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: 2013 2014
This is the carry-forward from COP 2010 Partnership Framework funds.The global LMG overall objective is to Strengthen health systems through sustainable leadership, management and governance capacity of health providers, program managers and policy makers to deliver quality health services at all levels of a country, from villages to parliaments. Under the GVN and USG Partnership Framework, there is an effort to put structures and plans in place for transition. The LMG-Transition Support Project (LMG-TSP) will serve as a resource to this effort and provide strategic support, working closely the PEPFAR Interagency Team to help the Ministry of Health, VAAC and other stakeholders through this period of change. Through LMGs work to facilitate an enabling environment, GVNs ability to manage, lead and govern the HIV/AIDS response at both national and provincial levels of the country will be supported. LMGs geographic coverage is worldwide. The populations it specifically targets are health providers, managers, and policy makers at all levels of the health system. LMG has developed a cost share strategy to ensure that sustainability is built into each phase of project implementation.
Programming will be designed to improve system-wide performance, expected to increase access, availability, quality, and cost-effectiveness of health services, leading to sustainable health outcomes and impact. LMG uses a combination of cost-effective, rigorous, and timely M&E approaches, methods, and activities that will enable LMG to adapt to changing conditions and make mid-course corrections as necessary. Our M&E approach will allow us to demonstrate the impact of LMG on health systems and service delivery outcomes in FP/RH, HIV/AIDS, MCH, and other health areas.
This is the carry-forward from COP 2010 Partnership Framework funds. PEPFAR Vietnam will transition from a PEPFAR focus country to a TA Model country in the next years. Service delivery models set up during PEPFAR phase 1 (as a focus country) are co-located and not necessarily integrated with the Vietnam health care system. Therefore, the current HIV/AIDS service delivery depends heavily rely on donor funds to maintain the services, the workforce providing these services and related support systems such as supply chain system and information system. The Leadership, Management and Governance (LMG) Project will serve as a resource to the transition effort and provide strategic support, working closely with the PEPFAR Interagency Team to help the Ministry of Health/Viet Nam Administration for HIV/AIDS Control (VAAC) and other country stakeholders through this period of change.
Working along with the PEPFAR team, LMG support will address transition challenges that include the following:
a)
Although there are established platforms (i.e. Partnership Framework Steering Committee) and forums, there is not yet a common vision or plan for transition;
b)
the health workers engaged in the Viet Nam HIV/AIDS epidemic have multiple employment sources and arrangements, position descriptions, training and capabilities, and compensation sources and arrangements;
c)
With 74% of total HIV/AIDS resources coming from external resources, the GVN will need to identify financing options to fill the gap in funding once donors move away from direct financing of service delivery;
d)
There is a complex and rapidly growing public- private health services delivery system within multiple provinces and a changing policies landscape for delivery and financing of health services delivery;
e)
There are many and diverse local epidemics and most-at-risk populations requiring complex and diverse arrangements for HIV prevention, service delivery, and financing; and
f)
The Viet Nam health system is decentralized to enable greater roles and authority for Provincial Health leaders, with related shifts in economic cost burdens from central Ministries to Provincial government structures and decision makers.
Through LMGs work to facilitate an enabling environment, GVNs ability to manage, lead and govern the HIV/AIDS response at both national and provincial levels of the country will be supported.
