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.
The purpose of this mechanism is to procure equipment and equipment maintenance service contracts to support uninterrupted clinical laboratory monitoring of HIV/AIDS patients
Developing tiered laboratory referral systems and hubs for the entire Caribbean region will entail a complete review of the current equipment pool. This review will involve equipment purchase and replacement as well as preventative and curative maintenance to guarantee quality results and long-term cost effectiveness.
This implementing mechanism is in direct support of the USG Caribbean Partnership Framework Laboratory System Goal 3, Objective3.2: Improve laboratory services and systems, sub-objective 3.2.3: Procurement, service contracts and LIS). USG will support procurement and service contracts for the National Reference Laboratories of all the twelve countries within the Partnership Framework and will therefore, ensure that all laboratories will have functional equipment that is well-maintained, Clinton Foundation will provide technical support to laboratory staff on effective management of the procurement system and will therefore complement this mechanism to promote sustainable laboratory services and systems.
This mechanism will be monitored by the number of laboratories with well established service contract and number of times that reagents were ordered and received in the laboratory within the stipulated turnaround time.
Funds are being reprogrammed from HSS/CDC to USAID SCMS to procure laboratory equipment for 12 countries while the rest of the money will stay with HSS/CDC and used to pay for service contracts through HQ mechanism.
In order to ensure timely and accurate HIV testing and clinical patient monitoring, laboratories must have proper equipment that is well-maintained. In the Caribbean Region, and particularly in OECS countries, there are significant challenges with the testing and reporting of results, due in part to limited CD4 capacity The USG will work with a TBD partner to purchase six CD4 machines; one each for the six OECS countries. There is a need to expand laboratory capacity in Jamaica to meet needs for growing care and treatment centers. Therefore, the TBD partner will purchase two CD4 machines to be located in rural health facilities.
In order to best equip all 12 countries, the TBD partner will purchase 12 fluorescent microscopes to support planned enhanced TB diagnostic support and 12 minus 80 degree freezers to support sample storage and shipment;. He/she will be responsible for purchasing HIV rapid test kits to be used for national algorithm development, training and rolling out of HIV rapid testing in the following countries: Jamaica, Suriname, Belize, St Kits and Nevis, Grenada, Antigua and Barbuda and St Vincent and the Grenadines. Similar support for the rest of the countries (Bahamas, Dominica, Trinidad and Tobago, St Lucia and Barbados) will be through individual cooperative agreements.
The TBD partner will collaborate with the Clinton Foundation and ministries of health of the 12 countries countries to identify a service engineer and to purchase preventative and service contracts for CD4, hematology, and clinical chemistry equipment. . These contracts will address issues such as preventive maintenance, troubleshooting and calibration of laboratory. Broken machines will be repaired and spare parts will be changed to prevent and minimize service interruption. The service engineer will provide technical assistance in developing standard operating procedures for use during instrument operation, developing preventative maintenance and maintenance logs, and training of staff.
