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 2016 2017 2018
Goals and objectives:
Through this mechanism APHL will:
Objective 1. Scale up establishment of Laboratory Information Systems (LIMS) to provincial and high volume district hospitals with a focus on introduction of open source systems. Labware based LIMS already installed at six. Computer literacy of laboratory personnel will be enhanced to ensure full utility of LIMS.
Objective 2. Strengthen equipment management systems at medical engineering department Ministry of Medical Services including establishing of inventories using international nomenclature of all lab equipment, maintenance schedules and tracking system and lists of high mortality spare parts. Biomedical engineers will be trained to rehabilitate broken down equipment.
Coverage:
This activity with national coverage will be carried out at centrally located reference laboratories, in six provincial and up to 20 county/district level laboratories.
Transition to country partners:
All APHL activities will be entrenched in MOH facilities and reference laboratories. Partnerships with Ministry of Health Departments of laboratory, Biomedical Engineering and Health Information systems as well as 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.
PEPFAR support and is harmonized with the National Public Health Laboratories strategic plan and the National Health Strategy in Kenya. The Association of Public Health Laboratories (APHL) is a non-profit organization and has worked in Kenya since 2004. APHL assisted the Kenyan Ministry of Health implement a laboratory information system in 6 sites (Central TB Reference Laboratory, Central Microbiology Reference Laboratory, Central HIV Reference Laboratory, Nakuru Provincial General Hospital, Mombasa Provincial Hospital and Kisumu Provincial Hospital). APHL also assisted the MOH to provide training in basic computing and worked with the central data to build LIMS support capacity. At the national level, the impact of the system has started to be felt as the turnaround time is being monitored and the lab managers are able to put measures in place to reduce the turnaround time, reagent inventory can now be monitored easily reducing frequent stock out hence continues rendering of services, interface of the laboratory instrumentation with the system has led to data accuracy and reduces the waiting period occasioned by manual entry and calculation of results. Individual and summary reports can now be automatically retrieved/printed at a click of a button and management are able to assess workload per section. LIMS has contributed greatly towards laboratory accreditation.
FY12 activities will build on earlier support and expand LIMS to 8-10 additional sites. Focus will be on Open Source LIMS (Laboratory Information System) and the LIMS will be interoperable with other sub systems including the District Health Information system recently rolled out to all counties and other health information subsystems (EMRs, Logistic management systems, etc). Capacity building will continue at all levels in close collaboration with the HMIS department of MOH to roll out of LIMS. The activities during rollout of LIMS to the next phase of provincial/Country laboratories will include site assessments, collection of user requirements specifications (URS), physical infrastructure modification , basic computer training, Installation of the hardware and training on system use. This support will not only enable the country to generate reliable data for surveillance and HIV/AIDS interventions planned by the MOH but other diseases diagnosed in the laboratory as well.
Another area of focus will be strengthening equipment management systems at medical engineering department MOMS, establishing inventories using international nomenclature of all lab equipment, maintenance schedules and tracking system and lists of high mortality spare parts.
APHL will continue to build local capacity in MOMS at the central data unit and at the department of biomedical engineering.
