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
Blood safety activities are closely integrated with the Injection Safety and Laboratory Infrastructure program
areas. Blood Safety also has linkages to maternal health aspects of the PMTCT program area; social
mobilization activities in the Condoms and Other Prevention program area; patient referral systems and
confidentiality issues under Counseling and Testing; and data collection and management under Strategic
Information. The project's main objective is to provide a safe and adequate blood supply to people living in
Guyana. All program activities are coordinated by the Ministry of Health's National Blood Transfusion
Service (NBTS). Target Populations: Healthy adults, principally youth, are targeted for recruitment as blood
donors. Women who hemorrhage during and after childbirth, children suffering from anemia, and surgery
patients will be the primary beneficiaries of a safe blood supply.
The project's main objective is to provide a safe and adequate blood supply to people living in Guyana. All
program activities are coordinated by the Ministry of Health's National Blood Transfusion Service (NBTS).
Emphasis Areas: Information, Education and Communication; Community Mobilization/Participation; Quality
Assurance, Quality Improvement and Supportive Supervision; Development of Network/Linkages/Referral
Systems
Target Populations: Healthy adults, principally youth, are targeted for recruitment as blood donors. Women
and children with anemia due to malaria, complications of surgery or childbirth, will be the primary
beneficiaries of a safe blood supply.
The World Health Organization will continue to provide Technical Assistance (TA) to the Guyana National
Blood Transfusion Service (NBTS) through a sub-contract to the Pan American Health Organization
(PAHO). PAHO launched its blood safety TA program in Guyana on April 1, 2007 (FY07), taking over from
the American Association of Blood Banks (AABB), which had provided TA to Guyana during the first two
years of the Emergency Plan initiative. In FY07, PAHO has focused its support for NBTS in three areas: 1)
The development of a new 12-month blood collection, screening, processing, and distribution work plan; 2)
Assistance drafting a policy on clinical use of blood; and 3) Training for NBTS technical staff in quality
assurance practices.
In addition to support for these three technical areas, a PAHO consultant, based in Georgetown, interacts
with the NBTS director, NBTS staff, and hospital transfusion professionals on a daily basis. This interaction
includes routine ward visits, assistance with the collection and analysis of monitoring and evaluation (M&E)
data, and on-site mentoring for junior staff. The PAHO consultant also interacts frequently with the CDC
country office and CDC Atlanta to coordinate the external technical assistance agenda.
In FY09, PAHO will continue the activities described above, with special emphasis on the following:
1. Training for physicians and other clinicians in blood utilization. The aim of this training will be to reduce
the number of unnecessary transfusions and orders for blood. The NBTS estimates that up to 50% of all
orders for blood and blood products are unnecessary. Furthermore about 25% of the blood issued is
unused. The PAHO training will cover in-service, continuing education for practicing physicians as well as
pre-service training for medical students and interns.
2. Training for NBTS donor recruitment staff and recruiters working for external partners. This training will
continue work begun in FY07 to coordinate all blood donor recruitment activities through the NBTS Blood
Donor Recruitment Coordinator. Training will also focus on maximizing social marketing materials based on
the findings of the 2007 Knowledge, Attitudes, and Practices (KAP) survey. The goal of this training will be
to ensure that all blood donor recruitment and retention activities follow the National Blood Donor
Recruitment Strategy.
3. Quality assurance. PAHO will provide on-going mentoring for laboratory staff who received QA training in
FY07. Additional, targeted, training sessions will be organized in this area, as necessary, to respond to
weaknesses or emerging problems.
4. Mentoring. The PAHO consultant will work with the three NBTS Coordinators to provide professional
guidance and mentoring in the areas of blood donor recruitment, blood drives, blood collection and storage,
and laboratory screening. The PAHO consultant will also provide mentoring to a junior medical officer (JMO)
if/when such a position is established by the Ministry of Health. The JMO was requested from the MOH in
FY07 to receive in-depth training and mentoring in the management of the national blood transfusion
service. This position was deemed necessary to create a cadre of highly trained young physicians in
Guyana to ensure succession planning at the NBTS. In addition to training, the JMO will also support the
NBTS M&E program.
5. Monitoring and Evaluation. As noted above, the PAHO consultant will provide routine oversight for the
collection and analysis of data collected by the NBTS M&E system. This support will be coordinated with
CDC Guyana and CDC Atlanta.
6. Coordination. As the lead external Technical Assistance provider for blood safety in Guyana, the PAHO
consultant will serve as the central point of contact for all TA. CDC Guyana and CDC Atlanta will coordinate
all major technical assistance activities through PAHO to ensure a clear line of communication with NBTS.
Lastly, as appropriate, PAHO will help the NBTS establish and/or expand professional links to blood
services in neighboring countries and elsewhere in the Caribbean. These linkages will allow NBTS to share
best practices throughout the region and benefit from practices, guidance and advice from other Caribbean
nations.
New/Continuing Activity: Continuing Activity
Continuing Activity: 12734
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
12734 12734.08 HHS/Centers for World Health 6277 6277.08 WHO/PAHO $500,000
Disease Control & Organization Blood Safety
Prevention
Emphasis Areas
Health-related Wraparound Programs
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $150,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Estimated amount of funding that is planned for Education $250,000
Water
Table 3.3.04:
