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
The Association Public Health Laboratories (APHL) is a membership organization comprised of public health laboratories and has about 5,000 professionals. It has diverse expertise to support HHS/CDC including strategic planning for national laboratory networks and providing US-based and in-country advanced training for laboratory professionals.
APHL laboratory technical assistance project is a cooperative agreement awarded by HHS/CDC from 2009 to 2014, with a total potential value of $2.8 million in Lesotho. APHL supports strengthening of public health and clinical laboratories with emphasis on national strategic planning, policy development and implementation, HIV quality testing, management and information system in Lesotho.
The five-year strategic plan for APHL activities include core training initiatives that support laboratory strengthening, country-specific action plans, and strategic partnerships. APHL provides comprehensive training in test methods, quality management systems, laboratory safety and policy development. APHL supports the program by deploying consultants to provide technical assistance in the country including training-of-trainer activities. APHL has developed quality training tools such as External Quality Assessment (EQA) for HIV and equipment maintenance and provided technical assistance in laboratory capacity building.
APHL implements specific short-term best practices to strengthen laboratory services while working systematically to gain long-term improvements in quality management and infrastructure of laboratories. APHL adapts its work plans and training materials to meet the specific needs and outcome objectives of each country plan. APHL organizes the technical assistance (TA) teams and logistical support to complete the activity suc
FY2012 activities:
1) National laboratory Quality assurance program: APHL will assist in preparation of laboratories towards accreditation through Stepwise laboratory improvement process toward accreditation (SLIPTA/ SLMTA) through training, site supervision, mentoring and assessment of quality improvement. The standard check lists developed using the ISO 15189 will be used to implement quality system. Five laboratories will achieve the maximum score 5 stars as recommended by WHO for accreditation. Out of the five facilities that scored five stars, one will be accredited by ready for accreditation. APHL will support a third round of SLMTA, for 30 participants, in the form of providing trained faculty for the workshop as well as supervisory visits and assessments. APHL will support a laboratory management training workshop for 25 lab professionals. In addition technical assistance will be provided to strengthen the national laboratory regulatory body in Lesotho that will over sight monitor and the implementation of policy, guideline and accreditation of lab services.
(2) HIV rapid test EQA and training: APHL will also continue quality improvement of HIV rapid testing including strengthening the EQA, revision of training modules and support TOT in partnership with MOHSW and HIV testing and counseling partner(s). The HIV Rapid Testing Algorithm will be evaluated and validated through the provision of technical assistance in conducting the evaluation, including testing and analysis. Two members of the quality assurance unit will be trained. A stakeholder meeting will also take place for 30 HIV testers/counselors from the national and district level.
(3) Strengthening implementation of laboratory information system (LIS):, APHL will support the expansion of LIS to the remaining 8 sites including procurement of LIS hard ware and accessories, furniture and fixture, refurbishment, installation and connectivity. A total of 88 Laboratory staff will be provided training on basic computer skill and management of LIS. APHL will ensure that the Central Repository System is fully linked with other HMIS. APHL will also ensure that early infant diagnosis integrated with the LIS system and systems that will support the PMTCT acceleration plan in the country. This included, referral testing networks, tracking of samples and timely reporting of results to facilities.
(4) Strengthening laboratory data base and M & E system: This included HIV Rapid testing registers and reporting system. APHL will provide assistance with managing this data for use with surveillance and policy development activities. APHL will assist the MOHSW in developing and implementing a sustainable LIS.
