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: 2008 2009
Continuing Activity using pipeline funds.
In FY 09, GSIP is focusing on finalizing activities in region 4, the capital, and initiating activities in Region 2
and the remote hinterland regions: 1, 8 and 9. Interventions include training of staff in the areas of safe
injection, waste management, commodity management and behavior change. Our efforts to support worker
and patient safety concentrate on ensuring injection safety practices and systems are integrated at the
facility, regional and central level. This includes commodity management, training curricula and capacity
development; sharps waste management guidelines and procedures, recording systems for vaccination and
needle stick injury, PEP coverage, monitoring and data analysis tools and process, and rational injection
use. At the central level it means inclusion of orals as first line treatment for standard treatment guidelines,
integration of IS training into pre and in-service professional and para-professional programs and building
capacity to present the material and monitoring of worker safety policy adherence. This work is conducted
with assistance from Ministries, PEPFAR projects, NAPS and professional training programs.
GSIP, in cooperation with MOH, completed two studies. The first was the final phase of a Prescription
Record Review which, based on our interventions, found that the proportion of cases receiving one or more
injections declined from the baseline 29% to 21% and prevalence of unnecessary injections declined from
34% to 30%, both statistically significant. As a corollary to the study, the training on medication counseling
for improving prescription adherence will be integrated into pharmacists and pharmacy assistant training.
The second was a Home Use Insulin and Safe Disposal Study designed to test out disposal options and full
supply of insulin syringes through staff counseling, guidance and provision of disposal containers and full
syringe supply. The results of both studies will be disseminated in FY 09 to assist MOH policy decisions.
GSIP is actively assisting the Regional Health Officers to develop strategies to implement the Health Care
Worker Policy launched by the Minister in December 2007. To date two regions have issued mandatory
policies for pre-exposure vaccinations and the Public Sector Union is actively encouraging workers to
adhere to pre and post exposure guidance and use of protective gear. All facilities have set up procedures
for documenting vaccinations and needle stick injuries. GSIP has also provided consumption data to help
regions and the central Ministry use data for budgeting for injection supplies.
In the area of waste management, GSIP has partnered with HAP (US Embassy) to get funding for the
construction of two DeMonfort incinerators at facilities with poor sharps management and as part of the
Waste Management Oversight Committee, GSIP) continues to provide technical assistance on disposal.
GSIP also assists all facilities to develop waste management plans.
GSIP is also working with the Standards and Technical Service Unit to incorporate injection safety
indicators into the MOH licensing process and to develop a demonstration project to certify facilities that
meet injection safety standards. The strategy for the certification process will also assist the Ministry to
design their licensing strategy.
GSIP completed its midterm assessment in February 2008 and will conduct a final assessment in 2009 in
the two sentinel regions, 6 and 10. The results of the midterm review were quite encouraging and are being
used to design, among other things, refresher training. A Behavior Change and Communication
assessment was also conducted to assess the effectiveness of our current communication activities and to
provide qualitative information to help us address factors that impede changes in practices and to expand
on our successes.
GSIP will be designing a pilot to link factors that affect staff motivation, such as worker safety, to
performance as an attempt to improve satisfaction and address retention, which challenges all public health
initiatives.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13900
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13900 3312.08 U.S. Agency for Initiatives, Inc. 6642 2804.08 Safe Medical $1,208,562
International Injections
Development
7468 3312.07 U.S. Agency for Initiatives, Inc. 4426 2804.07 Safe Medical $692,929
3312 3312.06 U.S. Agency for Initiatives, Inc. 2804 2804.06 Safe Medical $1,208,562
Table 3.3.05:
