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.
Technical Support for Public Health Laboratory System and Networking
These are continuing activities from COP05 and COP06. As of August 2006, APHL has received 100% of COP06 funds and is on track in terms of program implementation according to original targets/work plan . Funding has been increased by 233% for COP07 based on technical assistance needed to support the expansion of laboratory information system (LIS) and regional laboratories through collaboration with US state public health laboratories.
The Association of Public Health Laboratories (APHL) has provided technical assistance to the MOH and the Ethiopia Health and Nutrition Research Institute (EHNRI) for the development of a National Public Health Laboratory System, improving testing quality and in-service training to strengthen laboratory capacity.
APHL will provide TA in four major areas:
1. Technical support in the implementation of QA program to EHNRI and regional labs;
2. Support the establishment of laboratory information system, referral linkages and networking between clinical laboratories and regional and national reference laboratories;
3. Assist in developing and reviewing training modules in laboratory quality and systems in partnership with EHNRI (other implementing partners -- US Universities and regional labs - will use the modules); and
4. Support organization capacity development including twinning of regional laboratories with US state laboratories, and strengthen the local public health association to ultimately have them replace APHL in the long-term.
In COP07, APHL will continue to provide technical assistance to the MOH, EHNRI, and regional laboratories to strengthen the national public health laboratory system, implement laboratory policies, and provide in-service training. APHL will establish formal collaboration agreements between US state public health laboratories and Ethiopian regional reference laboratories to provide practical expertise and training in a formally structured program, provided on-site in the US, in public health laboratory operations that will transfer skills in technology, planning and implementation. To assure the effectiveness of the program, US public health laboratory directors and APHL staff will provide follow-up technical assistance in Ethiopia.
APHL will provide technical assistance in developing a laboratory information system for the reference laboratory network to support ART program implementation in the country. APHL will assist PEPFAR Ethiopia in the implementation of a LIS that is currently being developed through PEPFAR Ethiopia with PolyTech software, and will provide additional software application modules and options currently under development by APHL for use in ART testing laboratories. APHL will provide in-service training for laboratory and IT personnel in LIS implementation and operation, in training programs in Ethiopia, and training for senior laboratory supervisors at APHL member facilities in LIS management. LIS training modules/CD will be provided to local laboratories to be used as reference material at site . APHL will support the expansion of a National Quality Assurance Program. External Quality Assurance (EQA) will be established in centers at the national, regional, hospital, and health center levels. With the support of APHL technical assistance, a Quality Systems Manager will be trained, and charged with implementation of the program in Ethiopia. APHL will support the collaboration between Zimbabwe National Quality Assurance Program (ZINQAP) and National EHNRI to roll out and expand National QA program in by subcontracting technical assistance to work with EHNRI and regional laboratories.
APHL will provide technical assistance for the development of training curricula and train-the-trainer programs on equipment maintenance, laboratory management for managers, regional laboratory heads, and supervisors and laboratory information systems for laboratory heads and team leaders. APHL will support program implementation by
providing follow-up support in laboratory management. APHL will assign technical experts for periods of up to six months to work with the national and regional reference laboratories on the aforementioned tasks.
APHL assistance will be provided for customizing the HIV Rapid Testing and EQA training modules, and, in collaboration with PEPFAR Ethiopia and EHNRI, participate in TOT training and rollout of the EQA Program to Regional Labs.
APHL will continue activities to strengthen laboratory networks in Ethiopia with support for the local laboratory professional association, and assist the development of a strategic plan and a continuing education program. As part of sustainability and local capacity development, APHL will support and closely work with Ethiopian Public Health Laboratory Association.
