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: 2010
The purpose of the USAID | DELIVER PROJECT contract is to design, develop, strengthen and, upon request, operate safe, reliable, and sustainable supply systems that provide a range of affordable, quality essential health commodities including drugs, diagnostics and supplies to clients in country program.
The overall objective is increased availability of essential health supplies in public and private services.
USAID | DELIVER PROJECT works at the national level in Rwanda and covers all the 30 districts and their health facilities.
Through SCMS and USAID | DELIVER PROJECT, USAID supports the procurement and distribution of ARVs, test kits, lab supplies, OI drugs, condoms for HIV prevention and contraceptive commodities for HIV positive families. SCMS focuses on ARV procurement and central level support and works with district pharmacies and warehouses. DELIVER supports contraceptive commodities and public sector distribution of condoms.
In FY 2009, USAID | DELIVER PROJECT worked with the GOR on quantification and reporting, supported the integration of contraceptive commodities in HIV and coordinated with other implementing partners to avoid duplication of the health commodity supply chain management activities. The project also collected and analyzed the logistics data for condoms to ensure smooth forecasting and quantification and provided feedback to the districts and health facilities' stock managers
In FY 2010, USAID | DELIVER PROJECT will continue to support the public sector contraceptive and condom distribution program by providing technical assistance as mentioned above. The tasks will include quantification, customs clearance, distribution, LMIS harmonization, district level support and supervision/training in contraceptive logistics. The goal is to ensure condom availability at public sector clinical facilities. To accurately project condom quantification, USAID | DELIVER PROJECT will monitor condom uptake in facilities. USAID | DELIVER PROJECT will also assist the Rwanda MOH with the data collection and reporting from community level and will integrate this information into the site-level reporting.
The target population for the COP activities includes the population of reproductive age for condoms utilization and the people living with HIV/AIDS for condoms and LLINs.
The COP funding is part of the USAID | DELIVER PROJECT Task Order 1 budget and thus contributes to any activities implemented for maternal and child health and community health (quantification, system assessment, logistics management information system harmonization and computerization, data collection and analysis, supervision, training and coordination of partners). The coordination and resource mobilization meetings supported by the project contribute to the commodity security and to the sustainability of the program over time. USAID | DELIVER PROJECT submits reports to the USAID MEMS web based reporting system in Rwanda and to USAID at the central level.
ACTIVITY UNCHANGED FROM FY 2009
The Programme Nationale Integre de Lutte contre le Paludisme (PNLP) coordinates all procurement and distribution of long lasting insecticide treated nets (LLINs) in Rwanda, including for PLWHA. GFTAM and PMI are the two major donors for LLINs, with GFTAM providing more than 75% of all LLINs in the past three years, with PEPFAR supplementing with LLITNs for PLWHAs and their families. In FY 2009, with PMI funding, DELIVER provided technical assistance to the PNLP for quantification and forecasting of malaria commodities. DELIVER also procured and cleared 388,000 LLINs into the country, and deposit them at CAMERWA (national commodities central stores). Following the distribution channels already established by the PNILP, clinical partners and umbrella organizations obtained LLINs from CAMERWA and distributed them to PLWHA associations in the community. This PMI wraparound demonstrates the increased integration and collaboration between PEPFAR and PMI, as well as collaboration with other donors.
In FY 2010 PMI and PEPFAR will work with the National Malaria Control Program (NMCP) to ensure coordinated quantification, forecasting, procurement and distribution of these LLINs once in country. Furthermore, PEPFAR and PMI will collaborate to support the monitoring of product use, storage and
inventory control through Logistics Management Information System (LMIS) for all LLINs distributed in the country. Using the same partner for both the PEPFAR and PMI funded LLINs allows for effective, efficient and less costly programming.
In FY 2008, PEPFAR invested $300,000 into the procurement of long-lasting insecticide-treated nets (LLINs) for People living with HIV (PLWHA) through JSI/DELIVER. These LLINs were to be distributed among PLWHA not already covered by PMI or the GFATM. PEPFAR, PMI, and the GFATM worked together to share the costs of the procurement and distribution of the bed nets for an estimated 56,700 PLWHA. Through the same partner, PMI is providing the majority of the LLINs for children under 5 years, pregnant women and the extremely poor. PEPFAR will procure and distribute LLINs to HIV-exposed and infected children and their families. PMI and PEPFAR will ensure coordinated quantification, forecasting, and distribution of these LLINs once in country. Furthermore, monitoring of product use, storage and inventory control through Logistics Management Information System (LMIS) will be done for all LLINs distributed in country. Using the same partner for the procurement and distribution of both the PEPFAR and PMI funded LLINs will allow for more cost-effective programming.
With FY 2009 PEPFAR funding, DELIVER will provide technical assistance to the national malaria control program (Programme National Intégré de Lutte contre le Paludisme, PNLP) for quantification and forecasting of malaria commodities. In FY 2008, DELIVER received PMI funds to support a logistics officer at PNLP. This support will continue through FY 2009. This person coordinates all procurement at the PNLP including LLINs. This coordinated technical assistance will continue to strengthen the PNILP capacity in quantification, forecasting, distribution and tracking of LLINs and other health commodities for adults, pregnant women and children. DELIVER will also continue to procure and clear the LLINs into the country, in collaboration with PNLIP and CAMERWA. Clinical partners and umbrella PLWHA organizations will obtain LLINs from CAMERWA and distribute them to PLWHA associations in the community. Because children are vulnerable to malaria, especially those infected with HIV, emphasis for the supply of LLINs will be placed on delivery to families of HIV-exposed infants and infected children. Similar emphasis will be placed on delivering nets to pregnant women through broader efforts under PMI and the GF. HIV-positive pregnant women will be targeted due to the high morbidity and mortality in this group and the possible effects of malaria on infant outcomes. This PMI wraparound demonstrates the increased integration and collaboration between PEPFAR and PMI, as well as collaboration with other donors.
In FY 2010, DELIVER II continues to support the public sector contraceptive commodities and condom distribution program. The tasks include quantification, customs clearance, distribution, district level support and training in contraceptive logistics. In addition, DELIVER will work in collaboration with other donors to support the public sector commodity system. The goal is to ensure condom availability at public sector clinical facilities. To accurately project condom quantification, DELIVER II monitors condom uptake in these facilities. DELIVER II also adapts distribution reporting tools, to be used by all PEPFAR clinical sites, and PEPFAR partners and integrates these data collection tools into their site-level reporting.
In FY 2010, DELIVER II will continue its work on forecasting, quantification and logistical support to USG condom supplies. Activities will also include monitoring public sector condom distribution, along with follow-up of day-to-day activities. The condom distribution will reach youth ranging in age from 15-29 who frequent bars (and other hot spots), urban men with discretionary income, MARPs, women of reproductive age for both HIV protection and FP, and the general population.
The project will continue supporting the integration of family planning and HIV/AIDS activities and ensure constant availability of condoms throughout the country. DELIVER II will continue the collaboration with the private clinics and the social marketing program. The project will also contribute to the workplace- based condom distribution and the implementation of the community-based distribution of contraceptives and condoms.