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: 2012 2013 2014 2015 2016
AFENET is a non-profit organization dedicated to helping Ministries of Health in Africa to build strong, effective, sustainable programs. It is currently supporting 19 African member countries in field epidemiology training programs and field epidemiology/laboratory training programs which both build capacity and support the Ministries of Health. It also supports the public sector to build capacity to improve public health systems on the African continent. The AFENET CDC cooperative agreement is a mechanism through which applied field epidemiology capacity and public health management is expanded and strengthened in Africa to build an effective and responsive public health system.
Programming in Uganda with AFENET will focus on supporting the Ministry of Health (MoH) to establish a post-MPH Fellowship initiative for embedding technical assistance positions. The focus of these fellowships could include, supporting operations research for an AIDS-Free Generation, establishing case-based surveillance for HIV at the district level, strengthening integrated disease surveillance and response to achieve International Health Regulations compliance, and priority initiatives of the MoH. These fellowships will allow for continued development of cross-cutting skill-sets in applied epidemiology, informatics, management, monitoring and evaluation, and laboratory systems, while providing public health services. Due to its established rapport with the MoH and history of successful support for Government of Uganda imperatives, the AFENET CDC CoAg is an ideal mechanism for supporting this initiative. AFENET also possesses the physical and organizational infrastructure, partnership to successfully support this post-MPH, referred to herein as a Public Health Service Program (PHSP).
Overall Goal: Establish a Fellowship in support of the MOH in Uganda, capacities for reinforced implementation of priority public health programs, and cross-cutting disease surveillance and response.Multi-Year Objectives:1.Support GoU to achieve an AIDS-free generation through reinforcement of surveillance and priority interventions2.Contribute towards Ugandas attainment of its national health policy goals and MDG targets for maternal and child health, HIV/AIDS, TB and malaria3.Reinforce other priority disease control and elimination/eradication programs, including non-communicable disease and injury4.Strengthen rapid detection of integrated disease surveillance and response (IDSR) priority diseases and provide surge capacity for outbreak response by districts5.Support consolidation and effectiveness of detection and response at existing and future sentinel surveillance sites for conditions including HIV/AIDS, viral hemorrhagic fevers, Hepatitis E, acute febrile illness, etc.Strategic Approach: Establish and institutionalize a service program for the MOH for providing public health leadership and technical skills. Officers in this program will serve for a minimum of two years to support ongoing disease detection and response, active trans-boundary projects, and public health workforce development. PHSP Officers will dedicate 40% of their time to IDSR following implementation at their field site, and 60% time on planned projects/studies related to a disease control priority.Officers will serve in multi-disciplinary teams of three a combination of human and animal health practitioners and laboratory staff. At the national level, targeted institutions could include the constellation of technical bodies responsible for surveillance and response - Epidemiology and Surveillance Division (ESD), Central Public Health Laboratory (CPHL), the Uganda Viral Research Institute (UVRI) and the veterinary laboratories at Makerere University and the Ministry of Agriculture Animal Industries and Fisheries (MAAIF), Entebbe.
Additional modular training for Officers could be provided to build competency in various areas.
At the end of the fellowship, Officers in the PHSP will have:1.Managed a field station or served in a national level technical institution to support surveillance and response and/or a priority health initiative of the GoU2.Strengthened implementation of a priority disease control and/or health service delivery program3.Designed/Improved and implement the quality of data collected for IDSR and other priority programs4.Led responses to outbreaks and Conducted a monitoring and/or evaluation project5.Trained and mentored national and sub-national health staff on SOPs6.Developed and implemented a research protocol and public health informatics project
AFENET will work with the MOH, Makerere University School of Public Health, CDC and other partners to devise a competency-based, modular curriculum. Competency development will revolve around specific issues that the MOH wants to address through these post-MPH fellowships. In Year 1 of this initiative, four full-time Fellows, eight MPH students and 20 district health team officers and various cadres at the district levels will be supported. This project will also contribute to the PEPFAR target of having 140,000 healthcare workers trained for six months or more.
