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.
FY 2010 funding is requested to support continued development and implementation by the International Training and Education Center on HIV (I-TECH) of an open-source laboratory information system at CDC/Projet Retro-CI and two other national laboratories in Cote d'Ivoire, whose current activities are inadequately supported and secured with existing information systems.
The USG team initially provided $370,000 in FY 2008 funding to I-TECH, a collaboration between the University of Washington (UW) and University of California, San Francisco (UCSF), to support development of the system. In 2009, I-TECH continued its partnership with the UW-based Clinical Informatics Research Group (CIRG) to implement an open-source electronic laboratory information system (LIS) at the CDC/Projet Retro-CI lab, the National Reference Laboratory (LNSP), and Institut Pasteur.
I-TECH and CIRG have collaborated on the development and nationwide implementation of the iSanté electronic medical record for Haiti, which is used at more 30 sites in that country. ITECH and CIRG are now working with the Haiti National Public Health Reference Laboratory to adapt the OpenELIS open-source laboratory information system for local use and to develop a system for training and scale-up of the computerized system. The first phase of Haiti LIS implementation includes a closely related paper-based log system that serves back-up functions as well as informing standardized processes among laboratories.
In June 2009, I-TECH staff visited Abidjan to work with SI and lab teams on the rollout of OpenELIS. Detailed plans were made to equip the three leading laboratories, During the field visit, an Ivoirian IT/informatics specialist was recruited to facilitate the deployment. He received training in Seattle for two weeks. Plans are underway to test the application in January 2010 at RetroCI with I-TECH technical assistance. Since it was found that CDC would not permit the new LIS system to use its network due to security concerns, the project has been working to create an independent lab system network. This should be in place in early 2010. OpenELIS should be fully functional at RetroCI by June 2010.
FY 2010 funds will be used to deploy OpenELIS at the LNSP and Institut Pasteur. While this proposal specifically addresses needs for an LIS at Retro-CI and two other national laboratories, the approach is readily adaptable for use within other clinical laboratories in Côte d'Ivoire. Based on results of the first phase, an expanded scope maybe developed in the future.
