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: 2010 2011 2012 2013 2014 2015 2016 2017
The USAID | DELIVER PROJECT goal is to assist the Ministry of Health (MOH) to ensure an uninterrupted supply of key HIV/AIDS commodities to government and nongovernmental organization facilities through strengthening existing nationwide logistic systems. In 2013, DELIVER will show impact in a number of key areas:
Increased demonstrated country ownership and leadership of national forecasting, quantification, and procurement planning process.
Continued implementation of the successfully tested and approved Essential Medicines Logistics Improvement Program (EMLIP). Zambia stands alone in Africa in implementing such a comprehensive, data-driven essential medicines logistics system that addresses the needs for opportunistic infection (OI) and sexually transmitted infection (STI) drugs availability and includes other products such as contraceptives and anti-malaria commodities.
Development of innovative solutions for data transfer, including computerization of the logistics systems at key service delivery points (SDPs) and cell phone technology.
Maintaining of monitoring and evaluation (M&E) as a key activity throughout DELIVER technical assistance activities.
Improved commodity availability at SDPs through the highly functioning MOH ARV logistics system, MOH HIV test logistics system, and MOH EMLIP.
DELIVER continues to support systems that are managed by the MOH and Medical Stores Limited by providing capacity building and quality monitoring. The project strives to make the project more efficient by coordinating efforts with the MOH and all implementing and cooperating partners in Zambia involved in supply chain management-related activities at the central, provincial, and district level.
The objective is to provide assistance to ensure that all focus commodity areas supported by the USG, Government of the Republic of Zambia, and other partners are in sufficient supply and provided at service delivery sites through efficient and accountable health commodities supply chain systems. The project will continue to:
1. Support MOH in coordinating ARV, HIV test, OI/STI drugs, maternal and child health drugs, malaria and family planning commodity forecasting, quantification and procurement planning capacity. MOH staff will facilitate more than 70% of the quantification sessions.
2. Reinforce the standardization of ARV drug, HIV test kit and essential drug (including OI/STI drugs) inventory control procedures at central, district, and service delivery sites, including the documentation and dissemination of logistics policies and procedures.
3. Conduct follow up support for the institutionalization of the pre-service logistics management training at the pharmacy and nursing medical schools in Zambia.
4. Install SmartCare software tool (pending the results of the 2012 SmartCare Inventory Module Evaluation) at select ART sites to collect and use data for reporting and ordering.
5. Significantly increase the frequency of M&E for all USG supported supply chains, making improvements as needed, taking full advantage of DELIVERs presence in all nine provinces.
6. Roll out the critically needed, successfully tested and approved EMLIP. This rollout is not only supported by PEPFAR, but also uses PMI and USAID Reproductive Health and Maternal Child Health wraparound funding. EMLIP will be rolled out to an additional 20 districts, covering 75% of the country.
The USAID | DELIVER PROJECT new initiatives will include the following:
1. Support MOH in leading discussions with key stakeholders on the benefits and liabilities of integrating current robust logistics systems
2. Investigating the possibility of integrating tuberculosis commodities into the already existing EMLIP.
3. Undertake a comprehensive transportation assessment in order to better inform the MOH and partners of the requirements and associated costs to effectively address a key logistics challenge posed by ever expanding supply chain systems.
DELIVER will continue the successful placement of Peace Corps Volunteers (PCVs) in each DELIVER/SCMS provincial office to support MOH and collaborate with partners by providing technical guidance and advice on public health commodity logistics, with a focus on prevention of mother-to-child transmission (PMTCT) activities. By the PCVs increasing the number of M&E visits to PMTCT sites, they will better ensure that ARVs, point-of-care CD4 machines and reagents, contraceptives, and malaria treatment drugs, rapid tests and bed nets are kept at the correct stock levels.
During these visits, the PCVs will gather real-time data that can be compared to nationally reported data. The visit will also provide an opportunity to build capacity by providing on-the-job training when necessary.
It is envisaged that by 2013, a large percentage of PMTCT-only sites will be using the EMLIP ordering and reporting system for their ARV needs. The project will then incorporate PMTCT logistics training into the EMLIP national rollout.
This activity is budgeted under the Health Systems Strengthening budget code.
