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: 2010 2011 2012 2013 2014
PEPFAR supports health systems strengthening to improve efficiency and to promote evidence-based approaches. The laboratory program is working towards strengthening a sustainable and integrated laboratory network. This is in line with the Botswanas Medical Laboratory Strategic Plan. A Global Healthcare Public Foundation (AGHPF) is the implementing organization for the laboratory program through the American Society for Clinical Pathology (ASCP). AGHPF is supporting laboratories in Botswana in setting standards and building capacity for laboratory accreditation. An accreditation system necessitates establishment of a quality management system (QMS) based on the 12 quality systems essentials. This will ensure accurate, reliable, timely laboratory results; effective diagnosis of diseases; rational use of drugs; control of diseases of public health importance; and safe laboratories to work in. Currently laboratory infrastructure and quality assurance are weak with many laboratories operating unmaintained equipment, uncontrolled reagents, and inadequate staff. The goal is to provide technical assistance toward accreditation of laboratories. The objectives are to 1) document QMS as per ISO 15189 (standard for medical laboratories); 2) conduct assessment and implementation of laboratory QMS; and 3) train and mentor towards quality manual and QMS development. Currently AGHPF works with five laboratories. AGHPF is working closely with already accredited laboratories in country to provide acquired accreditation skill and training. AGHPF will work with the quality assurance unit in country and build capacity to become a key mentoring partner. AGHPF will provide quarterly reports to CDC as well as conduct audits of the laboratories twice a year.
In FY 2012 AGHPF will focus on four main objectives: 1. Document Quality Management System (QMS) as per ISO 15189 (standard for medical laboratories) through conducting site visits and evaluations of two laboratories - National Health Laboratory (NHL) and Princess Marina Hospital Laboratory (PMH). Identify deviations and non-conformities, prepare work plan and timeline, facilitate the review and completion of QMS manuals per ISO 15180, provide on-site training and mentoring, and provide status reports to CDC Botswana and ASCP on NHL and PMH.
2. Conduct assessment and implementation of laboratory Quality Management System as per ISO 15189.
Conduct site visits at two laboratories - Nyangabgwe Reference Hospital Laboratory (NRHL) and National TB Reference Laboratory (NTRL). Consultants will prepare work plans and timelines for the two laboratories and provide assistance for implementation of South African National Accreditation System (SANAS) audit and corrective actions.
3. Train and mentor towards quality manual and Quality Management System development as per ISO 15189. Conduct site visits to PMH and NRHL. In FY 2012 AGHPF will provide workshop and mentoring for quality officers and assist with correcting nonconformities for all labs. The two laboratories, namely NRHL and PMH, will be prepared and presented for pre-assessment by SANAS.
4. Support SANAS assement fees for the two laboratories (PMH and NRHL).
