Annex VIII - Sample table from Malawi PFIP describing goals and implementation modalities


Goal 4 - Systems Strengthening Strategy Area 1:  Health Management Information Systems
Contributions:GOM:  Implementation of policy commitment to change “anonymous” reporting to “confidential” reporting in order to permit a name-based referral system at all HTC sites to commence. This is necessary to enable pre-ART patients to be tracked by electronic data systems (EDS)
PEPFAR:  Scale-up and modification of EDS to track ART patients at high-volume facilities; Provide software and core data sets development for patient record transfer across program areas; Provide technical assistance to districts and zones to better utilize data to improve the quality of their programs
Other Partners: Other private implementing partners to provide input into how EDS system can be improved
Policy Areas:Name-based confidential referrals allowed to enable electronic data systems (EDS) to capture pre-ART patients
Policy to support Unique Patient Identifiers (should be included in revised  HIS National Policy)
Revise National Health Information System Policy to support open source data systems
Cross-Cutting PF Objectives:NAF Objective 1.1    Reduce the sexual transmission of HIV (counseling and testing)
NAF Objective 1.2    Reduce mother-to-child transmission
NAF Objective 2.1:   To improve the capacity of the health care system to manage HIV and related disease diseases 
NAF Objective 2.1.3 Strengthen referral systems within and between health facilities and communities
NAF Objective 2.1:   To improve the capacity of the health care system to manage HIV and related diseases
NAF Objective 2.2:   To increase access to a continuum of HIV treatment and care services
Integrated Multi-sectoral Support:EDS supports cross-cutting programs at Malawian institutions such as Lighthouse, MACRO, MPC, CHAM, CMED, and Kamuzu and Queen Elizabeth Central Hospitals 
Support s ART, HTC, PMTCT, Lab & Pharmaceuticals,  TB/HIV
Supports M&E within the broader health sector (SWAp Indicators) and strengthens M&E at district levels
Sustainability and Transition Plans:The PFIP support is entirely to the national system, supporting government development and implementation of a national HMIS system with a strong focus on creating greater human resource capacity through mentoring opportunities for technical and management staff
Implementation AreasBudgetMonitoring and Evaluation Plan
IndicatorsBaseline Benchmark Target 
Sept 2009Sept 2012Sept 2014
·         MOH to convene and lead EDS working group to develop recommendations for how to modify/improve EDS and to develop specific plans for scaling-up EDS over the next five years No. of sites using EDS systems 40 
·         MOH to lead the development of  a National Health Information Systems Strategic Plan, including priority investments in the short-term (1-2 years), intermediate term (3-9 years) and long term (10 years and beyond) No. of patients managed by EDS system 60,000 
·         MOH to chair and lead National Data Standards Technical Working Group, which is sub-divided into three groups:  data (standardizing/ harmonizing core data sets and indicators); security (Confidentiality, Unique patient IDs); and health information systems enterprise architecture (data exchange standards, Open MRS, technical specifications of central repository).  Achieve interoperability across separate reporting systems into one central repository 2 
·         PEPFAR and partners to support informatics capacity building (especially around central repository) No. of districts with connectivity 20 
·         MOH and Partners to initiate Unique Patient Identifiers at a few sites. No. of sites with internet connectivity 40 
  No. software modules developed 3 
  No. Quarterly Standards Task Force Meetings (with deliverables) held 4 
  No. of persons trained in informatics 10 
  No. sites using unique Patient IDs 3 

Sample Table documenting the Implementation Strategy of the Guiding Principles of the PF

PF Guiding Principles

Implementation Strategy of the Guiding Principles

1. 

High-level government commitment, national leadership and continued ownership of the response by the government and people of Malawi.

·         Malawian participation in decision making on prioritizing programs to be funded; co-management of co-funded civil society groups

·         GOM to plan, oversee and manage programs to deliver quality services with the participation of local civil society, and communities.

2.

Promoting the principles of the “Three Ones” – One National Strategy which is the NAF; One National Authority which is the NAC; One National Monitoring and Evaluation System

·         Fully align PEPFAR support with national HIV/AIDS strategies through the processes begun during the National Strategy Application (NSA) to the Global Fund.

·         Revise the national indicators in 2010 using the New Generation Indicators (NGI’s) as a resource.

·         Continue to build more linkages for PEPFAR partners to report results directly into the national reporting systems at the NAC.

3.

Greater transparency and joint decision-making in the implementation of programs and allocation of resources for the national response including reporting PEPFAR budgets, expenditures and results within the GOM mechanisms for reporting the achievements of the overall national response.

·         PF will be included in the Annual Reviews of the HIV and AIDS response, Monthly meetings of the Pool Funding Partners Group, and Quarterly meetings of the MGCCM

·         PF planning budget and expenditures will be reported to NAC and MOF annually during the COP planning season (planning) and quarterly (expenditures).

·         NAC will include PEPFAR planning budgets in the planning budget for the IAWP

·         MOH will include PEPFAR in the budget presented to cabinet.  PEPFAR will make funding levels available by May of fiscal year.

4. 

Promoting good stewardship of GOM, U.S., and other pooled funds.

·         PEPFAR to disclose disbursements and expenditures to the GOM

5.

Recognition that U.S. and GOM resources are limited and investments are subject to the availability of funds.

·         GOM to prioritize resource mobilization efforts

·         GOM to prioritize national prevention efforts as a means of reducing the AIDS bill

6.

Strongly aligning with the support provided by the Global Fund AIDS, TB, and Malaria (GFATM) grants.

·         Framework will continue the partnership developed with in-country platforms for managing GFATM resources utilized during the development of the PF and PFIP

7.

Strong alignment with the comparative strengths of the USG agencies implementing PEPFAR including technical support and strengths of implementing partners to deliver services.

·         GOM will continue support to diversified partnerships recognizing the comparative strengths of other partners beyond those PEPFAR – supported implementers

8.

Increasing results for programs based on scientific evidence and best practices, implemented in the highest quality and most cost effective manner achievable, and held fiscally accountable.

·         Both GOM and PEPFAR will continue to insist on evidence-based programming

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