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
Several PEPFAR program areas such as blood safety, antiretroviral (ARV) services, basic palliative care,
prevention of mother-to-child transmission (PMTCT), tuberculosis (TB) /HIV, and laboratory programs
require functioning health facility infrastructure. Blood banks, clinics, pharmacy, out-patients services, in-
patients wards, all tiered levels of laboratories (national, regional, district, and healthcare centers), and all
auxiliary services including, administrative, face serious obstacles in Haiti due to the unreliable power
supply. Adhoc solutions implemented without proper design, installation and training are often extremely
expensive to operate and do not provide the quality of power required for proper operation of the health
facility. Sustainable solutions require holistic approaches based on sound engineering design and include
rewiring, use of distributed (onsite) energy generation, storage, and power conditioning technology, and
significant institutional capacity building within the Ministry of Health and individual health facilities.
SUMMARY: The activities in this narrative seeks to improve the operations of healthcare facilities that
provide clinical and laboratory services to persons living with HIV/AIDS (PLWHAs) by retrofitting facility
infrastructure at several centers of excellence (COE). These COEs represent a cross-section of critical
health facilities, including departmental hospitals, blood banks, and clinics. The program will maximize the
sustainability of this effort by establishing standardized operation and maintenance protocols supported by a
trained network of health facility engineers.
BACKGROUND: Haiti suffers from some of the worst quality electrical power in the world. Power outages
occur daily, while longer outages lasting up to a month are not uncommon at many facilities including some
departmental hospitals. Both the quality and the intermittency of the grid power in Haiti pose a major barrier
to the sustainability and viability of several PEPFAR initiatives. Laboratory services offering CD4
enumeration, blood chemistry, hematology analysis, and other tests are disrupted on a daily basis because
of insufficient back-up power supplies. Automated expensive laboratory instruments and communications
technologies are constantly burnt out due to electrical surges despite protection by UPS. Refrigerators
used to store drugs, vaccines, and laboratory reagents commonly function poorly, operating outside the
acceptable temperature range (4-12C). Computers, internet and communication technology, central to
PEPFAR/Haiti's effort to improve medical records and data collection, often sit idle as a result of insufficient
power supplies. In short, the impact of several PEPFAR programs is directly compromised as a result of
insufficient power supplies in Haiti.
In November 2007, the PEPFAR/Haiti program supported an assessment of options for improving energy
services at critical health care facilities. In 2008, PEPFAR/Haiti has supported training and capacity building
activities to improve the MOH's ability to address energy challenges, the retrofit of 15 facilities with reliable
power systems, and an engineering design for a reliable, cost effective power system at one of the major
district hospitals. Activities enumerated in this narrative are part of this ongoing effort to improve the
infrastructure of healthcare facilities across Haiti.
ACTIVITIES AND EXPECTED RESULTS:
In fiscal year 2009, the partner will undertake the following activities to build on these initial
accomplishments and improve the infrastructure of one ARV center of excellence (district hospital) and 15
additional health facilities in Haiti:
Activity 1: Institutional Capacity Building: Enhance the Ministry of Health's ability to improve energy
services at health facilities by establishing a trained network of health facility engineers in each district in
Haiti. Extensive training of the engineers and of health facility maintenance staff will be conducted in
collaboration with local technical training institutes.
Activity 2: Health Facility Retrofits: Implement retrofits of critical health facility energy infrastructure utilizing
a standardized approach. The retrofit program relies on local private sector companies for professional
design, installation, and maintenance of all energy systems to meet both current and projected needs of the
facility in a sustainable and cost effective manner.
Activity 3: Center of Excellence Retrofit: Retrofit the energy system of a large district hospital based on the
engineering design completed in FY '08. Extensive data collection and analysis will allow this facility to
serve as a model for other district hospitals in Haiti and in other PEPFAR countries.
New/Continuing Activity: Continuing Activity
Continuing Activity: 18708
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18708 18708.08 U.S. Agency for PA Government 9397 9397.08 Improving $790,000
International Services Inc. Energy Services
Development in Haiti
Table 3.3.18:
