Detailed Mechanism Funding and Narrative

Years of mechanism: 2014 2015 2016

Details for Mechanism ID: 17282
Country/Region: Botswana
Year: 2014
Main Partner: American Association of Blood Banks
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $200,000 Additional Pipeline Funding: $100,000

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

PEPFAR support of the GOB goal of improving the provision of a safe and adequate blood supply has yielded remarkable success with annual blood collections increasing from 13,210 in 2004 to an average of 20,000 in 2010 with HIV reactive blood units decreasing from 5.7% to 1.0%. However, in 2011, the National Blood Service (NBTS) experienced a steep decline in blood collections with only 16562 of the target 28,000 blood units collected and an increase in HIV reactive blood units from 1.0% to 1.8%. This signaled a threat to the safety and adequacy of the blood supply. To improve blood collections, during FY 2013 COP, the National Blood Service revived the in-school pledge 25 clubs and trained 1,249 student from 31 secondary schools nationwide. The Pledge 25 clubs encourage members to pledge to donate blood at least 25 times in their life. Fixed blood collection sites were created in four District Health Management Teams. 18,573 of the target 21,000 blood units were collected which was an increase of 12% with 1% of the units being reactive for HIV. For a population size of Botswana 2,024,904 (2011 Census) at least 40,498 units of blood are required per year. This is based on a WHO formula of 2% of the population. Currently only 45% is collected. The construction of a regional blood center in Francistown has been completed and 82 NBTS staff received in-service training in different aspects of blood safety. Program portfolio review revealed gaps in quality, donor mobilization and retention, data utilization, blood supply and service costing. Addressing these gaps is critical for the sustainability of the program beyond PEPFAR.

Mechanism Allocation by Budget Code for Selected Year
Biomedical Prevention: Blood Safety (HMBL) $200,000
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

This mechanism has no published performance targets or indicators.