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: 2011 2012 2013 2014 2015 2016
The overall goal of this partnership will be to support the Ministry of Health and Child Welfare (MOHCW) in the implementation of health related surveys, program evaluations, implementation research operations research, assessments and program specific monitoring that would contribute data to guide health related policy decisions for Zimbabwe.
The activities of this project will support the HIV/AIDS national strategy and plan in the areas of survey design and , data collection, data analysis and data dissemination and use of key information such as activities like the HIV prevalence survey among ANC attendees, national population surveys, National HIV Estimates, TB and HIV drug resistance prevalence, and data triangulation.
The coverage of the strategic information activities to be implemented by this project will be national and will target those sites selected as part of the studies.
The key contributions of these activities to health systems strengthening will be updated and timely information for health related policy decisions in the area of HIV/AIDS, TB and related diseases and improved resource allocation based on the program evaluations and assessments that will be carried out.
This project will require collaboration with National Institute of Health Research (NIHR), the University of Zimbabwe and its relevant departments, ZIMSTAT, as well as, with UN agencies, bilateral, multilateral and local NGOs.
A woman and girl centered approach is inherent in the ANC survey as well as the HIV drug resistance monitoring in PMTCT.
The activities to be implemented will involve cross-cutting programs like Human Resources for Health as training of health workers is a key activity in the implementation of any survey to ensure the quality of the data being collected. The project will continue to support secondments of five key positions; 3 Laboratory scientists and 2 AIDS and TB Programs, Surveillance Officers. that are currently funded in the 2010 ZINQAP budget.
TB is a key issue that will be addressed by this project by: 1) setting up a MDR TB surveillance system, 2) training of health professionals on identifying TB suspects and on sputum sample collection, and 3) training of laboratory scientists on TB culture and analysis of results while adhering to strict infection control measures.
Safe motherhood is another key issue addressed by this project as training of health care workers for the ANC survey strengthens service provision in pre and post-natal periods.
An additional key issue covered by this project is end-of-program evaluation as this project will evaluate on regular basis the effectiveness and quality of care provided by the MOHCW programs.
Cost-efficiency strategies will be based on close coordination with the MOHCW so that most of the activities will be organized by existing MOHCW staff. Resources that are already in place and have been procured within the routine programs of the MOHCW will be utilized. Local staff will be involved and external technical expertise will only be requested for targeted activities that require specialized technical assistance.
Monitoring and evaluation of the activities will be done through regular supervision of data collection, data quality assessments, involvement of partners to provide feedback to draft documents and production of final reports after each strategic information activity has been developed.
These funds will contribute to the continuation 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 Antiretroviral Therapy (ART).
3) Monitoring surveys - prospective cohort survey among patients initiating ART for the purpose of reducing or preventing HIV drug resistance while on treatment. Additionally this survey will monitor behavioral indicators among people on ART treatment (Prevention with Positives). Monitoring will be expanded to include women accessing PMTCT services and their babies.
This program will support the completion of the 2011 regular ANC survey as a priority. Funding will also support the HIV Estimates Process, data triangulation, program assessments,evaluations and and provide provide start up funding for population based surveys as required by the MOHCW and partners. , formative research in most at risk populations, program assessments, data triangulation and evaluations.
This program will set up the National MDR TB surveillance System as a continuation of the MDR TB survey supported with FY10 funds. Health personnel from the 65 district hospitals will participate in active surveillance for MDR TB. The two reference laboratories (the National Microbiology Reference Laboratory in Harare and the National TB Reference Laboratory in Bulawayo) will be strengthened to provide culture and sensitivity analysis for suspected MDR TB cases.
