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 2013
The Partnership Framework (PF) is focused on reducing the number of new infections, and increasing ART coverage. Both these goals depend on the performance of laboratories to provide information to patients that is accurate, timely, cost effective, appropriate, and interpretable and strengthens quality of patient care. Thus laboratory indicator, measuring number of accredited laboratories in a country encompasses quality measurement for six other laboratory systems like quality management, training, equipment maintenance, supply chain management, laboratory information, specimen referral and advocates strongly for laboratory policy.
Preventive and curative maintenance of equipment constitute a key component of the national laboratory strategic plan and play a critical role in ensuring quality laboratory testing and uninterrupted service delivery as ART services are rolled out. In Ghana, the Global Fund (GFATM) has traditionally provided equipment for screening, confirming, and monitoring patients on treatment for HIV, TB and Malaria. However, there are gaps/concerns with proper maintenance of equipment given machine downtime during breakdowns.
A local /regional TBD partner will collaborate with the MOH/GHS to support the development of a sustainable system on preventive maintenance and calibration of key equipment in laboratories used for screening, confirmation and monitoring patients on ARV. In collaboration with MOH/GHS, the TBD partner will embark on a sustainable plan and prioritize key laboratories for establishing service contracts for critical equipment.
The TBD partner will provide technical assistance including preventive maintenance, troubleshooting and calibration of laboratory equipment including freezers, refrigerators, incubators, ELISA washer, ELISA reader, microscopes, incubators, autoclaves, centrifuges, hematology and chemistry analyzers in the 14 laboratories selected for the WHO Afro accreditation. Broken machines will be repaired and spare parts will be changed to prevent/minimize service interruption.
The TBD partner will also provide technical assistance in developing standard operating procedures for use during instrument operation, developing preventative maintenance and maintenance logs, and training of 14 laboratory personnel and providing mentorship.
The training of bio-engineers for preventive and curative maintenance of equipment at the national reference as well as zonal and regional laboratories will be emphasized. Engineers will be trained to identify equipment problems as well as perform calibration of common laboratory equipment such as thermometers, timers, and pipettes. The TBD partner will establish proper mechanisms for the reporting of damaged equipment to regional and reference laboratories, ensuring proper documentation procedures are followed. The TBD partner will ensure equipment maintenance contracts are in place with manufacturers or their local representatives with periodic evaluation of the services they provide.
The TBD partner will work with vendors to facilitate trainings for laboratory technicians to develop routine preventive equipment maintenance plans at the 14 laboratories engaged in the accreditation process. The TBD partner will also facilitate trainings between vendors and biomedical engineers to repair broken equipment. The TBD partner will further enhance the capacity of local institutes that engage in training bio-medical engineers for equipment maintenance and repair by providing tool kits for equipment repair and creating opportunities for additional trainings. The TBD partner will check the feasibility of expanding the service contracts for equipment maintenance to additional laboratories involving local biomedical engineering institutes.
Support of the above activities will enable a sustainable preventive and curative maintenance system that addresses an integrated laboratory service for equipment maintenance, builds local capacity and ensures that accurate, reliable and reproducible results are provided to the client.
