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 2015
SCMS in Guyana aims to transform health care delivery by ensuring that quality medicines and health care commodities to reach the people living with and affected by HIV/AIDS. In close partnership with the MOH, in-country and international stakeholders, as well as with donors, SCMS transforms health care delivery by ensuring quality medicines and health care commodities reach PLWHA. SCMS solutions are deployed to assist the MOH enhance their supply chain capacity. To achieve these objectives, SCMS works with the MOH and the Material Management Unit to improve its capacity and the capacity of supply chain implementing partners across the broader Guyanese Health Commodities Logistics System, thus maximizing HIV funds and resources to improve and strengthen the SCS capacity for all essential medicines and supplies for MOH programs. SCMS also aims to collaborate and seek synergies in common supply chain and HSS with Global Fund, PAHO and UNFPA in common objectives and synergies for Capacity Building Services/Supply Chain Management Assistance. These efforts will build on and expand existing platforms to foster stronger systems and sustainable results and will strengthen health systems functions to ensure quality and reach of health services and public health programs in both short and long term by working with donors and governments to incorporate sustainability into health programming. In FY12, SCMS will strive to promote accurate data collection and dissemination for use in completing quantifications, building capacity to conduct quantifications and transferring skills. SCMS also plans to retrain leaders from within the MOH and donor programs in the application of quantification tools in order to facilitate the transition of quantification activities to the MOH.
Improving information systems at both the central and facility level are vital components of a secure and reliable supply chain. The ability to collect accurate data and communicate that data through Management Information Systems (MIS) systems is a key part of the Ministry of Health (MOH) MIS strategy and an area where SCMS has been providing support. SCMS has provided technical assistance to improve the central level information system for supply chain management to ensure strategic information is readily available to drive decisions for key stakeholders, e.g. MOH, Ministry of Finance, donors, and implementing partners. At the facility level SCMS supported a facility inventory management system assessment, which then informed a National Logistics Management Information System (LMIS) Design Workshop out of which a LMIS Core Team was established to implement and manage the LMIS. SCMS in collaboration with the MOH and UNFPA will complete the implementation, training of health facility personnel in all regions. The cadre of trained personnel being developed will lead to the strengthening of facility level inventory management, reporting of all essential logistics information will help planning and decision making at all levels, particularly as it relates to supply chain management and health commodities management. Implementation and supportive supervision of the LMIS will continue in 2012. Transition of LMIS functions and responsibility in some regions is also planned.
Key technical program areas contributing towards Health Systems Strengthening (HSS) constitutes product selection and use, quantification/forecasting, warehousing and distribution, technical support, assistance and supervision of the multi-donor funded international standard new Materials Management Unit (MMU) warehouse, which supports the Ministry of Health (MOH) in the overall strengthening of the health systems. (a ) Product selection: SCMS will continue to support Guyana in the implementation and revision of National Standard Treatment Guidelines and to promote rational drug use through education, training, and monitoring and evaluation (M&E). SCMS will also enhance drug registration capability, national formulary and support pharmacovigilance activities. (b ) Quantification : Ongoing national level forecasting, quantification and supply planning of antiretrovirals (ARVs), rapid test kits (RTKs) and lab reagents represent an opportunity for streamlining, simplifying, and improving the national health commodities logistics systems. SCMS will assist in improving the accuracy of routine national quantifications of core commodities for the TB and Malaria programs and essential medicines and consumables. These quantifications will contribute to data-driven decision making. It will also improve the accuracy of facility level requirements and orders. (c) Warehousing, Inventory Control and Storage: SCMS has been providing continuous technical support to the operations and management of the MMU. The technical assistance and oversight for the construction of the new MMU facility will continue in 2012 with an expected completion in mid-2012. Relocation and migration of both the Kingston and the Farm MMU facilities will be planned and assisted by SCMS. This will be followed by a period of technical support to ensure stabilization of operations at the new warehouse. SCMS will also provide appropriate change management process training of the MMU staff so they are able to adjust to a changed environment. (d) Quality Assurance: SCMS is committed to ensuring that quality is an integral part of the supply chain. In this regard, SCMS has supported the establishment of a mini-lab site at the current MMU warehouse, where a total of 40 drugs are screened on a regular sampling. SCMS will continue to support this activity as well as expand the testing capacity of the mini-lab site following the migration and transition to the new warehouse. Interventions to strengthen the Food and Drug Department (FDD), in both areas of quality inspections and quality control testing are expected to continue. (e) National Supply Chain Master Plan : SCMS will support the MOH in the execution of the Global Fund (GF) Pharmaceutical and Health Products Management Plan (PHPM) country profile Action Plan and in the development of a National Supply Chain Master Plan on the foundation of the GF PHPM country profile in order to strengthen the management of the supply chain for pharmaceuticals and health commodities, and to build the capacity of the MOH to manage procurements.
SCMS will procure reagents and other consumables to support blood screening at MoH facilities.
CDC is responsible for providing all rapid test kits (RTK) for Ministry of Health (MOH) programs. During FY11, CDC and SCMS continued worked closely with the MOH to establish necessary capacity such as forecasting, consumption data and ordering systems. Funds for procurement of RTK in FY 2012 will again be provided to SCMS. SCSM will continue to provide technical assistance and training in procurement systems to the MOH. SCMS and CDC will continue to work closely on forecasting and ordering to ensure that there are no stock-outs. The CDC Office will continue its responsibilities for quality assurance for rapid testing in all PEPFAR programs.
In FY12, PEPFAR, through SCMS, will continue to support the procurement for adult second line ARVs and pediatric first and second line ARVs. SCMS will continue to work towards an integrated procurement planning process to include both donors and the Ministry of Health (MOH). This will be accomplished by developing a two year quantification and a one year rolling supply plan. There will be quarterly reviews of the forecast to ensure not only continued availability but also to avoid stock-out situations. Transitioning of procurement responsibilities as well as the continued funding for ARVs will be discussed with donors and the MOH with a view of developing a transition plan for project activities. The procurement of CDC supported commodities will be gradually transitioned to Materials Management Unit (MMU)/MOH. Labs commodities procurement transition has been informed to have commenced in September 2011. Procurement of the remaining CDC funded commodities for voluntary counseling and testing (VCT) and National Blood Transfusion Service (NBTS) will be transitioned at a later stage in 2012. SCMS still will continue its support to MMU in this transition and to provide any technical support and mentoring as is needed to ensure a smooth transition and enable MMU to fully take over.
