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 2015 2016
The Pasteur Institute of Ivory Coast (IPCI) with PEPFAR funding is the designated national institution to implement activities related to the diagnosis of TB and other opportunistic infections of HIV/AIDS, and work with various structures and central laboratories of the Ministry of Health and AIDS (MSLS) and CDC/Retro-CI to improve the coordination and implementation of lab activities with the national reference laboratory (LNSP). The main goals are:
1. Strengthen the TB lab network policy and regulatory framework development
2. Strengthening the capacity of ICPI and 6 regional laboratories for TB diagnosis
3. Ensure training and activities in human resource development
4. Strengthen the quality assurance and quality control component of the program
5. Improve lab infrastructure and equipment at IPCI and throughout the national network
6. Develop a laboratory information system
7. Strengthen public health surveillance
8. Prepare IPCI laboratory services for accreditation
The project has two capacity building components in IPCI and peripheral laboratories. At IPCI, shared responsibilities and inputs are contributed from activities that support the national management of contracts, maintenance, purchase of reagents, equipment, human resources, and training. At peripheral labs, the involvement of all structures of the MSLS to implement the project allows actors in the health system to integrate these activities into their routine functions.
Vehicles: Through COP11: 2 No vehicle will be purchased with COP12 funds. For life of mechanism: 0.
IPCIs PEPFAR-funded activities will include implementing the following strategies to support the functioning of laboratory procedures for effective TB screening, technologies and surveillance.
Strategy 1: Policy and regulatory framework develop
Standard operating procedures (SOPs) for microbiology will be developed for specimen and culture transportation, and long term conservation of biological products. Revised TB microscopy guidelines will be implemented. Lab Monitoring tools will be agreed upon, created and disseminated. A national algorithm for TB diagnosis using culture will be developed. Advocacy for the development of national laboratory norms and standards will take place this year after the review of national guidelines by a consultant.
Strategy 2: Strengthening the capacity of laboratories for TB diagnosis
8 regional labs will continue to be strengthened for culture and identification of TB. Procurement of lab consumables and reagents and lab specific equipment will be supported and related activities reported. The IPCI TB will report activities using molecular technologies.
Strategy 3: Training and activities in human resource development
The following activities will be put in place: recruitment of 2 lab technicians and international training for 2 biologists for quality control of media, Development, validation of a microbiology training manual, Organization of 2 training sessions for lab technicians and biologists on AFB smears microscopy from the 8 regional labs for sites with poor EQA results on AFB smear microscopy (at IPCI).
Technical assistance for: the implementation of a preventive and curative maintenance program at IPCI, the implementation of the EQA program, the implementation of the STI lab network and serology testing for other OIs, the implementation of sample repository systems at the region/ IPCI (Biobank), to support the accreditation, the implementation of TB culture at regional labs
Strategy 4: Quality assurance/quality control/EEQ
Extension of the EEQ for AFB microscopy to all CATs and new regional TB lab sites with needs assessment of EQA implementation at national level and purchase of equipment such as reagents and consumables for TB EQA panel preparation.
Strategy 5: Infrastructure and equipment
Laboratory equipment will be purchased for 2 Renovated CHR infrastructures (8 refrigerators, 8 channels ELISA, 8 cabinets). Procurement will be a part of a more functional system for facilitating project implementation.
Strategy 6: Laboratory information system
Technical Assistance in various areas of the program will be implemented to support the computerized system at IPCI for the establishment of a secure network for data management, the additional equipment acquisition for the establishment of the computerized network (hardware and software solutions for IT/network security and access point; backup relocated cabling, intranet, VPN, etc.), implementation of computer System OPEN ELIS for setting connection IPCI Lab Device, Internet connection between the peripheral laboratories sites and IPCI.
Strategy 7: Strengthen public health surveillance
Develop tools to reinforce surveillance systems, strengthen IPCI capacities with equipment for packaging and transporting secure containers, consumables, and small equipment. Procure equipment for long-term storage (Cryobiology) for specimen collected at sentinel sites and surveillance of MDRTB.
With PEPFAR support through CDC, IPCI will continue its leadership in a number of cross-cutting areas in the Ivoirian HIV/AIDS response that strengthen the laboratory services through these key interventions and approaches.
SOPs for microbiology will be developed for specimen and culture transportation, and long term conservation of biological products. Lab Monitoring tools will be developed and disseminated. A national algorithm for TB diagnosis using culture will be developed. Advocacy for the development of national laboratory norms and standards will take place this year after the review of national guidelines by a consultant.
Strategy 2: Training and activities in human resource development
A theory based and practical training on: lab bio-safety, preventive maintenance for laboratory equipments, lab stock management, transportation of lab specimen/ biological products, lab data management sample repository management or Biobank for 50 lab technicians, will occur. International training for 2 biologists annually to assist in the management of laboratory accreditation, Biosafety, and Lab Information System. International internships for 2 biologists in Monitoring and Evaluation, management of equipment, and Databases management.
Strategy 3: Strengthening IPCI capacities for accreditation
International training for 2 biologists annually in the management of laboratory accreditation processes. Technical Assistance will be provided for laboratory accreditation.
Strategy 4: Quality assurance/quality control
Recruit technicians for data entry (data entry clerk), 4 technicians for monitoring and evaluation of EQA program and training program. Needs Assessment of EQA implementation at national level. Purchase equipment reagents and consumables for EQA panel preparation
and for EQA transportation. Procure office equipment, supplies and material for the administrative management of the EQA.
Strategy 5: Laboratory information system
Technical Assistance in various areas of the program will be implemented for the computerized system at IPCI, for the establishment of a secure network for data management, the additional equipment acquisition of the establishment for computerized network (hardware and software solution for computer security and implementation of computer System OPEN ELIS for setting connection IPCI Lab Device, Internet connection between the peripheral laboratories sites and IPCI. Procure communication materials for central and regional labs, Development and dissemination of monitoring and record tools.
Strategy 6: Strengthen public health surveillance
Develop tools to reinforce surveillance systems, strengthen IPCI capacities for packaging and transporting secure containers, consumables, and small equipment. Procure equipment for long-term storage (Cryobiology) for specimen collected at sentinel sites.
Strategy 7: Coordination of implementation
Project implementation will be coordinated through: annual workshops for the quantification of laboratory products for IPCI and the 8 regional labs Quarterly supervision visits, annual management review of regional laboratories activities. 6 supervision trips to work with teams each year in regional laboratories, Annual workshops for capacity building in monitoring and evaluation (IPCI), Annual workshop to share lab activities summary, Quarterly supervision of labs per year enrolled in EQA.
