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 Health Care Improvement (HCI) Project is a follow-on of the Quality Assurance Project (QAP)
implemented by University Research Corporation (URC). With FY 2008 funds, HCI project will rapidly scale-
up the Quality-of -Care-Initiative to 60 additional sites bringing the total number of sites supported to 180.
This will cover 70 percent of the anti-retroviral therapy (ART) accredited sites in the country. During FY
2008, learning sessions will be expanded to cover PMTCT and ART linkages, TB/HIV integration, laboratory
logistics and role of tiered- quality-assured laboratory networks, clinical monitoring and cohort analysis and
reporting on patients in palliative care and on ART.
In FY 2008, specific attention will be made to strengthen and scale-up pediatric AIDS care by supporting (1)
identification of HIV-exposed children, (2) access to infant diagnosis of HIV-infection through on-site DNA-
PCR and/or referral systems and networks to maximize use of PCR, (3) training and mentoring of service
providers in initiating and managing pediatric HIV/AIDS treatment, and (4) provide site-level support in
logistics management to reduce on pediatric ART stock-outs. The Quality Improvement (QI) coaches and
teams will scale-up work with community-based organizations (CBOs) who support orphans and vulnerable
children (OVC) within their districts and link them with health facilities providing pediatric ART. Health
providers will be supported as they develop local and sustainable solutions to integrate HAART in antenatal
care for HIV-positive mothers as part of PMTCT.
As part of a new initiative to institutionalize and make activities more sustainable, the main focus of activities
in COP 2008 will be to develop capacity at the district level to ensure that health facilities are able to
appropriately use established clinical guidelines, patient monitoring tools, improve data collection and
quality, and to continually self-evaluate against selected targets. To this end, District Quality Improvement
Teams will be established in all 80 districts. The district QI teams will be supported with additional
continuous quality improvement (CQI) training and helped to hold monthly meetings that review activities
and challenges related to provision of quality HIV/AIDS services in their districts, share information and
coordinate planning of the month's activities. District QI teams will support site QI teams at the 180 sites
through monthly support supervision visits, and help site teams to promote local institutionalization of the
culture of continuous quality improvement. National and regional quality improvement teams will support
these district teams in line with the Health Sector Strategic Plan 2005/2006 - 2009/2010 (HSSP II) goal of
developing a healthcare delivery system that is effective, equitable and responsive.
