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.
This is a principal USAID technical service resource in health finance, governance and operations. Health Systems 20/20 focuses on four goals:
1. Finance: increase access to PHN priority services by reducing financial barriers, increase financing for health, and ensure that health resources are rationally allocated to maximize health impact.
2. Governace:Improve health governance,particulary in fragile states, by helping policymakers increase the use of evidence in defining cost-effective health strategies and investments to improve health(NHA institutionalization and demand creation for information, improve reporting to parliaments and finance ministries),increase transparency and accountability in the health sector and encourage and support citizens to participate in shaping PHN priority services.
3. Operations: Ensure that health systems effectively plan, account for, and report on priority programs by using effective financial management systems(budget planning,reporting,transparency and compliance)human resources(policy,planning,training,deployment,productivity/incentives),effective planning and oversight; effective information systems; and monitoring and evaluation systems.
4. Institutional capacity development; Build developing county institutional capacity in finance, governance and operations, continue to support health impact by enabling developing country stakeholders to solve health system constraints to achieve the global health agenda, build local sources of ongoing support in health financing, governance and operations.
Means of access: Field support and Associate Awards.
1.0 Purpose HSS TWG shall seek the services of a highly qualified contractor or cooperative partner, to conduct a detailed health systems assessment in Uganda. Following the Health Systems Assessment Approach proposed by the FY10 PEPFAR HSS Technical Considerations, the Health systems assessment shall include a thorough situation analysis as well as assessment subcomponents targeted at understanding the effectiveness of key existing HSS programs, in order to arrive at a clear identification of priority gap areas for interventions in health systems strengthening by HS building blocks.
2.0 Background: PEPFAR II emphasized on health systems strengthening. As per PEPFAR Technical considerations, "priorities for intervention across the six key health systems functions should be determined at the country level. The strength of health systems vary from country to country. As country teams are encouraged to apply a broad-based HSS perspective to their programs, implementation of comprehensive health system assessments will help to identify system gaps and bottlenecks, and establish priorities for intervention. A standard protocol for the health system assessment approach has been developed by the USG and its partners (Available at http://www.healthsystems2020.org/content/resource/detail/528/); the process includes means for stakeholder involvement in its deployment, analysis, and interpretation of results for setting priorities." This exercise has not been done in Uganda so far and this statement of work expects to cover this exercise.
3.0 Statement of Work 3.1 Tasks 3.1.1 To conduct a detailed health system assessment in Uganda. Following the Health Systems Assessment Approach proposed by the FY10 PEPFAR HSS Technical Considerations, the Health systems assessment should include a thorough situation analysis as well as assessment subcomponents targeted at understanding the effectiveness of key existing HSS programs, in order to arrive at a clear identification of priority gap areas for interventions in health systems strengthening by HS building blocks. 3.1.2. To identify priority gap areas for HSS interventions by HS building blocks, with the involvement of key GOU, multilateral and bilateral HSS stakeholders, and develop a clear process or protocol for routine ongoing national HSS M&E and results-based program planning.
3.2 Deliverables 3.2.1 Inception reports, for HS Assessment and facilitated national stakeholder engagement for results-based HSS program planning, to be reviewed and approved by the USG Mission. The report will include the team's proposed methodology and a detailed work plan with clear time line. 3.2.2 A final health systems assessment report, with detailed situation analysis covering all the past, ongoing and planned HSS initiatives, with clearly identifying the type, coverage, and the outputs of these initiatives. This report is also expected to identify priority gap areas with specific recommendations for interventions by health system building blocks. Finally, this report is expected to include a clear process or protocol for routine ongoing national HSS M&E and results-based program planning, engaging national HSS stakeholders.
3.3 Proposed methodology Health Systems assessment should be Uganda specific design adopting the guidance provided in the Health Systems Assessment Approach tool, available at http://www.healthsystems2020.org/content/resource/detail/528/
3.4 Team Composition The team will be comprised a minimum of two international experts and two national experts with sound knowledge and experience in health systems performance and strengthening.
