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.
Establishing a public health reference laboratory remains a key element of the Guyana PEPFAR program. Not only will it provide a new level of infrastructure for labs in Guyana, but it will provide crucial support to the HIV care and treatment programs. When completed the NPHRL will provide reference laboratory capacity in Guyana and serve as a base for improving laboratory services throughout the health system. It will support the care and treatment program with comprehensive services and will allow for implementation of national QA/QC. Currently, due to logistic and geographic isolation, transport of specimens outside Guyana is expensive, time-consuming, and fraught with delays and losses. The NPHRL will provide capacity in-country for these services. Further, the NPHRL will provide infrastructure for graduates of the laboratory technology program at the University of Guyana. This program produces most of the laboratory technologists trained in the Caribbean, yet these graduates frequently emigrate due to the lack of professional infrastructure available in Guyanese laboratories. The NPHRL will serve as an incentive to encourage these needed healthcare professionals to stay and work in Guyana. The new HIV treatment center housed in the first floor of the structure will provide a patient-friendly venue with greater privacy, improved flow, and enhanced pharmacy space to facilitate ARV services. The new lab represents the fulfillment of the joint commitment by the USG and the Government of Guyana to upgrade the healthcare system.
A PEPFAR-funded structure housing the HIV clinic and the National Public Health Reference Laboratory (NPHRL) has been under discussion with the Guyana MOH since 2003. Design commenced in 2005 and was completed in 2006 by a local design firm. Because this work was initiated with funds provided to the MOH, architectural services were procured through their national tender process. Local architects provided a $50 USD per square foot estimate for the construction of similar buildings and use of local materials and labor. Based on this estimate, the USG team estimated that the building could be constructed and finished for $750,000 USD (as was stated in the 2006 COP).
In 2006, the Department of Health and Human Services (DHHS) instructed all CDC PEPFAR projects to redirect any funding for major renovation/construction to the State Department Regional Services Procurement Agency (RPSO). RPSO has extensive experience with construction of similar facilities in Africa and other regions. Together with their primary contractor (the design-build agency CCE), RPSO made a field visit to Guyana in July of 2006 to see the proposed site and evaluate local capacity and quality of materials. Their estimated costs for the construction are significantly higher than the MOH projections. The difference lies in the need to import a majority of the raw materials, the shortage of skilled labor in Guyana, and the risk inherent in this type of project. A more precise estimate will be available by September 30, 2006.
