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: 2010 2011
Many countries face health worker shortages, an inability to recruit, train and deploy staff to areas with the greatest need, and a workforce that does not have the skills necessary to respond to the HIV/AIDS crisis. The urgent need for greater human capacity demands that health planners and managers adopt a new paradigm of advanced teamwork, ownership and collaboration, strengthened systems, stronger problem-solving skills, and the thoughtful sharing across borders. Regional and national institutions and individuals are fully capable to lead and implement the effort to build human capacity to provide HIV/AIDS prevention and care in the region.
This five-year award to a TBD partner will provide a mechanism for a regional platform in assist African countries in building the human resources (HR) necessary to deliver quality health and HIV/AIDS programs. The regional platform established underthis award will assist with the implementation of country-specific programs and activities illustrated under the country PEPFAR frameworks and other Global Health Initiative documents. Activities funded under this award are expected to improve the delivery of health and HIV/AIDS services in both the pubic and private sectors by strengthening the capacity of health workers, policy makers and planners, program managers, educational faculties and institutions and communities and families to deliver those services. It will do this through an alliance of qualified, specialized, Africa-based, regional and country-based people, organizations and institutions. The work of the Alliance on regional human resources for health and social welfare will contribute to the achievement of the United States President's Emergency Plan for AIDS Relief (PEPFAR) Frameworks in Lesotho.
TBD Partner will be embedded in the MoHSW, which will afford it a major influence and the ability to bring other development partners to participate in both country-led and global efforts to improve action across all major areas of health systems. These, include policy development, strategic planning, human resources capacity development, building leadership and management skills of health workers, financing, service delivery improvement (including infrastructure, supply systems and QA/QI advancements in health facilities) and information systems. SAHCD will continue to work across all levels of the systems with all actors in the public sector, regulatory bodies and teaching institutions and will continue supporting sector strategies and plans; helping build system-wide responses; and working on initiatives to devise, test and share best practice.
The a key focus of TBD partner will be to respond to the human resource crisis in the health and social welfare sector, linked to the HIV/AIDS epidemic by leveraging the institutional and technical capacity of local and regional partners, including Non-governmental organizations (NGOs), government institutions, multilateral organizations, and private partners. These organizations will be accessed and used to implement, coordinate, advocate and provide technical assistance to strengthen to the regional planning, development and support of the health and social welfare workforce, including monitoring and evaluation and alliance building. By the end of this award in 5 years, a local partner led Alliance will bolster a consolidated approach to addressing the HR crisis faced by the countries in the region and augment human resource for health and social welfare programs in Africa. This award will be developed at a regional level to address the regionality of the HR crisis in Africa including the movement of critical health and social welfare cadres in, out and around the SADC countries. The TBD partner will work through an alliance of Africa-based people and institutions, including current SAHCD partners and related southern African organizations, by offering providing core activities focused on increasing the numbers of workforce needed and the quality and performance of this workforce. The TBD Partner will bring together a diversity of partners, skills and activities around the Lesotho Partner Framework's vision human resources for health (HRH)/ health systems strengthening (HSS) to increase and build the human resources for health and social welfare in southern Africa.
Quality Assurance (QA)
TBD Partner will finalise the QA programme, leading to accreditation assessment of involved facilities.
TBD Partner will extend programme country wide, with TBD Partner QA support restricted to oversight and support.
A web based system will be institutionalized at the MoHSW's Quality Assurance unit to generate reports, share these with facilities key stakeholders in the health sector during reviews and use it for policy decisions.
QA system will be linked to relevant systems within the sector such as the Health Information Management, Human Resources Information.
Restructuring, recruitment and deployment, retention and other operational Policies
The former award (SAHCD) provided Technical Assistance (TA) to the MOHSW to re-structure and establish a functional structure. This proposed organizational structure and new positions was submitted to Cabinet and MoPS for approval and implementation. Although approved by the former the MoPS posed some challenges which are currently being addressed. SAHCD also assisted the MOHSW to develop a concept note on "Task shifting" as an interim measure to address the prevailing skilled labor shortages at the point of service delivery and to respond to the HIV and AIDS impact. TBD partner will continue to support the HR Directorate of the MoHSW to facilitate implementation of the above mentioned new structure.
TBD Partner will continue to support the development of relevant sector specific recruitment policies (for the workforce and training programmes), retention strategy, deployment policy, communication strategy, and other relevant priority policy issues as will be determined by the Health sector. The activities to supplement the proposed new structure of the MOHSW will include development of schemes of service and career ladders of the health workforce. TBD Partner will strengthen orientation of MOHSW's newly recruited health workers especially in the HR department to enhance a 'hands on' approach and efficiency.
TBD Partner will support dissemination and implementation of these policies and strategies. The geographic disparities in personnel coverage at the point of service delivery at the primary level (health centers), coupled with the under-supply of personnel by the dedicated training institutions, reflect inefficiencies in the prevailing posting practices of the MoHSW. TBD Partner will assist the MoHSW to develop a posting policy.
TBD Partner will provide technical assistance in developing and implementing a strategic plan for Nursing in the country.
TBD Partner will support implementation of Work place Program
TBD Partner will continue providing support and supervision to the established Wellness clinics in 22 health facilities. It will build the capacity of a unified national and regional support and supervision teams that will focus on the QA, Wellness, and LDP programmes. In collaboration with the other partners it will enhance linkages between HCD programmes and the Human Resource Advisory Committee to ensure continuous feedback on progress and highlight programme challenges with MOH senior management. TBD Partner will also periodically monitor and evaluate the programmes.
Strengthening Leadership, Governance and Management Capacity of MOH
TBD Partner will continue to emphasise its health systems strengthening programmes through PST and In-service Training (IST) according to the relevant training policies and strategies. PST activities and these will be focused on NUL, CHAL, NHTC and MOHSW. IST activities will be in support of MOHSW, other implementers and health care institutions. Health system strengthening activities will be conducted .
TBD Partner will assist in the implementation of improved PST curricula, in line with the country's health needs and HRH plan.
TBD Partner will give technical assistance in introducing innovative training methodologies for IST training, support through TOT and co training activities and assess trainers' competencies in order to identify gaps and strengthen training efforts in line with the MoHSW Continuing Education strategy.
TBD Partner will continue supporting IST activities in Lesotho, focusing mainly on areas that are unattended or have gaps/limitations. These areas will include the strengthening of transition efforts for new cadres from PST, through coaching/ mentorship and strengthened supervisory roles. In FY09, SAHCD developed a mentorship toolkit to support this transition and expand the quality and capacity of the health workforce.
TBD Partner will support the recruitment of health cadres in key priority areas, in response to country and institutional needs.
TBD Partner will advocate through the MOHSW to establish an accreditation system within the MOHSW, responsible for regulating education and practice standards of non- regulated health cadres such as community health workers.
TBD Partner will strengthen regulatory bodies in implementing a continuous education monitoring system, to ensure continuous development of health cadres, and licensure in line with international best practice.
