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.
The Zambia Integrated Systems Strengthening Program (ZISSP) will focus on supporting health systems strengthening initiatives, selected aspects of facility-level health services delivery, and integrated community-level promotion and service delivery interventions. This five year project builds on experiences from the Health Services and Systems Program (HSSP) and adds an explicit and enhanced community component. The new project will operate at the national level, in all nine provinces and in at least 27 target districts. It will be linked to other USG-funded HIV prevention, care and treatment programs.
In September of 2009, the Office of the U.S. Global AIDS Coordinator announced its intention to make available up to $15 million to the President's Emergency Plan for AIDS Relief, Zambia (PEPFAR/Zambia) Team in FY 2010. PEPFAR/Zambia was chosen as one of the countries which could significantly improve the coverage of ARV prophylaxis, and change its regime from single dose nevirapine to more efficacious PMTCT regimens for mother and infant pairs. PEPFAR/Zambia has continued to make tremendous progress in counseling and testing coverage but lags behind in the provision of ARV prophylaxis for HIV positive women and their exposed infants. This plan therefore, demonstrates how these FY 2010 funds can assist the USG's advancement in reaching 80% of HIV positive pregnant women and their HIV exposed infants with more efficacious PMTCT regimens.
With an understanding of the need to strengthen efforts to reduce infections and the resource burden of the HIV/AIDS program in Zambia, in its Country Operational Plan (COP) 2010 presentation PEPFAR/Zambia through its implementing partners indicated its intention to enhance the PMTCT program to further strengthen its prevention emphasis. This activity outlines how ZISSP will utilize these one-time funds through health system strengthening, in order to achieve a highly effective PMTCT program. ZISSP will therefore use these funds to:
Assure provision of quality and efficient PMTCT services by attracting skilled health care providers to work in underserved rural areas by upgrading and improving staff housing through an enhanced rural retention program
Update the data collection tools and registers based on the new generational indicators; and
Conduct strategic planning for PMTCT in conjunction with the development of the National AIDS Strategic Framework and the National Health Strategic Plan.
As next generation indicators are being rolled out, the USG in Zambia has been preparing its partners to be able to analyze and present this information using standardized indicator terminology. ZISSP will use part of this plus-up allocation to strengthen M&E systems. ZISSP will work with the MOH to upgrade the sub-structure of the PMTCT related aspects of the HMIS and linkage to SmartCare for standardized records and continuity of patient care. Because roll out of national HMIS related systems requires a national focus and strategy, actual dissemination of the updated documents will be carried out using established MOH structures. Part of this exercise will include the development and revision of PMTCT data collection tools.
A major issue with quality of data is the lack of consistency in the versions of PMTCT tools that are currently found in various facilities. Plus-up funding will also be used to clean up facilities in a one-time 'mop up' activity to be carried out through the Provincial Medical Offices. Through this exercise, provincial health information officers will work with their district counterparts to clean up PMTCT records at clinic levels. Training and retraining of health level staff on usage of new/updated forms will be carried out to ensure consistent usage of PMTCT HMIS tools across the country.
One-time funding will be considered for:
5.4 Analysis and dissemination of information using Next Generation PMTCT indicators to assess program effectiveness including the impact of COP funding increases for operational costs and these one-time plus-up funds.
Improve infrastructure for PMTCT
In many rural facilities, staff housing for PMTCT staff is limited or of too low a standard to attract qualified staff. Facility deliveries are low due to long distances that clients need to travel and lack of transport. Many facilities lack electricity and proper water supply affecting quality of delivery services. These would require solar power and boreholes to improve service delivery. As these funds will be provided on a one-time basis, all recurring costs from these enhancements will be transferred and factored into the routine program interventions.
One-time funding will be considered for the following:
1.1 Construct, upgrade, remodel or refurbish staff housing/mother's shelter or improvements such as solar power and boreholes
