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
African Palliative Care Association's (APCA) goal is to scale-up palliative care (PC) services in Malawi. The projects key objectives are to strengthen the human and institutional capacity of Palliative Care Association of Malawi (PACAM) to effectively coordinate PC development in Malawi; promote linkages and sharing of knowledge between and among PC providers; advocate for the availability of essential drugs required for provision of PC; and coordinate and facilitate PC education, training, standards and mentorship for NGOs, FBOs and government facilities to enhance the integration and provision of comprehensive PC within existing services. The target population is people with life-threatening and life-limiting conditions and their families.
APCAs objectives directly contribute to Malawis PFIP goals by strengthening advocacy for the integration of PC services into existing health systems and national policies, improving drug availability and access for pain and symptom control, and improving the knowledge and skill base of providers of health care in the components of PC. APCA also supports GHI goals of developing human resources for health and supporting strengthening of the supply chain and management system for delivery of drugs.
Cost effectiveness will be achieved by integrating activities into existing health services, building the capacity of PACAM to write proposals, fundraise, and manage projects, and training staff within the health system will build sustainability within the projects activities so that local institutions will ultimately be able to provide PC. A results framework with clear indicators has been developed. PACAM is collecting the data, and APCA is providing mentoring in monitoring and evaluation.
HIV positive patients can experience pain due to opportunistic infections and HIV-related cancer. The lack of a national palliative care (PC) policy and standards are key impediments to expanding access to effective assessment of pain and its management.
APCA promotes linkages and sharing of knowledge between and among PC providers within Malawi, and by coordinating and facilitating PC education, training, standards and mentorship for non-governmental organizations (NGOs). PACAM will continue to work with faith-based organizations (FBOs) and government facilities to enhance the integration and provision of comprehensive PC within existing services in 3 regions of Malawi. Activities include adapting a curriculum for training male caregivers, and conducting PC training for religious leaders, social workers, traditional healers and community volunteers.
Previously, PACAM supported the Ministry of Health (MOH) to develop a national referral form for PC services for HIV/AIDS patients. In FY12, PACAM will train facilities on using the referral form. A review will be conducted to ascertain the extent to which the form is being used and that people who need it are being referred for PC.
To promote linkages among providers, 3 PC meetings will be held to provide an update on advances and share lessons learned. PACAM will also update the mapping of home-based care programs which have integrated PC and identify any gaps for targeting further development of referrals.
A national task force will be established to present the draft national policy at 3 regional stakeholder meetings; the final version will be presented to the government for approval and dissemination. Advocacy activities will target the adoption of the Opioid Dosing Guidelines as a national document, including the completion of a standards audit to ensure the quality of care. A prescribers curriculum focusing on morphine storage, records keeping and reporting systems will also be written and piloted with 10 doctors.
Basic program monitoring data will be collected by PACAM with continued mentorship and guidance from APCAs M&E Manager. Indicators and targets have been set for each of the activities.