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 involves both the UDHS ($200,000) and the USPA ($300,000).
UDHS:
The ongoing 2006 Uganda Demographic and Health Survey (UDHS) will provide data for the monitoring and evaluation needs of health, family planning, malaria, and HIV/AIDS programs and provide policymakers involved in these programs with information to effectively plan future interventions. The 2006 UDHS is a follow-up to the 1988-89, 1995, and 2000-01 UDHS surveys, as well as to the 2004-05 Uganda HIV/AIDS Sero-Behavioural Survey (UHSBS). As such, the findings will provide information about trends in HIV/AIDS and health indicators over time. Money from other sources and donors have been leveraged with HIV/AIDS funds to make available a comprehensive picture of the health status and norms in the general population.
Women of reproductive age (15-49) and children under 5 are the focus of the survey; however the survey also covers a sub sample of men aged 15-54. The main indicators to be disseminated from the survey include: Total fertility rate; Contraceptive prevalence rate: Infant and child mortality rate; Knowledge of HIV/AIDS and its transmission; Rejection of misconceptions about HIV/AIDS; Childhood immunization coverage; Prevalence and treatment of childhood diseases; Age at first sex; Prevalence of higher-risk sex and condom use and Nutritional status of children under five and women. The survey will also measure anemia among women, men, and children under five and vitamin A among women and children under five. The survey will produce data at the national level, for urban and rural areas, and also for 9 regions (groups of districts). The survey will also produce indicators to plan and track projects under the President's Malaria Initiative including the Prevalence and use of mosquito nets; Brand and source of mosquito nets; Mosquito net re-treatment; and Prevalence and treatment of fever in children under age 5. The survey is being implemented by the Uganda Bureau of Statistics with technical assistance from ORC Macro. The biochemistry laboratory at Makerere University in Kampala will implement the vitamin A testing of dried blood spots. Field work will wrap up in October 2006. A preliminary report, a detailed final report and national seminar and regional seminars will be implemented to empower policy makers and advocacy groups with information they can use.
FY07 funds being requested here would be used primarily to disseminate the findings of three Uganda surveys, the UDHS, the UHSBS and the Uganda Service Provision Assessment (see description next). Activities would include: (1) production and distribution of three Key Findings reports based on data from the USPA: one on family planning, one on maternal and child health and one on HIV (2) production and distribution of a Key Findings report (20 to 24 pages) designed for non-technical audiences, incorporating data from the UDHS as well as the 2004-05 UHSBS on HIV and other sexually transmitted infections; (3) seven half-day or 1- day seminars with key stakeholders, policymakers, researchers, program managers, and others to present an overview of the UDHS, USPA and UHSBS data; and (4) production and distribution of 500 CDs with the UDHS, USPA and UHSBS recoded data files, reports, and PowerPoint presentations for researchers and others wanting to work with the actual data sets.
USPA:
This activity falls into the category of Strategic Information (Facility Survey), but it also relates to activities in Policy and Guidelines; Information, Education and Communication; Logistics; and Training. Money from other sources have been leveraged with HIV/AIDS funds to make available a comprehensive picture of health facilities in Uganda.
The Uganda Service Provision Assessment Survey (USPA) will address the monitoring and evaluation needs of HIV/AIDS, maternal and child health/RH/FP, TB and malaria programmes by evaluating the services provided at a nationally-representative sample of health facilities throughout Uganda. The survey will cover government, non-government, and private health facilities, and also the different types/levels, such as hospitals and health centers II, III and IV, and stand-alone CT centers . It will entail a listing of personnel working at each facility, a health worker interview, an audit of equipment, supplies, and medicines, observation of client-provider interactions, and exit interviews with clients. Assessment of the facility's ability to provide such services as VCT, PMTCT,
and anti-retroviral therapy (ART) will be covered.
The survey is in initial stages of design. The implementing organization for the survey will be the Ministry of Health (Quality Assurance Division), in close coordination with the Uganda Bureau of Statistics (UBOS).
PLUS UPS The 2006 Uganda Service Provision Assessment (SPA) survey provides a wealth of information on availability and quality of health care services throughout Uganda. This activity falls into the two program areas of strategic information and other policy and it also covers other areas of reproductive health, child survival, and infectious diseases. Funds from these other sources will be leveraged with PEPFAR plus up funds to guide national and district level evidence-based planning, monitoring, and policy development. The program will use plus up funds to further disseminate the SPA HIV/AIDS findings to the major policymakers in Uganda Parliament, the Ministry of Health, the Uganda AIDS Commission, Development partners, and the District councils. The proposed activities include preparation finding reports that highlight the major findings with easy-to-read text, graphics, and photographs. These reports are designed for less technical readers and are ideal for policy makers, government ministers, and other professionals who do not have time to read through the entire final report. The program will prepare short, one to two page policy briefs that highlight the key findings on specific topics from the SPA, for example, access to counseling and testing for HIV/AIDS, access to ARVs, distribution of PMTCT services, etc and the implications of these findings for government policy and budgeting. Other activities include service delivery maps, capacity building/data users' workshops, and further secondary data analysis.
