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 9263, 9311, 9923, 9283, 9337.
SUMMARY: Currently, the clinical and hospital laboratories within Haiti are challenged to provide laboratory services to support HIV/AIDS care and treatment. The successful implementation of the President's Emergency Plan for AIDS Relief (PEPFAR) goals requires a significant strengthening and expansion of laboratory services. As antiretroviral treatment (ART) is made more widely available there is an immediate need for expanded patient monitoring in clinical chemistry, hematology and Cluster of Differentiation 4 (CD4). ASCP will enhance the laboratory system in Haiti by providing assistance in the development of a national approach to quality systems. ASCP and the United States Government (USG) Team, working together, will enhance laboratory systems in Haiti by implementing comprehensive laboratory quality assurance programs and conducting integrated laboratory training.
BACKGROUND: ASCP currently provides laboratory support and assistance in building human resource capacity and laboratory infrastructure for diagnostic testing in clinical laboratories within PEPFAR countries. Laboratory test results are an integral part of HIV treatment plans, as they monitor the HIV progression and provide information to the clinician in making decisions about a treatment regimen.
ACTIVITES AND EXPECTED RESULTS:
The ASCP laboratory training experience consists of: 1) didactic lectures with Power Point (PP) presentations in the areas of hematology, clinical chemistry and CD4 count; 2) furnishing of a participant's manual, with copies of the PP slides; 3) participant's supplementary materials (i.e. procedures, atlases, job aids); 4) an instructor's version of the PP presentation; 5) an instructor's guide with support notes for each PP slide and a CD-ROM with all the aforementioned materials. With the USG Team and in-country representatives, the ASCP will conduct a needs assessment to establish country-specific scopes, deliverables and outcomes and prepare and deliver appropriate training activities as described below.
Activity 1: In coordination with the USG Team, a team of two ASCP consultants/staff will meet with Haitian representatives to assess the current laboratory situation. At this initial meeting, ASCP will assess onsite logistics for the subsequent training session and technical assistance. ASCP consultants and staff will meet with in-country USG Team leadership, representatives from Ministry of Health (MOH) and others to perform baseline needs assessment, gather information on infrastructure (e.g., staffing, supplies, equipment, instrumentation, information technology, inventory, and testing volume), identify gaps and recommend educational intervention(s). This initial visit will help identify specific needs of Haiti, and develop a strategy addressing those needs. With the USG Team and in-country representatives, the ASCP will establish a country-specific scope of work, deliverables and outcomes. Based upon information gathered during the assessment phase, the ASCP will develop Haiti-specific education and training specific. in the areas of chemistry and hematology, as well as to determine the nature of subsequent technical assistance.
Activity 2: Upon completion of the assessment of Haiti, the ASCP will deliver training programs for lab workers working in central laboratories in Haiti. The ASCP will identify laboratory experts to travel to the countryside to perform specific laboratory functions in chemistry, and hematology suitable for technologists requiring a review of laboratory theory, principles, and procedures. The program faculty will travel to Haiti, administer pre-tests, provide training, administer post-tests, and administer a ‘satisfaction' survey. The trainers employ participatory methods for interactive learning and promotion of teamwork. Hands-on practical experience is encouraged and used whenever feasible. Plenary sessions are encouraged for the exchange of experiences, group interaction and peer assessment
Activity 3: ASCP trainers will provide a Training of Trainers (TOT) Workshop for 10 Haitian trainers. The TOT format is designed for high-level technologist s who will be designated to provide laboratory training in their own clinical settings at a future date thereby scaling up the training to the rest of technologists in their region.
TARGETS:
10 TOT's trained at the National Lab Training Center 40 Lab workers (two basic training sessions for 20 trainees each) trained in hematology and blood chemistry analysis
