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.
This is a continuation of activities from FY04, FY05, and FY06, it relates to #7322, #7359, #7332, and #7338 from the 2007 COP. Computers including monitors, printers, and uninterrupted power supplies will be procured for 26 new staff with HIS/M+E responsibilities to continue and expand the capture, processing, and dissemination of routine ART data, including that for quality assurance. Namibia has resources to support a data clerk in each MoHSS ART clinic through PEPFAR and Global Fund support. Furthermore, the country is currently re-designing their ART management information system to improve the timeliness and relevance of information on patients receiving care and treatment. Procurement of these computers wil facilitate the capture and use of ART data with the ultimate end of improving services.
Table 3.3.12: Program Planning Overview Program Area: Laboratory Infrastructure Budget Code: HLAB Program Area Code: 12 Total Planned Funding for Program Area: $ 2,367,923.00
Program Area Context:
The USG laboratory support team continued its strong collaboration with the Namibia Institute of Pathology (NIP) in FY06 to provide laboratory services in support of prevention, treatment, and care. The continued roll-out of the use of HIV rapid testing in Namibia has resulted in significant progress toward meeting program goals. Namibia currently allows non-laboratory personnel who are trained and under a quality assurance program to perform rapid testing. Rapid testing by non-laboratory personnel is extremely important to reaching targets due to the shortage of health professionals and the past experience that ~50% of patients did not receive their results when EIA was the prime method for serologic testing. There are now at least 65 VCT centers, hospitals, health centers, and clinics performing rapid testing whereas there were 20 in FY05. With the assistance of a USG-funded technical advisor on rapid testing, capacity was improved to support Namibia's rapid test rollout in terms of use of a standard training curriculum for testers based on the CDC/WHO HIV rapid test training package, training trainers and testers; development of standard operating procedures for QA and testing facilities; preparation of quality controls and proficiency panels; preparation of starter kits to help launch new rapid testing sites; training of laboratory personnel in the districts to support neighboring rapid test sites and testers; support and preparation visits to all new testing sites; development of certification criteria for testers and test sites; and addition of new QA medical technologists to the NIP. Lack of medical technologists and funds for quality assurance testing remain obstacles to rapid rollout. The Ministry has also adopted a cautious approach to the introduction of rapid testing and limited the number of sites, but this should accelerate significantly in FY07 with additional staff and based on positive experiences in FY05 and FY06.
The contributions of a USG-funded laboratory scientist stationed at the NIP continued to provide a major boost to molecular diagnostics particularly the introduction of diagnostic DNA PCR testing. Validation of dried blood spot samples for diagnostic DNA PCR testing at the NIP and development of a new diagnostic algorithm for early diagnosis in HIV-exposed and symptomatic infants was accomplished in FY06. Capacity for performing viral load assays has also been implemented in the central laboratory and a national policy has been adopted for use of the assay only when drug resistance is suspected. In FY07, an additional USG-funded laboratory scientist with expertise in Tuberculosis testing and Quality Assurance Systems will be hired and stationed at the NIP. Expertise in TB testing will be of critical importance due to ongoing surveillance for TB MDR. In addition, trainings will be supported for NIP technical and managerial staff from the central and peripheral laboratories based on a comprehensive assessment of training needs performed in FY06. Trainings will be focused on laboratory management including development of a strategic plan for national laboratory services, CD4 technology and instrumentation, Quality Systems and Tuberculosis and OI.
The protocol for the first threshold survey of drug-resistant HIV has been approved by the Ministry, but because the national sentinel survey will not be completed until October 2006, no testing has yet been performed on any samples. This is nonetheless a priority for FY07, though capacity limitations within NIP and the Ministry will remain challenges. The plan is to complete the threshold survey at sentinel sites, which will be expanded in FY07 once the threshold has been reached. Arrangements will be made for Namibians to complete viral RNA extraction and genetic sequencing at a laboratory outside of Namibia. The first group of six Namibians who had science degrees from the University of Namibia will complete training as medical technologists in South Africa in just two years and will return in December 2007 to take up positions in the NIP. The Ministry has only one laboratory technologist to oversee all of the needs in the Ministry's 331 health facilities and the quality of services being received through the Namibia Institute of Pathology (NIP), who performs most laboratory tests for the Ministry. The Ministry has therefore requested and additional technologist to support these functions at the national level. This will be important to support the decentralization of ART/care services to the district level and Potentia funds from 2006 will be used to expedite recruitment.
Program Area Target: Number of tests performed at USG-supported laboratories during the 715,581 reporting period: 1) HIV testing, 2) TB diagnostics, 3) syphilis testing, and 4) HIV disease monitoring Number of laboratories with capacity to perform 1) HIV tests and 2) CD4 tests 7 and/or lymphocyte tests Number of individuals trained in the provision of laboratory-related activities 264
Table 3.3.12:
This is a new activity for FY2007 as other training activities included in the approved FY2007 COP are administed through the ITECH mechanism. The Namibian Ministry of Health and Social Services, Directorate of Special Programmes Response Monitoring and Evaluation Unit rolled out their revised indicator list in 2006. Through 2007, the Unit has been focused on implementation of that plan, including systems development and training. This activity will support nation-wide training on use of an information system for HIV-related response monitoring in the non-health sector. These funds will support all costs (travel, accommodations, meals, per-diem) related to training of approximately 100 data clerks and programme managers in use of this information system. Training workshops will occur regionally and will be facilitated by M&E specialists from the National level.
A strong foundation in monitoring and evaluation is essential for effective program monitoring. This activity will building monitoring and evaluation capacity in CDC paratners. Twelve monitoring and evaluation personnell will attend a 1 week workshop on the principles of monitoring and evaluation. This activity ($9000) will support travel, accommodations, meals, and per-diem for this training.
In order to effectively analyze both facility and non-facility-based data, the USG PEPFAR needs software licenses for new and existing SI staff as well as local counterparts with whom we work to build capacity. The funding ($79,000) will also be used to purchase software licenses for the entire SI team across agencies which includes CDC, USAID, and DoD. These licenses will be procuree din bulk through CDC and will include 4 SPSS licenses, 2 GIS licenses, 6 SAS licenses, 6 STATA licenses. These will help the SI team effectively analyze routinely collected facility-based data as well as programmatic evaluation data and is essential in ensuring prevention, care and treatment programs are making a positive impact in Namibia.
Targets
Target Target Value Not Applicable People reached through dissemination workshops Number of local organizations provided with technical assistance for 2 strategic information activities Number of individuals trained in strategic information (includes 117 M&E, surveillance, and/or HMIS)
Table 3.3.13:
