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 2015
With USG funding, the University of Washington I-TECH project works to support the government of Cote dIvoire (GoCI) to strengthen laboratory systems at 3 central and 6 regional labs by developing a user-friendly, highly functional lab information system (OpenELIS) contributing to a coherent national laboratory health information system. I-TECH will also help develop a skilled health workforce through quality training programs at central labs and will implement a training information management system (TrainSmart).
I-TECH helps PEPFAR achieve cost-efficiencies with its open-source lab information software (no license fees), whose core code base and functional modules can be modified for additional labs, reducing scale-up costs. I-TECH uses extensive remote communication to clarify system requirements and proposes increased use of self-guided video tutorials for user and system administrator training. Development of an evidence-based national in-service training strategy will increase cost-effectiveness of training investments.
I-TECH works to transition activities to Ivoirian entities by working closely and providing training and mentoring for in-country counterparts.
M&E strategy: For OpenELIS and TrainSmart, I-TECH uses site visits, remote support, and feedback mechanisms in the software to manage feedback and enhancement requests. Based on input from in-country stakeholders, I-TECH may identify other M&E outcome and output indicators to ensure project progress and accountability.
No vehicles have been bought or are planned.
I-TECH is developing, installing, and providing training for OpenELIS, an open-source electronic laboratory information system, at 3 central laboratories: the national public health reference laboratory (LNSP), the Pasteur Institute (IPCI), and CDC/Retro-CI. With FY 2012 funding, I-TECH will focus on the following objectives:
1)
Ongoing support for OpenELIS maintenance, use, and enhancement at RETRO-CI and LNSP. I-TECH will continue to provide a combination of on-site and remote technical support to address system bugs and perform iterative system enhancement as needed. Priority areas may include: interoperability with priority facility-level clinical information, stock management, or billing systems; off-site secure access to test results for authorized providers; additional interfaces with common laboratory analyzers and methods to enable sites to create and manage new interfaces themselves; and improved automated reporting on indicators defined by the ministry of health and aids (MSLS) and LNSP (National Laboratory).
2)
Continue development and installation of OpenELIS versions tailored to meet the data management needs of IPCI and the (CIRBA). Given the quantity and diversity of laboratory units at IPCI, the initial OpenELIS installation will only include the HIV-specific units. I-TECH will develop a plan to expand functionality for 6 additional IPCI laboratory units, selected according to joint CDC and IPCI priorities. For the OpenELIS installation at CIRBA, I-TECH will provide technical assistance (TA) and mentoring to assist the software developer to make changes to meet CIRBAs needs.
3)
Adapt OpenELIS and support its implementation in up to 6 regional clinical labs. I-TECH will identify adapt OpenELIS for use at the appropriate level of complexity.
4)
I-TECHs Seattle-based core developers can mentor any identified staff at each lab using distance communication technologies. I-TECH will support 2 system administrator positions, 1 for IPCI and 1 to serve part-time at Retro-CI and part-time as a project manager for CATSIS/GTT (Technical Working Group) to advance the adoption and future direction of OpenELIS in Côte dIvoire. Further, having identified a partner IT school, I-TECH will discuss a partnership with the school to develop and carry out a course on OpenELIS system administration. Funding may be necessary to support the school in piloting the course. This objective supports the goal of transition to country management of future development of OpenELIS.
5)
I-TECH will develop and implement training and mentoring plan to build capacity of in-country software specialists who can support OpenELIS development. This will involve a one-month training program for 2 trainees, followed by remote mentorship and supervision of applied work so that trainees have a practicum component of their learning that also supports development goals for OpenELIS.
6)
I-TECH will provide TA on standardized reporting of laboratory data, and on appropriate policies in keeping with a national Health architectural vision. I-TECH will provide support to the LIS working group to define the national reporting infrastructure and national standards. Future system design work to support clinical laboratory applications of OpenELIS would be based upon these national standards and appropriately serve the national reporting infrastructure.
