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: 2010 2011 2012 2013 2014 2015
The USAID | DELIVER PROJECT (USAID Contract #GPO-I-00-06-00007-00) has been awarded to John Snow, Inc. (JSI) to design, develop, strengthen and, upon request, operate safe, reliable, and sustainable supply systems that provide a range of affordable, quality essential health commodities including drugs, diagnostics and supplies to clients in country programs. USG field missions indicate a strong desire for technical support that strengthens all aspects of in-country supply chains, including forecasting, procurement, distribution, management information systems, quality assurance, storage and infrastructure, and medical waste disposal. While family planning and reproductive health remain a priority in the field and for this contract, there will be other priorities. Field missions are seeking supply chain systems that are designed to handle a range of health products, including contraceptives and condoms, essential drugs, and select commodities for HIV/AIDS, malaria, maternal and child health, and infectious diseases. This contract seeks to strengthen supply systems for all essential health commodities and create environments that are conducive to their sustainability.
In Zimbabwe, the USAID | DELIVER PROJECT (DELIVER) supports the Zimbabwe National Family Planning Council (ZNFPC) in preparing forecasts and supply plans for male and female condoms for HIV prevention and for contraceptives. DELIVER designed and, in partnership with a United Kingdom Department of International Development (DFID)-funded Crown Agents activity, assists the ZNFPC to implement the highly successful delivery team topping up (DTTU) distribution system (less than 5% stock out rates for condoms). With assistance from the PEPFAR funded Supply Chain Management Systems (SCMS) Project this system also distributes HIV rapid tests and PMTCT Nevirapine (NVP) nationwide, and has begun a pilot test of adding PMTCT ARV short-course therapy (called more efficacious regimens, or "MER") to the system. With wraparound USG Child Survival funding DELIVER is assisting the Ministry of Health and Child Welfare (MOHCW) to pilot test in one province a system in which TB drugs for continuation sites and Malaria artemisinin combination therapy (ACT) and rapid diagnostic tests (RDT) for all sites are being managed on a DTTU type system called the Zimbabwe Informed Push (ZIP) system.
DELIVER is improving Zimbabwe's Human Resources for Health by conducting trainings as needed to ensure that team leaders are fully competent in critical software systems such as AutoDRV.
In FY 2010, DELIVER will continue to implement the TOP-UP logistics management information system (LMIS) and the AutoDRV, its new automated data capture system, which combines the use of rugged laptops during deliveries with a software version of the DTTU paper Delivery Requisition Vouchers (DRVs). Under the manual system, the DTTU Delivery Team Leaders had to make seven calculations by hand for each commodity 77 in total at sites receiving both the reproductive health and HIV testing/PMTCT lines of commodities before completing one site delivery. AutoDRV automates the calculations needed to determine the correct quantity of each health commodity to be delivered, reducing both time spent on site and calculation errors. After each delivery run, the data is imported directly into the DTTU's main LMIS for review and reporting, shortening data-entry time from three weeks per province to two days. The project plans to purchase additional rugged laptops and to upgrade the AutoDRV software.
DELIVER also plans to upgrade the TOP-UP software, which houses the data for all commodities currently carried by the DTTU.
In FY 2010, DELIVER, with co-funding from DFID through Crown Agents, will ensure the availability of male and female condoms and oral and injectable contraceptives to public sector consumers by assisting the Zimbabwe National Family Planning Council (ZNFPC) in implementing the Delivery Team Topping Up (DTTU) distribution system. Since its inception in 2004, this system routinely achieves nearly 95% coverage of public sector outlets and maintains stock out rates below 5% for male condoms. The performance indicator for this activity is to keep stock out rates for male condoms below 5%.
Because of the continuing success of the DTTU distribution system in the very difficult Zimbabwe operating environment, the national AIDS program and ZNFPC, assisted by the PEPFAR SCMS Project and DELIVER, linked HIV rapid test and PMTCT NVP distribution and reporting to this system in 2008 and have achieved the same high levels of site coverage and low stock out rates for HIV rapid tests and NVP. During 2009, with funding from the SCMS Project, PMTCT MER ARV drugs are being added to the DTTU system on a pilot basis, and if successful this will be rolled out nationwide in FY2010.
The DTTU system will distribute approximately 30 million male condoms, 2.3 million female condoms, 10 million cycles of combined oral contraceptives, 4 million cycles of progestin only oral contraceptives, and 1,000,000 vials of injectable contraceptives to 1,430 health centers and hospitals and 300 community-based distributors in FY 2010.
DELIVER will also be sponsoring a system-wide costing exercise for the DTTU, which will measure the total cost of running the system, taking into account all of the inputs and supporting partners, and compare this to the cost of running the traditional drug ordering system.
In addition to its HIV-funded DTTU delivery activities, DELIVER is also currently running a pilot for TB drugs, TB lab commodities and malaria ACTs & RDTs with DELIVER's wraparound Child Survival funding. If successful, additional DELIVER funding under Child Survival will be used to partially roll out the system.
