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: 2010 2011 2012 2013 2014
1. Goals & Objectives under the Continuation Award
The Association of Public Health Laboratories (APHL) has been involved in technical assistance to the Guyana MoH and the National Public Health Reference Laboratory (NPHRL) for the development of the national public health laboratory system through a unique twinning partnership with the North Carolina State Laboratory of Public Health (NCSLPH).
APHL will continue to manage this partnership and provide other technical assistance to the MoH and NPHRL, as requested. APHL will continue to provide technical assistance the development of a 5-year national laboratory strategic plan for Guyana. APHL will also explore the feasibility of installation and implementation of a laboratory information system for the reference laboratory network systems to support ART program implementation in the country.
Under the twinning partnership, APHL and NCSLPH will continue to provide mentorship and technical assistance in the areas of quality management systems and biosafety. In addition, assistance will be provided in building capacity for the NPHRL to perform rapid high-complexity laboratory methods that will help to identify HIV-related illnesses faster. APHL will continue to also provide travel for key NPHRL staff to attend trainings and workshops that will aid in the performance of their job duties.
The goal of this award is to further solidify the relationship between the NPHRL and NCSLPH as a long-term partnership between public health institutions. Another goal is to develop the technical capabilities of the NPHRL by providing the aforementioned technical assistance. Clear objectives will be laid out to measure success towards these goals. Objectives are as follows:
1. Provide continued mentorship to the NPHRL by holding routine conference calls (frequency to be determined) between NPHRL and NCSLPH staff to discuss relevant issues pertaining to daily operations of the laboratory. Facilitate a mechanism by which relevant staff of NCSLPH review and provide feedback on NPHRL policy, process and procedure documents, particularly those pertaining to quality systems and biosafety.
2. Assist the NPHRL to develop capacity to perform novel, high-complexity assays for provision of HIV-related laboratory services e.g. PCR, by providing one assay specific training (as required) to 10 laboratorians by the end of Year 2.
3. Facilitate travel and participation in international trainings or workshops on technical aspects of testing and quality systems for 4 NPHRL staff by the end of Year 2.
4. Fund enrollment of 2 key technical staff in on-line courses to develop their capacity to provide high complexity testing in areas that are novel to Guyana e.g. Molecular Biology. (Continuing activity from year 5, PEPFAR 1)
5. Continue process of development of 5-year Strategic Plan for the NPHRL using the National Strategic Plan for Medical Laboratories 2008-2012 as overarching frame of reference.
6. Provide an assessment of the NPHRL for the installation and implementation of a laboratory information system (paper or electronic) so that laboratory tests can be easily tracked and recorded.
2. Strategy towards costs efficiency
APHL will work with Guyana Senior Laboratory Advisor to develop a detailed plan of action in order to maximize all activities and in country visits. APHL will also arrange for trainings and workshops to occur at the NPHRL for all staff instead of traveling NPHRL staff individually to trainings and workshops. These activities will lead to more activities for less cost.
3.0 Monitoring & Evaluation
Both paper based and electronic tools will be used to capture training participant data. Pre and post tests as well as training evaluation forms will be shared with all participants from the trainings and workshops. The results from these surveys will serve as the tools to capture the impact effectiveness of the trainings. Follow-up meetings with training/workshop participants will be held to assess longer term outcomes of behavior change.
As a continuation from COP09, APHL will perform the following activities:
7. Provide continued mentorship to the NPHRL by holding routine conference calls (frequency to be determined) between NPHRL and NCSLPH staff to discuss relevant issues pertaining to daily operations of the laboratory. Facilitate a mechanism by which relevant staff of NCSLPH review and provide feedback on NPHRL policy, process and procedure documents, particularly those pertaining to quality systems and biosafety.
8. Assist the NPHRL to develop capacity to perform novel, high-complexity assays for provision of HIV-related laboratory services e.g. PCR, by providing one assay specific training (as required) to 10 laboratorians by the end of Year 2.
9. Facilitate travel and participation in international trainings or workshops on technical aspects of testing and quality systems for 4 NPHRL staff by the end of Year 2.
10. Fund enrollment of 2 key technical staff in on-line courses to develop their capacity to provide high complexity testing in areas that are novel to Guyana e.g. Molecular Biology. (Continuing activity from year 5, PEPFAR 1)
11. Continue process of development of 5-year Strategic Plan for the NPHRL using the National Strategic Plan for Medical Laboratories 2008-2012 as overarching frame of reference.
New activities for APHL in COP10 include:
1. Provide an assessment of the NPHRL for the installation and implementation of a laboratory information system (paper or electronic) so that laboratory tests can be easily tracked and recorded.
