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
Linked to Activities 8160, 11057.
SUMMARY: The World Health Organization/Pan American Health Organization (WHO/PAHO) provides technical assistance and training to the Haitian Ministry of Health's National Blood Transfusion Program (MOH/NBSP) and its partners (e.g., the Haitian Red Cross). This technical assistance covers the development and implementation of a safe national blood system, including donor mobilization and recruitment, blood collection, laboratory screening, the proper use of the cold chain to distribute blood and blood products, and training in the clinical use of blood.
BACKGROUND: This is an ongoing program. The Pan American Health Organization receives Emergency Plan funds as a sub-contractor to WHO, which is the principal CDC cooperative agreement grantee. Track 1 funds have supported WHO/PAHO's blood safety activities in Haiti since FY04. In Haiti, PAHO consultants are embedded with the National Blood Safety Program (NBSP), which was created by the Ministry of Health in 2004. The NBSP manages the national blood system in conjunction with the Haitian Red Cross, which currently holds the legislative mandate to supervise safe blood activities in Haiti. PAHO has provided critical technical assistance to the MOH to strengthen the fledgling blood service's policies, guidelines and systems. PAHO coordinates its activities with the NBSP and tailors its training activities to respond to needs identified by the MOH/NBSP. PAHO's training activities are conducted by PAHO consultants. The permanent PAHO blood safety representative to Haiti also interacts frequently with NGO and parastatal organizations (Haitian Red Cross) sub-contracted by the MOH/NBSP. PAHO technical assistance contributes to broader gender issues in Haiti through its work to decrease the number of maternal deaths due to a lack of transfusable blood during childbirth. PAHO's training for nurses, phlebotomists and laboratory technicians also has a positive impact on the professional development of Haitian women working in the healthcare field.
ACTIVITIES AND EXPECTED RESULTS: The activities described below will contribute to the Emergency Plan's 2-7-10 goals by reducing the incidence of transfusion-associated HIV infections in Haiti. Activity 1: PAHO consultants will work with MOH/NBSP and Population Services International (PSI) to train community leaders and volunteers in donor recruitment strategies. This human capacity development project is aimed at raising awareness about the need for blood donations and increasing the number of voluntary, non-remunerated blood donors. PAHO will train Haitian trainers who can sustain the training component locally. Activity 2: PAHO will provide technical assistance and advice to the MOH/NBSP to develop and deploy a QA/QC system in every blood service site in the country. With FY06 funding PAHO consultants trained blood service staff in QA/QC practices. FY07 funding will allow PAHO to follow up activities, monitor the implementation process and evaluate its effectiveness. PAHO will advise the MOH/NBSP on cost recovery strategies and other mechanisms to ensure a stable funding stream. PAHO consultants are familiar with appropriate technologies and strategies for resource-poor settings. Activity 3: PAHO will provide training and on-site follow-up in logistics, stock management and "just-in-time" delivery strategies to ensure a stable and consistent blood supply in Haiti. This training will help the MOH/NBSP to establish a national monitoring system and reduce the number of blood units lost to spoilage or improper storage. The enhanced system will also improve the delivery of blood to urgent cases and lead to a reduction in mortality due to a lack of blood, e.g., maternal hemorrhaging during childbirth. The network will enable relevant stock data to be shared in a timely manner. The monitoring system will be developed in conjunction with SCMS, which will be funded in FY07 to procure, warehouse, distribute and ensure proper stock control and quantification of all supplies used by the blood safety laboratory and blood banks. PAHO will support the development of tracking systems based on appropriate information technology that is simple to use and maintain, and can be deployed effectively in sites that may be off the national power/telecom grid. Activity 4: PAHO will hold quarterly evaluation workshops for MOH/NBSP staff and relevant partners. The workshops are designed to identify best practices and change program areas/activities that may not be sustainable. In FY07 PAHO will focus on identifying, addressing and removing barriers to access for patients needing blood. Activity 5: PAHO will provide technical advice to the MOH/NBSP on the equipment and
materials needed to ensure the cold chain throughout the national blood system. Consultants will also train MOH/NBSP staff and will conduct follow-up site visits to ensure equipment is properly installed. PAHO consultants will work closely with USG partners and MOH/NBSP to conduct solar electification needs assessments to ensure a sustainable power supply. Activity 6: PAHO will support the MOH/NBSP and the Haitian Red Cross to expand and renovate the HRC laboratory on Rue des Miracles in Port-au-Prince. PAHO consultants will review and provide technical advice on laboratory and blood production specifications. PAHO consultants will also advise the NBSP and the HRC on the location of two new satellite blood collection centers in the capital. These centers will replace a small site in the Rue des Miracles building that will be relocated to allow the lab expansion. Strengthening a central blood screening center is in line with WHO and CDC safety and sustainability recommendations for blood system laboratory services in resource-constrained settings. Activity 7: PAHO will train clinicians in the appropriate use of blood. PAHO will also support MOH/NBSP efforts to establish effective communication and coordination between clinicians and the blood service. Improving clinicians' knowledge of the appropriate use of blood will reduce the number of unnecessary transfusions performed each year. This reduction will contribute to the sustainability of the program by reducing inefficiencies and wastage.
