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.
Social & Scientific Systems, Inc. (SSS) provides technical assistance (TA) to the National Blood Transfusion Service of Côte d'Ivoire (NBTS) to support the rapid expansion of safe blood activities. These include training in and configuration of Progesa, a blood tracking software; inventory management and equipment procurement; quality assurance (QA); infrastructure; procedures for collecting, testing, and preparation of blood and blood products; monitoring and evaluation, and human resource development. SSS objectives for FY07 are to provide TA in the following areas: 1. The organization and general operation of the NBTS and its medico-technical units. 2. Support for the roll-out of a QA plan. 3. Support for the organization and operation of transfusion activities in health centers through the implementation of a hemovigilance plan and transfusion counseling. Other core activities include the development of an automation strategy and computerization of activities. Emphasis areas include local organization capacity development and training, needs assessment and targeted evaluations, and QA. Target audiences are host country government workers and health care providers, located in Abidjan and the NBTS's regional centers. Activities carried out by SSS complement those initiated by the NBTS. TA provided by SSS and its sub-partners (Belgian Red Cross-Francophone Blood Service and Paris-based Transfusion et Développement) will assist the NBTS to implement international safety standards and target collection and production activities that are adapted to the needs of donors and patients. TA is provided through a local SSS coordinator, regular expert missions, and frequent e-mail and phone communications with senior management and technical staff. ACTIVITIES AND EXPECTED RESULTS: Activity 1: SSS will review and assist NBTS with renovation plans in Abidjan and the regional centers of Daloa, Bouaké, Korhogo, San Pedro, Abengourou, and Aboisso. SSS will provide technical guidance for the identification of equipment for the NBTS in Abidjan, and the regional centers and Yamoussoukro, and assist NBTS draft specifications for tenders and support NBTS analyze tender responses for equipment and consumables selection. SSS will also support the selection of appropriate reagents and supplies. Assistance will be provided for the installation of cold chain equipment in the transfusion centers (except Yamoussoukro) and hospital blood banks; staff will be trained in its use. SSS will also advise NBTS on logistics and assessment issues, including:1.The configuration of appropriate vehicles and other equipment for mobile collection units. SSSI consultants will monitor the installation and assess the impact of the new equipment once it is installed. 2.Developing policies on transporting blood; supporting the NBTS to monitor and assess these new policies as they are put in place. 3. Supporting the NBTS as it implements an inter-center logistics plan. This will include monitoring the opening of forward collection sites and assessing their impact on the collection of blood. It will also include helping the NBTS to coordinate communication between the regional Centers and hospital-based blood banks (through a dedicated intranet network once the centers are opened). Activity 2: SSS will continue supporting NBTS outreach activities for donor recruitment and public sensitization, particularly in low-risk communities; SSS will also help NBTS develop strategies to retain new donors. To this end, SSS will assist NBTS identify and avoid high risk donors and develop indicators and methodologies to monitor and analyze the effectiveness of donor selection efforts. SSS will provide TA for the development of standard procedures tailored to NBTS requirements and local context, and continue reviewing the implementation of QA procedures for collection, production, and the cold chain. This will include activities to reinforce safe blood messages with local civil society groups. Collection methods and population prevalence rates for HIV, HCB, HCV, and syphilis will be tracked to assist in the identification and recruitment of low-risk donors. Other donor screening indicators, e.g., medical contraindications, will be developed and analyzed to tailor recruitment and production targets. SSS will support the diversification of blood products based on the needs identified by the NBTS. 3: As the quality control laboratory becomes operational, SSS will support NBTS technical staff install new equipment and connect to Progesa. With the opening of 30 hospital blood banks in FY07, SSS will support the organization of an inter-laboratory quality control system and monitor the implementation of hospital blood bank agreements with NBTS. In early FY07 SSS will participate in site identification to test traceability protocols and develop a hemovigilance strategy. SSS will also assist NBTS collect blood samples from donated blood units and assist with phenotyping these samples. SSS will support the planned opening of a serum
bank at the NBTS center in Abidjan and with the selection of reagents. To reduce the risk of stigma and discrimination associated with HIV testing, SSS will continue its assistance in strengthening confidentiality procedures. 4: SSS will support the implementation of a blood product tracing system. Following the first experts' conference, SSS will assist with the preparation of a guide on the use of blood products and help plan a second experts' conference on the use of blood in surgeries and hemorrhagic emergencies. A key activity will be the development and implementation of a stock management methodology for blood products and consumables. SSS will advise on the drafting of new national legislation on blood transfusion activities in Côte d'Ivoire. 5: Training and capacity development is a core component of the support provided to the NBTS. This training is designed and conducted in a manner that will ensure that skills are transferred and learned in a sustainable way. SSS and NBTS will continue many of the trainings initiated in FY06, with an emphasis on: Progesa software, QA, and performance monitoring and evaluation. NBTS staff will be trained in best practices for blood collection, the production of blood products and cold chain distribution. Specific training will be tailored for hospital blood bank staff, blood collection doctors, and for prescribers and users of blood products. Specialized instruction will be organized in Belgium and includes training in immunohematology and serology and in screening for allo-antibodies and anti-erythrocyte antibodies. 6: Launch the Progesa software package in the laboratory. The networked approach to data collection will facilitate NBTS's monitoring and evaluation (M&E) activities. At NBTS's request, SSS will assist with the periodic evaluation of NBTS activities and assist with reporting requirements. SSS will review the effectiveness of ISBT codification and continue developing and monitoring the implementation of hygiene and safety procedures. Targeted evaluations on the population's need for blood will be designed and implemented in FY07. Data from these evaluations will guide NBTS interventions. QA activities for FY07 will focus on supporting the roll-out of the quality system at the Abidjan, Daloa, and Yamoussoukro centers and facilitating the implementation of internal quality control for all biological activities. SSS will monitor and review national blood banks audits and assist NBTS to develop management and QA strategies. 7: SSS will continue consultations with NBTS on the price of blood products to facilitate the Service's transition to financial autonomy. These consultations will review the need to increase the government's financial contribution through the ministries of health and finance. 8: SSS will collaborate with the NBTS to develop an integrated work plan.
