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 2012
In FY12, CARE will continue to support MOH, to increase access to and uptake of high quality HIV care and treatment services by improving service coverage and quality in HIV CT services; laboratory services; PMTCT; adult and pediatric care and treatment; infection prevention and control activities including PEP, injection safety, and waste management; and HIV-TB co-infection services. CARE will continue to mainstream positive prevention (PP) and and cross-cutting gender issues will be addressed, with specific activities to improve mens access and involvement including couples consultations. CARE goals and activities are aligned with all five goals of the USG-Mozambique Partnership Framework, including HIV prevention, health system strengthening, and HIV service delivery.
CARE currently supports HIV services in 4 districts in northern Inhambane. The target population is aligned with specific program areas, coverage adults, pregnant women, and children.
CARE participated in PEPFAR expenditure analysis and is within normal limits of PEPFAR Mozambique implementing partners.
CAREs agreement ends in FY13 and service delivery will be incorporated into the larger CDC Mozambique transition strategy through local NGO implementation.
CARE will also support the MOH to strengthen M&E activities through support for robust systems for all activities.
Pipeline analysis showed that FY12 funding is not required for CARE.
No vehicles are requested.
In FY 2012 CARE International will continue to strengthen the identification, treatment and management of TB in adults and children as well as continue to strengthen TB/HIV activities.The priorities will be:1) To increase TB detection rates and TB cure rates;2) Implement the 3 Is : intensified case finding (ICF), Isoniazid prophylaxis (IPT) and infection control (IC)3) Routine provision of CTX4) Strengthen the referral system and linkages with other services (CCR, CTH, PMTCT and ART and, inpatient wards) and implementation of one stop model ;6) Strengthen laboratory diagnostic services through training of new and existing laboratory technicians on smear microscopy techniques and establish a referral system for the regional laboratory for performing TB culture and DST.
The goal of the injection safety program is to reduce the risk of transmission of HIV and other blood borne pathogens through biomedical procedures, at health facilities. Care will continue its support to MOH through an alignment with overall PEPFAR FY 2012 activities. Key activities include 1) training for health workers and ancillary staff, dissemination of education materials, including job aids 2) supportive supervision, development and use of monitoring & evaluation tools 3) improvement of needles, sharps and other infectious waste systems disposal including dissemination of policies and strategies4)support implementation of PEP ( training, creation of job aids, M&E. 4) technical assistance to DPS/DDS to improve management of stock levels and resupply of necessary items through existing MOH channels. CARE will mainstream relevant activities into the routine functioning of health facilities where USG activities are supported. main activities includes:1) Ensure that health facility staff receive updated training in injection safety / IPC; PEP; waste managment 2) Implementation of standard operational procedures regarding sharps and other infectious waste disposal / IPC; 4) Improved availability and use of personal protective equipment, including technical assistance at DDS / DPS level to improve management of stock levels and resupply of necessary items through existing MOH channels; 5) Support availability of PEP and appropriate data collection and reporting / record keeping, IPC/Injection safety activities are linked to workplace programs. Implementation and supervision of activities will be conducted through an integrated approach in close collaboration with DDS and DPS. CARE will work closely with the USG and partners to monitore IPC/IS/PEP services.
CARE will continue its support to MOH through an alignment of FY 2012 activities with overall PEPFAR Counseling and Testing goals and strategies, with a focus on strengthened linkages from HTC to other services.CARE will target populations for HTC in health-care setting: provider Initiated testing and Counseling (PICT) for all patients accessing health care services and their partners as well Voluntary CT for all patients wanting to access Ct services with a special focus on men, adolescent girls, partners of PLHIV and couplesSYSTEM STRENGTHENING AND CAPACITY BUILDING:Quality assurance is a priority and Care will continue using on-going supportive supervision including direct observation approach to be sure that each counselor performs HTC service delivery correctly. Additionally, all of Columbia Universitys counselors will participate in a training designed by the National health Institute to improve the quality of HIV rapid diagnostic testing.
INTEGRATION AND LINKAGES:
Whereas in previous years, counselors simply gave referral slips to HIV positive clients, with COP 12 funds, FGHs counselors and health care service providers will have a stronger role supporting newly diagnosed clients by personally introducing them to existing peer educator/peer navigator/case manager volunteers who will navigate or escort clients to enroll or register for follow up services, including positive prevention or the new MOH pre-ART service delivery package and support groups. For those newly diagnosed who do not enroll in HIV care and treatment services, CT counselors will continue using the door to door approach to re-visit already diagnosed HIV positive to monitor their enrollment and adherence to recommended treatment and care through the positive prevention or pre-ART support groups. HIV negative clients will be encouraged to bring their partners in for testing and reduce their risk through condom use and partner reduction. Where available, counselors will refer HIV negative men to medical male circumcision services.
MONITORING AND EVALUATIONCARE will work closely with the USG and partner Strategic information teams to develop and utilize instruments to document and measure CT service uptake as well as service-to-service and facility-to-community linkages to ensure follow-up, retention and adherence of clients diagnosed with HIV.
Positive Prevention (PP) is the name given in Mozambique to those interventions that specifically target people living with HIV and AIDS (PLHIV) in order to promote their well-being and to prevent onward transmission, including sexual transmission or mother-to-child transmission. These program goals contribute to the following Partnership Framework (PF) goals: Goal 1: By reducing sexual transmission of HIV and improving access through increased geographic coverage and improved facility-community linkages for HIV services. PEPFAR Mozambique activities are currently focused on scaling up PP in clinical service settings in a fully integrated manner. The goal is to ensure that all PLHIV seen in clinical settings receive a full package of PP interventions as part of their routine care (risk assessment, partner testing, adherence, Sexually Transmitted Infections (STIs) screening and treating, Family planning, PMTCT, referral to support services and care and treatment (both facility- and community- based).USE OF EXPENDITURE/COSTING DATAFor PP program theres not yet Expenditure Analysis information. The minimum package of PP interventions, according to Ministry of Health, will allow the health providers to deliver, in a comprehensive and systematic way, some of interventions that already are being done by the health providers with HIV patients, but not in a consistent and systematic way. PP program will improve the quality of care to the HIV patients in Pre-ART and ART and will help to document and monitor this intervention when the reporting tool will be developed and implemented.SYSTEM STRENGHTENING AND CAPACITY BUILDINGThe Provincial and District Ministry of Health capacity will increase through PP training, supportive supervision, technical and managerial support; and improving HIV services integration.CARE will focus on: e.g. integration of PP services in existing HIV activities, and expansion in geographical and technical scope through training of health providers, monitoring the PP indicator, supportive supervisions and reproduction of training materials / dissemination (job aides, leaflets, etc) in coordination with lead TA partner.MONITORING AND EVALUATION PLANSPP program will improve the quality of care to the HIV patients. However, the monitoring plan is not yet in place. There is an issue to document and monitor this intervention. The national PP technical working group headed by Ministry of Health is working on it as well as developing a National PP Strategy which will include a clear guidance on how to roll-out the PP intervention at facility and community level as well how to monitor the PP indicator.
