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 HIVQUAL Program in Uganda is implemented under the leadership of the Ministry of Health [MoH], in close collaboration with CDC Uganda and the New York AIDS Institute for program management and technical support.
The Comprehensive goals and objectives are:
Goal: Improve the care and treatment of individuals with HIV/AIDS by building capacity and capabilities for quality management activities at the national, regional, district and facility level
Objectives 1: Provide Technical Assistance in the development of a national quality management program.
The development of a national framework for quality will help systematize activities across the entire health system infrastructure. The program will provide technical assistance in the development of a national quality management plan and a strategic plan which will guide the activities and the integration of quality improvement into the existing national health system infrastructure. To accomplish this the program will continue to work closely with senior MOH leadership to assure the quality program reflects the vision of the MOH. Strategies for implementation will be developed and implemented, with communication of plans to all levels of the health system. A Quality Steering Committee, begun in 2008 will continue to provide oversight of these activities and will help to provide harmonization of multiple QI programs currently supporting the country. This group meets monthly and technical assistance will be provided as needed. A key stakeholders meeting to guide the process and provide regular input and analysis will meet at least annually. This group will review existing indicators to refine the quality improvement package and make recommendations for national priorities.
An annual national assessment will be performed to assess the nation's progress in developing a sustainable quality management infrastructure. Technical Assistance will be targeted to specific components needing improvement. System indicators will be developed based on the results of the assessment.
Objective 2: Promote sustainable quality improvement activities in 120 health facilities across all regions in the country.
A total of 450 health workers will be trained in quality improvement strategies and quality management planning during biannual regional learning networks and onsite coaching and mentoring. Participating facilities will report on QI activities at their facilities to promote peer learning and to identify themes and trends across facilities in a particular region and across the country. The regional groups will also promote the quick spread of best practices. Benchmarking data reports will be provided to allow sites to compare themselves to others in their region.
Coaching and mentoring activities will be provided by the central team and through district health supervisors during their regular supervision visits. 60 District health officials across 32 districts have been trained to date with an additional 60 individuals targeted for training in 2010. These individuals will fully understand QI methodology and will be provided specific coaching tools to help facilitate their activities.
Collaborate with implementing partners to identify technical assistance needed to support QI activities in facilities they support. Regular meetings will be held with implementing partner leadership to identify technical assistance needs. Implementing partners will be included in key stakeholders meeting to provide input on indicators and in regional learning networks to share best practices. This will help to leverage resources across programs and to reduce redundancy in QI efforts. Partners will are also invited to attend monthly Quality Steering Committee.
Objective 3: Develop and implement performance measurements to assess the quality of care provided at 120 health care facilities
Indicators will continue to be utilized during biannual data collection periods. Indicators will include Adult, Pediatric and in FY 2010, PMTCT. Key stakeholders will provide feedback on an annual basis to assure indicators are aligned with national priorities and national treatment guidelines.
Bi-annual national reports will be compiled and generated. Reports will be stratified by region and by district. Reports will be reviewed by the Quality steering Committee and the key stakeholders group to help set national priorities and benchmarking reports will provided to attendees of regional groups.
Geographic coverage
All regions within the country have some HIVQUAL participating facilities. Additional targeted sites will include those facilities with no current support for QI activities from HIVQUAL or other implementing partners, in particular HCI.
Health System Strengthening
The program is supporting the development of a national quality plan and a strategic plan to help integrate QI into the national health system structure. A framework for the national plan is expected to be completed during FY 2010.
Cost Efficiency Strategies
Cost savings will be accomplished through systematic training of local MOH officials at the district level. Once trained, these individuals will provide local coaching and mentoring, whereby the central team will be able to reduce significant travel costs.
Collaboration with other implementing partners to assure that national coverage is met without duplication of partner activities. HIVQUAL and HCI have already assured that only program is functioning in each site.
Monitoring and Evaluation
Performance Measure results, national and organizational assessments and number of Health care workers trained will be used to monitor and evaluate the program.
