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
In order to ensure safe blood products for those in need in Mozambique, the Ministry of Health of Mozambique intend to: 1) Establish an autonomous nationally-coordinated National Blood Transfusion Service; 2) Operationalize the National Blood Reference Center (NBRC) in Maputo; 3) Increase blood collection to meet clinical demand; 4) Reduce family replacement blood donations by increasing voluntary non-remunerated blood donors; 5) Strengthen blood bank's testing capacity and ensure production of blood components; 6) Establish an EQA program for blood banks; 7) Promote appropriate clinical use of blood. By preventing HIV transmission via blood transfusion, this implementing mechanism is addressing the objective 1.5 of the partnership framework which is to ensure access to safe blood product and safe medical injections and enhance safety for health care workers. The prevention of HIV transmission through blood transfusion is one the most important mean to reduce new HIV infection. Besides being a foundation for HIV prevention, ensuring access to safe blood products is essential for GHI strategy since bleeding during and after deliver is accountable for more that 30% of deaths in Africa. Therefore, Availability of safe blood products is critical if Mozambique aims to reduce maternal mortality. The establishment of semi-autonomous national blood service and approval of an appropriate legislation will imply that gradually all costs associated to this implementing mechanism will be funded by GOM and USG support will be concentrated on providing TA. Qualitative and quantitative indicators are going to be measured, including: establishment of a national blood transfusion policy and guidelines for blood transfusion and number of roll-out trainings.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHMBL Ministry of Health 131910 Procure and purchase ELISA materials and reagents; procure and retrieve the results of external quality assurance panels every six months for CQ BS at the national level; Train blood bank staff on notification and referral of HIV + blood donors
The principal goal of the MoH is to ensure access to safe blood products for those in need in Mozambique. This implementing mechanism is expecting to establish, by next year, the national blood transfusion service that will rely mainly on GoM funds. A new legislation is awaiting approval of the economic council for its final endorsement. In the meantime, blood services are being offered in 150 hospital based blood banks (including remote districts) in all 11 provinces of the country and its expansion is not expected in near future; Efforts will be done to increase the % of voluntary non-remunerated donors to reach 100% VNRD. This IM will continue to prioritize school students and members of religious congregations to meet 100% VNRD. To reduce the reliance on family replace blood donations the Ministry of Health is developing a donor mobilization manual to be used by blood donor mobilization activists. This manual will also be used to train the existing HIV and health promotion activists and CT personnel.This implementing mechanism will continue to purchase reagents, equipments, furnishings and consumables to ensure the operationalization of the newly constructed National Reference Blood Bank and that all units of blood are routinely screened for HIV, HBV, HCV and syphilis before transfusion; Only 11 out 150 blood banks are using 4th generation ELISA to test blood for HIV; however, these blood banks are accountable for more than 80% of all blood units transfused in the country. Currently a small proportion of blood banks are participating in the EQA program and due to that an EQA program for blood banks is being planned for 2012.In-service training is planned for new and existing personnel; roll out trainings on IDT, Immune-hematology and donor services will be conducted by Mozambicans trainers. A Blood component preparation manual has been finalized and a ToT on that will be conducted.This IM will use COP 12 funding to hire a Quality Manager and support the implementation of Quality Management Systems for the National Reference Blood Bank and eventually blood bank network.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.
