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.
GSIP is a one-year project, building on a previous five-year project, promoting comprehensive, sustainable, country-owned and managed infection prevention and injection safety programs that safeguard health care workers, patients and communities. GSIP works in four areas, Safe and Appropriate Injection Use (SAIU), Waste Management (WM), Worker Protection (WP), and Quality Assurance and Improvement (QAI), targeting approximately 500 health care workers serving in seven of Guyanas ten regions in order to improve health care services for over 92% of the nations population. Quality improvement activities are focused in two regions, creating models for QAI that can be replicated in the future in other areas. GSIP is aligned with the Global Health Initiatives core principles, particularly the emphasis on country leadership, leveraging collaboration and strengthening health systems. GSIP works closely with the MOH's Regional Health Services, Environmental Health Unit, Standards and Technical Services Unit and Health Sciences Education Department and other partners to ensure that the systems and skills are in place to sustain injection safety interventions over the long term. These efforts include: helping to design injection safety quality standards and ensuring they are included in national legislative; licensing and monitoring policies and processes; integrating injection safety skills and knowledge into pre- and in-service training curricula; and developing a cadre of skilled injection safety trainers among current MOH and private hospital staff. Seven of the project indicators focus on systemic and/or policy outcomes. GSIPs overall monitoring and evaluation approach is comprised of two complementary strategies ongoing and baseline/final assessment.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHMIN Ministry of Health 25000 Safe Injection Capacity Building
A key activity in helping the Ministry of Health (MOH) to develop national and regional capacity on injection safety (IS) and waste management is to create a cadre of experienced trainers within the health system. To do this, GSIP conducted training of trainer (TOT) sessions for key staff from MOH facilities, Georgetown Public Hospital, Guyana Defense Force and private hospitals and training institutions. GSIP staff then provide technical support, mentorship and backstopping to the TOTs as they continue to improve their skills in conducting comprehensive and refresher trainings for their colleagues in all aspects of safe and appropriate use of injections. The TOTs are expected to train 500 health care workers by the end of the project year. To sustain this capacity over the long term, GSIP is assisting facilities to routinely document which staff have undergone IS training in order to ensure that all staff receive regular refreshers. Another key capacity development activity is a collaboration with the MOH Health Sciences Education Department to integrate IS information and skills-building into pre-service training for four key cadres of staff: Medex, Medical Laboratory Technicians, Pharmacy Assistants and Environmental Health Assistants. Safe disposal of syringes and other sharps remains a major challenge. GSIP is assisting the Ministry of Healths Environmental Health Unit (EHU) to advance national legislation on health care waste management, and to develop the necessary tools, guidance and skilled Environmental Health Assistants to effectively monitor adherence to guidelines once they are in place. Other activities in this area include training facility managers and waste management supervisors and strengthening safe disposal programs for home-use insulin injectors as health workers risk acquiring various diseases from exposure to sharps and syringes, including HIV, Hepatitis B and Tetanus. GSIP is working with MOH and individual facilities to strengthen systems to ensure that all health workers have up-to-date vaccinations against Hepatitis B and Tetanus. GSIP is also augmenting the work of the National AIDS Program Secretariat to ensure knowledge of, and access to, post-exposure HIV counseling and testing and prophylactic anti-retroviral treatment for health workers who experience needle-stick injuries. These topics are included in all GSIP trainings and information, education and communication (IEC) materials. Finally, GSIP is working with MOH to ensure the application of injection safety standards in health facilities throughout the country. Intensive efforts are being undertaken to guide six facilities to achieve certification as Injection Safe Facilities; the certification process is a model that can be further rolled out by MOH if it chooses. GSIP is assisting the Standards and Technical Unit of the MOH to integrate these injection safety standards into the national Health Facilities Licensing Act and Service Level Agreements monitoring processes.
