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: 2008 2009
INTEGRATED ACTIVITY FLAG:
This activity applies to partnerships with the United States Government's (USG) partners in counseling and
testing (CT), palliative care, and anti-retroviral (ARV) services.
SUMMARY: The activities included in this project seek to strengthen the National Public Health Laboratory
(NPHL) and the Ministry of Health by establishing a standard tuberculosis (TB) culture laboratory to offer TB
culture diagnosis and drug susceptibility testing (DST) for TB/HIV patients. The activities also seek to
improve the quality of TB diagnostic services at the national level by strengthening the national TB smear
diagnosis QA/QC program.
BACKGROUND: The American Society for Microbiology (ASM) is the oldest and largest single life science
membership organization in the world. Its membership has grown to more than 43,000 members including
over 5,000 clinical laboratory microbiologists and immunologists. ASM recruits experienced laboratory
microbiologists from within its membership to assist with international laboratory capacity building efforts
and strengthening of scientific knowledge worldwide.
ACTIVITES AND EXPECTED RESULTS:
Objective 1: Improve human resource capacity for TB culture and drug susceptibility testing (DST).
Activity 1: ASM will visit to evaluate and plan technical assistance for TB culture/DST and AFB microscopy
services in Haiti.
An ASM program manager will travel to Haiti for one week and meet with key stakeholders to strategically
plan for next steps and evaluate ASM's ongoing technical assistance. This activity, typically, is combined
with a site assessment; however, WHO/PAHO has already conducted such an assessment. As a result,
ASM will use the data from the WHO/PAHO assessment to further delineate a strategic plan for supporting
the national TB laboratory network.
Activity 2: Provide guidance for development of physical laboratory infrastructure for TB culture and DST.
ASM will provide technical assistance to the NPHL to develop a TB culture facility. A primary consultant will
provide onsite project management for two, one-month trips, and offsite management, including overseeing
equipment and material procurement activities and renovation following-up. This will include assisting a
Haitian laboratory staff person with management of physical laboratory infrastructure requirements (power,
water supply, etc), air ventilation system, laboratory equipment requirements and installation, and local
contractors and public authorities.
Activity 3: Provide onsite training of the National Public Health laboratory staff in TB culture/DST
ASM will hire TB lab consultants, one primary and one additional consultant, to provide onsite training and
supervision for TB culture and DST at the NPHL TB laboratory. This includes a two-month trip by the
primary consultant and two, two-month trips by a second consultant. These consultants will cover issues of
TB culture and DST, respectively.
Activity 4: Training of laboratory staff in laboratory workflow/management
ASM will support and train two senior staff members from the National Public Health Laboratory. They will
travel to a TB culture laboratory outside of Haiti for a period of three weeks for training in the operation of a
high-volume TB reference laboratory.
Objective 2: Improve quality of laboratory services.
Activity 1: Assist with strengthening the national TB microscopy QA program. ASM will provide a technical
expert to assist the NPHL to strengthen the national TB microscopy QA/QC program. This includes three,
one-month consultant trips.
Targets:
1. Assess the national laboratory TB program
2. Develop one physical infrastructure of a TB culture laboratory
3. A functioning NPHL TB culture laboratory which provides TB culture and DST testing services
4. Train four staff
5. Strengthen the national laboratory TB microscopy QA/QC program
