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: 2011 2012 2013 2014 2015
1. Overall goals and objectives
In 2004 CDC with PSI developed a basic preventive package to reduce morbidity and mortality among PHAs. The national HIV/AIDS strategic plan recommends 60% BCP coverage by 2011/2012. The goals of this program include -Integration of the BCP activities into national health systems -Expanding partnerships to extend coverage -Enhancement and expansion of up BCP uptake -Capacity building for sustainable implementation of the BCP program
Activities under this program include: maintaining BCP support for all PEPFAR supported patients with refills and starter BCP kits, Providing IEC materials that are compressive along with the BCP and social marketing to improve up-take of BCP and positive living
2. Target populations and geographic coverage
The target population for this program is the national PEPFAR patients under all care and support programs in Uganda. The program will be implemented in all districts of Uganda where there is PEPFAR support for HIV/AIDS care and support services. About 250,000 patients will be reached with refills of BCP commodities and 60,000 new patients will receive starter kits.
3. Enhancing cost effectiveness and sustainability
PACE will work with each health facility to develop a capacity building plan focusing on key areas including management, administration, human resource planning, health management, information systems and continuous learning. Attainment of these key aspects will result in transitioning all management and financial responsibility to the districts, MOH and GoU.
4. Health Systems Strengthening
In additional to supporting capacity building along the key areas above, PACE will facilitate DHO's to hold quarterly coordination meetings with BCP implementing facilities to forecast commodity needs and share the projections with NMS. Additional the program will provide Performance Based Grants to districts to facilitate capacity building and competence at the level to implement the BCP program. Health workers and peer educator will be trained and the program will lobby for basic care training to be included in pre- service training of health care workers.
5. Cross-Cutting Budget Attributions a. Human Resources for Health: The program will support the training and retraining of health care
workers to provide basic preventive care
f. Water: one of the critical components of the Basic care kit is the safe water system. This will improve access to safe and clean water. About $ 1,000,000 will go towards procurement of water vessels and water treatment solution/tablets
6. Key issues:
a. Health-Related Wraparounds o Malaria (PMI),: the program will distribute long lasting insecticide treated mosquito nets to reduce malaria c. End-of-Program Evaluation: the program will carry out a mid and end term program evaluation to determine program performance
1-HBHC Care: Adult Care and Support 1. Target populations and coverage of target population or geographic area
The PACE program will work through all the PEPFAR funded care and support providers to distribute a basic preventive package BCP and also supply refills for commodities. Beneficiaries of these services will include adult men and women aged 18+ years through out the country. Both government and non- government health units will have access to these services. 2. Description of service delivery or other activity carried out The program will provide procurement and logistics management of the BCP and related commodities which include: bed nets, safe water systems, cotrimoxazole prophylaxis and condoms. Along with these commodities; IEC materials that promote their correct and consistent use will be provided to beneficiaries in addition to positive living and dignity messages. This will be done through regional offices that will work directly through the districts trickling down to health facilities. The program will not pprocure or distribute cotrimoxazole but it will ensure that systems are in place to ensure it's available at the health units where the Kits will be supplied. 3. Integration with other health activities All the BCP services will be integrated into the existing facility services. Existing facility staff will provide the services and the facilities will be supported to fill only major identified human resource gaps through training peer educators and VHTs in basic care. Social marketing of the BCP will be done to improve awareness and up-take through the private sector as well. PACE will also ensure steady production of materials with un-interrupted flow to end users.
4. Relation to the national program
All the services will be provided together with MOH and host facilities with total alignment to MOH policies, guidelines and M&E systems for HIV care and support. We shall continue to collect and report data using MOH HMIS data tools and introduce them in clinics were they are not yet fully operational.
5. Health Systems strengthening and Human Resources for Health
We shall offer in service training for all new host facility staff and on job training for the existing staff in HIV basic care and BCP logistics management. The program will support data management/ use and logistics tracking to improve program tracking. District capacity to store and distribute the BCP kits and commodities will be supported to ensure un-interrupted flow of supplies. The Districts together with MOH and host facilities we shall increasingly strengthen the existing logistic systems for delivery of basic care supplies PACE has a robust program Monitoring and Evaluation system that will use the results for ongoing improvement of program performance. This will include strengthening M&E capacity at the district and service delivery sites by training staff at the DHOs office and the partner institutions to: a) Plan and conduct program evaluations, b) Coordinate and perform data collection, c) Manage and clean data, d)
Analyze data, e) Develop data systems and f) Interpret, disseminate and use data for program implementation and policy formulation. The M&E system will also enable them to uniquely identify clients who have received BCP supplie and determine actual need for refills.
1. Target populations and coverage of target population or geographic area The PACE program will work through all the PEPFAR funded care and support providers to distribute a basic preventive package BCP and also supply refills for commodities. Beneficiaries of these services will be HIV-infected children below 18 years through out the country. Both government and non-government health units will have access to these services. 2. Description of service delivery or other activity carried out The program will provide procurement and logistics management of the BCP and related commodities which include: bed nets, safe water systems, cotrimoxazole prophylaxis and condoms for the older children who are sexually active. Along with these commodities; IEC materials that promote their correct and consistent use will be provided to beneficiaries in addition to positive living and dignity messages. This will be done through regional offices that will work directly through the districts trickling down to health facilities. The program will not procure or distribute cotrimoxazole but it will ensure that systems are in place to ensure it's available at the health units where the Kits will be supplied. 3. Integration with other health activities All the BCP services will be integrated into the existing facility services. Existing facility staff will provide the services and the facilities will be supported to fill only major identified human resource gaps through training peer educators and VHTs in basic care. Social marketing of the BCP will be done to improve awareness and up-take through the private sector as well. PACE will also ensure steady production of materials with un-interrupted flow to end users.
We shall offer in service training for all new host facility staff and on job training for the existing staff in
HIV basic care and BCP logistics management. The program will support data management/ use and logistics tracking to improve program tracking. District capacity to store and distribute the BCP kits and commodities will be supported to ensure un-interrupted flow of supplies. The Districts together with MOH and host facilities we shall increasingly strengthen the existing logistic systems for delivery of basic care supplies. PACE has a robust program Monitoring and Evaluation system that will use the results for ongoing improvement of program performance. This will include strengthening M&E capacity at the district and service delivery sites by training staff at the DHOs office and the partner institutions to: a) Plan and conduct program evaluations, b) Coordinate and perform data collection, c) Manage and clean data, d) Analyze data, e) Develop data systems and f) Interpret, disseminate and use data for program implementation and policy formulation. The M&E system will also enable them to uniquely identify clients who have received BCP supplies and determine actual need for refills.
