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.
Since 2002, the Association of Public Health Laboratories (APHL) has worked with CDC/Projet RETRO-CI to provide technical assistance (TA) partner for the laboratory component of USG supported HIV prevention, care and treatment activities in Côte d'Ivoire. APHL works in close collaboration with the Ministry of Health (MSHP), CDC/RETRO-CI, and EP implementing partners (Supply Chain Management System (procurement), Abt Associates (human capacity), the EGPAF and other service delivery partners).
APHL provides support to: the National Reference Public Health Laboratory (NRL/LNSP), the Public Health Pharmacy, the National HIV and TB programs, the National Institute responsible for training laboratory technicians (INFAS) and the national network of laboratories. APHL's goal is to build national capacity for the delivery of quality decentralized HIV laboratory services in support of HIV/AIDS prevention, care and treatment efforts including related targeted evaluation and surveillance activities. There are anticipated fringe benefits in terms of improved quality assurance and good laboratory management practices.
APHL has collaborated with CDC/Projet RETRO-CI and the national network of laboratories to provide technical expertise to enhance the quality and scope of laboratory services as part of the EP funded Prevention, Care and Treatment activities. Through intermittent trips from a lead consultant and 3 other consultants, APHL has supported laboratory networking, training and the promotion of quality laboratory services.
With 2004-2006 funds and the support of a lead consultant and 3 other consultants, in collaboration with RETRO-CI, MSHP and the national network of laboratories, APHL has achieved the following:
- The translation, adaptation and validation of French language training tools for CD4 testing and Quality System (QS) Management (10 training modules) - Training of 52 laboratory staff on flow cytometry (CD4 testing) including nine senior trainers trained for 3 weeks in the Canadian National HIV Immunology Laboratory, followed by training in Cote d'Ivoire taught by these senior trainers with the support of APHL expert trainers - Training of 28 senior national laboratory specialists on Quality Systems Management. One RETRO-CI staff member, received international on site training on Laboratory Quality Management at the Michigan State Laboratory - Assessment of needs of the (NRL/LNSP) and at the National Laboratory technicians' training school (INFAS) to increase capacities for testing and for training, respectively to improve the quality and the laboratory network capacity for testing and monitoring of HIV/AIDS patients - Strengthened services at 35 laboratories by initiating an external HIV and CD4 quality testing assessment (EQA) program and laboratory inspection program. APHL consultants provided technical assistance in this area, and supported the development of supervision and EQA (CD4) guides and 2 protocols for the evaluation of Rapid HIV tests and CD4 instruments. APHL assisted in development of an equipment procurement list for the reinforcement of the National Training School (INFAS) and 9 laboratories at the reference level including the National Reference Laboratory (NRL/LNSP) - Provided technical assistance to MSHP, the Ministry of AIDS and Projet RETRO-CI for the completion of the 2005-2006 annual antenatal surveillance and the AIDS Indicator surveys including bilingual review of protocols, reports and submissions for ethical review approvals
APHL is on target to complete COP06 activities by March 2007 including technical assistance to:
. SCMS to complete the procurement of items (communication and training tools and laboratory equipment) for the reinforcement of the National Training School (INFAS), 9 laboratories at the reference level including the NRL/LNSP, and service delivery laboratories in charge of biological monitoring of patients under ART . MSHP to improve HIV related commodities management, including inventory and maintenance of laboratory associated equipment, tests and other consumables . MSHP for the evaluation of HIV rapid tests to adopt simpler testing algorithms in order to reach the entire population and the evaluation of CD4 instruments: compact flow
cytometers and Pan-Leucogating enumeration of CD4+ T-cells . NRL/LNSP and laboratory network with establishment of a national quality assurance system for HIV/CD4 laboratory services including participation in an external quality assessment (EQA) program . National network with ongoing training to establish a national pool of trainer/supervisors on QS including a pool of 75 decentralized district level laboratory supervisors/inspectors and 25 master trainers . INFAS with integration of training materials in the pre-service and continuing education curricula for laboratory technicians . MSHP to finalize a MOU with the Canadian National HIV Immunology Laboratory for the CD4 EQA program and a work-plan for implementation of the EQA program
APHL faces several major challenges including the political instability and the re-organization of the MSHP with difficulty in having access to MSHP counterparts. Coordinating the lab portfolio in Cote D'Ivoire in terms of trainings, QA and procurement, as well as managing collaborative projects between the various in-country partners is also challenging without an in country presence. APHL proposes to engage a local focal point or subcontract to an incountry organisation to assist coordination and provide support to the short term consultants providing targeted support.
With FY07 EP funds, in collaboration with MSHP and EP partners, APHL will: 1. Provide technical assistance on laboratory management training (LNSP, PNPEC), development of national policies for procurement of laboratory equipment and reagents (SCMS, PSP), supervision (LNSP, PNPEC), as well as implementation of an EQA program (LNSP) 2. Support laboratory quality system implementation through laboratory related training and supervision with a focus on technical and supervisory/managerial domains including quality laboratory practice for staff from the national laboratory network. 150 laboratorians (laboratorians with 5 year training and technicians with 3 year training from selected regions supported by EP partners) will be trained in laboratory management. 3. Provide in- service training on HIV molecular testing and CD4 testing to 10 faculty members from INFAS 4. Provide in- service training of 100 laboratory service delivery staff and pre-service training for 25 INFAS students related to HIV (rapid and ELISA) testing, CD4 testing and/or laboratory management in support of EP sites 5. Provide in- service training 75 laboratory trainees from the National Training School (INFAS) in national pre-service training courses on HIV rapid and ELISA testing. All the trainees will be trained on one year basis; the trainees in year 3 (approximately one third) will be able to perform testing as soon as they have been graduated and support testing activities in the field 6. 100 expert laboratory trainers will be supported to provide training and supervision/mentorship as part of activities above.
