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 continuing activity from FY08.
The Hanoi School of Public Health (HSPH) is currently the government of Vietnam (GVN) partner with the
greatest capacity for training and support in M&E and public health informatics development and support.
HSPH will collaborate with technical partner(s) identified by PEPFAR SI and the National Institute of
Hygiene and Epidemiology (NIHE) to develop local human capacity in epidemiology through both pre-
service and in-service training programs. One of the largest gaps in the national surveillance and M&E
system is a lack of trained staff in epidemiology at all governmental levels, from provincial to central
administration and health units. Compounding the difficulty in meeting demands for epidemiologic data is
the inability to attract highly skilled health professionals into the governmental system due to the growing
non-governmental and private sectors. Having established a Center of Excellence for human capacity
development in public health and a network of medical and public health universities, the HSPH is in a
unique position to establish epidemiology concentrations at national universities and develop short-course
basic epidemiology curricula with an HIV focus for the public health workforce. In collaboration with NIHE,
HSPH will establish tuition scholarship programs for promising students matriculating in epidemiology and
biostatistics programs at national universities.
The school will continue to play a critical role on the national M&E TWG as both implementers and trainers
for ongoing national M&E activities such as program data quality assurance and new activities such as data
triangulation. The school will work with the Vietnam Administration for HIV/AIDS Control and other
universities and training institutions to develop trainings focused on M&E, data use, program management,
and HMIS activities.
HSPH will continue to be a key partner in HMIS. As the technical leader and implementer in the pilot of
CAREWare in Vietnam, HSPH has successfully guided MOH and the PEPFAR care and treatment TWG to
a basic set of functional requirements for electronic patient monitoring. Through this activity, MOH, HSPH,
PEPFAR and implementing partners have formed a TWG focused on this activity. Ongoing activities
include implementation of CAREWare, an HHS/Health Resources and Services Administration
(HHS/HRSA) electronic patient monitoring system for HIV/AIDS care and treatment, laboratory external
quality assurance software, and Laboratory Information Systems for Vietnam and development of relevant
training materials for implementation. HSPH also provides support during implementation of the software to
enter the backlog of client data; serves on a national TWG for IS development; and supports a help-desk for
clinics that are currently piloting the software. HSPH will also provide direct technical assistance to VAAC
for counseling and testing and M&E information systems.
New/Continuing Activity: Continuing Activity
Continuing Activity: 18723
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18723 18723.08 HHS/Centers for Hanoi School of 7105 3094.08 $455,000
Disease Control & Public Health
Prevention
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $200,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.17:
Activities to be conducted by the Hanoi School of Public Health (HSPH) are aimed at establishing the
school as a leading academic center for organizational excellence (COE) in pre- and in-service training and
human capacity development. This COE will provide technical support and training for the public health
workforce, strengthen the public health educational system, and contribute to a strengthened HIV/AIDS
prevention, care and treatment system in Vietnam. These activities will support health system
strengthening through (1) pre-service and in-service training, (2) twinning with the Johns Hopkins School of
Public Health on management and leadership, and (3) COE development. These activities will build the
school's capacity to become a nationally recognized institution and center of excellence for public health
capacity development in Vietnam.
1. HIV/AIDS MANAGEMENT TRAINING PROGRAM IN COLLABORATION WITH THE SUSTAINABLE
MANAGEMENT DEVELOPMENT PROGRAM (SMDP) ($336,125)
The management training program will continue to develop the institutional capacity of three regional
training centers in Vietnam to deliver public health leadership and management programs to provincial and
district HIV/AIDS program personnel. SMDP focuses on supporting participants to apply management
training in the workplace to improve team work and leadership skills, and increase efficiency and
effectiveness of HIV/AIDS programs and services.
To develop sustainable institutional capacity and management skills in Vietnam , regional training centers
were established at the Pasteur Institute in Ho Chi Minh City (HCMC) and the Preventive Medicine Center
in Da Nang. The lead center at the Hanoi School of Public Health provides coordination and oversight. A
core group of 24 trainers from the three regional centers have participated in several intensive training-of-
trainers courses developed and delivered by HSPH and CDC's Sustainable Management Development
Program (SMDP) during 2005-2008. Core topics taught through the training-of-trainers program include:
Total Quality Management, Project Management, Supervision, Leadership, Organizational Excellence, and
Training Design and Facilitation. The intensive development of institutional capacity of these regional
centers represents a significant investment that can be cost-effectively used to strengthen the public health
system throughout Vietnam over the long-term.
To date, the program has strengthened the management skills of staff teams in 51 of the 63 provinces in
Vietnam. These teams have implemented 93 applied management improvement projects that have had an
impact on improving the efficiency and effectiveness in core programs in HIV/AIDS prevention, care and
treatment. In FY09, the US Department of Defense (DOD) has requested that 33 participants from their
health care sites receive training from this program. This training provides a critical step in building MOD
capacity, and in strengthening the multi-sectoral response. This budget includes $52,000 to train the
Vietnam Ministry of Defense health care workers on TQM.
During the next year, HSPH, with technical assistance from CDC's SMDP, will leverage the current program
achievements to:
- Implement a strategy for integration of the management training into the Vietnam Administration on
HIV/AIDS Control (VAAC) national technical training strategies.
- Develop a standardized management training curriculum supported by VAAC to be used nationally across
sectors in HIV/AIDS training;
- Continue strengthening management capacity for provincial HIV/AIDS managers through a practice-based
training program with diverse management topics
- Devolve training to high-priority districts in collaboration with provincial centers.
- Demonstrate measurable impacts on improved effectiveness and efficiency of HIV/AIDS programs and
services through applied management improvement projects
- Continue strengthening the capacity of the three regional training institutions to ensure long-term
sustainability to deliver public health leadership and management programs in Vietnam's health sector.
- Establish a network of trained participants for improving program communications and dissemination
strategies by 1) focusing on outcomes and impact of management improvement on HIV/AIDS services and
2) enhancing opportunities for peer learning and application of new ideas and innovations
2. HIV/AIDS TRAINING COURSES FOR STAFF IN COLLABORATION WITH VAAC ($117,000)
The VAAC and HSPH have developed an MOU to further collaborate on HIV/AIDS capacity-building
strategies. In FY09, HSPH will continue the introductory training course on HIV/AIDS program in
collaboration with VAAC, and develop an HIV/AIDS training module for Bachelor of Public Health and
Master of Public Health program at HSPH. The introductory training course is designed to provide a macro
level understanding of the HIV/AIDS Epidemic, and provide a foundation of knowledge on prevention, care
and treatment programs in Vietnam. Course content covers (1) Basic HIV/AIDS knowledge (2)
Epidemiology of HIV/AIDS worldwide, including Vietnam (3) Global strategies for HIV/AIDS prevention,
including Vietnam (4) Vietnam's HIV/AIDS prevention strategy (5) Vietnam's nine plans of action on
HIV/AIDS intervention, and (6) Strategic Planning.
To develop an HIV/AIDS training module for Bachelor or Master of Public Health degree programs at
HSPH, VAAC will continue to send staff to HSPH to obtain either a Bachelor or Masters Degree in Public
Health (BPH or MPH). In 2008, VAAC sent 15 staff to the MPH program at HSPH, and has begun working
with HSPH to establish a specialized training in HIV/AIDS which can be incorporated into the BPH and MPH
programs address the need for increased training on HIV/AIDS. COP 09 funds will support HSPH to build a
new training module in methodology for Rapid Assessment, Response, and Evaluation in HIV/AIDS. This
training module will equip participants with knowledge and skills on various methods and instruments to
assess the HIV/AIDS epidemic's determinants in a participatory manner, and to examine time-sensitive
development of changes in intervention strategies, community-based organizational structure, program
evaluation, and policy decisions.
3. DEVELOP A CENTER OF EXCELLENCE ON NATIONAL PUBLIC HEALTH AND HIV/AIDS SYSTEMS
IN VIETNAM ($48,500)
This component will provide support to HSPH in becoming a Center of Excellence (COE), which in turn
provides technical assistance to strengthen public health and HIV/AIDS prevention, care and treatment
Activity Narrative: programs in Vietnam. HSPH is strategically placed to play a key role in providing public health training and
conducting HIV/AIDS research in key technical areas. HSPH has made a commitment to building its HIV
training and research capacity over the next ten years as part the School's Development Strategy for the
2005-2015. Initial steps in FY 08 were to conduct assessments of HSPH's human resource and potential
capacity for multi-sectoral involvement, and to research best practices in the development and operation of
COE. The outcomes of these activities will be the development of a COE model appropriate to HSPH, and
expected implementation of the COE in 2010.
Specific actions to be taken in FY09 include:
- Establishing a COE steering committee with involvement of stakeholders across the public health sector,
to ensure that the COE has broad-based multisectoral support;
- Conducting a workshop for steering committee members and other HSPH staff and stakeholders on COE
development. The workshop will include (1) introduction to fundamental COE principles (2) introduction to
the EFQM Excellence Model (3) Identification of key themes, priorities and benchmarks for COE
development process (4) Development of COE strategic plan and timeline;
- HRH development, management and implementation plan with emphasis on (1) Current and future
needs for HSPH HRH (2) Work plan and standardized scopes of work for key positions within HSPH
departments (3) standardized performance evaluations (4) Staff recruitment plan for departments and
academic faculties and (5) Staff capacity upgrade and development plan for departments and academic
faculties.
4. DEVELOPMENT OF PARTNERSHIP BETWEEN JOHNS HOPKINGS UNVERSITY - BLOOMBERG
SCHOOL OF PUBLIC HEALTH AND HANOI SCHOOL OF PUBLIC HEALTH FOR CAPACITY BUILDING
IN HIV/AIDS PREVENTION ($94,500)
Sentinel surveillance in 30 provinces in Vietnam indicates that national HIV infection rates are increasing in
all surveillance population groups. In order to address the national HIV epidemic, increasing social science
applications in effective and sustainable local HIV prevention programs is a critical component. The Johns
Hopkins Bloomberg School of Public Health (JHSPH) will collaborate with HSPH to enhance applied
research infrastructure and capacity in the behavioral and social sciences within HSPH and across
HIV/AIDS prevention, care and treatment agencies in Vietnam. In this collaboration, JHSPH will provide
technical assistances in social science training and health communication to support HSPH's goal of
becoming a COE in public health center of excellence, and meet VAAC's demand for strengthening the
management structure of HIV/AIDS prevention, are and treatment programs in Vietnam.
This collaboration will develop goal-specific functional groups and training forums to provide programmatic
guidance and facilitate the exchange of behavioral and social science technical skills between JHSPH and
HSPH, and across HIV/AIDS programs in Vietnam. In FY08, this activity focused mainly on establishing the
partnership with JHSPH. With the technical assistance from JHSPH on curriculum development, HSPH
organized two national workshop applying behavioral and social science methodologies in HIV/AIDS.
Additionally, HSPH developed a course outline, in consultation with JHSPH, focused on behavior change
communication (BCC) to meet the VAAC's priority in strengthening BCC skills of staff working in HIV/AIDS.
This specialization focuses on the application of principles from health education, health communication,
and behavioral and health social science theories, to encourage health behavior change. This course
applied specific attention to at-risk and hard to reach population including but not limited to drug users, sex
workers.
In FY09, HSPH will continue providing the training courses developed in FY08 for HSPH and national
healthcare staff. These training courses will be organized at the three regional training centers in Hanoi, Da
Nang and HCMC. Specific activities include:
- Conducting a TOT training workshop focused on behavioral and social science survey methodologies. The
priority participants will be HIV/AIDS program staff in ministerial departments, institutes, and universities
currently implementing HIV/AIDS programs. Training will be conducted by the HSPH TOTs who participated
in FY08 training, with JHSPH TA as needed. In this course, practice activities will be designed to apply
knowledge and skills in their field sites. The participants will be required to complete a cycle of social
science research exercises by collecting, analyzing and interpreting data, and providing reports and
recommendations based on analysis. These results will be made available to the HIV/AIDS professional
community for reference.
- Implementing the BCC course that was designed in FY08 with the facilitating of JHSPH expert. This
course will be conducted for core VAAC staff and others working in HIV/AIDS communication.
- Developing a new course focusing on VCT for hard to reach population such as IDUs and sex workers.
JHSPH will provide technical assistance on curriculum and course development.
- Two junior program managers who are currently working in the HSPH Department of Social Sciences will
attend a JHSPH three-week course on HIV/AIDS communication. These program managers will, upon
return to HSPH, provide critical technical input on curriculum and training activities on HIV/AIDS
communication.
Continuing Activity: 15264
15264 5732.08 HHS/Centers for Hanoi School of 7105 3094.08 $600,000
9424 5732.07 HHS/Centers for Hanoi School of 5100 3094.07 HSPH $220,000
Disease Control & Public Health Cooperative
Prevention agreement
5732 5732.06 HHS/Centers for Hanoi School of 3094 3094.06 Cooperative $300,000
Disease Control & Public Health agreement
Estimated amount of funding that is planned for Human Capacity Development $596,125
Table 3.3.18:
