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.
PEPFAR Swaziland is well positioned to provide technical and material support the Swaziland National Blood Transfusion Service (SNBTS) and to establish an integrated and effective approach to blood safety. The benefits of this enhanced assistance are cross cutting, effecting the implementation of Adult and Pediatric ARV and TB Treatment programs HIV Counseling and Testing services, Laboratory Services and Infrastructure, as well as HIV prevention. A safe blood supply is increasingly acknowledged as a critical treatment adjunct to manage HIV related anemia with up to 70% of all patients with HIV developing anemia. For maternity cases complicated by severe bleeding, blood transfusion is life saving. Likewise, malaria is often complicated by severe anemia which might require transfusion.
PEPFAR Swaziland has in previous years provided only very limited support to the SNBTS through Safe Blood for Africa. With COP10 funds, a new implementing mechanism will be developed to effectively program these additional blood safety funds. The overall goal of this activity will be to achieve a safe and adequate blood supply for Swaziland's population, by supporting the development of Swaziland's National Blood Transfusion Service and the broader community of health providers using transfused blood.
These additional resources for blood safety support the implementation of key focal areas of the PFIP and NSF including HIV prevention through stringent screening and testing; expanded and decentralized provision of ARV treatment through improved availability of safe blood products (to address HIV-related anemia)where and when needed; and human and institutional capacity development for a sustained response. The improved SNBTS will also have multiple benefits to maternal and child health in the country. As the SNBTS is the only collection and supply agency in Swaziland and distributed blood to all health facilities, this activity has nationwide coverage.
Greater cost effectiveness of the program will be realized through:
- Fewer discarded units of blood through improved screening of blood donors;
- Improved utilization of resources by strengthening SNTBS management and quality assurance systems:;
- Rational clinical use of blood to avoid unnecessary transfusions;
- Fewer new HIV infections caused by unsafe blood; and ultimately,
- Improved clinical outcomes and shorter hospital stays through better patient access to safe blood transfusions.
The activities to be undertaken through this TBD blood safety implementing mechanism during FY 11 include to support:
The development of a national blood policy and enactment of supporting legislation
Capacity building to ensure recruitment and retention of sufficient regular, low risk, voluntary and non-remunerated blood donors
The design and introduction of strategies to ensure effective and universal screening for HIV, hepatitis B and C virus and Syphilis; and appropriate storage, processing and distribution of blood and blood products and a comprehensive information system for data management.
The development of national guidelines, and hospital transfusion committees to monitor prescribing practices and transfusion outcomes
Pre-service and in-service training of blood service and health facility personnel
The development and implementation of effective monitoring and evaluation tools for use in program improvement progress toward implementing WHO and international best practice recommendations
Capacity development of the human resources and infrastructure necessary to deliver a sustained, cost effective blood service for the nation.
