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
This implementing mechanism is unchanged from last year. American Society for Clinical Pathology (ASCP)
Overall Goals and HIV-Specific Objectives
The American Society for Clinical Pathology (ASCP) has created a successful 24-month package for pre-service curriculum development and was awarded a five year cooperative agreement with the CDC in September 2008 for a training program, which will include the Cambodian Technical School for Medical Care (TSMC).
TSMC provides training to 40-45 medical technology students annually. A newly built TSMC complex includes lecture rooms, demonstration laboratories and a library. The facilities are in place, but the teaching methods and the content of the material taught need improvement. Of the programs at the TSMC, the medical laboratory technology program has received the least assistance and needs strengthening. Pre-service training for medical technologists through the TSMC medical technology program is essential for developing medical laboratory capabilities in Cambodia. There are ten full time teachers of medical technology and 15 part time teachers from various institutions in Phnom Penh. Only two of the full time teachers have had any recent refresher training. There are insufficient qualified tutors for laboratory technology training in Cambodia. Although a Cambodian medical technology society has been formed, it has yet to begin holding meetings and providing continuing education.
Skilled medical technologists were executed or died during the genocidal Pol Pot regime, so there has been no continuity in the development of medical laboratory staff. There is a serious shortage of qualified laboratory personnel in the country. The goal of this mechanism is to improve the curriculum and teaching style in the medical technology training program at the TSMC.
Medical technology educators from ASCP will assess the curriculum at the TSMC and some of the laboratories in the country. The ASCP will develop a curriculum appropriate to local conditions. Effective teaching methods will be presented to the faculty and students will learn study skills. Modules have been created in areas including clinical chemistry, hematology, CD4 testing and parasitology. Strengthening the content and presentation of this material should improve laboratory testing for HIV care and treatment and medical care in general.
Target Populations
The intent of this activity is to train 40-45 medical technologists who will over time provide improved services to the entire population of Cambodia.
Geographic coverage
The impact of improved training of medical technologists would be national in scope.
Making the Most of HIV Resources
This activity is currently underfunded, and the USG is seeking funding from other sources to supplement this investment.
Cross-cutting Areas
This activity entirely supports human resources for health. 100% of funds apply to the HRH cross-cutting area.
Enhancing Sustainability
The new curriculum developed under this cooperative agreement will become the national curriculum for medical technologists. Implementing the curriculum will likely take some USG resources, but it is expected that this will become self-sustaining at the TSMC.
M&E
Upon the successful implementation of this curriculum, graduates of the program will be reported against the HRH indicator of medical personnel completing a pre-service training program.
This implementing mechanism is unchanged from last year.
