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.
Blood for Africa Foundation (SBFA)
Safe Blood for Africa Foundation (SBFA), is a U.S. based non-profit 501 (c) (3) with headquarters in Johannesburg, South Africa and national offices across the Continent, including one in Kinshasa, the Democratic Republic of Congo (DRC). SBFA has initiated important measures for establishing safe and adequate blood supplies in the eastern provinces of the DRC through a contract with U.S. Agency for International Development (USAID) that provides effective simple rapid HIV Test reagents to ensure that all donated blood is screened prior to transfusion to prevent the transmission of HIV through blood. In addition, SBFA provides training on issues in support of blood safety including Voluntary Non Remunerated Blood Donation, Quality Assurance in transfusion services, the appropriate utilization of blood, the appropriate use of rapid test kits for the detection of Transfusion Transmitted Infections (TTI's), and development of blood safety policies to support centralized blood services in compliance with international standards. SBFA's intervention and support cover 57 eastern health zones in conjunction with the existing AXxes program. This initiative is a pragmatic solution that saves lives in the absence of
infrastructure, while capacity is developed to support a fully functional national blood service. Over the past two years, the program has made major progress in blood safety for the 57 AXxes health zones by conducting the following activities: • Training in blood safety (overview on quality matters, safety, phlebotomy, usage of rapid tests etc.) and voluntary blood donor recruiting. • Distribution of test kits for HIV ½, Hepatitis B and C and Syphilis • Distribution of training materials including modules, SOPs, Registers and posters or handouts. • Conducted supervision visits. • Reviewed and prepared a National Strategic Blood safety plan for the CNTS. • Supported the CNTS in training their senior staff locally and abroad (1 trained in voluntary blood donation in Cameron during FY08, 5 trained in management and quality matters in Malawi during FY09, and 7 out of the 15 trained as trainers in voluntary blood donation in the DRC during FY09). • Supported participation of 1 senior CNTS staff in an international conference organized by the African Society for Blood Transfusion in Kenya. • Supported training of 10 CNTS provincial staffs as trainers in voluntary blood donation • Supported transport of CNTS blood safety supplies to provinces. • Provided multiple (quadruple) pediatric blood bags to CNTS (for training purposes).
SBFA has a Cooperative Agreement to manage the CDC's Regional Training Program for blood safety, which provides for training support in PEPFAR non-focus countries, and thus receive little external assistance for blood safety. This program has already provided focused training, in key or priority blood safety skills, to over 8,000 healthcare professionals from 30 countries in sub Saharan Africa.
The Need
The World Health Organization (WHO) estimates that 5-10% of new HIV infections worldwide are due to contaminated blood and blood products. The difficulty in recruiting a repeat voluntary blood donor base, in addition to raising the risk of transmitting HIV and other transfusion transmissible infections through the blood supply, also results in an inadequate blood supply. Inadequate blood supplies impose a great financial burden to the healthcare system(s) by causing prolonged hospital stays, sub-optimal clinical outcomes and health care inefficiency.
An appropriate and effective blood service will strengthen the capacity of the Democratic Republic of Congo to collect and utilize surveillance data and to manage the national HIV/AIDS program, with cross- cutting benefits to primary prevention of HIV, as well as benefiting Adult and Pediatric Treatment, Counseling and Testing programs, and Laboratory Infrastructure. A fully capacitated Blood Service, which will meet the estimated need for blood in the Democratic Republic of Congo and should provide a
total of at least 600,000 units of safe blood per annum to the health service, and this represents at least 700,000 counseling and testing interactions for blood donors per year.
The Democratic Republic of Congo's health service is compromised by a chronic shortage of safe blood for transfusion. The blood services in DRC collect approximately 239,000 units per annum. The current blood supply falls far short of the most conservative estimated need for blood in the Democratic Republic of Congo estimated to be at least 600,000. These estimates have been made using World Health Organization guidelines.
Training addresses these challenges by developing skills and facilitating strategies for blood service personnel to increase the voluntary blood donor pool, and to test, process, store, distribute, and use the blood supply guided by best practices and procedures. Workshops and other follow up activities are conducted by SBFA in each of the key areas of blood safety, including: Strategic Plan Development, Recruitment and retention of voluntary non-remunerated blood donors (VNRBD), Quality Assurance, Testing, and Blood Utilization.
The following activities are included under this budget code: 1) Voluntary blood donor recruitment (training and follow-up); 2) Quality assurance training; 3) Blood utilization training; 4) Training on the appropriate use of rapid test kits for the detection of TTIs; 5) Technical assistance for strategic plan development; 6) Supervision and data collection; and 7) the provision of test kits.
Collaboration with key partners
SBFA will pursue and maintain relationships and collaboration with key partners (USAID, CDC, AXxes, MoH, CNTS, Red Cross, WHO etc.) through meetings, visits, joint activities like training and supervision, and correspondence.
