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
INTEGRATED ACTIVITY FLAG: This activity links to Activity ID 8156.08.
SUMMARY:
The overall goal of the AIDSRelief ARV services and supply chain, in collaboration with the Partnership for
Supply Chain Management (PFSCM), is to ensure that the necessary infrastructure, systems and skills are
in place for efficient forecasting, procurement, warehousing and distribution of high quality, safe and
effective ARVs plus related health supplies to the various local partner clinics and hospitals (LPTF) and the
effective monitoring of their use. Target populations include adults, infants, children, and youth infected with
HIV, who seek medical services at any AIDSRelief hospital. Emphasis areas include commodity
procurement, local organization capacity development, logistics, infrastructure, and training. AIDSRelief will
continue to use its significant experience to maintain supply chain capacity at the LPTF level. AIDSRelief is
expected to scale up from 8 to12 ARV sites and 20 palliative care/PMTCT sites.
BACKGROUND:
During Years 1-3, ARV drug management under AIDSRelief program was an activity carried out in
collaboration with the WHO/PAHO PROMESS Program, which suppors other government drug
management activities in Haiti. As of FY 07, this activity has been transferred to PFSCM, which is
mandated for procurement, customs clearance, warehouse and distribution.
ACTIVITIES AND EXPECTED RESULTS
The following specific activities related to ARV drug management will be undertaken:
Activity 1:
•Strengthen local capacity in the area of pharmaceutical management and support.
•Train and mentor key pharmacy personnel in order to strengthen their skills and improve their capabilities
in drug forecasting, quantification, ordering, inventory management, drug information management, drug
utilization monitoring and rational drug use.
•Continue computerization of drug dispensing records at LPTF pharmacies through the SIMPLE software.
•Promote best practices in pharmacy management. Key pharmacy staff will visit other LPTFs to exchange
lessons learned and adopt best practices. This initiative to improve learning is also part of an overall staff
retention strategy.
Activity 2:
•Maintain structural improvements made in YR4 for the current 8 existing facilities to improve drug storage
and management of drug stocks, and continue improvement in Yr 5, as necessary.
•Assess the potential new sites for refitting to increase storage space and to accommodate site scale-up.
Activity 3:
•Collaborate with other stakeholders involved with HIV/AIDS care in order to continue to improve efficiency.
•Collaborate with SCMS Project and the Government of Haiti to strengthen supply chain and pharmacy
management capacity of AIDSRelief's LPTF.
•Conduct joint training sessions, sharing of materials, joint planning and regular meetings in order to ensure
harmonization of different systems and to ensure that in-country supply chain systems are prioritized,
strengthened and that overall pipeline for supply of ARVs continues without interruption.
Activity 4:
•Distribute ARVs of highest quality through its eight clinical facilities and potential sites.
•In keeping with PEPFAR's goal of clinical excellence, AIDSRelief will ensure patients uninterrupted access
to treatment.
•Continue to increase enrollment; improved pharmacy management and infrastructure will be prepared to
accommodate program expansion.
Activity 5:
•Maintain sites drug therapeutic committees (DTC) formed in YR4 to monitor clinical, drug utilization and
rational drug use in order to enhance community adherence and community care at the LPTF level.
•Ensure linkages between site pharmacy personnel in order to enhance greater adherence and treatment
support.
