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.
The overall goal of this partnership will be to support the Ministry of Health and Child Welfare in the implementation of health related surveys that would provide data to guide health related policy decisions for Zimbabwe.
This program will support the HIV/AIDS national strategy and plan in the survey design, data collection, data analysis and data dissemination of key activities like the HIV prevalence survey among ANC attendees, National HIV estimates, TB and HIV drug resistance prevalence, among others.
The coverage of the strategic information activities to be implemented by this TBD will be national and targeting those site/patients selected as part of the studies samples.
The key contributions of these activities to health systems strengthening will be updated information for health related policy decisions in the area of HIV/AIDS and related diseases like Tuberculosis.
The activities to implement will involve cross-cutting programs like Human Resources for Health as training is a key activity in the implementation of any survey to ensure the quality of the data being collected. A PEPFAR key issue addressed by these activities is Tuberculosis through the implementation of the multi-drug resistant (MDR) TB survey that will provide the country with prevalence data about the level of resistance to anti-TB drugs whose last survey was in 1994.
Cost-efficiency strategies will be based on bulk procurement of reagents for sample testing as required by the ANC survey, MDR TB survey and other surveys according to the protocol. Resources that are already in place and have been procured in previous years for these surveys will be utilized as much as possible or maintained if needed. Involvement of local staff will be done as much as possible and external technical expertise will only be requested for targeted and relevant areas where there is not much experience in country.
Monitoring and Evaluation of the activities will be done through regular supervision of data collection, involvement of partners to provide feedback to draft documents and production of final reports after each strategic information activity developed.
The objective of the second portion of this TBD are 1) To ensure overall IT security including identifying important vulnerabilities, and putting in place and maintaining appropriate defensive and responsive mechanisms. This includes firewalls, antivirus systems and maintaining up to date patches on all systems. 2) To ensure day to day operation of email system and Internet connectivity at the MOHCW. 3) To upgrade all MS windows and rolling out new hardware and software. 4) To ensure hardware is protected by the procurement of UPS machines.
This project will support the HIV/AIDS National Strategy and Plan through the strengthening of the IT network and system which facilitates the efficient monitoring and evaluation of programs and real time communication between the national, provincial and district structures.
The coverage of these activities will be national and targeting main public health sector institutions.
The key contributions of this program to health systems strengthening will be an improvement in data transmission, networking and connectivity within the health sector.
The strategy for cost-efficiency of this TBD will be on bulk procurement of IT equipment and contracts for the long term provision of services. Resources that are already in place will be utilized as much as possible or maintained if needed.
Monitoring and Evaluation of our activities is going to be done through quarterly progress reports based on a detailed implementation plan, field site visit reports and minutes of local level meetings with IT staff in the provinces and districts.
FY2009 Supplemental funds will be utilized in the implementation of the Zimbabwe ART Outcomes evaluation protocol. This protocol has already been approved by the IRB in Atlanta and is waiting final approval by the Medical Research Council of Zimbabwe. The implementation of this protocol will involve recruitment and training of at least 3 data collection teams that will visit 40 OI/ART sites in the country and review records for 4000 patients that have been on Anti-retroviral therapy for a minimum of 6 months to evaluate the proportion of patients still on treatment, lost to follow up, dead or switched to second line. This survey will inform the national program about current retention rates and highlight the quality of the routine data being collected in the program, among other key outcomes.
These funds will additionally contribute to the follow up of HIV Drug Resistance activities being implemented in the country as part of the National HIV Drug resistance strategy that includes three key components: 1) HIV Threshold survey - assessing the spread of HIV drug resistant mutants in newly infected individuals; 2) Early warning indicators survey- Collection of a set of indicators that are meant to provide information for action in strengthening and instituting corrective measures at individual sites offering HAART; 3) Monitoring surveys - Prospective cohort survey among patients initiating HAART for the purpose of reducing or preventing HIVDR while on treatment.
Finally part of these funds will be utilized in the preparatory activities of the Multi drug resistance TB survey that the country will implement in 2010.
FY2010 funds will contribute mainly to the implementation of the Multi drug resistance TB survey which includes training, procurement of reagents for testing, transport of samples from selected sites to the National TB reference lab, confirmatory testing by a supranational reference lab, among other activities.
HIV Drug Resistance activities will continue to be supported in 2010 covering the three key components of the National HIV DR Strategy: 1) HIV Threshold survey - assessing the spread of HIV drug resistant mutants in newly infected individuals; 2) Early warning indicators survey - Collection of a set of indicators that are meant to provide information for action in strengthening and instituting corrective measures at individual sites offering HAART; 3) Monitoring surveys - Prospective cohort survey among patients initiating HAART for the purpose of reducing or preventing HIVDR while on treatment.
A prospective cholera/HIV study is being prepared to determine the risk factors of contracting cholera among HIV positive patients to be implemented in the next cholera season.
A portion of funds will be allocated to the preparatory activities of the next ANC survey in 2011.
Additionally FY10 will support an IT Software Upgrade through the procurement of the following items: 1) Windows 2008 and Licenses (Quantity 2000), 2) Anti virus program (Quantity 200) 3) Server configuration and 4) Procurement of 1.5KVA UPS. (Quantity 10)
This activity will minimize disruptions to the system and reduce downtime due to technical challenges. It will also equip the Ministry's personnel with the necessary tools to perform their duties and responsibilities which ultimately provide donors with informed program decision making.
In addition, this TBD will concentrate on provision of wireless connectivity through the procurement of the required hardware and software at national, provincial and district levels. This activity will improve reporting, monitoring and evaluation and the flow of data between the various ministry's structures and assist all stakeholders in making informed programming and operational decisions.
