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
SUMMARY: In FY08, ASM received funds to strengthen TB diagnostics in Haiti. As a result, NPHL now has
a TB lab and strengthened proficiency testing program for AFB smear microscopy. In addition to ongoing
efforts toward establishing a quality-assured diagnosis of TB and strengthening the TB external quality
assurance program, FY09 activities will extend to strengthening parasitology lab services - with an
emphasis on enrolling labs in proficiency testing programs for malaria diagnostics.
BACKGROUND: Opportunistic Infections (OIs) are common in HIV populations and are a major threat to
People Living with HIV/AIDS (PLWHA), both prior to diagnosis as well as during care and treatment
programs. In response to a petition by the PEPFAR Laboratory Technical Working Group for countries to
establish fully integrated clinical laboratory services, ASM will ensure that NPHL demonstrates laboratory
competency for 2 of the most important OIs - TB and malaria.
ACTIVITIES AND EXPECTED RESULTS: In FY09, ASM technical experts will provide in-country support
for strengthening laboratory systems and strategic planning, standardization of protocols for cost effective
testing, and good clinical laboratory practice specifically for TB and parasitology lab services by conducting
the activities described below.
Activity 1: Now that the TB lab physical structure is in place at NPHL, efforts need to be concentrated on
delivering service to labs in its network within a reasonable turnaround time. Network labs need to be
trained on specimen collection and logistics need to be worked out for specimen transport to NPHL. Staff at
NPHL need further training on specimen processing and culture/DST according to SOPs that still need to be
developed. The AFB smear microscopy proficiency testing program has been initiated, but needs to be
expanded and refined. ASM will work with I-TECH, the implementing partner in charge of lab information
management, to establish a protocol for notifying MOH and CDC of MDR and XDR TB strains. Finally,
ASM will assist NPHL is establishing methodology for saving strains in their newly developed freezer
repository system.
Activity 2: Develop lab capacity and establish QA/QC program for parasitology through the following: (1)
evaluation of parasitology diagnostic capacity in-country; (2) collaboration with NPHL to develop and
facilitate basic Training of Trainer (TOT) workshops. These will include a training plan for laboratory
personnel and guidelines for supervision and oversight for quality standards at NPHL to be rolled out at
peripheral laboratories; (3) follow up mentoring in those peripheral labs that sent technicians to the TOT at
NPHL, ensuring proper retention and implementation of learned procedures; (4) assist NPHL with
development of a proficiency testing program for parasitology; and (5) collaborate with I-TECH to strengthen
pre-service, in-service, and continuing medical education in parasitology for laboratory professionals.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17799
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17799 17799.08 HHS/Centers for The American 7723 7723.08 Lab Technical $300,000
Disease Control & Society for Assistance
Prevention Microbiology
Table 3.3.16:
