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.
HAQOCI is a project within the Clinical Epidemiology Resource and Training Centre (CERTC) at the University of Zimbabwe College of Health Sciences. HAQOCI started in 2001 and is now completing the third year of the second cycle of 5 year funding with USG.
The Objectives of the program are: 1) Continue to develop a robust initiative to improve the Quality of HIV/AIDS prevention, care and treatment in Zimbabwe. 2) Strengthen training in Clinical Epidemiology in the region. 3) Pilot or set up demonstration projects in improved HIV/AIDS care. 4) Support training in improved HIV/AIDS care
HAQOCI's activities support the HIV/AIDS National Strategy and Plan through training of human resources for implementation of HIV/AIDS activities. These trainings include basic introduction to the management of opportunistic infections as well as delivery of ART using a public health sector approach. The technical team will continue to support Ministry of Health and Child Welfare (MOHCW) through conducting OI/ART site assessments which will be expanded to enable HAQOCI to take part in the clinical mentorship program as envisaged by MOHCW. Through these activities, HAQOCI will also be able to monitor and strengthen the clinical skills of the health care workers in the provision of care, encourage implementation of TB/HIV collaborative activities and look into issues of rational use of medicines such as monitoring ARV stock outs and availability of cotrimoxazole. Supervisory visits together with the MOHCW will ensure that protocols and guidelines are understood and implemented as expected at site level. Also, they give the opportunity to trouble-shoot based on the realities on the ground after a site has started the provision of OI/ART.
The coverage of our activities is national and target different cadres in the public sector including pre-service medical students and nurses as well as in-service staff such as doctors, nurses and pharmacists.
The key contributions of HAQOCI's activities to health systems strengthening are improvement of the quality of care and treatment provided to OI/ART clients in the clinics all over the country through site assessments, supervisory visits and clinical mentorship. Rational use of medicines is a major concern in low resources settings and is always assessed during the visits. HAQOCI is at the same time the main provider of technical assistance to the MOHCW in the production and revision of national HIV/AIDS related training materials.
A key cross-cutting area of our program is Human Resources for Health through the in - service training of doctors, nurses and home based care givers; pre-service training of primary care counselors and post-graduate training in Clinical Epidemiology. This is a critical area in Zimbabwe for the provision of HIV/AIDS services and any expansion of activities will need to ensure that clinicians possess the right skills to provide the needed services including being able to apply evidence based clinical care as well as being able to critically appraise research findings.
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Key issues addressed in our activities include: 1) Family planning through counseling and provision of methods at the Students Health Services Center. 2) REDACTED 3) Workplace programs: Clinical staff supported by HAQOCI will provide services to the University of Zimbabwe staff through the Staff Clinic and the HIV and AIDS Prevention and Support (HAPS) center where faculty members and their relatives will have the opportunity to receive post-test counseling, including psychosocial and nutritional counseling, participation in support groups, clinical care, provision of cotri-moxazole for HIV positives and TB screening.
Our strategy for cost-efficiency includes delivering Training of Trainers workshops to enable us to increase the number of available facilitators for our training programs so that we can reach more health care workers. Cost-efficiency will also be achieved based on bulk procurement of Home based care kits for national distribution through existing mechanisms. Integrated site visits will cover quality issues of pediatric care, adult care, proper data collection and rational use of medicines. REDACTED. Resources that are already in place will also be utilized.
Monitoring and Evaluation of our activities is going to be done through quarterly progress reports based on a detailed implementation plan, training reports, receipts of procurement, site visit reports, etc.
With FY2009 Supplemental funds, HAQOCI will procure around 9,000 Home Base Care kits for national distribution to enhance the safe provision of Home based care by care givers.
With FY2010 funds, HAQOCI will procure an additional 9,000 Home Based Care kits for national distribution to enhance the safe provision of Home based care country wide and conduct trainings of community volunteers in home base care.
With FY2009 Supplemental funds, HAQOCI will conduct site supervisory visits and clinical mentorship to 9 sites offering adult and pediatric services. The team will be able to work within the national mentorship plan to train mentors in the provincial sites who will in turn train mentors at the district and rural level to ensure that protocols and guidelines are understood and implemented as expected at site level.
With FY2010 HAQOCI will conduct trainings for health care workers and in adult management of OI/ART; Conduct site supervisory visits and clinical mentorship to 9 sites offering adult and pediatric services. The team will be able to work within the national mentorship plan to train mentors in the provincial sites who will in turn train mentors at the district and rural level to ensure that protocols and guidelines are understood and implemented as expected at site level.
With FY2009 Supplemental funds, HAQOCI will conduct site supervisory visits together with the MOHCW and clinical mentorship to 9 sites offering adult and pediatric services. The team will be able to work within the national mentorship plan to train mentors in the provincial sites who will in turn train mentors at the district and rural level to ensure that protocols and guidelines are understood and implemented as expected at site level.
With FY2010 funds, HAQOCI will be able to continue training on Pediatric OI/ART management and conducting site supervisory visits. The Mentorship program will cascade to the district and rural levels to ensure that protocols and guidelines are understood and implemented as expected at site level and to increase the confidence of clinicians in the practical management of pediatric patients.
With FY2009 Supplemental funds, HAQOCI will support the revision of the draft National Human Resources for Health policy and move it through the process of development, approval, printing, dissemination and the training of management staff for its implementation.
In FY2010, HAQOCI will strengthen its workforce by increasing its technical team for clinical services that will free up time from other existing technical team to concentrate on the new activities taken up within our program like supervisory visits, clinical mentorship and additional training activities. A training coordinator will be hired to ensure the smooth running of the training program and coordinate with partners like the Ministry of Health and Child Welfare and other partners. He/she will additionally take on activities for resources mobilization and leveraging with other partners.
HAQOCI will also continue providing technical assistance to the Ministry of Health and Child Welfare, National AIDS Council and Hospice Association of Zimbabwe (HOSPAZ) and supporting the Clinical Epidemiology masters program at the University of Zimbabwe.
In FY2010, HAQOCI will expand its University of Zimbabwe Education and HIV/AIDS (UZEHA) Center Project which coordinates the activities of the HAPS center, Students Health Services Center and the staff clinic, through the expansion of its technical team (1 doctor and 2 nurse counselors). This will enable the UZEHA to provide HIV/AIDS awareness information to students/staff and other members of the University community through group education as well as individual counseling and access to the virtual module on life skills.
These services will be promoted also among other tertiary education institutions to increase HIV awareness among higher and tertiary education students as well as promoting the setting up of similar initiatives at other higher and tertiary institutions.
Services at the HAPS project are done in collaboration with PSI who provides counseling to the students and staff at the clinic. The HAPS center staff also conducts outreach activities which include HIV awareness on the campus.
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With FY2009 Supplemental funds, HAQOCI will do an assessment of the infection control program implemented at 5 central hospitals and 7 provincial hospitals in Zimbabwe. REDACTED
HAQOCI will implement the training on the new TB/HIV guidelines to strengthen the provision of care to co-infected patients. In addition HAQOCI will continue incorporating TB management in the OI/ART standard training for health care workers.
REDACTED. HAQOCI will continue scaling up the TB/HIV training for health care workers and incorporating TB management in the OI/ART trainings for health care workers.
