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
The American Society for Microbiology (ASM) International Laboratory Capacity Building (LabCap) Program has a goal of strengthening and expanding clinical microbiology laboratory capacity for the diagnosis of HIV-related Opportunistic Infections (OIs).ASMs goals are in aligned to the Partnership Framework objective (4.6) to strengthen laboratory support services for HIV diagnosis and management. Significant contribution will be made to strengthen human resource capacity through training and mentoring and to strengthening the national commodity procurement system as pertains to microbiology reagents and consumables.ASM will support the creation of regional centers of excellence for microbiology diagnosis to serve as referral microbiology laboratories; strengthen TB diagnosis in regional laboratories; increase access to TB culture and strengthen forecasting and planning for equipment and reagents for microbiology.ASM will develop/improve training programs provided to laboratory technicians working in clinical health care facilities for improved diagnosis of TB and OIs.Through training and mentoring, the end goal of ASMs efforts is to achieve sustained results and formulate a strong cadre of local Mozambican mentors to carry forward mentoring/training efforts post program completion. Transfer of expertise to local Mozambican microbiologists will eventually eliminate the dependence on external experts. PEPFAR II indicators, including number of laboratories moving towards accreditation, will measure the impact of laboratory systems strengthening activities.ASM did not have a very significant pipeline and will continue to explore strategies to achieve cost efficiencies.
ASM will work in coordination with the MOH and USG in Mozambique to carry out laboratory capacity building activities to strengthen tuberculosis (TB) diagnostics. In FY 2012 ASM will implement the following activities:The Ministry of Healths goal is to establish regional referral testing for TB culture. Two labs have been fully established: the national TB reference lab in the South and the TB reference lab in the central region. A referral lab for the North of the country will be completed in early 2012. ASM will provide training and mentorship to the lab personnel in the Northern regional lab to conduct TB culture and drug susceptibility testing. English speaking personnel will be supported to attend the culture and DST courses offered at the African Centre for Integrated Laboratory training (ACILT). This will be followed up by mentorship by Portuguese speaking experts. ASM will assist in setting up the laboratory, establishing an efficient workflow and implementing a quality management system.ASM will also support the strengthening of the National External Quality Assessment (EQA) system for TB diagnostics: ASM will review the existing EQA system operational in the TB laboratory network and strengthen supervision and blind re-checking of slides. In FY11, ASM supported the TB reference lab to introduce proficiency testing (PT) panels as part of the TB Smear EQA program. In FY12, ASM will support the decentralization of panel preparation to the regional TB reference laboratories. ASM will facilitate training of the TB reference laboratory staff in preparation of PT panels for distribution first to the provincial hospital laboratories in the first round then to district level hospitals. A system will be set up for analysis and review of results and follow up for poorly performing sites. ASM will evaluate the performance of the EQA program to ensure it is achieving the goals.
The American Society for Microbiology (ASM) will continue to work in coordination with the MOH and USG in Mozambique to carry out microbiology laboratory capacity building activities. ASM will implement the following activities:1) Portuguese or Spanish speaking mentors will provide on the job training in standard microbiology techniques and new technologies. Proposed laboratories are located at the central hospitals in Maputo, Beira, and Nampula. Mentoring will include onsite supervision and training as needed.2) Five-day regional workshops will be held for provincial lab personnel that will provide practical and didactic training in basic bacteriology and roll-out new standard operating procedures (SOPs) and standardized training materials. A reference set of positive, negative or indeterminate gram stained slides for the most frequently observed bacterial pathogens will be developed and provided to laboratories to utilize as quality controls and ongoing proficiency testing of staff. A ToT will be conducted to develop local capacity to facilitate this course as a means to create ongoing and sustainable local capacity.3) ASM will continue to provide support to the INS in the establishment of the National Bacteriology Reference Laboratory. The mandate of the reference laboratory is to run EQA programs, provide training and reference testing for the laboratory network. ASM will support the placement of mentors to work with MOH counterparts in the development and implementation an External Quality Assurance Program (EQA) for routine clinical microbiology procedures and ultimately integrate this with other existing EQA programs.
