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.
NOTE: Since 2005, the USG has maintained bilateral Cooperative Agreements that provided direct USG disbursements to the Ministry of Health and Child Welfare (MOHCW) and the National AIDS Council (NAC) under the PEPFAR program. (These funds were part of the Department of Health and Human Services appropriation and were not subject to the Brooke-Alexander Amendment of the Foreign Assistance Act.).
In 2008, the USG froze disbursements to the MOHCW and NAC until the GOZ meets established conditions for resumption of bilateral aid. The conditions relate to: full and equal access to humanitarian assistance; restoration of the rule of law; a commitment to the democratic process and respect for applicable international human rights obligations; a commitment to macroeconomic stabilization in accordance with guidance from relevant international agencies; and timely elections held in accordance with international obligations, and in the presence of international election observers.
The formation of the inclusive government in February 2009 and solid macroeconomic management since then are some positive signs. USG is thus including "placeholders" for the MOHCW and NAC mechanisms for FY2010 so that funds can flow quickly once conditions are met. If this does not occur by May 2010, USG will reprogram the funds to other mechanisms. END NOTE
The Ministry of Health and Child Welfare (MOHCW) is the only agency in Zimbabwe, public or private, that has responsibility for core functions of public health and coordinated and efficient response to HIV/AIDS in the health sector. These responsibilities includes: 1) Set of policy for provision of care to the population of Zimbabwe. 2) Direct provision of care to the overwhelming majority of the population, especially on maternal and child health. 3) Surveillance of HIV/AIDS issues in Zimbabwe.
The key Objectives of our program are: 1) To strengthen surveillance and monitoring of the epidemic, including the capacity of the MOHCW to manage information for HIV/AIDS prevention, and to make disseminate decisions and policy in a timely manner. 2) To strengthen the public health laboratory system. 3) To strengthen prevention, care and treatment for HIV/AIDS, particularly in PMTCT and through improved delivery of higher quality health care for HIV/AIDS.
This program supports the HIV/AIDS National Strategy and Plan through the implementation of activities in key areas of the HIV/AIDS national program like expansion of PMTCT services in clinics with no HIV testing, improvement in data management along all its different steps: collection, transmission, analysis and dissemination for better decision making within the HIV program and improvement of TB /HIV services for co-infected patients.
The coverage of our activities is national and target all health care workers and populations served in the public sector in Zimbabwe.
Our program strengthens the National Health System through the targeted allocation of resources in the most needed technical and geographic areas for support. This includes components at National, Provincial and District level.
MOHCW activities cross-cut in the program areas of Human Resources for Health and REDACTED through training in key technical areas and implementation of basic renovations at facility level to improve the provision of TB/HIV services.
A Key PEPFAR issue addressed in our program is TB as renovations in key health institutions will target to provide adequate facilities for the treatment of MDR TB whose affected patients are usually co-infected with HIV.
Our strategy for cost-efficiency is based on integrated site visits and training covering several program components at the same time like: PMTCT, OI/ART care, M&E supervision, etc. Maximum use of resources already in place and implementation of key activities that address bottlenecks in the provision of care at national level.
Monitoring and Evaluation of our activities will be done through quarterly progress reports based on a detailed implementation plan.
With FY10 resources we will do a revision of the existing site assessment tool for the provision of OI/ART services to ensure its comprehensiveness and do dissemination of the updated version to partners and candidate sites to create awareness on the minimum requirements for approval. Additionally we plan to carry out an assessment of the implementation of OI/ART activities within the private sector to have a better picture of their contribution to the National program.
With FY10 resources we plan to support the roll out of our electronic indicators database to improve reporting rates to the Ministry of Health and Child Welfare of HIV/AIDS and related activities as well as on-site training of staff on quality data collection, reporting and analysis. Part of these resources will be allocated to the procurement of packing materials and distribution of the PMTCT/HIV/TB/ M&E tools that have been printed by other partners to ensure adequate stocks of M&E tools at site level.
With FY10 resources we plan to increase access to PMTCT by women attending ANC services in those clinics where HIV testing is not yet available or where no other partners are supporting these services as yet. Activities will cover national training of health staff in HIV testing and integrated short course ART (called Most Efficacious Regimen, or MER), dried blood spot infant HIV testing, infant feeding and monitoring & evaluation training at district level for 6 districts.
With FY10 resources we plan to support staff at the National Microbiology Reference lab and do basic procurement of consumables/reagents for the National Microbiology Reference lab and National Tuberculosis Reference lab in response to identified gaps.
With FY10 resources we plan to renovate 2-3 health institutions for the provision of MDR TB care services as most are TB/HIV co-infected patients. This activity is in response to the need to ensure appropriate care to those individuals now being identified through the capacity building of culture and drug sensitivity testing at the National Tuberculosis Reference lab.
