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: 2007 2008 2009
FY08 Narrative: Opportunistic infections and sexually transmitted infections (STIs) are common in HIV
populations and are a major threat to People Living with HIV/AIDS (PLWHA) both prior to diagnosis as well
as during care and treatment programs. Basic microbiology laboratory services for blood stream and other
infections, which have high morbidity in the HIV infected patients, are limited and lack quality.
SUPPORT TO MICROBIOLOGY LAB NETWORK IN MOZAMBIQUE ($521,000)
In (FY) 2008, the American Society for Microbiology (ASM) technical experts (mentors) will continue to
provide in-country support for microbiology and opportunistic infections, laboratory systems and strategic
planning, standardization of protocols for cost effective testing, and good laboratory and clinical practice.
ASM's major emphasis area will continue to be human capacity development. Activities conducted will
include: (1) Providing onsite training and supervision to lab supervisor/technologists at central level
laboratories. Mentors will provide follow-up for training in new technologies and basic bacteriology at the
central laboratories. Proposed laboratories are located at central hospitals in Maputo, Beira, and Nampula.
Mentoring will include onsite supervision and training as needed. Mentors will also work with laboratory
supervisors and MISAU to develop and implement a Quality Assurance program within the Mozambique
Lab Network. Costs include two three-month trips for two mentors. (2) Holding regional workshops (3
regions) for provincial laboratory personnel in basic bacteriology. These 3-5 day workshops will rollout new
SOPs and standardized training materials and provide practical and didactic training on basic bacteriology
techniques. At least one workshop will be held in each region (southern, central, and northern). Costs
include mentors to facilitate course, transportation/per diem expenses of participants, site and supply
expenses. Costs for production of training materials are included as well. (3) Providing a faculty person for
clinical microbiology training course. A faculty person will be assigned to teach the clinical microbiology
portion of a proposed training course. This person will teach a practical and didactic course at three training
centers over the course of one year.
ASM mentors will also work to improve the quality of laboratory services by:
(1) Developing an external quality assurance program for routine clinical microbiology procedures. (2)
Providing onsite training of central lab personnel in monitoring and evaluation. Laboratory
supervisors/managers will be trained by monitoring and evaluation consultant to collect and analyze data in
their region. This will include an initial one month trip as well as an additional trip for follow up.
ASM will assist in the strengthening of the national laboratory network infrastructure by providing onsite
expertise in upgrade of lab space at provincial level as needed. A technical consultant with engineering
expertise will spend one month or two, two-week trips to advise on lab space at the central or provincial
level.
SUPPORT TO IMPROVE STI ETIOLOGICAL DIAGNOSIS ($200,500)
ASM technical experts will conduct an assessment of existing STI services at central and provincial
laboratories providing services to major hospital ART sites. Final report from the assessment will include an
identification of infrastructure equipment, supply, training and monitoring and evaluation needs, as well as
recommendations and a plan and timeline for next steps.
Based on assessment findings, ASM mentors and trainers will return to start onsite training and supervision
of new and existing techniques for laboratory staff from selected central and provincial hospital labs in
FY08. This will require multiple trips of varying lengths (two weeks-three months).
In addition ASM will collaborate with the President's Malaria Initiative to improve the quality of malaria
smear and rapid test diagnosis, through the setting up referral labs and quality assurance programs.
FY07: This activity is related to 8632, 8546 and 8581 and contributes to clinical microbiological laboratory
capacity building for improved diagnosis of HIV related opportunistic infections through:
1) Strengthening laboratory organizational and technical infrastructure especially as it relates to clinical
microbiology for HIV and opportunistic infections prevention, care and treatment programs, through training
and procurement of commodities.
2) Assurance of the quality of laboratory testing and HIV test results by instituting systematic and
standardized approaches to delivering clinical microbiology services to HIV/AIDS and opportunistic infection
prevention, treatment and care programs..
