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: 2013 2014 2015 2016 2017
The goal of the Health Sector Finance Reform is to expand sustainable financing options to improve access, equity and quality of health care services. USAID has been funding this wraparound project to support the implementation of the Health Sector Finance Reform (HSFR) and health insurance programs through the existing health sector management system at the national, regional, zonal/woreda, and health facility levels. Health financing reform is a key priority for the GOE, the PF in goal 3: health systems necessary for universal access are functional by 2014, and throughout the GHI strategy. During COP 2012, the HSFR project focused on: 1) strengthening the capacity of the FMOH, RHBs, Zonal and Woreda Health Offices, Facility Governance Boards(hospital and health center management bodies) and the new health insurance management institution to initiate and implement innovative health financing schemes 2) establishing functioning health center/hospital boards while outsourcing non-clinical services, and 3)strengthening fee waiver systems, health facility finance structures and staffing, user fee setting and revision, retention and utilization of revenue and conducting supportive supervisions. Coverage includes all regions except Afar and Somali. In COP 2013, the program will focus on: 1) consolidation of health sector reforms in all regions and expansion to new health facilities, 2) supporting the FMOH to implement the social health insurance schemes targeting governmental and the private formal sectors, and expanding community-based health insurance programs in rural areas, 3) strengthening evidence generation and use for policy decision-making, 4) building the institutional capacity of the National Health Insurance Agency and Regional branch offices of the Agency.
The purpose of this award is to implement Health Sector Finance Reform (HSFR), including health insurance programs, at the national, regional, zonal/woreda, and health facility levels to improve access to and delivery of HIV/AIDS and other helath services. The program will address access, equity and efficiency issues by focusing on the consolidation of health sector reforms, supporting the FMOH in the implementation of national health insurance and generating evidence to inform policy changes. COP 13 funds will be used to continue supporting GOE in implementing the national social health insurance program, scaling-up the Community-based Health Insurance(CBHI), provide technical support for the roll-and wider implementation of HSFR. Hence, the program will focus on: 1) consolidation of health sector reforms in all regions and expansion to new health facilities, 2) supporting the FMOH to implement the social health insurance schemes targeting governmental and non-governmental organizations employees (the formal sector), insurance schemes for the informal sector and community-based health insurance programs, 3) strengthening evidence generation and use for policy decision-making, 4) building the institutional capacity of the National Health Insurance Agency and Regional branch offices of the Agency.The project will also strengthen supportive supervision, documentation, publications and sharing of research findings including conducting HSFR projcet end line assessments. In addition, the project will support FMOH to conduct the fifth Ethiopian National Health Accounts( NHA) and institutionalization of the NHA methodology.
