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: 2008 2009
09.P.BS01: Safe Blood for Africa - Technical Assistance on Blood Safety
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
Safe Blood for Africa (SBFA) has provided technical assistance for the National Blood Transfusion Services.
Progress has been made with the implementation of different activities which aimed to support the Rapid
Strengthening of Blood Transfusion Services. After these initial years of implementation, in FY2009 with the
President's Emergency Plan for AIDS Relief (PEPFAR) support, SFBA will engage an independent
consultancy to assess the impact of the project on the blood transfusion services.
From COP08:
Through PEPFAR Track 1 funding, SFBA provides technical assistance to the NBTS in collaboration with
the MOH since September 2004. The Blood Safety program covers seven key areas: infrastructure, blood
collection, testing, blood utilization, training, monitoring and evaluation, and sustainability.
2007 progress
SBFA assisted in the introduction of the concept and terms of reference for Hospitals Transfusion
Committees in all 28 public hospitals in Botswana, and assisted in the formation of a National Committee on
Clinical Use of Blood and Blood Products. Currently, 11 of the hospitals have functional hospital transfusion
committees (HTCs). The establishment of these HCTs and the National Committee will provide a reporting
structure for the NBTS and the MOH to monitor blood utilization as well as promoting the rational use of
blood and blood products. Updates on clinical and laboratory transfusion practice are distributed to
healthcare providers. Review of the national blood policy and clinical guidelines was planned for FY2007.
Training in blood safety issues is predominately provided or facilitated by SFBA. The increase in blood
collection and the reduction in HIV prevalence in donated blood have been achieved largely through training
to improve blood donor recruitment, increased staff capacity, training in blood safety skills, and training
community workers in basic blood donor recruitment skills. 504 healthcare workers received blood
transfusion services training in FY2007.
SBFA assisted the NBTS in the recruitment of personnel by drafting job descriptions for the new posts,
preparing advertisements and selecting a short-list of applicants. SFBA participated in identifying equipment
needs and provided specifications for critical new equipment to be purchased for 28 hospital blood banks.
SBFA worked closely with their NBTS counterparts in identifying sites for two fixed blood donation centers
and assisted in the design of comprehensive alterations for the NBC in Gaborone by providing the lay-out
plan, negotiating for acquisition of the building, and ensuring a complete and timely environment impact
assessment, preparing advertisements for tender and monitoring the renovation project through regular site
meetings. The renovation is now fully underway and is scheduled for completion by February 2008.
Technical assistance (TA) has also been provided in the identification of a suitable site for the RBC in
Francistown.
2008 plans
SBFA will provide assistance in the rational use of blood and alternatives through continued medical
education (CME) and updates in transfusion practice to the healthcare providers.
Establishing a pool of regular, repeat blood donors is pivotal to a safer blood supply. Strategies to increase
regular blood donors include the use of "Pledge 25 clubs" to recruit and retain in-school and out-off school
youth as blood donors. Pledge 25 club members pledge to donate 25 units of blood in their lifetime, and are
actively encouraged to maintain low risk lifestyles. The Botswana public is being educated on the
importance of blood safety through radio, TV, public meetings, posters and information leaflets. SFBA will
continue to provide assistance in running a call center which provides information on blood donation, donor
recall services and also contacts potential donors by telephone. TA will assist in the development and
distribution strategies of IEC materials, TV and Radio advertisements, and Billboards. The overall objective
is to enable the NBTS to increase blood collection to 28,000 units and to reduce HIV prevalence in donated
blood to 1%.
In FY2008, blood utilization activities will include monitoring the implementation of the revised policy and
guidelines, supporting the operation of the HTCs and ensuring that the National Committee on Clinical Use
of Blood and Blood Products is effective and well supported.
Training activities will include: aphaeresis training for 2 doctors; update sessions for healthcare workers on
blood transfusion; two national blood donor counseling workshops; one day training on Cardio-Pulmonary
Resuscitation (CPR) for counselors and phlebotomists; two counseling workshops for non governmental
organizations (NGOs) and voluntary counseling and testing (VCT) counselors; in-service training of two
counselors to an external aphaeresis unit for 14 days; and detail of two counselors to an external blood
transfusion service for 14 days.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17497
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17497 4807.08 HHS/Centers for Safe Blood for 7782 1325.08 U62/CCU32404 $500,000
Disease Control & Africa Foundation 6: Providing
Prevention Technical
Assistance
Support for the
Rapid
Strengthening of
Blood
Transfusion
Services in
Selected
Countries in
Africa and the
Caribbean
Under the
President's
Emergency Plan
for AIDS Relief
(PEPFAR)
8055 4807.07 HHS/Centers for Safe Blood for 4680 1325.07 Track 1 $400,000
Disease Control & Africa Foundation
Prevention
4807 4807.06 HHS/Centers for Safe Blood for 3477 1325.06 Track 1 $676,440
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $100,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.04:
