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: 2005 2006 2008 2009
Ethiopia National Defense Force Safe Blood Program
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
The Blood Program will expand to include Mobile Collection services and field support for provision of blood
to fully implement the ENDF vision of a clean blood supply for its military, regardless of location of donors or
recipients.
COP 08 ACTIVITY NARRATIVE:
Ethiopia National Defense Force Safe Blood Program. The Ethiopia National Defense Force (ENDF)
determined that there was a need to establish a blood program to support present, ongoing, ENDF blood-
transfusion requirements and future operational contingencies. The ENDF currently relies on the Ethiopian
Red Cross Society (ERCS) for its supply of blood products. However, the ECRS has not been able to
adequately supply blood to the military because of commitments to civilian hospitals and the unique nature
of military operations. Nor have there been standardized guidelines for blood-transfusion practice within the
ENDF. Implementation of standardized transfusion practice guidelines will further reduce potentially
unnecessary transfusions and reduce the potential exposure to blood borne infectious diseases. The ENDF
with the support of the US Navy Blood Program has started implementing a safe blood program using
components of the United States Military Blood Program as a model. To meet the objectives, this activity
will:
1) Establish a central blood collection, processing, and storage facility at the Bella Defense Forces Central
Referral Hospital which will also serve as a "center of excellence" for training and a template for the
establishment by ENDF of additional blood banks at other field referral military hospitals throughout Ethiopia
2) Provide facilities to perform mobile blood collections from newly accessioned recruits, potentially offering
a safer donor pool since recruits are pre-screened for transmissible agents upon entry into the ENDF. Other
military personnel are considered as donors if their proximity to blood banks is optimal for their mobilization.
3) Define a realistic, safe, blood-distribution network that takes into account peacetime, wartime, and other
national (natural or manmade) emergencies, in coordination with the national program on delivering safe-
blood transfusion services to communities around military deployment areas 4) Define an organizational
structure with recommended assignments, standard operating procedures (SOP), and forms for blood
administration, safe transfusion therapy, and an ongoing training and Quality Assurance (QA) to maintain
safety for all aspects of the blood program.
Program Implementation Strategy: The DOD Blood Safety Program has been using a phased approach
(FY04-FY08) to build one central blood-collection, processing, and storage facility with a strategically
located distribution network, and a total of four reliable, safe, hospital-based blood banks. Throughout the
implementation process of the program, it will ensure performance of tasks in order to validate and build
capacity within the ENDF to assume total operational sustainability of the program. 1) Accomplished tasks:
The FY06 Program implementation team (i.e., US Naval Medical Center San Diego, DOD HIV/AIDS
Prevention Program at Naval Health Research Center, Bella Hospital Director, and PEPFAR DOD Ethiopia)
was established and collaborated by way of weekly teleconferencing and meetings. With FY04-FY06
funding resources, the following was accomplished: 1) Renovation of a building at Bella Military Hospital.
This building will serve as a center of excellence for training, for blood collection, blood processing,
production of blood components, storing and distribution of safe blood and manufactured components 2) All
medical equipment for the central blood collection, processing, storage, and distribution facility and also the
Bella Hospital-based blood bank has been delivered, installed, and validated 3) SafeTrace Program
Software and Wyndgate Computer terminals have been purchased for the blood- and blood-products
management computer system to track and control safe blood and blood-component products. Ten desktop
computers for the program have been acquired from CDC Ethiopia on a one-year loan. Preparation of local
networking of the computers is underway and in progress. 4) Structural organization, staffing, and Scope of
Work proposals have been completed and submitted to the ENDF Health Services Management for
comments and subsequent implementation. 5) Hands-on training (15 Sept. - 8 Oct., 2006), for two
Ethiopian military Blood Center senior staff members was conducted at the Naval Medical Center Blood
Bank in San Diego, CA. 6) Training for 11 Ethiopian core staff personnel assigned to the Bella blood center
was conducted between the periods 29 May - 15 June 2007. The Core Staff has been trained on the
following topics: --Component processing for red-cell, fresh frozen plasma, and storage requirements for
both --Equipment calibration for the component processing equipment --Donor registration process, vital
signs (blood pressure, pulse, temperature, hemoglobin, arm check, and weight screening), confidential
interview, confidential unit exclusion, bag issue, and collection process --Testing process and quality control
--Once-a-week functionality training at the International Testing Laboratory in Addis Ababa for the Senior
Medical Technologist --Lectures on transfusion safety and adverse reactions were delivered to the medical
staff at the Bella Defense Referral Hospital, the Armed Forces General Hospital, and the Defense College --
Delayed delivery of some essential equipment and consumables has made it impossible for the blood-
safety technical team to complete the program of training in its entirety and certify full operability of the
center by the core staff. For this reason, a second visit by the technical team has been scheduled for
October 2007. By the end of FY07 plan implementation, three more military-hospital-based blood banks at
Mekele, Gondar, and Harar will be established. Provision of consumables for the Bella Blood Center and
the four hospital-based blood banks will also be covered. In FY08 all logistical support for consumables and
a supply-management system for the centrally established blood collection, processing, storage, and
distribution facility at Bella and four hospital-based blood banks will be realized. Computers replacing those
on loan from the CDC will be provided. A visit by a US Navy Blood Safety Technical Team in order to
evaluate existing quality assurance standards and management of all PEPFAR-established military facilities
for blood safety would have been accomplished. Testing of existing systems and addressing challenges will
enable the partner to create a solid base for its future ability to sustain the program.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16712
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16712 5575.08 Department of US Department of 7518 119.08 Ethiopian $280,000
Defense Defense National
Defense Force
10564 5575.07 Department of US Department of 5538 119.07 $1,000,000
Defense Defense
5575 5575.06 Department of US Department of 3749 119.06 $108,000
Table 3.3.04:
Ethiopian National Defense Force Injection Safety Program
DOD will continue at the present level of funding to procure infection control items. ENDF has already
expressed more of a need then we are currently able to meet. This unmet level of need will continue.
COP 08 Activity Narrative:
Ethiopian National Defense Force Injection Safety Program In 2003,with the full participation and technical
support from Defense HIV/AIDS Prevention Program (DHAPP), infection-prevention measures were fully
established within three military central referral hospitals (Armed Forces Teaching General Hospital, Bella
Defense Central Referral Hospital, and Air Force Hospital). This was the initial measure of a phased
approach to the program, which has since then been gradually expanding. The activities already
established are: • Questionnaire developed on infection-prevention prophylaxis to determine the risk factor
among healthcare workers (HCW) • Infection-prevention training of 275 physicians, HCW, and support staff
in health-service facilities • Provision of contaminated waste, sharps collection, and disposal units •
Provision of infection-prevention equipment (e.g., disposable and surgical gloves, disposable syringes,
respiratory masks, gowns) In FY08, this technical support will be maintained in two central referral hospitals,
one teaching hospital, seven field referral hospitals, and 31 health centers, with a total complement of 33
physicians, 1,402 nurses, 35 health officers, 515 health assistants, 626 technicians, and 3,613 sanitarians
and public health workers. Support provided through this activity improves the quality of services delivered
in Ethiopian National Defense Force (ENDF) medical facilities. Approximately 40% of all inpatients
throughout the military hospitals and health-rendering facilities are people living with HIV/AIDS. Providing
infection-control supplies minimizes the risk for nosocomial infection. All hospital staff, from physicians to
janitors, are trained on an ongoing basis using previously developed protocols and curricula. The training is
self-sustained by the ENDF with consumables provided by PEPFAR.
Continuing Activity: 16713
16713 5577.08 Department of US Department of 7518 119.08 Ethiopian $402,000
10566 5577.07 Department of US Department of 5538 119.07 $380,500
5577 5577.06 Department of US Department of 3749 119.06 $273,000
Table 3.3.05:
Prevention with Positives
Flat Funding: Little change in FY09. With level funding this activity will continue to build on the
achievements made with 08 funding solidifying methods and evaluation plans will be implemented.
Reduced Funding: this activity will be scaled back so that implementation in the primary site is solidified but
expansion and evaluation plans will be limited.
Expanded Funding: This activity will expand to other sites and evaluation plans will be finalized and
implemented.
New/Continuing Activity: New Activity
Continuing Activity:
Program Budget Code: 09 - HTXS Treatment: Adult Treatment
Total Planned Funding for Program Budget Code: $75,504,276
Total Planned Funding for Program Budget Code: $0
Table 3.3.09:
