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 2017 2018
NYS AIDS Institute/HEALTHQUAL International (HQI) partners with Government of Vietnam (GVN) Ministry 0f Health (MOH) through Vietnam Administration for HIV/AIDS Control (VAAC) to build national capacity for quality management of HIV treatment and to strengthen health systems with the goal of creating a sustainable country-owned national quality management program. Applying a public health approach to quality management, HQI builds capacity at the national-, provincial-, district-, and clinic-levels to support performance measurement (PM) data collection, analysis, and use to inform interventions that will improve the quality of treatment and patient outcomes.
Aggregated clinic PM data is used to inform national HIV health system improvement priorities. Objectives include: 1) Provide technical assistance (TA) in the development of a national quality management program. 2) Promote sustainable quality improvement activities in clinics across all regions in the country. 3) Provide TA to build capacity for data quality, collection, analysis and use to assess the quality of care provided at all HIV care providers and to inform local, regional, and national improvement priorities and policy. 4) Promote and implement quality leadership development opportunities to build provincial capacity for quality management, strengthening sustainability.
The target audience for activities is the core MOH team and MOH provincial personnel, ultimately supporting HIV clinics nationwide. Collaboration with other partners assures that national coverage is met without duplication of partner activities, and that in-country resources are leveraged for cost-savings. HQI is implementing a robust cross-country M&E program that will include activities in Vietnam.
At the time of writing, HEALTHQUAL has just begun engagement activities with MOH for FY 2011. The COP 12 narrative is a projection of program progress based on the historical perspective of HEALTHQUAL PEPFAR activities in ten other focus countries since 2006. With TA and mentoring provided by HEALTHQUAL staff, it is expected that in FY 2011 Vietnam will: successfully integrate HIV quality indicators into an Access database to be used for HIVQUAL-Vietnam data collection; determine the group of clinics that will first implement the HEALTHQUAL model; train all appropriate national, provincial, and local staff on quality improvement and data collection and analysis; develop and train a group of quality coaches who will provide leadership and support for quality activities at the participating clinics; QI project initiation at sites and reporting on a regional and national level; and, conduct at least one round of data collection and analysis. Performance data are used immediately by the clinics to inform quality improvement interventions aimed at improving patient outcomes and strengthening health delivery systems. Aggregated clinic data are used by MOH to inform national improvement priorities for health systems strengthening and improving broader patient outcomes. FY 2012 activities will include more intensive TA and mentoring for: data quality and analysis; a 2nd and 3rd round of data collection; building capacity of the national/provincial public health units to provide clinic support, decentralized management of the program, and input on national/provincial improvement activities; consumer involvement; regional peer learning networks integrated with national/provincial public health units; quality leadership; indicator review and refinement; publication of an annual performance data report; and program expansion to other clinics. Activities are dependent upon program progress, MOH and clinic uptake of quality management skills, and national assessment of how improvement activities relate to HIV treatment priorities. Please note: None of the technical area indicators for Health Systems Strengthening directly pertain to HEALTHQUAL activities. Pre-service activities have not yet been suggested for HIVQUAL Vietnam.
