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 the activities of ZACH is to expand prevention, care and treatment on HIV & AIDS services among church related health institutions.
The objectives of the program are:
1) To expand the number of church related hospitals offering OI/ART services.
2) To support the development of human resources for the provision of OI/ART services and follow up of clients at the selected facilities.
3) To strengthen data management within the new OI/ART sites.
4) To set up a clinical mentorship and management support unit at ZACH secretariat office for the implementation of the program.
This project will support the HIV/AIDS national strategy and plan through an increase in the number of hospitals within the church related hospitals network providing OI/ART services in Zimbabwe.
The coverage of activities for this program will be national and targeting those church related institutions that are not yet offering OI/ART services.
The key contribution of this program to health systems strengthening will be an increase in the number of health institutions offering OI/ART services. provision of in-service training for health care workers in the delivery of OI/ART services and implementation of minor infrastructural changes required in some of these institutions to improve the provision of services.
ZACH will increase the impact of its activities through close coordination with the Ministry of Health and Child Welfare (MOHCW) and the HIV/AIDS Quality of Care Initiative (HAQOCI) for the implementation of the staff training as well as through partnerships with the National AIDS Council (NAC) for the expansion of adult care and support programs.
A woman and girl centered approach will be kept through the coordination of OI/ART services for pregnant women in need of ARVs for their own health who attend the PMTCT program at the hospital.
REDACTED To become an OI/ART site staff will need training and mentorship to acquire the appropriate skills and confidence in the management of HIV/AIDS patients. Some sites will require changes in the physical infrastructure to ensure adequate conditions for the provision of services.
Key issues addressed by this program include Tuberculosis (TB) and Workplace .as TB screening will be done with all HIV/AIDS clients in their routine visits to the clinics. Workplace issues will be addressed in the target institutions to ensure that health care workers have access to preventive measures and post-exposure prophylaxis (PEP) if needed.
The cost-efficiency strategy will be based on using the resources already in place at the selected facilities where only minor renovations or maintenance will be done. Bulk procurement of construction materials for several institutions at once after a comprehensive assessment of the targeted sites will allow obtaining lower prices. Supervisory/mentorship visits will be in a way that multiple sites are covered in done to sites close by during the same week long trip, to cut on travel expenses.
Monitoring and evaluation of the activities will be done through site supervisory visits. Quarterly progress reports will document M&E activities.
There are 126 hospitals/clinics within the church related hospitals network. Twenty one (21) of these hospitals have been upgraded to provide OI/ART services. With this funding ZACH will increase the number of hospitals within the church related network able to provide OI/ART services to increase access to opportunistic infections diagnosis and treatment, provision of Cotri-moxazole prophylaxis and ART to HIV positive patients.
Training of health care workers in OI/ART services will be critical to improve their ability to follow up patients on ART, reinforce the use of DOTS as a TB management strategy for co-infected patients, ensure appropriate pharmacy management, and perform recording, and reporting activities.
Minor renovations will be done in hospitals that require infrastructural adjustments for the provision of OI/ART services.
In addition, the project will ensure that a PEP program is in place for staff and survivors of rape/sexual assault. Community care givers will also be trained to support the follow up of patients in the community.
