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 implemented under the leadership of the Ministry of
Health (MoH) in close collaboration with CDC-Uganda for program management and technical support.
This activity compliments other quality monitoring (QM) activities supported by WHO, UNICEF and the USG
in Uganda. QM in Uganda is focused on facility level data collection, data management and building
capacity for quality management activities at the clinic level. These activities feed directly into the MoH QM
priority areas of quality assurance, monitoring and evaluation.
Facilities implementing HIVQUAL-U are selected through a coordinated planning approach led by MOH to
minimize duplication with other partners. Indicators measured through HIVQUAL-U include: continuity of
HIV care, access to antiretroviral therapy (ART), CD4 monitoring, TB screening, HIV prevention education,
adherence assessment and cotrimoxazole prophylaxis. Documentation systems are enhanced through
these activities; leading to the development of tracking systems that improve clinical monitoring of patients
and retention in care.
Facility-specific data is aggregated, to provide population-level performance reports that indicate priorities
for national and regional quality improvement activities. Both internal and external factors influencing the
quality of care in a negative manner are identified and where possible improved; the former within the clinic
and the latter by raising issues to the MOH HIVQUAL-U team. HIVQUAL-U provides special support to
regional and district networks of providers who are engaged in quality improvement (QI) activities thus
fostering coordinated approaches to address challenges unique to each region, including: human resource
shortages, coordination of care among multiple agencies and donors, and community follow-up and
adherence services.
In the previous year, pediatric care and treatment indicators were introduced to an additional 20 public and
Non Governmental Organizations (NGO) ART sites in collaboration with UNICEF in Northern Uganda. In
addition, the second round of data collection was completed and a report issued. Several QI trainings were
completed in addition to a training-of-trainers (TOT) program.
In FY 2009, HIVQUAL-U will expand upon its work initiated in FY 2006 thru FY 2008; from 20 facilities in
2006 to 130 facilities in 2009 (currently 110 facilities are active). In collaboration with UNICEF, pediatric
indicators were developed to measure growth monitoring, provision of bed-nets and referrals from PMTCT
programs. The specific emphasis of this activity is based at the clinic-level, where HIVQUAL-U is adapting
methods of quality improvement (QI) to each organization's particular systems and capacities. An
expansion of this project will occur in 20 new health facilities; the QI will consist of monitoring both pediatric
care and treatment indicators, in addition to the adult indicators. Provider meetings will be held to share
best practices and QI strategies.
HIVQUAL-U team will also lead coaching and mentoring sessions for indigenous partner organizations (e.g.
TASO, Mildmay), as well as international consortium partners (e.g. AIDS Relief) to promote the
development of their agency-wide QM programs. Sponsorship by district health officers will be
encouraged. HIVQUAL-U and its Ugandan partners will be providing additional QI training to adult and
pediatric providers. Similarly, TOT programs will work with health training organizations to expand the
capacity of QI trainers within Uganda. The U.S. HIVQUAL team will continue to mentor the HIVQUAL-U
team to strengthen the following skills: 1) to oversee quality management programmatic activities, 2)
evaluate the progress of the HIVQUAL-U program and 3) recommend growth and improvement activities to
the HIVQUAL-U team. A Pilot of HIVQUAL in PMTCT programs will continue during this year. The data
collected from participating pilot sites, will generate performance data reports. These QI project reports will
include comparative analyses and indicators will be refined for data collection in consultation with MOH and
key stakeholders.
John Snow Inc. (JSI) has been contracted to evaluate the work of HIVQUAL-International (HRI). JSI will
also assess if HRI is achieving its desired goals of building capacity for quality management. The JSI team
will meet with key stakeholders to interview them about the work of HIVQUAL and also visit several
participating sites. HIVQUAL-U is expected to reach 130 sites that offer PMTCT, pediatric, adult care and
treatment services Travel support for key staff in the Ministry of Health to participate in an international QI
conference has been allocated; the conference will further educate the staff, in the methods and theory of
QI which are not available in Uganda.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13306
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13306 9137.08 HHS/Health New York AIDS 6436 3444.08 HIVQUAL $500,000
Resources Institute
Services
Administration
9137 9137.07 HHS/Health New York AIDS 4811 3444.07 HIVQUAL $500,000
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* TB
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.09:
* Child Survival Activities
Table 3.3.11:
