can provide population-level performance data that indicate priorities for national quality improvement activities and campaigns. The unique approach of HIVQUAL-Uganda is that it targets regional networks of providers who are engaging in quality improvement activities that enables them to work together to address problems that are unique to each area, including, for example, human resource shortages and coordination of care among multiple agencies as well as adherence to care services.
The program will be expanded to 60 sites, bring the total number of sites to 80. Quality improvement training will be conducted for groups of providers, including CDC treatment sites. The US HIVQUAL team will expand its focus to build quality improvement coaching skills among MOH staff and providers in Uganda and provide advanced level trainings for sites as well as basic trainings for new participants. Mentoring of Uganda-based staff will continue throughout the activity.
