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: 2010 2011 2012 2013 2014 2015
Goals and objectives:
The following are the objectives of this mechanism:
Objective 1. Strengthen Capacity and Leadership of the Central Microbiology Reference Laboratory
This will involve continued training of CMRL staff in support of WHO/AFRO accreditation efforts. Key activities include onsite training in new reference or specialized diagnostic microbiology procedures; mentoring in quality management systems to ensure quality, efficient operation and workflow. CMRL policies will be strengthened to support leadership in IDSR activities.
Objective 2. Strengthen Microbiology Services for the Laboratory Network. A key activity will be to establish a local microbiology mentoring program to oversee county labs. This will build capacity for diagnosis of opportunistic infections in HIV infected persons.
Objective 3 Strengthen microbiology training capacity of medical training colleges and a key activity will be training college faculty mentors in microbiology.
Coverage:
This activity with national coverage will be carried out at two reference laboratories, in six provincial and four county/district level laboratories as well as at up to ten KMTC training colleges.
Transition to country partners:
All ASM activities will be entrenched in MOH facilities and reference laboratories. Partnerships with local training institutions, universities and colleges, and professional associations will be developed to facilitate long term sustainability of all initiatives.
No vehicles will be procured in this activity. This activity supports GHI/LLC.
The ASM is a US based NGO. ASM assisted the Kenyan MOH in strengthening microbiology capacity at central level and in selected districts through development of SOPS, on site mentoring, assistance with preparation of supply lists, advice on configuring LIMS for microbiology and lab design for efficient microbiology flow. Weak lab microbiology capacity is a major challenge in the integrated disease control and surveillance program. Development of microbiology capacity will benefit not just HIV/AIDS programs but other disease surveillance programs especially IDSR. The goal is to increase the capacity of labs to perform quality microbiology testing for HIV/AIDS-related OIs and other infectious disease and build capacity at MTCs. In FY 12 ASM will work with the NPHL to improve their microbiology testing capacity at all levels in the network. ASM will collaborate and work closely with other programs IDSR, NTP and work synergistically to strengthen microbiology capacity; support the CMRL, TB culture labs; expand the diagnostic testing at provincial level to implement assays for diagnosis of cryptococcal meningitis and other OIs. ASM will partner with established centers of excellence in Kenya and draw on a pool of microbiologists to build capacity in the public sector.
Coverage includes the MTCs, central microbiology reference laboratory, and provincial and county levels laboratories. This supports Kenya's GHI Strategy Priority Area: health systems strengthening. The mechanism will address a weakness in one of the pillars of the health system- H R capacity, by improving the quality and skills of existing laboratory personnel and build in country mentoring capacity. The mentorship program addresses both quality mgt of systems and lab tech skills, increasing the coverage of quality lab diagnosis of HIV/AIDS OIs and microbiology capacity at all levels. The IM will be more cost efficient by increasing the number of in-country microbiology mentors. Activities will include expansion of the mentorship program to MTCs and additional labs at provincial and county level. Any gaps that may impact the quality of microbiology services or progress toward accreditation goals at those facilities will be identified. Targets are based upon indicator HR for Health - # of workers completing an in-service training program. The end goal is to transfer mentoring skills to local Kenyan lab workers in order to sustain the program. Activities in Kenya will be conducted in alignment with ASM's monitoring and evaluation framework and in accordance with MOHs. For mentoring activities, tech skill is measured through tools such as competency testing; lab progress is measured through a series of assessments and monthly quality indicators.
Obj 1. Strengthen Capacity and Leadership of the CMRL. This will involve continued training of CMRL staff in support of WHO/AFRO accreditation efforts Key activities include onsite training in new reference or specialized diagnostic microbiology procedures; mentoring in quality management systems to ensure quality, efficient operation and workflow.
Obj 2. Strengthen Microbiology Services for the Lab Network. A key activity will be to establish a local microbiology mentoring program to oversee county labs
Obj 3 Strengthen microbiology training capacity of MTCs and a key activity will be training college faculty mentors in microbiology.
This activity supports GHI/LLC.
