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: 2007 2008 2009
SUMMARY: The Safe Injection Project started in Haiti in July 2004 with PEPFAR support. This project is commonly known by the abbreviated project name Making Medical Injections Safer (MMIS). The main goal of this project is to reduce the transmission of HIV/AIDS by promoting safe injections by implementing the three-part strategy recommended by the Safe Injection Global Network (SIGN): change behavior of health care workers and patients to ensure safe injection practices and reduce demand for unnecessary injections; ensure availability of safe injection equipment and supplies; and manage sharps waste safely and appropriately. BACKGROUND: An assessment of injection safety and waste management issues conducted in 2004 found no existing norms and standards for injection safety in Haiti. Specifically, the assessment found: non-motivated, non-trained staff unaware of the risk associated with unsafe injections; lack of injection materials in health facilities; lack of infrastructure for waste collection, treatment and disposal which included no municipal waste disposal; and lack of supervision of health facilities. To date, the following corrective activities have been conducted: -Creation of a national committee for the security of injections. This committee is very active and meets every month. Under this committee, three major strategic documents have been elaborated and validated, i.e the National Policy, the Norms and Standards and the national strategic plan for Injection Safety. The committee has also provided collaboration for the implementation of the incinerators program funded by UNICEF. -Training on Injection Safety and sharps waste management has been conducted in all ARV partner sites. To date, a total of 1,413 health workers, including nurses, sanitary officers, maintenance workers, waste management personnel, and nurse aides have been trained. -Implementation of a national management and distribution plan for Injection Safety materials, i.e syringes with auto-disable device and retractable needles, needle removers and safety boxes for safe disposal of sharps waste. For FY06, 31 institutions, including all PEPFAR ARV sites, are supplied. In view of sustainability, distribution is made through peripheral departmental medical stores under the supervision of the Departmental Directorate and technical assistance is provided to the beneficiary sites for collection of basic logistics data and issue of consumption reports. MMIS project has also continuously advocated for inclusion of the injection Safety materials in the national procurement system. -Implementation in 16 institutions of an improvement of waste management system. MMIS project has distributed waste collectors and supported construction of enclosures to prevent access by children and unauthorized persons as well as animals to the medical waste storage zone. The last two (2) ARV partner sites where MMIS project has been implemented are Hopital de l'Universite d'Etat d'Haiti (HUEH) and Hopital La Providence located in Gonaives, Artibonite department. -JSI provided technical assistance for the implementation of the incinerators program supported by UNICEF. Implementation strategy included: elaboration of criteria for incinerators installation, site sampling and mapping, conduct assessment of 40 facilities, finalize the choice of sites and participation with UNICEF in the procurement process. -The MMIS project has also participated in many local workshops for elaboration of the departmental strategic plans driven by MOH, and the USG Team. -JSI developed and distributed behavior change communication (BCC) materials (posters, leaflets and audio messages) designed to induce positive behavior changes through a better understanding and awareness of the risks related to unsafe injection practices and poor management of sharps waste and assisted to develop the national 5-year strategic BCC plan.
ACTIVITIES AND EXPECTED RESULTS: Activity 1: JSI will strengthen the MOH's capacity to implement safe and necessary injections as a quality standard in the curative sector through dissemination of policies and norms; technical and financial support to the National Task Force / MOH to conduct periodic meetings and field visits for supervision, improvement of awareness and advocacy for safe injection practices; training of health personnel and support staff in all health facilities at departmental level. Training will be conducted on a very large scope and will include: training of trainers, training for pre-service for students,training for prescribers,training for frontline health care providers, training for waste handlers, and training for supply managers. In addition, micro planning workshops will be conducted in the regional departments to improve injection safety and waste management in the facilities.
Activity 2: JSI will implement a behavior change strategy targeted to the community to reduce unnecessary injections and promote safe injection practices based on feedback from health workers. JSI will promote appropriate use of safe injection devices with reuse prevention features and safety boxes for safer sharps waste disposal. Currently, MMIS project is conducting a bibliographic review to gather information for future development of strategies to address the safety of injections in the informal sector. Activity 3: JSI will strengthen systems to improve waste management in target areas through development of MOH national strategic waste management plan; development of waste management plan at facility level based on the national plan; improvement of sharps waste disposal at facility-level; assisting to implement a UNICEF-funded incinerator program; and supporting meetings of local committee on waste management. Activity 4: JSI will improve the logistics system for continuous supply of injection supplies to all partner facilities. In addition, JSI will distribute injection safety materials according to the national distribution plan. JSI will work with MOH procurement authorities to improve the logistics information system and continue to sensitize the private sector suppliers and import authorities to the issues associated with injection safety equipment. Activity 5: JSI will provide monitoring and evaluation (M&E) for injection safety through monthly supervision field visits to follow up activity progress and produce quarterly reports will be regularly issued to review progress with the USG Team and other stakeholders.
