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: 2008 2009
The HIVQUAL Program in Uganda (HIVQUAL-U) is executed under the leadership of the Ministry of Health
AIDS Control Program (ACP) in close collaboration with CDC-Uganda for program management and
technical support. This activity complements other quality monitoring activities supported by WHO,
UNICEF, and the USG in Uganda focusing on facility level data collection, data management, and building
capacity for quality management activities at the clinic level, feeding directly into the activities for quality
assurance, monitoring and evaluation under the stewardship of MOH. During FY 2007, pediatric care and
treatment indicators were introduced to 20 public and NGO ART sites in collaboration with UNICEF in
Northern Uganda.
In FY 2008, HIVQUAL-U will expand upon work initiated in FY 2006 and continued in FY 2007, from 100
facilities to 128 facilities. Indicators measured through HIVQUAL-U include continuity of care, ART access,
CD4 monitoring, TB Screening, prevention education, adherence assessment and cotrimoxazole
prophylaxis. In concert with UNICEF, pediatric indicators were developed that also measure growth
monitoring, provision of bednets and referrals from PMTCT programs. The specific emphasis of this activity
is at the clinic-level adapting methods of quality improvement (QI) 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 measure growth of capacity while also guiding coaching interventions. HIVQUAL
has a unique and strong infrastructure component that emphasizes internal organizational growth and
systems development that aims to integrate quality management into routine activities of care programs.
Documentation systems are enhanced through these activities leading to development of tracking systems
that can improve tracking of patients and monitoring retention in care. Facility-specific data are aggregated
to provide population-level performance data that indicate priorities for national and regional quality
improvement activities. Both internal and external factors are identified that can be improved: the former
within the clinic and the latter by raising issues to the MOH HIVQUAL-Uganda team. HIVQUAL-U uniquely
targets regional networks of providers to who are engaged in QI activities fostering coordinated approaches
to address challenges unique to each area, including, for example, human resource shortages and
coordination of care among multiple agencies and donors, as well as community follow-up and adherence
services. Expansion will occur within 50 facilities to monitor both pediatric care and treatment indicators in
addition to the adult indicators.
Meetings of providers will be held to share best practices and QI strategies. Sponsorship by district health
officers will be encouraged. Additional QI training will be provided jointly with Ugandan HIVQUAL-U
partners to adult and pediatric providers. A training-of-trainers will be conducted in-country to expand the
capacity of QI trainers within Uganda. The US HIVQUAL team will continue to mentor the HIVQUAL-U
team to deepen its skills to oversee quality management programmatic activities, evaluate the progress of
the HIVQUAL-U program, and recommend growth and improvement activities to the HIVQUAL-U team.
Pilot of HIVQUAL in PMTCT programs will begin during this year.
