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.
The mission of the Quality Assurance Project (QAP) is to strengthen the quality of healthcare in developing countries. QAP promotes the application of effective improvement methods to strengthen quality of HIV/AIDS and other services, build institutional capacity to sustain quality improvement efforts at national, regional, and lower levels, and evaluate and document improvement outcomes and their impact on the populations served. The primary aim of this activity is to improve the quality of comprehensive HIV/AIDS care delivery for adults and children seen at national, regional, district and sub-district facilities.
This activity relates to activities in HIV/AIDS Treatment/ARV Services, Laboratory Support Program, TB/HIV, Strategic information, and System Strengthening. With FY 07 funds, QAP will continue to provide technical assistance to the Quality of Care Initiative (QoC) in HIV/AIDS, spearheaded by the Ministry of Health (MOH) in Uganda. QAP will support up to three-quarters of national healthcare facilities providing ART services, or 120 sites. Selected sites will include public and private facilities providing ART services, so that public-private partnerships are strengthened. Support will be primarily through site inclusion in the QoC Initiative, specifically in learning sessions and monthly support supervision from central and regional improvement advisors. Learning sessions are organized workshops that bring together different cadre of healthcare personnel from participating sites to create a network of professionals focused on improving systems for delivering quality HIV/AIDS care. These workshops are followed by monthly support supervision or coaching visits at each of the participating sites, where technical support is provided in the area of quality improvement. The main focus of activities in FY 07 will be to ensure appropriate use of established clinical guidelines, patient monitoring tools, indicator data collection, and continual self-evaluation with regards to selected targets within participating sites. Specific attention will be on strengthening pediatric AIDS care, and integrating tuberculosis care and family planning in ART services. Patients seen at these facilities include the following principal target populations: pregnant women, TB patients, boys, girls, and people living with HIV/AIDS in general. This component of the activity will train 400 healthcare providers in quality improvement methods, reinforce the use of established HIV/AIDS care guidelines, and contribute to the provision of higher quality of care to an estimated 65,000 individuals, including children. In order to do this successfully, partnerships already developed will be strengthened with key implementing partners, including EGPAF, PIDC, ANECCA, JCRC, and JSI/DELIVER, as well as with several departments within the MOH. This activity is designed to increase gender equity in HIV/AIDS programs through reinforcing quality data collection in service provision. In addition to increasing the number of sites from 87 to 120, FY 07 activities have several components, as described below: Strengthening of Core and Regional Technical Teams The national core technical team will be expanded, and additional training provided in the area of quality improvement and support supervision. Regional coordination teams will be strengthened to ensure that the 11 regional teams include persons with laboratory, logistics and data management, in addition to clinical knowledge; that monthly meetings are being held to review activities and challenges related to provision of quality services, and that quarterly technical meetings are being held to strengthen regional expertise, review/summarize problems, and brainstorm on solutions. Regional coordination teams will support district and site teams through monthly support supervision visits, and help site teams to promote local institutionalization of the culture of continuous quality improvement. Strengthening both national and regional coordination teams will have a major impact on overall coordination of service delivery within a health facility. The target population includes healthcare providers, primarily doctors, laboratory workers, nurses, pharmacists, and data management specialists. This component of the activity will build capacity of 75 healthcare providers employed by the MOH who are members of the national or regional coordination teams.
Strengthening laboratory support and supervision at facility level In collaboration with the MOH laboratory department, a laboratory technician will be included in the regional coordination teams, as well as in the national core technical team. These lab technicians will help quality improvement teams at the facility level streamline laboratory services, minimize preventable stockouts of essential materials, and increase ART patient laboratory monitoring. They will conduct monthly support supervision to site quality improvement teams, and help shape learning sessions so that specific laboratory issues are reinforced. Additionally, they will support sites in strengthening referral systems
for CD4 and other HIV-related lab tests, and ensure that sites are kept up to date on the functionality of available machines within the region. This component of the activity will provide support to 120 service outlets, and reinforce laboratory skills in up to 200 laboratory technicians throughout Uganda.
Strengthening logistics management at site level Persons with training in logistics management will be included as members of the regional coordination teams, with the aim of providing technical support to participating health facilities. Specifically, such persons will, through coordinated monthly support supervision, verify that sites within their regions are completing logistics reports properly, that needs are efficiently forecasted, and that requests are received. Special focus will be on the maintenance of updated logistic log books and minimizing preventable stockouts of ARVs and other HIV essential medicines and materials. This component of the activity will provide support to 120 service outlets, and reinforce logistics skills in up to 200 dispensers and pharmacists working within participating sites.
Finalizing policy for stepped up accreditation While the MOH of Uganda has successfully carried out a mandatory accreditation program for facilities initiating ART services, there is no current requirement for re-accreditation and no system to ensure that sites are maintaining and improving on minimum standards for providing ART services. Technical assistance will be provided to the MOH to finalize policy and implementation strategies. The target population for this activity includes MOH personnel and healthcare providers.
