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
Goal and Objectives:The National Institute of Public Health (NIPH) is the reference laboratory for HIV and supports outbreak investigation, surveillance, and public health training in the Ministry of Health. Under this implementing mechanism, the quality and capacity for HIV and opportunistic infections diagnosis and monitoring will be improved nationally. Objectives of this program are to: lead the national process for laboratory accreditation; build capacity of laboratory technologists and managers; supervise and support laboratories; and support operations research and surveillance.
Geographic and Target Population:The program will improve the quality of laboratory diagnoses for all Cambodians, especially people living with HIV. Capacity of public health students and laboratory technologists will be improved and laboratories in Battambang, Banteay Meanchey, Pursat, and Palin provinces and Phnom Penh will be strengthened.Cost efficiency: Supervisory visits will be consolidated to reduce the number of trips required. Regional training courses will reduce the need for more costly workshops in Phnom Penh.
Monitoring and Evaluation: NIPH and U.S. government staff will meet monthly and carry out joint site visits to monitor progress, discuss challenges, and make programmatic and administrative adjustments. Timeliness and content of feedback to local facilities will be improved through revised reporting systems. Quarterly written reports will be provided to CDC Cambodia.Transition to the Government program: NIPH is a government institute with responsibility for training students in public health and is a national reference laboratory. The institute leads the planning process for accreditation of laboratories in the Ministry of Health.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHLAB National VCT centers and blood banks and HIV- exposed infants 50000 Implements the quality assurance program for HIV testing and counseling centers and blood banks, and for quality control of early infant diagnosis
In FY 2012 the National Institute of Public Health (NIPH) will lead the national accreditation process for laboratories using Strengthening Laboratory Management towards Accreditation (SLMTA). The institute will collaborate closely with the Bureau of Medical Laboratory Service, the agency responsible for laboratory systems in the Ministry of Health. Training on SLMTA will be provided to 26 laboratory managers and quality assurance officers from 7 laboratories, and the process of expanding activities to other laboratories initiated. Training of Trainers teaching methods will be used to expand the number of local trainers from 2 to 10 and accelerate implementation. Mentors identified by NIPH will provide on the bench coaching. Regular follow-up assessments will be carried out and documented by NIPH. The NIPH goal for SLMTA is to document management improvement for all participating laboratories based on a lab scoring system.
In order to improve external quality control activities for HIV testing in all 251 HIV counseling and testing centers and 22 blood banks, NIPH will pilot a system to use dried tube specimen panels. Based on the results of the pilot, NIPH will determine whether to revise the standard operating procedures for external quality control. Implementation of the dried tube panels will reduce costs and need for cold chain. Three proficiency testing activities will be implemented: 1) at NIPH and 11 other laboratories for CD4; 2) at NIPH for HIV DNA PCR diagnosis in infants; and 3) in four microbiology laboratories for diagnosis of opportunistic infections.
NIPH will develop a laboratory bio-safety quality manual, and coordinate laboratory waste management activities with organizations involved in infection control policies. Forty laboratory workers from national, provincial and district hospitals will be trained on the basics of bio-safety.
PEPFAR resources will also be used to purchase maintenance contracts for laboratory equipment, support supervision of field laboratories by NIPH technical staff, support surveillance surveys, engage NIPH staff in continuing education, and provide bench practice for 65 laboratory technology students.
