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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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.
Overall Goals and HIV-Specific Objectives: The Southern Africa Human Capacity Development (SAHCD) Coalition is an Associate Cooperative Agreement issued by USAID. SAHCD is implemented through a partnership among IntraHealth International (the Lead Partner), Management Sciences for Health (MSH), the Foundation for Professional Development (FPD), the Council of Health Service Accreditation of Southern Africa (COHSASA), and the Eastern, Central and Southern African Health Community (ECSA). This project serves as a mechanism for implementing a regional human capacity building program to improve the quality of HIV/AIDS service delivery and client care.
In Botswana, SAHCD's goal is to strengthen the MOH and MOLG human resources for health and implement the customer care strategy. In order to reach this goal SAHCD will provide support for Human Resource Systems Strengthening in Botswana in two principle areas; improved quality of care through the design and implementation of integrated quality improvement, results-oriented leadership, and management skills development and ; strengthening the capacity of the Human Resource Management Information System (HRMIS) of the Ministry of Health (MOH) for production of quality data that will enhance decision-making (i.e., Data Driven Decision-Making) for HR planning, recruitment, deployment, retention of health worker.
Target Populations and Geographic Coverage: The primary focus of SAHCD's program in Botswana is on HRH and Health Systems Strengthening and is designed to be implemented at all levels within the health system i.e. national, regional and facility level. The LPD/QA program plans to expand to 7 district hospitals and 14 clinics during FY10, the target population being the population from the catchment area of these facilities. HRIS activities will expand to 2 regions. The specific regions will be further identified in collaboration with the appropriate ministries. In FY11 SAHCD will also further institutionalize program activities within the MOH, MLG and Councils with the aim of reducing costs and inputs from SAHCD and moving more toward mentorship, targeted technical assistance and supportive supervision.
Leveraging Resources: SAHCD leverage resources from coalition partners in assuring the highest level of technical expertise is provided. Partner organizations such as MSH, COHSASA, ECSA, and FPD in addition to providing contracted inputs, contribute significantly to program quality and effectiveness as they bring a wealth of knowledge and experience in all facets of program implementation. SAHCD leverages this expertise through various mechanisms such as partner meetings, sharing of reports, information and tapping into targeted technical assistance when required.
Cross-Cutting Programs: The LDP/QA component will address HRH strengthening across all departments within the targeted facilities. Managers will be provided with the tools and support necessary to improve the delivery and quality of HIV/AIDS services through human capacity development. The HRIS component will also contribute to HRH strengthening in providing policy makers and management staff with the required data/information and tools that will generate reports required by management for effective decision making.
Enhancing Sustainability: Improving the capacity of local institutions in delivering quality HIV/AIDS services is the overall goal of the program. SAHCD recognizes that capacity building is an ongoing process and that local institutions need to be equipped with the necessary skills and tools to continue the process after program completion. With this in mind, the LDP/QA program will develop the capacity of IDM Botswana with the needed skills to continue and scale up future LDP/QA projects. In addition to this MOH staff participants will also receive training to continue LDP/QA training within the ministry. For the HRIS, senior level management within the participating institutions will be provided with the tools and skills to enable them to maintain the required data bases. The Data for Decision Making training workshops and mentorship- will assure that data is used and not just stored. The Stakeholder Leadership Group will increasingly be given greater and greater responsibility for champion and maintaining momentum.
Monitoring and Evaluation: The SAHCD Coalition has a comprehensive Performance Monitoring Plan (based on PEPFAR indicators but also has custom-designed indicators), which tracks and monitors all activities implemented by SAHCD. The SAHCD Regional M & E Advisor has proactively started reviewing the PMP custom indicators to address anticipated changes in programming and to respond to the upcoming new generation indicators. He is also responsible for reporting, data collection, processing and storage of information. The indicators included in the activity narrative (see indicator table) are illustrative and highlight the often complex challenges faced in developing a Performance Monitoring Plan to measure changes expected from HRH and HSS implementation. The coalition has designed its core indicators to measure implementation around QA/LDP and HRIS. The web based COHSASA Quality Information System (CoQIs) is incorporated into the coalition monitoring system to provide QA data on participating facilities.