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: 2012 2013 2014
NYS AIDS Institute/HEALTHQUAL International (HQI) partners with GRZ MOH 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. HQI will build on the existing MOH platform for Performance Improvement approach and will leverage efforts with the EDU and smart care programs to build a comprehensive and sustainable quality management program that is fully institutionalized at all levels. HQI builds capacity at the national-, regional-, 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 are 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 regional capacity for quality management, strengthening sustainability. The target audience for activities is the core MOH team and MOH regional staff, ultimately supporting HIV clinics nationwide. Cost savings will be achieved by leverage in-country partner resources and combining TA visits by HQI staff with other southern Africa HQI trips to other participating countries.
At the time of writing, HEALTHQUAL has just begun engagement activities with MOH for FY12. 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 FY12 Zambia will:
successfully develop HIV quality indicators based on its national guidelines for HIV treatment, pediatric HIV care and PMTCT;
establish a national quality committee with broad-based membership of key stakeholders from GRZ, USG, implementing partners, and Zambia-based NGOs, as appropriate;
determine the group of clinics that will first implement the HEALTHQUAL model;
train all appropriate national, regional, 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; 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.
FY12 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 district/regional public health units to provide clinic support, decentralized management of the program, and input on district/regional improvement activities; consumer involvement; regional peer learning networks integrated with district/regional 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 that none of the technical area indicators for Health Systems Strengthening listed below directly pertain to the activities of HEALTHQUAL. Pre-service activities have not yet been suggested for HEALTHQUAL in Zambia, and none of the in-service topics listed in the indicators pertain to quality-specific training topics.
As HEALTHQUAL works in other countries in southern Africa, cost savings can be realized by combining trips to Zambia with other country trips and expensing the round trip airfare across countries.
