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: 2007 2008 2009
Program activities are designed to increase the supply of safe blood to meet national demand, build local capacity for sustainability, and contribute to the prevention of 265,000 new HIV infections in Côte d'Ivoire. Outlined in the national policy, these objectives will be reached through the expansion of the National Blood Transfusion Service's (NBTS) regional network and hospital blood banks, the decentralization and devolution of activities (e.g., collection, storage, and distribution), and the strengthening of quality assurance. Key emphasis areas for safe blood interventions are training, infrastructure, quality assurance, community mobilization, policies and guidelines. Target populations are host country government workers and health care providers, low risk communities (for recruitment as blood donors), and the general population. Assessments and planning are underway to open new centers across the country and renovate those that were shut down (particularly in the North). The production target for FY07 is to have 133,000 units of blood available for distribution.
BACKGROUND:
The NBTS is responsible for donor recruitment, blood collection, testing, processing, storage, distribution, and liaising with clinical services. As detailed in the Program Context, the activities programmed in FY06, pertaining to the above mentioned programmatic areas including Information Systems, Quality Assurance and Sustainability, were successfully implemented. Most program activities planned for FY07 will be a continuation of those undertaken in FY06. Technical assistance is provided by Social & Scientific Systems, Inc. in all areas identified by the NBTS work plan.
ACTIVITIES AND EXPECTED RESULTS:
Activity 1: Rehabilitation and renovation of the blood transfusion centers in Abidjan and Daloa, as well as those located in the northern (rebel-held) part of the country (Bouaké and Korhogo). These projects are needed to support the scale-up of programmatic activities during FY06. Additional blood transfusion centers will be opened in San Pedro and Aboisso. Following a needs assessment of each center, new equipment (including devices for the treatment of the fumes produced by the incinerator), blood collection and supervision vehicles, materials, consumables, and reagents will be procured. In addition to the regional centers, NBTS plans to establish and equip 3 new collection sites. It will also restore and equip 30 hospital blood banks to support quality control. An additional 30 hospital blood banks are planned for FY08. Key to this expansion is the procurement of cold chain equipment for the transfusion centers and the hospital blood banks (except Yamoussoukro) and the acquisition of computer equipment. Site visits and other work in the north will be conducted in conjunction with national and local authorities. Security will be provided by the parties on the ground, mainly by the Forces Nouvelles in those areas.
Activity 2: To ensure an adequate pool of safe blood donors, outreach activities including a national blood donor day will be organized to encourage repeat donations among low-risk communities. Counselling and education will also be provided on reducing the risk of HIV infection and stigma (stigma and discrimination). Other recruitment efforts include film, radio, and television messages about blood donation and transfusion; the opening of new blood donor groups in schools, colleges, universities, religious associations, and the private sector; the publication of a biannual newspaper on program activities; and the launch of the NBTS website. Other activities include: 1. Analysis of public sensitization and donor selection data and the development of program interventions. 2. Analysis of activity reports on collection and prevalence data. 3. Development and implementation of quality assurance procedures for the collection, preparation, and conservation of blood.
Activity 3: Testing and quality control, including:
1. The installation of the quality control laboratory. 2. Implementation of an inter-laboratory quality control system. 3. Installation of a serum bank at the Abidjan center 4. Implementation of in-house quality control for all biological activities 5. Development of an inventory control methodology for blood products 6. Diversification of blood products following the needs identified by the NBTS
7. Development of management procedures for hospital blood banks. 8. Implementation of a traceability system of transfused blood products (hemovigilance). 9. Development and implementation of hygiene and safety protocols. 10. The formalization of quality systems at the Daloa and Yamoussoukro centers. 11. Enforcement of confidentiality for test results (stigma and discrimination; increasing gender equity).
Activity 4: Policies and guidelines will be disseminated through the publication of the first experts' conference guide on the prescription and use of blood products for anemia. A second experts' conference is planned in FY07 to continue consensus-building on the use of blood in Côte d'Ivoire. NBTS will continue the blood banks audit initiated in FY06 and implement a blood products traceability system for its network. New legislation will be drafted to reinforce sustainable NBTS safe blood activities.
Activity 5: Training for FY07 includes instruction in the Progesa software; in stock management and logistics, and in monitoring and evaluation. Training on Progesa and other office automation tools will contribute to a successful devolution of activities and decision-making to the regional centers. It will also support an integrated quality assurance system. Additional training will be offered to collection and preparation technicians; blood collection doctors; prescribers and users of blood products, and laboratory technicians. Tailored training will also be provided to blood bank staff as new centers become operational. Specialized training will be organized in Belgium in serology and immunohematology. Overall, 150 NBTS staff will be trained in FY07 with an end-of-project target of training 500 prescribers and users of blood products in best practices and the rational use of blood. NBTS staff members will attend annual international conferences to keep current in best practices.
Activity 6: Monitoring and evaluation (M&E) activities will benefit from the strengthened informatics networks planned in FY07. The installation of internet connected IT equipment for the new transfusion centers and collection sites will facilitate a rapid launch and integration of the new centers. Progesa software will be connected to laboratory other equipment and in FY07 to meet NBTS M&E needs. Concurrent to the opening of hospital blood banks the NBTS M&E system will be consolidated with partners' IT systems to create a cold chain surveillance network. The organizational framework for the hemovigilance plan will be finalized. Progesa software will facilitate accurate periodic evaluations of NBTS activities and produce a range of reports to inform training as well as operational and quality assurance decisions. Use of ISBT codification and procedures will be continued in FY07. NBTS will continue programmatic reviews (e.g. catchment area mapping and evaluation of blood needs).
Activity 7: NBTS will implement recommendations from the sustainability working group, which is composed of governmental and private-sector stakeholders. Specific attention is made on the government of Cote d'Ivoire's contribution to the NBTS budget; the NBTS's revenue-generating potential (sales price of blood products and services); external financial support; and the transfer of skills provided by technical assistance activities.
