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 2016
1. Overall goals and objectives
IDI is a Uganda NGO, owned by Makerere University, which focuses on building capacity of health systems for the delivery of sustainable, high quality services for the prevention, care and treatment of HIV/AIDS and related infectious diseases. The major IDI programs include; training, research, advanced clinical services, laboratory services and community or facility outreach services.
HIV/AIDS care services in the KCC clinics have previously been provided by multiple partners who include; IDI, Baylor, MJAP and PREFA. This project will be implemented solely by IDI in partnership with the Kampala District Health office IDI will offer an "integrated comprehensive package" with a "one command center" composed of IDI, the Kampala district health office and any other implementing partners within the targeted ten KCC health facilities. The project will establish a family based model of care that offers all available services including Testing and Counseling, Laboratory services, adult and pediatric care and treatment, PMTCT and TB/HIV integration. The patient flow system will be developed for each health facility so that there is emphasis on inter-linkages at the health unit (internal referrals) and an organized external referral system. IDI will support KCC to play its mid-level supervisory and service delivery role as per MoH guidelines and will actively support KCC management to harmonize active partners in the 10 KCC clinics. IDI will support KCC to lead a "greater network" of KCC service providers and enhance active KCC leadership in HIV care services within in Kampala City Council. The project will sponsor the development and continuous review of a district wide HIV/AIDS services sustainability plan for the KCC DHO and support a monitoring and evaluation framework of the plan
2. Target populations and geographic coverage
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in future to all the PNFP or PFP HIV/AIDS care health facilities under the KCC jurisdiction. Kampala is both the commercial and political capital of Uganda. It has a day time population of 2.3M and is divided into 5 administrative divisions: Central, Nakawa, Makindye, Kawempe and Rubaga Divisions. KCC is responsible for the social services in the city including health service delivery through over 67 health facilities that include KCC clinics, other specialized government clinics, PNFP units PFP units and large company clinics all of which provide ART to about 50,660 patients. KCC management is directly responsible for 10 health units (3 HC IVs, 5 HC IIIs and 2 HC IIs)
3. Enhancing cost effectiveness and sustainability
Capacity building of KCC is at the core of this program and it will be an ongoing process throughout the life of the project. KCC capacity building activities will be informed by the "capacity building pyramid"; IDI's nontraditional approach to capacity building which recognizes the various types of inter-related levels that need to be built in a systematic manner if the efficiency and effectiveness of the health system is to be enhanced. It will be based on sound understanding of the local context and grounded in the local context to facilitate local ownership and long lasting benefits from the project
4. Health Systems Strengthening
The six WHO building blocks for HSS (service delivery, health work force, information, medical products, vaccines and technologies, financing and leadership/governance) provide a useful framework to guiding the strengthening of KCC health systems in order to improve quality, access, coverage and safety of health services that in turn lead to improved health, efficiency responsiveness and sustainability. Strengthening activities will occur in all six building blocks during the project period. In "service delivery" building block, IDI will pay special attention to quality care focusing on improvements in HIV/AIDS care and treatment, laboratory, PMTCT, TB/HIV and pediatric services. The twin concepts of the WHO system building blocks and the IDI capacity building pyramid will be fused to ensure that the project takes a comprehensive balanced and logical approach to maximize out-puts
5. Cross-Cutting Budget Attributions a. Human Resources for Health
The IDI project will support multiple strategies that include supporting the district service commission to hire any outstanding staff positions, implement task shifting/sharing (nurse/pharmacy visits), short term technical assistance and training of staff. $ 302,996 will go towards this
b. Construction/Renovation REDACTED
6. Key issues:
a. Health-Related Wraparounds o Child Survival Activities: Improved pediatric care and OVC services among children attending KCC clinics o Family Planning: Improved linkages for maternal and child health including reproductive health services o Safe Motherhood: improvement of antenatal and PMT CT services in all the KCC clinics o TB: Intensified TB case finding and TB treatment completion, and TB infection control activities in the clinics in addition to improved HIV counseling and testing in TB settings
b. Gender: The program will employee a MARP/SGBV/PICT specialist to lead activities that target MARP like sex workers and MSM; gender based violence program interventions like care/counseling for those sexually assaulted including PEP and referral/support for legal services
c. End-of-Program Evaluation: The program will have a mid- term and end of program evaluation in addition to regular program reviews annually
1. Target populations and coverage of target population or geographic area
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in future to all the PNFP or PFP HIV/AIDS care health facilities under the KCC jurisdiction. Kampala is both the commercial and political capital of Uganda. It has a day time population of 2.3M and an HIV prevalence of 8.5% with an estimated 180,000 HIV positive individuals in need of care. Kampala, the project area is divided into 5 administrative divisions: Central, Nakawa, Makindye, Kawempe and Rubaga Divisions. KCC is responsible for social services in the city including health service delivery provided through over 67 health facilities that include KCC clinics, other specialized government clinics, PNFP units PFP units and large company clinics all of which provide ART to a combined figure of about 50,660 patients. KCC management is directly responsible for 10 health units (3 HC IVs, 5 HC IIIs and 2 HC IIs) through which care to 22,000 individuals will be provided through 2015.
2. Description of service delivery or other activity carried out
Mulago hospital being the Kampala district hospital bears the brunt of the burden of care for HIV infection due to little capacity at the lower level KCC health units. From 2009, the scope and magnitude of HIV/AIDS services in Kampala has greatly improved through the efforts of multiple partners that include IDI, Baylor Uganda, MJAP and PREFA. The project will establish a family based model of care that offers all available services beyond care and support including Testing and Counseling, Laboratory services, adult and pediatric care and treatment, PMTCT and TB/HIV integration. The patient flow system will be developed for each health facility so that there is emphasis on inter-linkages at the health unit (internal referrals) and an organized external referral system
3. Integration with other health activities
The IDI program will offer and integrated comprehensive package of services. The family based model of care will ensure that all services available including counseling and testing, adult care and support, laboratory services, PMTCT, TB services are available on the same day and. Linkages/referrals both internal and external will be strengthened for other services like family planning, Livelihoods etc and partnerships with nutritional programs like Nulife will be strengthened.
4. Relation to the national program
Leveraging resources from the GoU, MoH will enhance the KCC health program. The program will work closely with MoH to implement MoH guidelines regarding supply chain management, providing information to feed into the planning and monitoring process. The project will ensure that clinics are collecting data related to PICT, Pre-ART and ART delivery to effectively monitor patients. IDI will upgrade all patient information systems in line with MoH HMIS to ensure a standardized, sustainable and efficient system for data collection, collation, monitoring and feedback
5. Health Systems Strengthening and Human Resources for Health
The IDI project will support multiple strategies that include supporting the district service commission to hire any outstanding staff positions, implement task shifting/sharing (nurse/pharmacy visits), short term technical assistance and training of staff
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in future to all the PNFP or PFP HIV/AIDS care health facilities under the KCC jurisdiction. Kampala is both the commercial and political capital of Uganda with a day time population of 2.3M. With an HIV prevalence of 8.5%; there's an estimated 180,000 HIV positive individuals in need of care. KCC is responsible for the social services in the city including health service delivery through over 67 health facilities that include KCC clinics, however through these 10 KCC clinics (3 HC IVs, 5 HC IIIs and 2 HC IIs) this program will provide ARV treatment to about 10,000 individuals by 2015.
The project will establish a family based model of care that offers all available services beyond care and support including Testing and Counseling, Laboratory services, adult and pediatric care and treatment, PMTCT and TB/HIV integration. The patient flow system will be developed for each health facility so that there is emphasis on inter-linkages at the health unit (internal referrals) and an organized external referral system
The six WHO building blocks for HSS (service delivery, health work force, information, medical products, vaccines and technologies, financing and leadership/governance) provide a useful framework to guiding the strengthening of KCC health systems in order to improve quality, access, coverage and safety of health services that in turn lead to improved health, efficiency responsiveness and sustainability. Strengthening activities will occur in all six building blocks during the project period. In "service delivery" building block, IDI will pay special attention to quality care focusing on improvements in HIV/AIDS care and treatment, laboratory, PMTCT, TB/HIV and pediatric services. The twin concepts of the WHO system building blocks and the IDI capacity building pyramid will be fused to ensure that the project takes a
comprehensive balanced and logical approach to maximize out-puts
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in future to all the PNFP or PFP HIV/AIDS care health facilities under the KCC jurisdiction. Kampala city council has a day time population of 2.3M; with an HIV prevalence of 8.5%, there is approximately 180,000 HIV positive individuals in need of care. These will be identified through counseling and testing. PITC will be offered to consenting persons seeking care at the facilities, and their family members. The MOH testing algorithm (Determine for screening, STAT-PAK for confirmatory testing and Uni-Gold as the tie-breaker test) will be used. Couple-testing will be encouraged both in the testing facilities and in the home family setting.
Mulago hospital being the Kampala district hospital bears the brunt of the burden of care for HIV infection due to little capacity at the lower level KCC health units. From 2009, the scope and magnitude of HIV/AIDS services in Kampala has greatly improved through the efforts of multiple partners that include IDI, Baylor Uganda, MJAP and PREFA. Patients referred from HCT to care, treatment and preventive will be tracked using unique identifiers which are printed as serial numbers on HCT forms. Services providers will be sensitized and trained on the need to offer referral cards/notes to clients, indicating the service for which the referral is indicated
The IDI project will support multiple strategies that include supporting the district service commission to hire any outstanding staff positions, implement task shifting/sharing, short term technical assistance and training of staff
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in all the 5 divisions of Central, Nakawa, Makindye, Kawempe and Rubaga Divisions. Pediatric care and support services will be provided through all the 10 KCC health units (3 HC IVs, 5 HC IIIs and 2 HC IIs)
The project will establish a family based model of care that offers all available services beyond care and support including Testing and Counseling, Laboratory services, adult and pediatric care and treatment, PMTCT and TB/HIV integration. The patient flow system will be developed for each health facility so that there is emphasis on inter-linkages at the health unit (internal referrals) and an organized external referral system. Pediatric friendly services will be developed with child play areas and snaps provided for children while they wait to receive care.
The IDI program will offer and integrated comprehensive package of services. The family based model of care will ensure that all services available including counseling and testing, adult care and support, laboratory services, PMTCT, TB services are available on the same day and care provided to the whole family on the same day. Linkages/referrals both internal and external will be strengthened for other services like nutritional programs for instance Nulife.
Leveraging resources from the GoU, MoH will enhance the KCC health program. The program will work closely with MoH to implement MoH guidelines regarding pediatric care providing information to feed into the planning and monitoring process. The project will ensure that clinics are collecting data related to pediatric Pre-ART and ART delivery to effectively monitor patients. IDI will upgrade all patient information systems in line with MoH HMIS to ensure a standardized, sustainable and efficient system for data collection, collation, monitoring and feedback
The six WHO building blocks for HSS (service delivery, health work force, information, medical products,
vaccines and technologies, financing and leadership/governance) provide a useful framework to guiding the strengthening of KCC health systems in order to improve quality, access, coverage and safety of health services that in turn lead to improved health, efficiency responsiveness and sustainability. Strengthening activities will occur in all six building blocks during the project period. In "service delivery" building block, IDI will pay special attention to quality care focusing on improvements in HIV/AIDS care and treatment, laboratory, PMTCT/EID, TB/HIV and pediatric services. The twin concepts of the WHO system building blocks and the IDI capacity building pyramid will be fused to ensure that the project takes a comprehensive balanced and logical approach to maximize out-puts
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in future to all the PNFP or PFP HIV/AIDS care health facilities under the KCC jurisdiction. Kampala is both the commercial and political capital of Uganda with a day time population of 2.3M. With an HIV prevalence of 8.5%; there's an estimated 180,000 HIV positive individuals in need of care. KCC is responsible for the social services in the city including health service delivery through over 67 health facilities that include KCC clinics, however through these 10 KCC clinics (3 HC IVs, 5 HC IIIs and 2 HC IIs) this program will provide ARV treatment to about 10,000 individuals, 10% (1,000) of whom will be children below 15 years.
The project will establish a family based model of care that offers all available services beyond care and support including Testing and Counseling, Laboratory services, adult and pediatric care and treatment, PMTCT and TB/HIV integration. The patient flow system will be developed for each health facility so that there is emphasis on inter-linkages at the health unit (internal referrals) and an organized external referral system. Child- friendly services like refreshments and play areas will be provided in addition to special services for adolescents.
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in future to all the PNFP or PFP HIV/AIDS care health facilities under the KCC jurisdiction. KCC is responsible for the social services in the city including health service delivery through over 67 health facilities that include KCC clinics, however through these 10 KCC clinics (3 HC IVs, 5 HC IIIs and 2 HC IIs) this program will provide the full range of comprehensive HIV/AIDS services.
The project will establish a family based model of care that offers all available services in a comprehensive manner including: care and support including Testing and Counseling, Laboratory services, adult and pediatric care and treatment, PMTCT and TB/HIV integration. REDACTED. Short term technical assistance from an IDI core team will be provided to health units and staff recruitment under the KCC structure will be supported to fill identified gaps.
The IDI program will offer and integrated comprehensive package of services. The family based model of care will ensure that all services available including counseling and testing, adult care and support, laboratory services, PMTCT, TB services are available and are implemented in a sustainable manner. A health systems strengthening approach to program implementation will be adopted across all program areas.
Leveraging resources from the GoU, MoH will enhance the KCC health program. The program will work closely with MoH to implement MoH guidelines regarding supply chain management, providing information to feed into the planning and monitoring process, human resources for health, finance and accountability at the units. The project will ensure that clinics are collecting data related to health systems strengthening to effectively monitor program performance. IDI will upgrade all patient information systems in line with MoH HMIS to ensure a standardized, sustainable and efficient system for data collection, collation, monitoring and feedback
The project will be implemented in Kampala district through all the ten Kampala City Council clinics in the 5 divisions of Central, Nakawa, Makindye, Kawempe and Rubaga Divisions. The safe male circumcision program will be implemented initially in the three Health center IVs including Naguru and Kawempe Hospitals when construction is completed. This program will prioritize adult HIV negative men living in discordant relationships, adolescents and men with multiple sexual partners; extending to neonates in the later phase of the program.
The entry point for SMC will mainly be Counseling and testing including PICT. The patient flow system will be developed for each health facility so that there is emphasis on inter-linkages at the health unit (internal referrals) and an organized external referral system for those units not providing SMC services.
The IDI program will offer and integrated comprehensive package of services. The family based model of care will ensure that all services available including counseling and testing, safe male circumcision adult
care and support, laboratory services, PMTCT, TB services are available on the same day and. Linkages/referrals both internal and external will be strengthened for other services.
Leveraging resources from the GoU, MoH will enhance the KCC health program. The program will work closely with MoH to implement MoH guidelines regarding supply chain management, providing information to feed into the planning and monitoring process. The project will ensure that clinics are collecting data related to PICT, SMC, Pre-ART and ART delivery to effectively monitor patients. IDI will upgrade all patient information systems in line with MoH HMIS to ensure a standardized, sustainable and efficient system for data collection, collation, monitoring and feedback
The six WHO building blocks for HSS (service delivery, health work force, information, medical products, vaccines and technologies, financing and leadership/governance) provide a useful framework to guiding the strengthening of KCC health systems in order to improve quality, access, coverage and safety of health services that in turn lead to improved health, efficiency responsiveness and sustainability. Strengthening activities will occur in all six building blocks during the project period. The twin concepts of the WHO system building blocks and the IDI capacity building pyramid will be fused to ensure that the project takes a comprehensive balanced and logical approach to maximize out-puts
The IDI project will support multiple strategies that include supporting the district service commission to hire any outstanding staff positions, implement task shifting, short term technical assistance and training of staff
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in future to all the PNFP or PFP HIV/AIDS care health facilities under the KCC jurisdiction. Kampala is both the commercial and political capital of Uganda with a day time population of 2.3M. With an HIV prevalence of 8.5%; there's an estimated 180,000 HIV positive individuals in need of care. KCC is responsible for the social services in the city including health service delivery through over 67 health
facilities that include KCC clinics, however through these 10 KCC clinics (3 HC IVs, 5 HC IIIs and 2 HC IIs) this program will provide laboratory support for patients on ARV treatment and those care.
The project will enable all the 10 KCC facilities improve their capacity to perform clinical laboratory test according to national standards. Two (2) of the KCC clinic laboratories will be accredited to perform CD4 monitoring. A QA/QC system will be established covering all the 10 KCC clinic laboratories in conjunction with the national reference laboratories. An integrated model of care that offers all available services beyond care and support including Testing and Counseling, Laboratory services will be implemented. The patient flow system will be developed for each health facility so that there is emphasis on inter- linkages for samples transfer and laboratory services at the health units (internal referrals and external referral system) The program will procure a high volume CD4 machine that will complement the present CD4 machine at Kiswa HC IV. REDACTED
The IDI program will offer an integrated comprehensive package of services. The family based model of care will ensure that all services available including counseling and testing, adult care and support, laboratory services, PMTCT, TB services are available on the same day and linkages/referrals both internal and external will be strengthened for other services like reference laboratories (UVRI) and reference laboratories like CPHL and NTRL
Leveraging resources from the GoU, MoH will enhance the KCC health program. The program will work closely with MoH to implement MoH guidelines regarding laboratory services, laboratory supply chain management, and laboratory information and management systems to feed into the planning and monitoring process. The project will ensure that clinics are collecting data related to laboratory services and effective patient monitoring. IDI will upgrade all patient information systems in line with MoH HMIS to ensure a standardized, sustainable and efficient system for data collection, collation, monitoring and feedback
vaccines and technologies, financing and leadership/governance) provide a useful framework to guiding the strengthening of KCC health systems in order to improve quality, access, coverage and safety of health services that in turn lead to improved health, efficiency responsiveness and sustainability. Strengthening activities will occur in all six building blocks during the project period. In "service delivery" building block, IDI will pay special attention to quality care focusing on improvements in HIV/AIDS laboratory services. The twin concepts of the WHO system building blocks and the IDI capacity building pyramid will be fused to ensure that the project takes a comprehensive balanced and logical approach to maximize out-puts
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in future to all the PNFP or PFP HIV/AIDS care health facilities under the KCC jurisdiction. KCC is responsible for the social services in the city including health service delivery through over 67 health facilities that include KCC clinics; however ARV services will be provided through these 10 KCC clinics (3 HC IVs, 5 HC IIIs and 2 HC IIs). This program will provide direct ARV treatment support to about 10,000 individuals by 2015 and support buffer stock for the other patients
The project will establish an efficient ARV logistics and management system that ensures un-interrupted supply of ARVS and other supplies. This will be developed for each health facility through training and hiring the necessary staff adequate stock management and requisition.
The IDI program will offer and integrated comprehensive package of services and therefore all supply systems in addition to the ARV supply chain system will be strengthened. Linkages/referrals both
internal and external will be strengthened for ARV stocks status validation to contribute to a harmonized national procurement plan.
Leveraging resources from the GoU, MoH will enhance the KCC health program. The program will work closely with MoH to implement MoH guidelines regarding ARV supply chain management, providing information to feed into the planning and monitoring process. The project will ensure that clinics are collecting data related to ARVS and ART delivery to effectively monitor patients and the program. IDI will upgrade all patient information systems in line with MoH HMIS to ensure a standardized, sustainable and efficient system for data collection, collation, monitoring and feedback
The six WHO building blocks for HSS (service delivery, health work force, information, medical products, vaccines and technologies, financing and leadership/governance) provide a useful framework to guiding the strengthening of KCC health systems in order to improve quality, access, coverage and safety of health services that in turn lead to improved health, efficiency responsiveness and sustainability. Strengthening activities will occur in all six building blocks during the project period. In "service delivery" building block, IDI will pay special attention to ARV quantification and logistics management. The twin concepts of the WHO system building blocks and the IDI capacity building pyramid will be fused to ensure that the project takes a comprehensive balanced and logical approach to maximize out-puts
The IDI project will support multiple strategies that include supporting the district service commission to hire any outstanding staff positions.
The project will be implemented in Kampala district through all the ten Kampala City Council clinics extending in future to all the PNFP or PFP HIV/AIDS care health facilities under the KCC jurisdiction. Kampala is both the commercial and political capital of Uganda. It has a day time population of 2.3M and an HIV prevalence of 8.5% with an estimated 180,000 HIV positive individuals in need of care. Kampala, the project area is divided into 5 administrative divisions: Central, Nakawa, Makindye, Kawempe and
Rubaga Divisions. KCC is responsible for social services in the city including health service delivery provided through over 67 health facilities that include KCC clinics, other specialized government clinics, PNFP units PFP units and large company clinics all of which provide ART to a combined figure of about 50,660 patients. KCC management is directly responsible for 10 health units (3 HC IVs, 5 HC IIIs and 2 HC IIs) through which care to 22,000 individuals will be provided through 2015.
Mulago hospital being the Kampala district hospital bears the brunt of the burden of care for HIV infection due to little capacity at the lower level KCC health units. From 2009, the scope and magnitude of HIV/AIDS services in Kampala has greatly improved through the efforts of multiple partners that include IDI, Baylor Uganda, MJAP and PREFA. The project will establish a family based model of care that offers all available services beyond care and support including Testing and Counseling, Laboratory services, adult and pediatric care and treatment, PMTCT and TB/HIV integration. All patients; approximately 22,000 will be screened for TB symptoms at contact with health care providers and all TB patients will be counseled and tested for HIV. This will ensure intensified case finding. The patient flow system will be developed for each health facility so that there is emphasis on inter-linkages with the TB clinic at the health unit (internal referrals) and an organized external referral system and community follow up or support mechanism.
