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.
Years of mechanism: 2010
The Enhanced Strategic Information (ESI) project is a 5 year project funded by the USAID. The project's focus is the development of sustainable information systems in Lesotho. This, it seeks to achieve through the provision of technical assistance, training, mentoring and coaching of strategic partners in the practice of good quality M and E, HMIS, Decision support systems and the Geographic Information Systems (GIS). The projects relevance is highlighted by the strategic manner in which its goals and objectives are linked to the Government of Lesotho's (GOL) National Strategic Plan, The Health Management Information Systems Strategy (HMIS: 2008-2012) and the Partnership Framework Technical Assistance Strategy. A recent assessment conducted by the HMN in 2007, revealed that there is poor data management, about half of the data collected is properly disseminated and used. This could best be achieved by
ensuring that health systems in place are fully functional and the products contribute to an effective and efficient system that promotes the achievement of health outcomes in other program areas as well (HIV/AIDS and Health). In a recent publication 'An assessment of the national and sectoral HIV Monitoring and Evaluation systems in Lesotho' (2008) findings highlighted gaps in skill levels and availability of M and E skills, structural weaknesses in getting an M and E Technical working group that would leverage skills to bear on M and E issues countrywide, a policy environment that supports and enhances the culture of good M and E, data dissemination and use.
The ESI project Lesotho, has aligned its activities to match and support activities that strengthen the coordination and management of the HMIS, improved Data Quality and management, support system harmonization and integration and enhance data analysis, dissemination and use. This project's goals are also aligned with the Partnership Frameworks Goal IV: Health systems are strengthened in 4 key areas (HMIS, Lab systems, organizational capacity, and supply chain) to support prevention, care treatment and support goals by 2014. The partnership framework adapts a three pronged strategy that considers the following areas as important: i. Strengthening governance and leadership activities ii. Strengthening Health information systems iii. Strengthening data quality, data dissemination and use activities Specifically, the project will assist in building M & E and HMIS capacity at district and local level; and support the development of platform systems for the collection of all relevant data, including review and revision of current data collection forms. 1. Enhancing the capacity of the MOHSW (Lesotho) strengthen the community level information systems. JSI/ESI intends to pilot its interventions in 2 districts (Mohales hoek and Leribe) which will serve as a basis for roll out to all districts given further funding from the USG/PEPFAR. 2. To further support the MOHSW Lesotho, Further training and workshops for designated staffs in advanced quantitative skills will be offered in the immediate future. 3. Provide TA to NAC in developing and enhancing Capacity to meet its SI objectives The ESI team will adopt several strategies that will enhance capacities, strengthen systems and promote the usage of information for the purpose of program implementation. At National level, ESI will provide M and E technical support and conduct M and E training which shifts from the sharing of concepts but a focus on the practice of good M and E. The uniqueness of this strategy is highlighted by its focus on the utilization of M and E skills unlike popular approaches which train on concepts over a short period of time. The targeted population for ESI efforts would be members of the District Health Management Teams (DHMT), Data Clerks and Monitoring and Evaluation Officers working with and for PEPFAR Implementing partners, Government of Lesotho - Ministry of Health and Social Welfare, Ministry of Local Government and the National AIDS Commission. Organizations at community, district and national level will also be
provided with TA if and when required. ESI Lesotho efforts are covered in the following task areas: I. Task 1: Capacity Building for strategic Information II. Task 2: Improving Data quality III. Task 3 Health Management information system (HMIS) IV. Task 5: Activities on Decision support systems at USG/PEPFAR level V. Task 6: Activities for the MOHSW and PEPFAR programs are also under way. At National Level, the ESI project team will provide technical support through its active participation in M & E and HMIS technical working groups. By participating in activities that shape the policy environment concerning HMIS and M and E, the team will participate in advocacy campaigns and the development of policy documents when required. The project is also able to leverage an extensive and comprehensive skill set from other ESI projects in South Africa and Swaziland. This indicates that there is going to be rich cross pollination of ideas and experiences in the provision of Technical Assistance (TA) during training, mentoring and coaching. Given the existing activities and partnerships within country, care will be taken to ensure that by participating in the mapping out of interventions, the joint effort and specifically JSI/ESI role in Lesotho will not consist of duplication of others efforts but it will be more strategic and effective in reaching our target beneficiaries.
The ESI team will adopt several strategies that will enhance capacities, strengthen systems and promote
the usage of information for the purpose of program implementation. At National level, ESI will provide M
and E technical support and conduct M and E training which shifts from the sharing of concepts but a
focus on the practice of good M and E. The uniqueness of this strategy is highlighted by its focus on the
utilization of M and E skills unlike popular approaches which train on concepts over a short period of
ESI will build the SI capacity of members of the District Health Management Teams (DHMT), Data Clerks
and Monitoring and Evaluation Officers working with and for PEPFAR Implementing partners,
Government of Lesotho - Ministry of Health and Social Welfare, Ministry of Local Government and the
National AIDS Commission. Organizations at community, district and national level will also be provided
with TA if and when required.