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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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
Goals:To improve the quality of HIV testing in PMTCT Programs in the Dominican Republic, by assuring timely availability of HIV and Syphilis same day results at PMTCT clinics, in alignment with recently updated EID/PMTCT guidelines on both congenital HIV and Syphilis prevention.Objectives:To update the HIV testing guidelines, to incorporate the use of a standardized logbook for HIV tests processes and results.To provide emergency wards at main maternities with basic laboratory infrastructure to be able to report HIV and Syphilis quality rapid tests, with quality and in a timely manner.To improve sample referral transport and delivery for CD4, HIV viral loads and EID testing.GC: The target population to be addressed includes pregnant women who visit the antenatal clinics and emergency wards at the two largest maternity hospitals, and at the high volume hospitals located in the poorest neighborhoods in Region 0, Region I, Region II , Region V , and Region VIII.TS: The participating laboratories will enroll in the first group of the External Quality Assurance Program for HIV serology, from the NRL, to further become hubs for their regions, in trainings and as leaders, to make these changes sustainable and cost-efficient over time.CE: By integrating a Quality Assurance System at these laboratories, lead by the Lab Directorate of MOH, the whole institution will benefit from waste management and biosafety measures implemented, as well as mentors, staff trainings, establishing standardized protocols at all levels, and improvements in plan designs.M&E: Periodic review of standardized HIV tests logbook and direct feedback to lab supervisors and staff.
USG will continue to provide technical assistance (TA) and advocate for the provision of same-day HIV and syphilis test results through a series of activities, such as the validation of HIV reagents that are available in the country; development of an official HIV testing algorithm to be implemented within PMTCT, and TA to switch over to RPR instead of VDRL for syphilis diagnosis. The USG will provide TA to ensure quality testing. To accomplish this objective, an external quality assurance (EQA) program for HIV serology will be rolled out initially in the 10 PEPFAR PMTCT priority hospitals including the two largest maternities. This EQA program will also focus on strengthening the management system and personnel in the processing and reporting of HIV results. This initiative works in parallel and has synergies with the SLMTA initiative also taking place, which focuses on human resources strengthening at maternity and high-volume hospitals.
Through this implementing mechanism, the USG/CDC will focus on strengthening testing within the PMTCT in Region 0. This includes the assurance that HIV and syphilis testing is conducted at labor and delivery at the main maternity hospitals and the development of an ER laboratory. TA also will be provided to strengthening the CD4 and viral load sample transport system, as well forecasting and procurement to reduce stockouts in the country. In addition, the USG will advocate and provide TA for the MOH to switch from VDRL to RPR for syphilis testing/diagnosis within PMTCT hospitals, since it is a rapid test recommended by CDC.
As part of the overall USG effort, the CDC will provide TA in the implementation of the new HIV testing guidelines and standardized logbook released by the MOH (DIGECITSS). CDC will also provide TA on the updated National Quality Norms, revised last year with support from CDC, recently released by the MoH viceMinistry of Quality. The USG/CDC will also facilitate quarterly meetings with regional hospitals to share lessons learned, barriers and successes in their PMTCT programs, as well as sharing programmatic information. These meetings will be coordinated with DIGECITSS and the National Reference Laboratory.