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.
Reprogramming funds to HXTD for ARV Gap (SCMS)
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.05:
This activity narrative is a draft and will be revised upon the award of the USAID health systems
strengthening follow-on in FY 2010. Targets will be adjusted based on the actual starting date of the new
project. A two-month overlap between current and the new project has been planned to ensure a smooth
transition.
A new procurement on health systems strengthening to follow the Health Services and Systems Project
(HSSP) project is being developed and will be awarded in 2009. The activity will relate to activities in the
Zambia Prevention, Care and Treatment Partnership (ZPCT), Health Communication Partnership (HCP),
and Centre for Infectious Disease Research in Zambia (CIDRZ).
The lack of skilled health care workers is the most significant factor hampering the scale-up of the ART
services in Zambia. This activity will support the Ministry of Health (MOH) retain critical health care
personnel in areas of greatest need and provide support in performance improvement and quality
assurance of anti-retroviral therapy (ART) services.
This activity will increase access to ART services through financial and technical assistance to the retention
of 119 skilled health workers (doctors, nurses, clinical officers, laboratory personnel, and others) in rural
areas where the human resource crisis is most acute. This activity will also support the nine clinical care
specialists (CCS), placed in each of the nine provincial health offices (PHO), through payment of salaries
and provision of fuel expenses for the supervision, monitoring and coordination of ART scale-up in
hospitals, health centers and out-reach mobile posts.
This activity will assist MOH to support implementation of the performance assessment tools and the
minimum quality assurance standards for HIV services, and to strengthen supervisory services that focus
on case management and quality improvement. This activity will also collaborate with the Medical Council
of Zambia to strengthen and monitor the accreditation mechanism for certification of private ART providers
to ensure that the services and treatment protocols meet national standards.
An important component of this activity will be to strengthen the management capacity of District Health
Offices and health facilities for the planning, implementation, monitoring and evaluation key health
interventions, including HIV/AIDS services.
To ensure sustainability, this activity will be implemented within the existing Government of Republic of
Zambia GRZ structures and plans. The activity will facilitate the development and dissemination of
appropriate standard guidelines, protocols, plans, and budgets. The tools and guidelines will be
disseminated for use by relevant MOH structures. The activity will also assist GRZ in implementing a
facility-level quality improvement program. All the components of this activity will be integrated into the
existing programs and structures to ensure continuity of services after the activity concludes.
Table 3.3.09:
This activity narrative is a draft and will be revised upon the award of the new USAID health systems
strengthening activity in FY 2010. Targets will be adjusted based on the actual starting date of the new
project. A two-month overlap between the current and new project has been planned to ensure a smooth
A new procurement on health systems strengthening to follow the Health Services and Systems Project is
being developed and will be awarded in 2009. This activity will be linked to the new HIV Care and
Treatment activity and current activities carried out by the Centers for Disease Control and Prevention
(CDC), and Centre for Infectious Disease Research in Zambia (CIDRZ).
This activity will assist the Ministry of Health (MOH) to support and supervise districts and hospitals to
improve data quality and enhance utilization of data for informed decision making. This will be
accomplished by strengthening competencies of Provincial Health Offices (PHO) in supervision and
technical backstopping for Anti-Retroviral Therapy Information System (ARTIS) which has now been
integrated into the revised Health Management Information System (HMIS). PHO and MOH headquarters
staff will be trained for this purpose. Additionally, the activity will provide support to the MOH to develop an
integrated package of HMIS reference materials for HIV/AIDS services.
This activity will collaborate with CDC to aggregate facility data using SmartCare and facilitate overall
integration into the HMIS. It will also collaborate with World Health Organization (WHO) and European
Union, which currently provides HMIS support to MOH.
To ensure sustainability, the activity will be implemented with the MOH, Provincial Data Management
Specialists, and other partners (ZPCT, CDC, CIDRZ, EU and WHO) to develop, disseminate, and maintain
the HIV/AIDS reporting systems which are integrated into the overall Zambian Government HMIS.
Table 3.3.17:
transition
being developed and will be awarded in 2009. This will link with the new Strategic Information activity.
The new activity will assist the Ministry of Health (MOH) to strengthen policies and systems that support
HIV/AIDS services in general planning, human resource (HR) planning and management. In the area of
planning, the activity will support the MOH to produce technical updates for the annual health sector
planning meetings based on priorities and objectives of the National Health Strategic Plan. The activity will
also facilitate the compilation of a summary of national health priorities integrating information on HIV/AIDS.
Furthermore, a desk review of the 72 district and 22 hospital action plans will be conducted to assess the
quality of the plans and the extent to which HIV/AIDS services have been incorporated into these plans.
District level managers and planners will improve their skills in using data for planning especially as it
relates to HIV/AIDS services to ensure efficient use of scarce resources.
In the area of HR planning and management, the activity will support the MOH and the Provincial Health
Offices (PHO) to strengthen technical support supervision to districts in HR planning and management.
Specifically, 72 district and 22 hospital action plans will be reviewed to determine the level of inclusion of
HR requirement. Technical support supervision will be provided to districts that do not comply with the HR
planning guidelines. It is expected that the support system for the utilization of HR planning guidelines will
be strengthened in all nine PHOs.
To ensure sustainability, this activity will be implemented within the existing Government structures and
plans. The activity will support the MOH to provide leadership in planning; thereby, paving the way for the
activity's termination. The activity will collaborate with the MOH Planning Unit to strengthen and further
decentralize the district planning process. The PHOs will be encouraged to play a stronger role in the
review and monitoring and evaluation of their respective district action plans.
All FY 2010 targets will be reached by September 30, 20010.
Table 3.3.18:
