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
Summary
USG Malawi provides support to the Malawi Blood Transfusion Service (MBTS) to strengthen district level
capacity to properly screen, store, and transfuse safe blood in Malawi. This activity serves the general
population in Malawi.
Background
This is an ongoing activity. USG has supported MBTS since FY 2006. MBTS received $180,000 FY 2007
Emergency Plan (EP) funds. Established with funding by the EU, MBTS receives financial support from the
Government of Malawi and the National AIDS Commission for its activities in the recruitment and retention
of voluntary non-remunerated blood donors, the screening of donated units of blood, the processing and
storage of blood components (for distribution to all hospitals in the country), and the implementation of its
quality system.
Using FY 2006 monies, USG supported training of 267 nurses, clinicians, lab technicians, and students in
blood safety. Using FY 2007 monies, we anticipate training 130 nurses, 57 clinicians, 30 lab technicians,
and 60 students. Using FY 2008 funds from the EP, 100 nurses, 25 clinicians, 30 lab technicians, and 60
students will be trained, thus supporting an additional 215 more hospital staff in Malawi hospitals and Blood
Banks to properly order, transport, store, cross-match, issue, monitor, and follow up on adverse blood
transfusion reactions for the safe blood supplies provided by MBTS. Technical, nursing, and clinical staff
will be trained in modern transfusion medicine and practices, more undergraduate students will be trained, a
National Quality Assurance Scheme (NQAS) will be maintained in the current hospitals, and the NQAS will
be extended to more hospitals to monitor and maintain standards. This will be achieved by rehabilitating a
space in hospital laboratories to create additional Hospital Blood Banks (HBB's). Funding will also support
procurement of essential blood bank equipment, supplies, and reagents stored at MBTS in the event of
stock-outs.
Activity 1: Hospital Rehabilitation
An additional 10 hospitals over those funded with FY 2007 monies will be rehabilitated and provided with
basic blood bank equipment in FY 2008. While the EU funded construction, USG funds have equipped labs
and made them functional. Specific targets are government and mission hospitals which are the hospitals
that serve rural and vulnerable communities in Malawi including women and children who are the major
population groups receiving the majority of all transfusions in the country.
Activity 2: Training
Training of in-service laboratory technicians, nurses, clinical officers and medical doctors will continue to
include staff from more hospitals in the country, within the facilities USG funds have rehabilitated. Training
of undergraduate students of nursing, medical, and biomedical sciences will continue as well.
Specific targets are staff working in government and mission hospitals which are the hospitals that serve
rural and vulnerable communities in Malawi, including women and children who are the major beneficiary
groups.
Activity 3: NQAS
The Malawi NQAS through which MBTS assesses the competence of hospital blood banks in carrying out
immuno-hematological testing was established in CY 2006 with USG funds. FY 2007 and FY 2008 funds
will continue to expand the use of NQAS into all hospitals in Malawi by the end of FY 2009. Specific targets
are government and mission hospitals which are the hospitals that serve rural and vulnerable communities
in Malawi including women and children who are the major beneficiary groups.
