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
Transfusion medicine is an essential part of patient care. In order to create an effective blood transfusion service with national coverage, the MOH's National Blood Transfusion Program's (NBTP) main objectives are to:
1) Establish an autonomous nationally-coordinated National Blood Transfusion Service and approve a national blood transfusion policy; 2) Operationalize the National Reference Blood Bank in Maputo; 3) Set up a blood collection scheme based only from voluntary non-remunerated blood donors from low- risk population; 4) Strengthen operational capacity and quality of the blood bank network and improve the capacity for infectious disease screening, Immunohematology testing and blood components production; 5) Reduce unnecessary use of blood by fostering appropriate clinical use of blood and its products.
The creation of a National Blood Service and the approval of a national blood transfusion policy are planned to enforce better resource coordination, proper supervision and management, improved decision making and ultimately a safe and adequate blood supply. As stated in the Partnership Framework objective 1.5, the GOM and USG intend to ensure access to safe blood and its products thereby reduce new HIV infections in Mozambique. Capacity building efforts in FY 2010 will address strategies to increase the number of blood units collected to move closer towards the recommended 10 unit per 1000 population. Blood safety activities planned for 2010 will address HIV prevention through reduced transmission of HIV and other infectious diseases by transfusion and HIV prevention through donor education. In FY 2010, strengthening the laboratory component of blood safety will be balanced with strengthening donor recruitment, donor education and hiring at least one donor mobilization officer for each provincial blood bank. For example, collaboration with the Ministry of Education to create donor sites inside secondary schools is planned. Public-private partnerships will be explored and strengthened including between MOH and Mozambique Red Cross Society to increase donor mobilization across the country and between MOH and Mozambique cellular companies to provide material and incentives for donors.
To assess progress of MOH blood safety activities, a performance monitoring plan will be generated. Indicators and targets for each activity will be established by NBTP in consultation with their Technical Assistance provider. Qualitative and quantitative indicators are going to be measured, including: establishment of a national blood transfusion policy and guidelines for blood transfusion, successful training roll-outs, implementation of Knowledge, Attitudes and Practices Study to inform donor recruitment strategy, increase in % of non-remunerated donors, increase in number of units collected per year, and reduced % of non-transfusable units due to infectious agent or inadequate storage and handling. Implementation of an electronic blood bank information system is planned for the Maputo Central Hospital
blood bank and will improve NBTS's capacity to monitor and evaluate their program.
In 2010, the NBTP expects to reach the following targets:
1)Blood transfusion policy and legislation approved by government 2)Blood donation increased to 140,000 units per year 3)Increase the percentage of volunteer non remunerated blood donor from 60% to 80% 4)Reduce percentage of blood reactive to HIV and HBV antigens from 6% to 4% 5)Train at least 15% of health workers involved in transfusion in appropriate use of blood
To provide safe blood whenever it is needed, wherever it is needed, through creating a strong, efficient, and self-sustaining national blood transfusion service is National Blood Transfusion Program's (NBTP) main goal. Therefore, in trying to provide safe blood for the entire population, NBTP is offering transfusion services in 140 sites in all 11 provinces of the country. The blood is collected mainly from volunteer non-remunerated donors (60%), including, school students and members of religious congregations. Blood units collected away from blood banks facilities are transported by isothermal boxes containing temperature shell. Despite efforts done, the current blood supply (86,323 units) does not yet meet clinical demand (~ 216.000/units). To address this, a Knowledge, Attitudes, and Practices
Study is planned to inform a national strategy for donor recruitment.
Blood units are routinely screened for HIV, HBV and Syphilis and the introduction of HCV test is planned for 2010. Aware of the importance of waste management, NBTS with assistance of American Association of Blood Banks developed a biohazard guideline related to blood bank that is aligned to hospital guidelines for waste management where the blood banks reside. The collaboration with other HIV services is currently happening. For example, training on HIV and Syphilis counseling, quality management, commodity supply chain and pre-service education strengthening are planned in collaboration with other partners and the relevant MOH programs.
To ensure sustainability of a safe and adequate blood supply, the NBTS is: 1) making efforts to move towards 100% volunteer non-remunerated blood donors; 2) developing national trainers to support the roll-out of infectious disease testing and donor recruitment training in all provinces; and most importantly, 3) advocating to create an autonomous nationally-coordinated National Blood Service (NBS) with corresponding blood transfusion legal framework and policy. Through Partnership Framework, support for establishment of a NBTS is planned.
