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: 2012 2013 2014
Goals and Objectives. This Cooperative Agreement will improve the quality of laboratory testing for diagnosing and monitoring treatment for opportunistic infections and HIV in Cambodia. Specific objectives are: 1) assist laboratories to become accredited under the national plan; and 2) ensure quality CD4 testing through regular proficiency testing.
Target Populations and Geographic Coverage. People living with HIV who are served by laboratories supported by PEPFAR (Phnom Penh and Battambang reference laboratories and hospital laboratories in Palin, Pursat, Battambang and Banteay Meanchey provinces) will benefit from this program.
Transition to Government Partners. Technical experts from the Ministry of Public Health, Thailand (Thai-MOHP) will provide technical assistance to Cambodian government laboratory staff responsible for laboratory quality assurance. Capacity to prepare CD4 panels for proficiency testing will be transferred to the National Institute of Public Health (NIPH) laboratory in the same manner that capacity to develop panels and manage the external quality control system for HIV testing is being transferred from the Thai-MOPH to NIPH.
Monitoring and Evaluation. Progress on accreditation will be monitored by the Cambodian laboratory technical working group. CD4 proficiency test results of laboratories will be analyzed and site-visits or refresher training programs planned in order to correct problems. Trip reports and recommendations made by the technical experts from the Thai-MOPH will be reviewed by CDC. Joint site visits will be made by Thai-MOPH technical experts, NIPH staff, and CDC to monitor progress.
The National Strategy for Laboratories in Cambodia details a plan for a phased approach to accreditation. PEPFAR is supporting this through Strengthening Laboratory Management Toward Accreditation (SLMTA) and other quality control activities. Under this cooperative agreement, technical experts from the Thailand Ministry of Public Health (Thai-MOPH) will mentor Cambodian laboratory directors from provincial and district hospitals and the national public health and reference laboratories to assist them to prepare and implement activities in the Cambodian plan of action for accreditation.
Specifically, the technical experts will:
1) Assist the National Institute for Public Health (NIPH) refine and implement the plan of action for accreditation of the NIPH laboratory,
2) Conduct training programs and support laboratory assessments for the SLMTA process,
3) Assist NIPH implement regional microbiology inter-laboratory comparison schemes to improve quality of opportunistic infections diagnosis,
4) Identify gaps in quality control for biochemistry, including pipette calibration, in provincial laboratories supported by the U.S. government,
5) Provide proficiency panels to U.S. government-supported laboratories carrying out CD4 testing.
A transition plan for CD4 proficiency testing to the Cambodian Ministry of Health will be developed by the Thai-MOPH in collaboration with CDC and the national laboratory technical working group.
