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
Management Sciences for Health has been providing support in Lesotho to improve pharmaceutical services and the availability and appropriate use of ARVs and HIV and AIDS-related commodities at national, district and/or facility levels through the strengthening of NDSO information system operations, the improvement of quantification practices, training to pharmacists, pharmacy technicians and health care providers, and the implementation of a computerized drug supply management system at ART sites. This support started in since October 2005 through the Rational Pharmaceutical Management Program (RPM-Plus), RPM Plus came to an end in September 2008, therefore MSH continues to provide technical assistance to Lesotho trough the Strengthening Pharmaceutical Systems (SPS) program, another cooperative agreement which has been awarded to MSH as a follow-on to RPM Plus.
Since MSH started its technical assistance program it became clear that, before any of the key objectives could yield fruit, certain basic systems would have to be put in place or revived. These include enactment of legislation governing the possession and use of medicines and the establishment of the medicines regulatory authority (MRA), without which the selling, purchasing, possession, distribution and use of medicines cannot be controlled. Also crucial to the success of the objectives stated above is the establishment of the National Pharmaceutical and Therapeutics Committee (NPTC), the functioning of which will influence the selection of medicines that are kept at various levels of the healthcare system, and the handling of medicines which requires special considerations. The MOHSW has established the NPTC and HPTCs in a number of hospitals through MSH/SPS support, and it is still in the process of finalizing establishment of a regulatory authority.
The permanent SPS office in Maseru is currently staffed by 2 SPAs and 1 MIS PA and 1 office assistant. Additional staff, 1 MIS PA, 1 SPA, 2 Laboratory technicians and 1 office manager are expected to join the team late 2009-early 2010. Recruiting technical staff to work in Lesotho has been a major challenge as there is only a handful of potential candidates (pharmacists) that are not working with the government of Lesotho. We also do hope to finalize the registration of MSH/SPS in Lesotho before the end of 2009.
Most of the technical activities proposed for COP 10 aim to continue support that SPS has been offering MOHSW from COP08, and aim to mitigate the challenges within the Lesotho health system that were identified through the assessment of the supply chain for ARVs and laboratory commodities, carried out jointly with SCMS at the end of 2007.
The overall objective of SPS in Lesotho is to strengthen the Pharmaceutical Services at all levels to ensure that all essential medicines and commodities are available at all time and in the right quantities, and also to build pharmacy staff capacity to support the delivery of health services. SPS activities to support the Lesotho MOHSW are described in detail under Health Systems Strengthening, Laboratory Infrastructure and Strategic Information, and will include:
Training of health personnel (with focus on pharmacy personnel) in drug (and other commodities) supply management, quantification of requirements, HIV and AIDS management, TB management, Pharmacy Therapeutics Committee (PTC), infection control and Rx Solution
Review of the National Essential Drugs List and Standard Treatment Guidelines
Implement system to monitor the availability of essential medicines and commodities at all levels
Implementation of computerized and manual systems at NDSO and health facilities
Improving the management of laboratory commodities, including quantification of requirements, and providing expert support to NDSO in the procurement and, storage and distribution of laboratory commodities
Assist with coordination of procurement and donation of essential medicines and commodities
Review of existing pharmaceutical regulation and legislation
Assisting with activities leading to the establishment of the planned medicines regulatory authority and related training of its staff and officials
Assisting with strengthening pharmaceutical education and professional regulation in the country
SPS is expected to collaborate with/support other organizations such as the Christian Health Association of Lesotho (CHAL), the National University of Lesotho (NUL), the National Health Training College (NHTC) and the Clinton Foundation.
SPS is also expected to work with other PEPFAR funded partners such as University Research Council (URC), Intra-Health and the International Centre for AIDS Care and Treatment Programmes (ICAP).
The SPS will adopt several strategies that will enhance capacities, strengthen systems and usuage of information. However the development of the RX Solution is an important step towards creating an iterface between the pharmaceutical supply information and the HMIS. When the RX Solution is fully functional it will be considered the primary source for drugs and supply management information (pharmaceutival information).
Additions for COP11
MSH will expand the Rx Solution to 11 more sites in FY2011. The APMR modules will be implemeted in all the previous pilot sites (4) and hospital facilities with functional HPTCs. In all sites with the Rx Solution, the dispensing and inventory modules will be implemented.
The Rx Solution at QE2 will not be further expanded as this site will no longer be functional by September 2011.
SPS activities include training of health personnel (with focus on pharmacy personnel) in drug (and other commodities) supply management, quantification of requirements, HIV and AIDS management, TB management, Pharmacy Therapeutics Committee (PTC), infection control and Rx Solution.
Activities include:
To support the laboratory services directorate in inventory management of laboratory commodities using RxSolution.
To provide technical assistance in quantification of lab commodities
To support stock and inventory management at facility level.
To provide technical and material support to strengthen for lab stores, logistics and distribution
To provide training support for laboratory personnel.
