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: 2011 2012
The goal of this activity is to provide biosafety cabinet maintenance and certification services and establish local capacity for this purpsose. In addition, this partnership with the national public health laboratory system/Ethiopian Health and Nutrition Research Institute (EHNRI) will strengthen the safety training program for laboratory proffesionals at different level and safety practices in laboratories.
To accomplish this goal, the TBD partner will work with Ethiopian Health and Nutrition Research Institute (EHNRI) to provide biosafety cabinet maintenance and certification services and transfer the techology to the local system. The TBD partner will work closely with the equipment maintenance engineers at EHNRI for sustainability of the program. The TBD partner will work to customize the biosafety training curriculum developed by CDC-Atlanta and provide "training of trainers" training and make sure that the training has been rolledout to the regions. The training includes hands-on training on biosafety cabinet certification and maintenance for EHNRI maintenance engineers and EHNRI engineers will be fully certified to the provide the service for the EHNRI, regional and hopsital laboratories. The national laboratory system in Ethiopia is looking for expansion specialized laboratory services like viral load, TB culture and DNA PCR all which are equipped with biosafety cabinets. Addressing safety issues while dealing with biohazard materials and infectious agents is critical element of the public health laboratory function. Currently, there is no capacity for certification of biosafety cabinets in country. CDC-Ethiopia has been supporting this activity by providing contract agreement with the Air Filter Maintenance Services, South Africa.
The contract approach has been very expensive, with delayed response and with no capacity building component in country. However, the proposed partnership will be helpful to address biosafety issues in laboratory in comprehensive manner and will create certified engineers for biosafey cabinet certification and maintenance. The partnership is critical to Ethiopia as the country is striving to implement the WHO/AFRO step-wise laboratory accreditation scheme. The national reference laboratories, all regional laboratoreis and selected hospital laboratories are currently being prepared for accreditation. Biosafety is an important component in the laboratory standard and this partnership with the TBD partner is one step forward in the process.
This new TBD award to support biosafety cabinet certification and maintenance servcies and in-service training of laboratory professionals on biosafety issues is an important component of public health laboratory services and is critical to build local capacity for such specialized services. This activity strongly supports the WHO/AFRO step-wise laboratory accreditation, safety of laboratory personnel and quality of laboratory tests and hence should be part of the COP11 submission.
The rapid expansion of specialized laboratory services like TB liquid culture, viral load, DNA PCR, sample referral testing, along with the increasing number of laboratories being involved in accreditation process demands greater attention to biosafety issues than ever. There will be more than 6 biosafety level III laboratories for TB culture and drug sensitivity testing and rapid drug resistance detection. Safety is a critical element in these facilities to protect contamination of the laboratory personnel and the environment. This is particularly important in this era of drug resistant TB spread. Regular check-up of functionality of biosafety cabinets and certification and transfer of infection prevention skills and practices to laboratory personnel is critical for these laboratories. In addition, there are more than 7 biosafety level II laboratories for viral load and DNA PCR testing. The national referrence laboratory at Ethiopian Health and Nutrition Institute (EHNRI) is an integrated laboratory and deals with highly contageous agents like infuenza and other emerging infectious diseases that require stringent biosafety measures. Addressing safety is an important element for accreditation of laboratories and quality of laboratory tests. There are 24 laboratories enrolled in the first round of the WHO/AFRO laboratory accreditation and additional 28 will be enrolled in COP11 planning. Therefore, establishing strong biosafety ensuring mechanism at different levels of laboratories is very important. Currently, there is no comprehensive in-service training curriculum for biosafety issues except that it is partially being addressed by incorporating in different laboratory training desciplines. This partnership will help to systematically cascade the in-service biosafety training programs to all facilities.
Currently, there is no strong national capacity for maintenance and certification of biosafety cabinets both in public and private sectors. There are safety cabinets being used with no functionality check, this is against the recommendation of the national safety guideline and many safety cabinets are not working due to absence of timely installation, training and maintenance servcies. The biomedical equipment maintenance engineers at EHNRI have not been trained and they also do not have tool kits to maintain safety cainets. EHNRI and CDC-Ethiopia tried to work with a contractor, Air Filter Maintenance Services (AFMS), South Africa. This has been time consuming process, expensive and not sustainable. Through the proposed partnership,EHNRI maintenance engineers will be fully certified on maintenance and certification of biosafety cabinets and in the mean time the TBD partner will deliver an effective and efficient maintenance services which requires regular replacement parts like HEPA filters.etc... In addition, standard biosafety training curriculum developed by CDC-Atlanta will be customized and the training will be rolled out to many facilities. The TBD partner by addressing biosafety issues will facilitate the full scale implementation of the WHO/AFRO laboratory accreditation process.
