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 FY 2009, the Programme Haïtien d'Appui a la Reforme de l'Education (PHARE) program in
basic education will support two program components: 1) Improve Equitable Access to Quality basic
Education; and 2) Strengthen Public Sector Executive Function of the Ministry of Education. The Basic
Education Project will link with other Mission programs in the education, health, democracy and
governance, and economic growth sectors. Linkages will include the HIV/AIDS Program, Microfinance
Program, Food Security Program, Human Rights and Civil Society Programs, and Programs supporting
Populations at Risk. Given the upcoming procurement process and the variables associated with the start-
up of activities, targets posted below are subject to change.
BACKGROUND: A key component of PEPFAR's prevention programs is awareness building and education
of children and adolescents around HIV/AIDS. This is accomplished through programs implemented
through local NGOs, such as FOSREF, VDH, Plan International, American Red Cross, World Concern and
World Relief that reach youth in after-school programs, church youth groups, youth clubs, scouts and young
farmers associations and other youth groups. PEPFAR is planning to support the efforts of the Multisectoral
Committee for an Integrated National School Health Program that brings together key NGOs working with
youth, the Ministry of Education, the Ministry of Women's Affairs and the Ministry of Health to develop and
implement a broad-based, multifaceted approach to reaching children and youth. The component of this
effort that PEPFAR will be supporting is the strengthening of the Family Health curriculum for schools
(grades one through nine) to include more AIDS prevention information and to address stigma and
discrimination issues attached to AIDS. This will be done in age-appropriate messages and materials. An
important adjunct intervention to the curriculum improvement will be sensitizing and training teachers and
school administrators about AIDS and about their own prejudices and possible stigmatizing attitudes and
behaviors.
The Ministry of Education's (MENFP) Health, Nutrition and Education Unit, also known as the School Health
Unit, aims to expand the scope and coverage of the national school health program that had thus far been
focused on school feeding and deworming. Of particular interest is the incorporation of HIV/AIDS, other
sexually transmitted infections (STI) and reproductive health into school health curricula, as called for in the
MENFP's "Sectoral Strategic Plan for the Fight against HIV/AIDS in Education", developed in 2000,
although HIV/AIDS was considered the starting point for expansion of school health to a wider set of topics
and issues. Work was begun, but never completed, on the development of a Family Life Education
curriculum that included material on HIV/AIDS, STIs and prevention of unwanted pregnancies. In 2005-
2006, another initiative was undertaken by the MENFP School Health Unit to introduce AIDS prevention in
schools, in partnership with UNESCO and two local NGOs, FOSREF and VDH, using an extra-curricular
approach of awareness building by peer educators, public events, workshops and televised debates. The
one-year pilot project was completed and the MENFP is seeking funds to implement the activities in a larger
number of schools.
In an attempt to address the curriculum development and teacher training issues and to begin to come up
with an integrated school health strategy, the MENFP and the Ministry of Health (MOH) organized a
Workshop on Integrated School Health in October 2006. This was the springboard for the creation of the
Multisectoral Committee on Integrated School Health which has as its objective the development of a school
health strategy and curriculum that covers a broad range of topics and interventions. HIV/AIDS and STIs is
one of the topics. On the health side of the picture, the National Program for the Fight against AIDS has
just completed a Five Year Multi-Sectoral Strategic Plan that includes an important role for the education
sector in light of numerous studies that show that age-appropriate education in primary schools has the
potential of giving youth the knowledge, attitudes and skills necessary to make a difference in whether or
not they will be infected by HIV during their lifetimes.
Activity 1: MENFP's School Health Unit Strengthened to Support HIV/AIDS Prevention Education
The newly reinvigorated School Health Unit in the MENFP has, among its mandates, to revitalize school
health and nutrition programs in Haiti's schools. The Unit is a key member of the GOH Multisectoral
Committee on Integrated School Health. In an attempt to expand its scope of activities beyond traditional
school feeding and nutrient provision, the School Health Unit will develop a strategic plan for school health
encompassing a fuller range of health-related interventions, including age-appropriate school curricula for
prevention of HIV/AIDS and addressing stigma and discrimination issues related to the disease. A situation
analysis and review of existing HIV/AIDS prevention curricula and materials currently used in basic
education (grades one through nine) will be conducted. These curricula and materials are currently used by
NGOs, PVOs, churches, and Haitian educational organizations. Training and material support will be
provided to staff in the MENFP School Health Unit to strengthen their capacity to support the delivery of
HIV/AIDS prevention education in the schools. Deliverables may include a situation analysis and review of
existing materials. Background research will be conducted on international best practices in HIV/AIDS
prevention education in schools as a contribution to the National Strategy on School Health and Nutrition.
Activity 2: HIV/AIDS Prevention Curriculum in Grades One through Nine Developed and Pilot-Tested
Based on the results obtained in the background research phase outlined in activity 1, the contractor will
support the development of curricula and materials for use in HIV/AIDS prevention and stigma reduction
education in grades one through nine of formal education. Care will be taken to ensure that messages are
age-appropriate, particularly with funding in the Condoms and Other Prevention technical areas. Materials
will be pilot-tested in HBE project and other target schools before wider implementation. Deliverables over
the long term of the project include the development of the curricular framework and materials, training for
teachers and school personnel, and the pilot-testing of materials in project target schools and other schools
identified by MENFP. The final materials will be printed and distributed for wider implementation followed
by an impact evaluation.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17891
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17891 17891.08 U.S. Agency for American 9392 9392.08 School $350,000
International Institutes for Curriculum
Development Research
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Estimated amount of funding that is planned for Education $100,000
Water
Table 3.3.02:
ACTIVITIES AND EXPECTED RESULTS
Continuing Activity: 18079
18079 18079.08 U.S. Agency for American 9392 9392.08 School $125,000
Program Budget Code: 04 - HMBL Biomedical Prevention: Blood Safety
Total Planned Funding for Program Budget Code: $3,500,000
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
In 2006-2008 the National Blood Safety Program (NBSP) in Haiti expanded the national blood collection and distribution network
from 16 to 38 sites. With the addition of these sites, the volume of blood available for transfusion has increased dramatically. In
2004, only about 9,000 units of blood were available for transfusion in Haiti; for a population of approximately 8.5 million with an
estimated annual demand of approximately 25-30,000 units. By FY 09, the NBSP projects to collect 27,500 units of blood for the
nation. Still, additional work is required to increase the donor pool and remove barriers that prevent patients from accessing the
blood that is available.
In FY09 PEPFAR will continue to support the Ministry of Health's National Blood Safety Management Unit which administers the
NBSP. The management unit serves as the secretariat for the National Blood Safety Committee which is mandated with
developing national guidelines on the clinical use of blood. The NBSP provides funds to three sub-partners (PSI, GHESKIO and
the Haitian Red Cross) to attain the following program goals: (1) increasing the blood supply through the recruitment of voluntary,
non-remunerated donors (VNRD); (2) gaining a better understanding of what motivates voluntary blood donors in the Haitian
context; (3) ensuring that all units collected are screened for HIV, HBsAG, HCV, VDRL, and HTLV 1-2 at a central laboratory; (4)
ensuring the proper storage and transportation of blood; and (5) reducing the barriers facing patients to access available blood.
Through a sub-contract with the Haitian Red Cross, the Management Unit will, in FY09, work to increase the availability of safe
blood through a national network of blood collection centers and blood banks. This network will link the 38 blood collection and
banking centers to each other, to the hospitals they supply, and to the central laboratory in the capital, Port-au-Prince. PEPFAR
will support the implementation of appropriate technologies to improve communications and cold-chain logistics throughout the
network. Emphasis will continue to be placed on seeking renewable energy sources to support the cold chain infrastructure. It is
hoped that the use of alternative energy sources will have a positive follow-on effect for the sustainability of these programs.
Support will also continue in the area of mobile blood collection which has been successful in increasing the proportion of
donations from unpaid volunteers. Mobile units have also been instrumental in filling shortfalls in collections from fixed sites during
periods of political instability. The management unit will also continue to coordinate with the Global Fund, which contributes funds
to the HRC for blood collection and screening. In FY09, the management unit will actively seek additional sources of funding to
complement PEPFAR funds. From FY06 through FY08 joint work plans (GF and PEPFAR) were developed to track separate
funding by activity, this collaboration will continue in FY09. In FY07 the NBSP began procuring laboratory supplies through SCMS.
This relationship has helped streamline the program's supply chain and reduce overall procurement costs and will also continue in
FY09.
The NBSP will continue its sub-grant relationship with Population Services International (PSI) in FY09. PSI, a specialist in social
marketing, will continue to support mobile and fixed location blood drives with print, broadcast and other marketing materials.
Current marketing activities in conjunction with mobile blood collections have increased the percentage of voluntary blood
donation. PSI will also work with the NBSP and the HRC to recruit donors from communities not currently targeted by the
communications strategy, e.g., neighborhoods, health facilities, schools, and businesses near two new satellite blood collection
centers that are planned for Port-au-Prince.
GHESKIO will continue to be supported by the NBSP to provide QA/QC for the blood screening laboratory.
In FY07, Emergency Plan funds were used to renovate the National Blood Center laboratory, which is operated by the Haitian
Red Cross. (Work on the renovation began in the second half of calendar year 2007.) This renovation allows the HRC and NBSP
to increase the production of blood products (e.g., platelets) and speed turnaround time for test results. Improving access to blood
products improves transfusion options for physicians who have been trained in the appropriate use of blood in prior years of the
project. Reducing Haiti's dependence on whole blood will also increase the overall availability of blood since up to 1.5 units of
blood products can be fractionated from a single unit of whole blood.
With support from PAHO, the HRC and NSBP will develop a long-term training plan for laboratory technicians and physicians.
This training will be accomplished through new Twinning relationships with universities and other expert groups (e.g., American
Red Cross).
The HRC, and not the MOH, holds overall responsibility for the blood supply under a 1986 law; with the initiation of PEPFAR
funds to the MOH for blood safety, the HRC and the MOH have worked toward improving their coordination and communication,
and have been successful in coordinating their administrative activities. In 2005 the Ministry of Health started the legislative
process with the interim government to draft new legislation that would reassert the ministry's regulatory authority over the whole
blood service. The legislation, which is currently under review by parliament, would continue to recognize the HRC as the primary
implementing partner. It is hoped the new law will be passed in calendar year 2009.
Lastly, as the volume of safe blood increases in Haiti, additional resources will be devoted to identifying and removing barriers to
access. Currently, links between blood banks and hospital wards are weak, and family members are usually charged with
ensuring that blood is delivered from the blood bank to a ward. Training and logistical advice will be provided by PAHO and CDC
to help address some of the issues (e.g., a lack of funds to pay for transportation or an ice chest) that prevent family members
from delivering blood in a timely manner.
Targets:
Number of service outlets/programs carrying out blood safety activities: 38
Number of individuals trained in blood safety: 300
Table 3.3.04:
