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 main goal of this project is to reduce the transmission of HIV/AIDS by promoting safe
injections through implementing the three-part strategy recommended by the Safe Injection Global Network
(SIGN): 1) Change behavior of health care workers and patients to ensure safe injection practices and
reduce demand for unnecessary injections, 2) Ensure availability of safe injection equipment and supplies,
3) Manage sharps waste safely and appropriately. In FY08, JSI expanded the program to nationwide
coverage. In FY09, JSI will transition the program to the Ministry of Health.
BACKGROUND: The Safe Injection project started in Haiti in July 2004 with funds from PEPFAR. 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 through
implementing the three-part strategy recommended by the Safe Injection Global Network (SIGN). An
assessment of injection safety and waste management issues was conducted in 2004, and the results
reveled that there were no norms and standards for injection safety. Specifically, the problems were
associated with the following identified issues: 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.
These factors resulted in waste being accumulated on the grounds of the health facilities because of a lack
of knowledge, lack of high performance incinerators, and lack of transportation and a municipal waste
disposal system. Since the initiation of the PEPFAR funding for safe injections, JSI has been working to
address the identified issues through training health care workers regarding safe disposal of shapes waste,
distribution of wall mounted disposal boxes, supporting and strengthened the MOH to develop regulations,
coordinating installation of incinerators throughout Haiti, and implementing a behavior change
communication program targeted at health care workers and clients to reduce the demand for unnecessary
injections.
ACTIVITIES AND EXPECTED RESULTS
JSI will work collaboratively with the MSPP on the following activities until mid FY09. Once JSI's agreement
ends, the transition will be complete to the MSPP who will be responsible for the continuation of the
following activities:
Activity 1: Strengthen the MSPP's (Ministry of Health) capacity to implement safe and necessary injections
as a quality standard in the curative sector. JSI will support dissemination of policies and norms, provision
of 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 will be
conducted with health personnel and support staff in all health facilities at the departmental level. The
training will cover safe injection practices, use of safe injection devices, improved waste logistics
management training as well as interpersonal communication. Training will be conducted on a large scale in
order to achieve nationwide coverage. Thus training will be conducted with, training of trainers, students at
INSHAC and Nursing schools, pre-scribers, frontline health care providers, waste handlers, and supply
managers in the four departments not yet covered. JSI will work in conjunction with the Ministry of Health to
transition the program from JSI to the MSPP.
Activity 2: Planning workshops will be conducted at the departmental level in the expansion departments
(Artibonite, centre, Nord-oeust and Ouest) to improve injection safety and waste management in the
facilities. This activity aims at designing and implementing plans for training roll out, supervision, logistics
and supply (mainly syringes and safety boxes), BCC and sharp waste disposal.
Activity 3: Implementation of a behavioral change strategy to reduce unnecessary injections and promote
safe injection practices. BCC materials produced during the FY07 will be disseminated. They were
elaborated with the participation of BCC staff in all 10 departments. They consist of flyers, posters, radio
and TV messages.
Activity 4: Strengthening systems to improve waste management in target areas. MMIS will continue to
promote the need for a national waste management plan, will work with target department for the
elaboration of waste management departmental plan, will help build two waste storage sites, will work with
MOH and UNICEF for the installation of the new incinerators and ensure that the staff is properly trained to
use them correctly.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17186
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17186 8158.08 HHS/Centers for John Snow, Inc. 7685 4736.08 Track 1 Injection $1,621,170
Disease Control & Safety
Prevention
8158 8158.07 HHS/Centers for John Snow, Inc. 4736 4736.07 Track 1 Injection $0
Table 3.3.05:
