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: 2012 2013 2014 2015
The objective of this project is to improve and increase the number of human resources for health and social welfare in Lesotho. H RAA will ensure that its programmatic activities are in line with the countrys Health Sector Strategic Plan, Health Services Decentralization Plan and the USG/GoL Five Year Partnership Framework on HIV/AIDS with emphasis on Goals III and IV.
The HRAA is led by the East, Central and Southern African Health Community and has five sub-partners including Jhpiego, Eastern and Southern Africa Management Institute, Regional Network for Equity in Eastern and Southern Africa, African Health Systems Development Inc and the Regional Centre for Quality of Health Care.
The HRAA partners will work collaboratively with the Ministry of Health and Social Welfare, Christian Health Association of Lesotho, Health NGOs, private sector, Regulatory Bodies, professional associations, PEPFAR Implementing Partners and development partners to achieve the following key result areas: 1. National HRH/HSS plans, policies and systems operationalized and implemented. 2. HRIS developed and the use of data for decision-making promoted. 3. Pre-service education systems for health and social welfare-related professionals, paraprofessionals and community health workers strengthened. 4. Workforce shortages addressed through improved worker recruitment, retention, and productivity, including the community/informal workforce. 5. Health professional regulatory bodies and associations strengthened (e.g., nursing councils which may register and credential health care workers, oversee continuing education, and/or accredit academic institutions).
The HRAA COP 2012 activities will emphasize focus on the scale-up of HRH activities to all 10 district councils in Lesotho, following decentralization of health and social welfare services.
Districts will be supported to use the National HRH Plans and policies to develop their own specific HRH plan to strengthen the availability of health care workers (HCW) for health and HIV/AIDS programs. In addition, HRAA will also provide TA to all the 10 districts to scale-up and improve utilization of the iHRIS data for human resources decision making and monitoring of their HRH plans. Monthly HRH reports will also be submitted to the MOHSW HQ for national HRH monitoring.
Following on the development of training plans for schools and the Continuous Professional Development plan (CPD) in FY11, HRAA will support the MOHSW headquarters to develop sustainable Pre and In-service training monitoring mechanisms. The in-service monitoring system will inform decisions for CPD programs whilst the pre-service monitoring mechanism will track the progress of students from graduation to deployment.
In FY 12 HRAA will work with DHMTS to manage workforce shortages through efficient and effective recruitment, retention and productivity/ performance based financing strategies. HRAA will support all the 10 districts through capacity building training programs and workshops to implement the national retention scheme guidelines and tools for health and community health workers. In addition, HRAA will also facilitate the Development Credit Authority (DCA) consumer loans and housing for medical staff PPP program benefiting HCWs in the private, MOHSW and CHAL facilities.
In order to improve accreditation and quality assurance functions, HRAA will continue to support the strengthening of health regulatory bodies such as the Lesotho Nursing and Medical Councils through technical and financial support. In FY 12 HRAA will support districts to conduct bi-annual accreditation, quality assurance and support supervision activities in selected health facilities and training institutions.
