Form DS-4213 (Master) DS-4213 (Master) President's Emergency Plan for AIDS Relief (PEPFAR) Prog

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Overview

Instructions
Privacy Statement
Partner Info
Program Information
Program Information - Comments
Expenditures - Site-Level
Expenditures - SI
Expenditures - HSS
Expenditures - PM
Expenditures - Comments
Data Quality Checks

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Sheet 1: Instructions

Annual Expenditure Analysis- Data Input Instructions		OU	TYPE	VERSION
		xx	Expenditure	2012.10
Please complete this Excel template and submit it according to the instructions below.		DS-4213 President's Emergency Plan for AIDS Relief (PEPFAR) Program Expenditures
A manual has been provided to assist with this data request. Please review the template and manual now and contact your Activity Manager (AM)/Program Officer (PO)/Agreement/Contracting Officer's Technical Representative (A/COTR) with any questions.		Please read Agency Disclosure Notice and Instructions prior to completing this form
To ensure uniqueness of file names, please use the following conventions when saving your completed templates:		This data collection is mandatory under the authority of the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (P.L. 110-293) (HIV/AIDS Leadership Act). Public reporting burden for this collection of information is estimated to average 24 hours per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: Office of the US Global AIDS Coordinator (S/GAC) U.S. Department of State, SA-29, 2nd Floor, Washington, DC 20522-2920
<OU>_<Agreement ID>_ EP_<Partner Name>_<Reporting Cycle>_<Seq>.xlsx
Where:
<OU> = Two letter international Country code (e.g., VN for Vietnam, TZ for Tanzania, etc.) or Operating Unit (OU) identifier
<Agreement_ID> = Mechanism Agreement number; the <Agreement ID> is available from the table on the Results web page in PROMIS
E = E for an Expenditure Analysis Template
P = P for template to be attributed to Prime Partner		OMB No. 1405-xxxx OMB approval expires xx/xx/xxxx Average Burden-24 hours
<Partner_Name> = Name of the organization associated with template results; enter Prime Partner name
<Reporting Cycle> = 'yyyy Expenditures' where yyyy is corresponding Fiscal Year (e.g., 2012 Expenditures)
<Seq> = should consist of two numeric digits as follows:
1st Digit = template number; 1 for 1st template, 2 for 2nd template (if more than one template of this type needed), and so on up to 9 2nd Digit = template update number; 1 for initial submission; 2 for the next update (if any), and so on up to 9 For example, Seq = ’34’ means the 4th submission of the 3rd template uploaded (3rd in the original sequence) Note: if a given template fails to upload successfully, its name should be reused in a subsequent upload try after correction
.xlsx = must be saved as a .xlsx Excel file (not .xls)
Example expenditure analysis (E) template file name : VN_9740_EP_Columbia University_2012 Expenditures_11.xlsx Submit the completed template via the PROMIS web-based application and alert your AM/PO/A/COTR of each draft and final submission. Respective USG Agency staff (USAID, CDC, DOD, Peace Corps, State) will receive the data from the PROMIS application.
Complete the Partner Info page. Be sure to include your organization's contact information. Verify that your inputs include all required information in your submission. Implementing organizations, defined as having a direct financial agreement with a USG Agency, are responsible for collating and submitting all sub-partner data.
For each row on the Program Information- ... and Expenditures- ... information entry tabs, use the drop downs to select the geographical area (sub-national unit, national or above-national) pertaining to each entry row and associated values. Also fill in the program area fields for that row of data following the guidance provided (see manual). Each row can have entries for one or more of the listed program information columns. Do not use more than one row to enter program information for each sub-national unit set. Enter results in the correct program information column for that row. Each row with results MUST specify the sub-national unit in the row in which the results appear. Your trainer will provide additional guidance on how to apply the categories listed on the form.
The Expenditure Analysis reporting period is 12 months (01 October to 30 September). This period is regardless of when your organization receives PEPFAR funding.
Please make note of your general comments regarding this mechanism on the Partner Info tab. Please make note of your calculations and comments for the appropriate Program Area heading in the Program Information - Comments and Expenditures - Comments tabs.
On each Comments tab, please explain the following using the comments fields: o Explain methods for allocation that differ from the recommended methods in the Expenditure Analysis Manual o Explain any expenditure values reported less than 10 USD In general, more information is better.
Prior to submission, please confirm that each of the data quality issues identified on the Data Quality Checks tab are resolved.
All USG partners are entitled to report their achievements regardless of overlap with another partner. The information you provide will help the USG team report more accurate aggregate data.
For the detailed definitions of program and expenditure categories, please refer to the manual provided on the PROMIS website.
To help with navigation on the different information entry tabs, notice the Quick Links bar on the left-hand column. Click on any of the blue hyperlinks to quickly navigate to that entry sub-section. Additionally, on each information entry tab, there are hyperlinks to the respective comments field above each entry area. Click a hyperlink to quickly move to the proper tab and cell to enter comments for the Program information area; each link reads "Add Comment". Clicking the corresponding link next to each comment field will return you to the previous Program Information or Expenditure column.
* NOTE: DO NOT ADD COLUMNS OR ROWS TO THE WORKSHEETS

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Sheet 2: Privacy Statement

Personal Information for PEPFAR Expenditure Analysis Data Collection
This site is only accessible to authorized PROMIS users with an assigned user identifier and associated password. All transmissions to and from the PROMIS application are protected and secured via SSL encryption.
PROMIS tracks and associates the following information to each user:
o User name – this information is used to ensure a user is uniquely identified within PROMIS.
o User organization – this information is used to limit access to only those elements of PROMIS data relevant to your organization.
o User email address – this information is maintained to support user notifications such as a notice for a required password change, a notice to review the site terms of use, etc.
o User roles & privileges – this information is used to further limit access to only those PROMIS functional capabilities and elements of PROMIS data that are relevant to your role within your organization.
o Each user log-on session to include log-in time and log-out time – this information is used to assess the appropriateness of your access to the PROMIS web site.
o Each PROMIS data element entered, updated, or deleted by you in the course of your interactions with PROMIS – this information is used to track PROMIS data change history, to assess inappropriate PROMIS data changes, and to provide a means to identify data that may need to be corrected at a future date.
The PROMIS hosting services provider also tracks information to support site performance to include:
o The browser used when accessing PROMIS.
o The time and date of each visit to the PROMIS log-in page.
o The PROMIS web pages visited.
o The address of the web site visited immediately prior to visiting the PROMIS web site.
o Any malicious actions against the PROMIS web service.
Your information will not be disclosed, given, sold, or transferred unless required for law enforcement or otherwise required by law.
This site is maintained by the U.S. Government and is protected by various provisions of Title 18, U.S. Code. Violations of Title 18 are subject to criminal prosecution in Federal court.

Use of Cookies
• The PROMIS website maintains both session-based and persistent “cookies” on your browser. PROMIS session-based cookies store text information temporarily in your computer’s random access memory (RAM) while you are using PROMIS. When you close your web browser, these cookies are removed. PROMIS persistent cookies store information for a longer period and are used to identify returning PROMIS users.

HIPAA Privacy Rule Notice
• The PROMIS web site does not collect or maintain individually identifiable Protected Health Information (PHI). While PEPFAR Partners may have access to such information from their health service provider Sub-Partners in-Country, PROMIS provides for entry of only aggregated results by pre-defined health Indicator.
• PROMIS maintains no individual identifiers that may be linked to a specific individual or patient.
• The PROMIS web site maintains only aggregate statistical data. In addition to population counts versus Indicator, PROMIS only maintains sub-counts for certain Indicators by gender (i.e., male or female) and/or age group (e.g., <1 year, 1-5 years, etc.). Hence the PROMIS database and application is not covered under the HIPAA Privacy Rule.

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Sheet 3: Partner Info

		Partner Information
		Annual Expenditure Analysis							FY 2012
		Partner Background (Complete the areas in light gray below)
		Partner Organization Name & Agreement ID:			<e.g., ABC Associates: Health Systems Renew (12035 <- 1234)>
		Director/Chief of Party:
		Telephone:
		Cell:
		E-mail:
		SI Focal Person (if applicable):
		Telephone:
		Cell:
		E-mail:
		Financial Focal Person (if applicable):
		Telephone:
		Cell:
		E-mail:
		Reporting Information
		Submission Date:
		Name of Person Submitting Form:
		USG Approval (For internal purposes only)
		USG Agency:
		A/COTR Approval (Name/Date):
		SI Officer Approval (Name/Date):
		Comments (Provide general comments if needed)

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Sheet 4: Program Information

Information by Program Area (to be completed by Partner)

Add Comments

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FBCTS - Facility-based Care, Treatment, and Support

CBCTS - Community-based Care, Treatment, and Support

PMTCT - Preventing Mother-to-Child Transmission

HTC - HIV Testing and Counseling

PEP - Post-Exposure Prophylaxis

BS - Blood Safety

OVC - Orphans and Vulnerable Children

SORP-GP - Sexual and Other Risk Prevention, General Population

SORP-MARPs - Most-at-Risk Populations

VMMC - Voluntary Medical Male Circumcision

HSS - Health System Strengthening

Selected Subtotals

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Selected Totals

0

0

0

0

0

0

0

0

0

0

(sum across modalities must equal total number receiving HTC)

0

0

0

0

0

0

0

0

Location

Number of Current Clinical Patients at Start of Period, by Patient-type (Month 0)

Number of Current Clinical Patients at Mid-point of Period, by Patient-type (Month 6)

Number of Current Clinical Patients at End of Period, by Patient-type (Month 12)

Clinic Visit: Estimate the average number of times over the year each patient-type received a clinic visit

Lab Tests: Estimate the average number of times over the year each patient-type received a lab test, including CD4 tests, biochemical panels, hematology tests, and viral load assessments

Number of beneficiaries reached with CBCTS

Number of beneficiaries receiving services in each of the following service categories

Number of Pregnant women tested for HIV and received results

P1.2.D: Number of HIV-positive pregnant women who received antiretrovirals to reduce risk of mother-to-child-transmission

Number of HIV-exposed infants tested for HIV

Number of HIV-exposed infants who received HIV care

Of the reported number of women and infants tested for HIV and received results, indicate the number identified positive for HIV through PMTCT

HTC

PITC: Number of individuals tested through provider-initiated testing and counseling

VCT: Number of individuals tested through voluntary counseling and testing

CBTC: Number of individuals tested through community-based testing and counseling

P6.1.D: Number of persons provided with post-exposure prophylaxis (PEP)

P2.2.N: Number of Blood units collected

Number of OVC reached

Estimate the number of OVC beneficiaries reached that received services in each of the following categories

P8.1.D: Number of general population reached

P8.3.D: Number of intended population (MARP) reached

P5.1.D: Number of Males Circumcised

H2.1.D: Number of new health care workers who graduated from a pre‐service training institution

Quick Worksheet Navigation Links

Sub-National Unit

Current Adult Pre-ART patients (15+ years)

Current Pediatric Pre-ART patients (< 15 years)

T1.2.D: Current Adult ART patients (15+ years)

T1.2.D: Current Pediatric ART patients (<15 years)

Current Adult Pre-ART patients (15+ years)

Current Pediatric Pre-ART patients (< 15 years)

T1.2.D: Current Adult ART patients (15+ years)

T1.2.D: Current Pediatric ART patients (<15 years)

Current Adult Pre-ART patients (15+ years)

Current Pediatric Pre-ART patients (< 15 years)

T1.2.D: Current Adult ART patients (15+ years)

T1.2.D: Current Pediatric ART patients (<15 years)

Adult Pre-ART patients (15+ years)

Pediatric Pre-ART patients (< 15 years)

Adult ART patients (15+ years)

Pediatric ART patients (<15 years)

Adult Pre-ART patients (15+ years)

Pediatric Pre-ART patients (< 15 years)

Adult ART patients (15+ years)

Pediatric ART patients (<15 years)

Medical Care (not facility-based)

Economic Strengthening

Psychological, Social, and Spiritual Care

Nutrition and food security

Pregnant Women

Infants

Number of individuals who received HTC services for HIV and received their test results

Number of Individuals tested and identified as HIV positive

Number tested and received results

Number identified positive

Number tested and received results

Number identified positive

Number tested and received results

Number identified positive

Medical Care (not facility-based)

Educational Support

Economic Strengthening

Psychological, Social, and Spiritual Care

Nutrition and food security

FBCTS

CBCTS

PMTCT

HTC

PEP

BS

OVC

SORP-GP

SORP-MARPs

VMMC

HSS

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Sheet 5: Program Information - Comments

Program Information - Comments
	Please use the space below to provide comments that will aid in interpreting the data.
		Return to Results Worksheet
FBCTS		Program Information
		Return to Results Worksheet
CBCTS		Program Information
		Return to Results Worksheet
PMTCT		Program Information
		Return to Results Worksheet
VMMC		Program Information
		Return to Results Worksheet
HTC		Program Information
		Return to Results Worksheet
PEP		Program Information
		Return to Results Worksheet
BS		Program Information
		Return to Results Worksheet
OVC		Program Information
		Return to Results Worksheet
SORP-GP		Program Information
		Return to Results Worksheet
SORP-MARPs		Program Information
		Return to Results Worksheet
HSS		Program Information

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Sheet 6: Expenditures - Site-Level

		Site-level Expenditures by Program Area (to be completed by Partner)		Add Comments																Add Comments																							Add Comments																									Add Comments																Add Comments																				Add Comments																Add Comments																Add Comments																													Add Comments																Add Comments																							Add Comments																						Add Comments
		Total Expenditures:
		Site-Lvl Expenditures:		FBCTS - Facility-based Care, Treatment, and Support																CBCTS - Community-based Care, Treatment, and Support																							PMTCT - Preventing Mother-to-Child Transmission																									VMMC - Voluntary Medical Male Circumcision																HTC - HIV Testing and Counseling																				PEP - Post-exposure Prophylaxis																BS - Blood Safety																LAB																													IC - Infection Control																OVC - Orphans and Vulnerable Children																							SORP-GP - Sexual and Other Risk Prevention, General Population																				SORP-MARPs - Most-at-Risk Populations
		Area Totals		0																0																					0																									0																0																				0																0																0																													0																0																						0																				0
		Selected Subtotals		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0						0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0						0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
		Selected Totals		0					0											0					0											0							0					0															0		0			0					0											0					0											0				0					0											0					0											0					0															0				0					0					0											0					0											0							0					0											0						0					0
		Location		Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Record the amount spent to support activities in each beneficiary service category (Note: The sum of each row must equal the total reported expenditures for CBCTS by Sub-National Unit)							Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Estimate the percentage of total program effort spent on each activity (should total to 100 per row; specify each as integer value from 0 to 100)				Record the amount spent for HIV test kits that were used to support women and infants		Record the amount spent for ARVs that were used to support women and infants			Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Record the total expenditures spent for each testing modality (sum across modalities must equal total expenditures for HTC for Sub-National Unit)				Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Estimate the percentage of program effort spent on lab activities for each of the following (should total to 100%):				Record amount spent on non-ARV drugs and reagents used to support services for ART, TB diagnosis and early infant HIV diagnosis (EID)				Record amount spent on supplies used specifically to support services for ART, TB diagnosis and early infant HIV diagnosis (EID)					Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Estimate the amount spent to support activities in each service category: (Note: The sum of each row must equal to the total reported expenditures for OVC by Sub-National Unit)							Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)											Estimate the amount spent to support SORP-GP activities in each service category (Note: The sum of of each row must equal to the total reported expenditures for SORP-GP by Sub-National Unit)						Investment Expenditures (integer dollar amount)					Recurrent Expenditures (integer dollar amount)
Quick Worksheet Navigation Links		Sub-National Unit		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		Medical Care (not facility-based)	Economic Strengthening	Psychological, Social, and Spiritual Care	Nutrition and food security		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		HIV Testing for Pregnant Women	HIV Testing for Exposed Infants	Prevention and Care for Pregnant Women	Prevention and Care for Exposed Infants	Pregnant Women	Infants	Pregnant Women	Infants		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		PITC: Provider-initiated testing and counseling	VCT: Voluntary counseling and testing	CBTC: Community-based testing and counseling		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		ART Lab Services	TB Diagnostics	EID	QA/QI	ART Lab Services	TB Diagnostics	EID	QA/QI	ART Lab Services	TB Diagnostics	EID	QA/QI		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		Medical Care (not facility-based)	Educational Support	Economic Strengthening	Psychological, Social, and Spiritual Care	Nutrition and food security		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*		Mass Media	Individual and/or Small Group-level Interventions	Prevention Interventions not classified as mass media, individual or small group		Training (in-service)	Construction & renovation	Vehicles	Equipment and furniture	Other investment expenditures*	Personnel	Antiretroviral drugs (ARVs)	Non-ARV drugs and reagents	HIV Test Kits	Condoms	Other supplies	Food Supplements	Building rental and Utilities	Travel / Transport	Other site recurrent expenditures*
FBCTS
CBCTS
PMTCT
VMMC
HTC
PEP
BS
LAB
IC
OVC
SORP-GP
SORP-MARPs

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Sheet 7: Expenditures - SI

SI and Surveillance Expenditures (to be completed by Partner)

Add Comments

Add Comment

Total Expenditures:

SI/Surv Expenditures:

SI - Strategic Information

Surveillance

Selected Subtotals

0

0

0

0

0

0

0

0

Selected Totals

0

0

Location

Above Site Level SI expenditures (select Sub-National Unit, National or Above National as appropriate for Location)

Indicate percentage (0 to 100) of SI expenditures used to support services (each row should total to 100)

Above Site-Level Surveillance expenditures (select Sub-National Unit, National or Above National as appropriate for Location)

Quick Worksheet Navigation Links

Sub-National Unit

Personnel

Consultants (External)

Transport/ Travel

Other General/ Administrative

FBCTS

CBCTS

PMTCT

VMMC

HTC

PEP

BS

LAB

IC

OVC

SORP-GP

SORP-MARPs

HSS

Personnel

Consultants (External)

Transport/ Travel

Other General/ Administrative

SI

Surveillance

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Sheet 8: Expenditures - HSS

	Health System Strengthening (HSS) Expenditures (to be completed by Partner)		Add Comments
	Total Expenditures:
	HSS Expenditures:		HSS - Health System Strengthening
	Selected Subtotals		0	0	0	0	0		0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	Selected Totals		0						0												0
	Location		Above Site-Level health system strengthening expenditures (select Sub-National Unit, National or Above National as appropriate for Location)						For each Sub-National Unit, record the total expenditures used to support services in each functional area: (Note: The sum of this table must equal the total spent to support HSS)												Indicate the percentage (0 t o100) of total HSS expenditures used to support each of the following program areas (each row should total to 100)
									Human Resources (HR)				Governance		Finance	Systems Development			Institutional and Organizational Development
	Sub-National Unit		Personnel	Consultants (External)	Transport/ Travel	Construction and Renovation	Other General/ Administrative		Pre-service Training	Training of Trainers	Curriculum Development	HR Management and Retention	Technical-area Specific Guidelines, Tools and Policy	General Policy and Other Governance		Supply Chain Systems	Health Information Systems	Laboratory Strengthening	Civil Society and Non-Governmental Organizations	Government Institutions	FBCTS	CBCTS	PMTCT	VMMC	HTC	PEP	BS	Lab	IC	OVC	SORP- GP	SORP-MARPs	SI

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Sheet 9: Expenditures - PM

Program Management Expenditures (to be completed by Partner)

Add Comments

Total Expenditures:

PM Expenditures:

PM - Program Management

Selected Subtotals

0

0

0

0

Selected Totals

0

Location

Above Site-Level Program Management expenditures (select Sub-National Unit, National or Above National as appropriate for Location)

Indicate percentage (0 to 100) of program management expenditures used to support services (each row should total to 100)

Sub-National Unit

Personnel

Consultants (External)

Transport/ Travel

Other General/ Administrative

FBCTS

CBCTS

PMTCT

VMMC

HTC

PEP

BS

LAB

IC

OVC

SORP-GP

SORP-MARPs

SI

HSS

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Sheet 10: Expenditures - Comments

Expenditures - Comments
	Please use the space below to provide comments that will aid in interpreting the data.
		Return to Expenditures Worksheet
FBCTS		Site-Level
		Return to Expenditures Worksheet
CBCTS		Site-Level
		Return to Expenditures Worksheet
PMTCT		Site-Level
		Return to Expenditures Worksheet
VMMC		Site-Level
		Return to Expenditures Worksheet
HTC		Site-Level
		Return to Expenditures Worksheet
PEP		Site-Level
		Return to Expenditures Worksheet
BS		Site-Level
		Return to Expenditures Worksheet
LAB		Site-Level
		Return to Expenditures Worksheet
IC		Site-Level
		Return to Expenditures Worksheet
OVC		Site-Level
		Return to Expenditures Worksheet
SORP-GP		Site-Level
		Return to Expenditures Worksheet
SORP-MARPs		Site-Level
		Return to Expenditures Worksheet
PM		PM
		Return to Expenditures Worksheet
SI		SI
		Return to Expenditures Worksheet
Surveillance		Surveillance
		Return to Expenditures Worksheet
HSS		HSS

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Sheet 11: Data Quality Checks

Site-level Expenditure Data Quality Checks

PM Expenditure Data Quality Checks

SI Expenditure Data Quality Checks

HSS Expenditure Data Quality Checks

If 'No!' appears anywhere in the table below, please correct the corresponding Sub-National Unit row expenditure entries on the Expenditures - Site-Level tab

If 'No!' appears anywhere in the table below, please correct the corresponding Sub-National Unit row percentage entries on the Expenditures - PM tab

If 'No!' appears anywhere in the table below, please correct the corresponding Sub-National Unit row percentage entries on the Expenditures - SI tab

If 'No!' appears anywhere in the table below, please correct the corresponding Sub-National Unit row percentage entries on the Expenditures - HSS tab

Expenditures - Site-Level Cell Row Sums :

X:AL = AN:AS

BA = BQ:BR

BC = BO:BP

BK:BN = 100

CJ:CX = CZ:DB

EQ = FD:FG

ET = FH:FK

EZ:FC = 100

GC:GQ = GS:GX

GZ:HN = HP:HT

Expenditures - PM Cell Row Sums :

L:AE = 100

Expenditures - SI Cell Row Sums :

L:AC = 100

Expenditures - HSS Cell Row Sums :

H:L = N:Y

Z:AR = 100

Location

CBCTS expenditures equal disaggregated expenditures?

PMTCT recurrent ARV expenditures equal disaggregated ARV expenditures for women & infants?

PMTCT recurrent HIV Test Kit expenditures equal disaggregated HIV Test Kit expenditures for women & infants?

Distribution of PMTCT activities equals 100?

HTC expenditures equal disaggregated expenditures?

LAB recurrent Non-ARV expenditures equal disaggregated Non-ARV expenditures?

LAB recurrent Other Supplies expenditures equal disaggregated Other Supplies expenditures?

Distribution of LAB activities equals 100?

OVC expenditures equal disaggregated expenditures?

SORP GP expenditures equal disaggregated expenditures?

Location

Distribution of PM expenditures by Program Area equals 100?

Location

Distribution of SI expenditures by Program Area equals 100?

Location

Distribution of HSS expenditures equals total of HSS expenditures?

Distribution of HSS expenditures by Program Area equals 100?

Data Quality Check Navigation Links

Sub-National Unit

Sub-National Unit

Sub-National Unit

Sub-National Unit

Expenditure - Site-Level

Expenditure - PM

Expenditure - SI

Expenditure - HSS