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
The COP 2012 goal is to support the provision of quality integrated services through capacity building and systems strengthening to promote sustainability and ownership. In Lundazi and Chadiza, we will continue integrated District Health Management Team(DHMT) andCenter for Infectious Disease Research (CIDRZ) technical support through on-site mentorship, supportive supervision and establishment of on-site quality assurance quality improvement (QA/QI) systems. Our focus is improving coverage of CD4+ screening through sample referral; integration of antiretroviral treatment (ART) services in maternal and child health departments (MCH); careful follow-up of mother baby pairs using community structures; and establishing strong monitoring and evaluation systems. In addition, we will strengthen follow up of HIV-exposedinfants; linkages to pediatric ART for infants identified as HIV infected;and nutritional care and support of HIV infected children.
In Chipata, we aim to reduce TB morbidity and mortality by improving diagnosis and co-management of TB and HIV co-infected patients; and reducing the spread of TB, particularly in HIV clinics. We intend to continue to strengthen the work of the DHO in intensified case finding; TB/HIV screening in TB, ART and MCH clinics; and also strengthen the linkages between these programs. Priority will be given to the use of simple screening forms and appropriate referral for TB testing. We will improve laboratory testing by facilitating training on fixed slide preparation and the use of bicycles and motor bikes in sputum sample transportation to TB diagnostic centers. Through our supportive supervision and mentorship activities, we will strengthen district ownership and stewardship of the TB/HV program.
Objective 1.0: Improve clinical screening and management of TB/HIV co-infected patients in HIV, TB, outpatient and maternal-child health clinics
We will conduct training and facility based mentoring of 24 health workers in TB and HIV clinical management and Isoniazid Preventive Therapy (IPT). The trainings will cover TB screening, diagnosis, and management of co-treatment for TB and HIV; and provision of IPT
We will conduct training of 24 health workers in Provider Initiated Testing and Counseling (PITC)
We will conduct training of 24 health workers in TB Infection Control (IC)
We will pilot a TB screening program in antenatal clinics at two health centres.
We will improve TB diagnostic capabilities at each site by conducting one central sputum fixing training for 24 health workers and lay microscopists; and procuring bicycles for sputum transportation
Objective 2.0: To improve linkages to care between TB and HIV programmes and improve TB case detection
We will conduct one linkages workshop for 24 health workers to improve the systems of referral and feedback between TB and HIV clinics.
We will support Data Review and Coordinating Body meetings semi-annually.
Objective 3.0: To support and mentor the provincial and district teams to develop local leadership and increase the consistent availability of TB logistics and data tools
We will provide support for semi-annual data review meetings.
We will conduct supervision in all sites three times a year. These visits will also be used to provide support for data management.
Objective 4.0: To provide technical support to the MOH TB program including its surveillance and training initiatives
We will provide support to the district for the World TB Day celebrations
We will provide support for orientations on new MOH guidelines
Major Goal: To improve the number of HIV infected infants and children initiating ART; improve their retention in care; and assess the feasibility of using nutritional supplements for malnourished HIV infected children on ART.
Objective 1: We will increase the overall number of HIV infected infants and children initiating ART by
Timely communication of infant HIV results to mothers/caregivers using active follow up
Improving the linking of HIV positive infants from MCH to ART using peer educators
Actively following up no-show mother/baby pairs
Counseling and testing siblings of unknown status and linking positive ones to ART care
Objective 2: We will improve the retention in care of HIV infected infants by
Intensifying counseling using trained paediatric counselors
Employing SMS technology for monitoring and follow-up
Actively following up defaulting clients
Objective 3: We will assess the feasibility and impact of using ready-to-use therapeutic foods to complement the treatment of HIV infected under five children with moderate to severe malnutrition at enrolment by
Taking anthropometric measurements of all children on ART at each clinical visit
Developing protocols based on national nutritional guidelines for use of nutritional supplements in management of malnourished children receiving ART care
Integrating nutritional supplementation for malnourished children within ART care
Assessing the impact of nutritional supplementation for malnourished children on ART outcomes
Objective 4: We will build the capacity of lay workers to help as a task-shifting activity to help manage paediatric ART patients by
Training lay workers in taking anthropometric measurements of children
Providing supportive supervision to LHCW on an on-going basis
Objective 1: To provide family-centered, quality, integrated safe motherhood services.
We will:
Support provision of HIV counseling and testing; and syphilis screening for women and their partners throughout pregnancy and breastfeeding; placing emphasis on the provision of couples counseling
Identify HIV concordant and discordant couples and refer for HIV prevention, treatment and care services including male circumcision.
Strengthen family planning services including the integration of HIV counseling and testing in family planning; provision of appropriate family planning counseling for HIV positive clients using MOH standard guidelines; and strengthening of supply chain management to ensure commodity security
IntegrateTb screening, gender based violence and youth friendly services in MCH through training and mentoring of health staff, lay community health workers and community structures
Establish on-site PMTCT QA/QI systems
Orient and mentor community structures to promote early initiation of ANC services; couple counseling and testing; facility deliveries; and postnatal attendance throughout breastfeeding.
Objective 2: To provide more efficacious PMTCT regimens to ALL HIV positive women
Establish CD4 sample referral systems
Increase integrated ART/ PMTCT sites from 2 to 4
Introduce cell phone text messaging for active client referral to ART and follow-up of defaulters
Mentor health staff in integrated PMTCT/ART services, drugs and logistic systems; and HB and WHO clinical screening
Train and mentor lay community health workers and community structures in PMTCT and ART; emphasizing initiation of ANC and timely ART initiation; adherence counseling; and follow up of defaulters
Objective 3: To provide comprehensive HIV prevention, treatment and care services to HIV exposed babies
Provide HIV testing; Nevirapine and Cotrimoxazole prophylaxis; and infant feeding counseling in line with national guidelines
Provide HIV testing to siblings of HIV exposed infants
Introduce cell phone text messaging for active referral of HIV positive babies to ART
Mentor health staff to strengthen lost to follow up tracking and early infant diagnosis logistic and courier systems
Introduce community registers for exposed baby tracking
Support outreach during child health weeks to identify and test HIV exposed babies
Objective 4: To strengthen monitoring and evaluation to enhance data quality and data use for decision making and strategic planning
Support revision of HMIS registers in line with revised PMTCT and ART guidelines
Support CDC epidemiology for data use training to enhance data use
Strengthen and expand SMARTCARE and mentor health staff in its optimal use
Conduct data quality audits and data management mentoring
Orient community structures in data appreciation and data use to improve demand and utilization of PMTCT and Pediatric HIV services
Provide technical support to the Ministry of Health (MOH) Provincial and District Health Management teams during district planning and integrated review meetings
Goal: To support the provision of quality and uninterrupted ART to children in Lundazi and Chadiza.
Objective 1: We will build the capacity of HCWs to manage paediatric ART patients by
Conducting one training in Paediatric ART
Objective 2: We will promote retention of HIV infected children on ART by
Promoting health-seeking behavior through intensified counseling using trained paediatric counselors
Objective 3: We will promote equity of access to comprehensive ART services for children by
Enrolling from a primarily rural community
