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: 2008
Per guidance sent by CDC/GAP, this activity represents approximately 1/12 of the funding originally
allocated to Columbia University for this program area under activity 5181.08. Funding is provided to pay
for that activity from February 23 - April 1, 2009.
Continuing activity: Columbia University's (CU) scale-up of treatment services is supported by USG and
guided by Mozambique's national HIV strategic plan. In collaboration with the Ministry of Health (MOH), CU
will continue long-standing support HIV care and treatment facilities at 10 secondary and tertiary-level
hospitals in Maputo City (3), Xai Xai in Gaza Province (1), Inhambane City in Inhambane Province (1),
Nampula City in Nampula Province (1), and Quelimane, Mocuba, Milange and Gurue in Zambezia Province
(4). To accomplish this, CU will continue to:
1) finance, train and mentor 15-20 MOH clinic staff per facility (200 total),
2) provide equipment and supplies to maintain facility operations,
3) conduct additional renovations as needed,
4) improve patient management, drug management and strategic information systems,
5) reinforce follow-up and referral systems,
6) strengthen linkages with organizations providing services for PLWHA, VCT outlets, TB clinics and
7) strengthen linkages with services to increase HIV case-finding (e.g. TB, PMTCT, Youth Centers)
Specific activities include:
Human Resources: Continue financing the salaries of MOH health-care workers (200). These providers
include, doctors, medical technicians, nurses, counselors, pharmacists, data technicians and administrative
staff. This activity will be financed through subagreements with Provincial Health Authorities (DPS) plus the
Central Hospital in Maputo.
Training and Mentoring: Continue supporting CU clinical-support teams at the facility level. The clinical-
support teams provide clinical mentoring, technical assistance and logistical support to staff at the HIV care
and treatment facilities supported by CU. They provide refresher training for facility staff to reinforce
guidance received through national training programs. The teams are based at provincial-level hospitals
and travel regularly to other CU-supported facilities in the province. Each team includes a Clinical
Supervisor, 1-3 Clinical Officers, 1-2 Logistics Officers and a Data Officer. All team members are hired
directly by CU.
Infrastructure: Continue providing supplies and additional equipment to maintain and expand facility
services. In addition CU will support minor renovations as needed.
In addition, CU will continue to provide technical support at the central level to the Department of Medical
Assistance (DAM). This support is used to assist the Government of Mozambique in developing and
updating policies and guidelines for managing the national ART effort. Specifically, CU technical staff will
provide the following support: guidance to HIV Management and ARV Committees, revision of clinical
guidelines and HIV service decentralization plan, revision of training curricula and materials, adaptaion of
adherence and psychosocial support materials and guidance to the National Adherence Support Work
Group, and refinement and roll-out of a CU-developed computer and paper-based patient-tracking system
As an integral part of its efforts, CU will work to improve pediatric treatment services and support at least
3,800 children on treatment and 22,000 children receiving HIV care at all CU supported facilities.
FY07 Narrative: This activity is linked to activities 8593 and 8545.
Columbia University's (CU) proposal for FY07 Track 1 funds and in-country supplemental funding in the
amount of $5,411,250 builds on FY04-FY06 treatment activities. With this funding, CU will support the
Ministry of Health (MoH) in the provision of ART treatment to 25,500 PLWHAs (23,000 with ongoing Track 1
Funding) and the expansion and improvement of service referral networks.
To achieve this target, CU will increase its current number of treatment sites from 18 currently to 24 in FY06
and 36 in FY07. CU's expansion is guided by the USG PEPFAR team's five-year strategic vision that ARV
treatment services should reach beyond provincial capitals to include rural health facilities. The additional
facilities supported in FY07 (primarily through the supplemental funding) will be outside major urban cities.
Beyond direct support of patients on ARV therapy, specific activities to be undertaken with Track 1 funds
1) Human Resources: CU will continue to supplement existing staff at 24 HIV care and treatment facilities
by financing, training, and providing ongoing mentorship to 15-20 MoH clinic staff per facility in the provision
of HIV care and treatment services for adults and children (400 staff total). These providers include doctors,
medical technicians, nurses, counselors, pharmacists, data technicians and administrative staff. This
relationship and support contributes to skills building and transfer at the point of service delivery.
Human Resource staffing is financed through sub agreements with Provincial Health Authorities in the six
provinces supported by CU plus the Central Hospital in Maputo City.
Training: CU will continue to provide ongoing training by clinical-support teams to staff working at CU HIV
care and treatment facilities in 6 provinces plus the Central Hospital in Maputo. Each team includes a
Clinical Supervisor, 1-3 Clinical Officers, 1-2 Logistics Officer and a Data Officer. In particular, they provide
refresher training for all health care providers to reinforce national guidelines and centrally-developed
training programs. The teams also conduct on-site training and mentoring of clinicians in the management
of HIV-exposed infants at CU-supported pMTCT facilities
All team members are hired directly by CU, based at Provincial Hospitals, and regularly travel to CU-
3) Infrastructure: CU will continue to provide supplies and additional equipment to maintain and expand
services at 24 facilities through FY06. In addition CU will conduct renovations to existing health facilities as
Activity Narrative: 4) Policy and guidelines: CU will continue to provide technical support at the central level MOH to the
Department of Medical Assistance (DAM). This support contributes to the development of policies and
guidelines for managing the national ART effort. Specifically, CU technical staff will assist the HIV
Management and ARV Committees to develop and revise clinical guidelines and an HIV service
decentralization plan in addition to designing/updating training curricula and materials. CU will also work
with the National Adherence Support group to develop adherence and psychosocial support materials.
Internally, CU will work to strengthen their electronic patient-tracking system and paper-based systems for
program monitoring purposes and will advise Emergency plan staff and other partners on the process for
renovation of MOH facilities, including design, tendering and implementation.
4) Coordination: Columbia University will continue to participate in coordination meetings of the PEPFAR
treatment partners as well as quarterly PEFAR partners meetings to ensure exchange of information,
coordination of Emergency plan efforts and to provide regular updates of the program during the course of