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
The Maternal and Child Health Integrated Project (MCHIP) is the USAID Bureau for Global Healths flagship maternal, neonatal and child health (MNCH) program, which focuses on reducing maternal, neonatal and child mortality and accelerating progress toward achieving Millennium Development Goals (MDGs) 4 and 5. MCHIP is a follow-up field support activity to JHPIEGOs previous Maternal Health Project, ACCESS, which supported the Government of Ethiopias (GOE) Health Extension Program (HEP) to train Health Extension Workers (HEWs) in clean and safe delivery.
Through this wraparound activity, the Maternal Child Health Integrated Program will leverage PEPFAR resources to support and strengthen prevention-of-mother-to-child transmission (PMTCT) activities in the routine maternal and child health services supported by the project. This is in line with the Global Health Initiative (GHI) approach of providing PMTCT services through an integrated MNCH delivery platform. Such an integrated approach promotes local ownership and sustainability of the PMTCT program by helping to standardize these interventions within the continuum of services provided to women of reproductive age.
MCHIP will apply quality assurance and improvement (QA/QI) tools, cooperate with other partners to cultivate synergies, provide technical assistance to health facilities and work with them to strengthen the primary health care unit (PHCU) to increase demand and utilization of PMTCT and MNCH services. MCHIP will also support the GoE to strengthen pre-service PMTCT training for midwives and nurses. The geographic coverage includes Ooromia, Tigray, SNNPR and Amara regions.
Maternal Child Health Integrated Program (MCHIP) will leverage PEPFAR resources to support and strengthen prevention-of-mother-to-child transmission (PMTCT) activities in the existing maternal and child health (MCH) services supported by the project.
With COP 12 funds, MCHIP plans to: 1) integrate provider-initiated testing and counseling (PITC) services in antenatal care (ANC) clinics, 2) build the capacity of Health Center Workers (HCWs) on PMTCT support and assessment of HIV positive pregnant women for antiretroviral therapy (HAART/ARV), and 3) ensure counseling and education provision for HIV positive pregnant women on nutrition, family planning, and infant feeding.
The project also applies its known quality assurance (QA) tool to improve the quality of PMTCT services and to decrease dropout rates for pregnant women in the health facilities supported. The project shall work with PEPFAR and other stakeholders to ensure availability laboratory reagents, ARVs, PMTCT registers and summary sheets and other MCH equipment at health facilities. Regular PMTCT site mentoring, data quality assurance (DQA) and supportive supervision, selection and sharing of best practices will be part of project activities. The project will work together and collaborate with the host government, and give technical assistance as necessary from the national to district level, being sure to work within the existing government structure.
Demand creation for ANC and institutional delivery is critical for strengthening the PMTCT program. Therefore, MCHIP will work with Health Extension Workers and other community volunteers. This includes strengthening primary health care unit (PHCU) meetings and conducting outreach to health posts for ANC/PMTCT services where feasible. MCHIP will also support the GoE to strengthen pre-service PMTCT training for midwives and nurses.