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: 2010 2011 2012 2013 2014 2015 2016
Goal: Develop and implement a National Quality Management System at National Reference Laboratory (NRL) and at MoH prioritized hospitals with the aim of guiding these laboratories towards accreditation.
Objectives:
Increase the number of mentors and assessors from the MoH/NGO/private sectors trained on QMS nationwide, to be able to do supportive supervision at all levels of the lab network.
Obtain accreditation of the NRL, under WHO/CDC guidelines.
Train, equip, and make needed renovations at the NRL to further develop the reagent and equipment validation department, related to HIV/ STD testing and new technologies.
Continue trainings at selected laboratories in MoH hospitals in equipments maintenance and calibration
Continue support to NRLs EQA on HIV, Hep B, C, syphilis and increase tests on PT External Proficiency Testing.
Implement a larger scale EQCP on HIV serology, from the NRL, with DTS, including training materials, monitoring and mentoring supervision.
Geographic Coverage & Target Population: Activities will focus on the National Reference Laboratory and prioritized MoH laboratories within the Dominican Republic.
Cost Effectiveness: To ensure cost effectiveness, improve efficacy and minimize service interruption, staff will be training at each of the participating sites.
Transition: The training and related laboratory activities will be delivered jointly with the Ministry of Health National Directorate of Laboratories. The joint training and activities will help ensure host country ownership and sustainability of quality laboratories.
Monitoring and Evaluation: Design and implement a monitoring and evaluation system to verify movement towards accreditation for the National Reference Laboratory and the MoH prioritized hospi
The USG will support the Dominican Republic MoH to develop and implement a National Quality Management System at the National Reference Laboratory and prioritized MoH hospitals, guiding these laboratories towards accreditation. A National Quality Management System will provide sustainable, quality laboratory systems, with a trained workforce and the resources needed for oversight to maintain quality national laboratory programs. The joint training and activities will help ensure host country ownership and sustainability of quality laboratory systems. This will help to ensure the continuity of quality laboratories after PEPFAR, including an accredited National Reference Laboratory.
MoH laboratory infrastructure strengthening activities will focus on the National Reference Laboratory and prioritized MoH laboratories within the Dominican Republic. The training and related laboratory activities will be delivered jointly with the Ministry of Health National Directorate of Laboratories. The joint training and activities will help ensure host country ownership and sustainability of quality laboratories. In addition, the trained personnel will be able to support the Province and Regional Heath Center Directors by offering training to other laboratory. The monitoring and evaluation system will assess movement towards meeting targets of having 30 additional laboratories (including 5 NGOs) implementing External Quality Control Programs on HIV serology, 25 additional laboratorians trained in basic equipment maintenance and calibration, and two (2) engineers trained in the maintenance and calibration of Biosafety cabinets and other more sophisticated laboratory equipment. The M&E plan will also assess the extent to which laboratories move towards obtaining accreditation.
