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: 2008 2009
This is a continuing activity from FY 2004, FY 2005, FY 2006, and FY 2007. It supports the World Health
Organization (WHO) in providing technical support to the Blood Transfusion Service of Namibia (NAMBTS)
to collect, screen, and distribute blood and blood products while building capacity (through training
workshops) and strengthening national policies and frameworks related to blood safety. It leverages support
from NAMBTS (activity 7321), and CTS Global (activity 7322), SCMS (activity 8028), and University
Research Co., LLC, activities (7386, 7387). Synergies will be developed with the Strategic Information
Team to utilize blood transfusion data to ensure the safety and adequacy of the Namibian blood supply.
The World Health Organization received Track 1 funding beginning in FY 2004 to provide technical
assistance to the Blood Transfusion Service of Namibia (NAMBTS), Ministry of Health and Social Services
(MoHSS), and Namibia Institute of Pathology (NIP). Following a needs assessment and situation analysis in
FY 2004, which identified several technical assistance needs in terms of policy, guidelines, and associated
training, substantial progress was made in FY 2005. A long-term WHO technical advisor (TA) with extensive
experience on blood safety was assigned to Namibia. The WHO's role is mainly to provide technical support
while NAMBTS, MoHSS and NIP are the implementers of the program. Namibia's first National Blood Policy
was drafted following an extensive consensus-building process and was finalized in FY2007. A major
challenge has been bringing the NAMBTS, MoHSS, and NIP together for the first time to deliberate on
respective roles and responsibilities, and the policy development process greatly facilitated development of
those relationships. The TA has now facilitated the organization of a working group of relevant stakeholders
to develop a national 3-year strategic plan for blood safety.
Major achievements in 2007 included assisting with development and launching of national guidelines for
appropriate clinical use of blood and blood products, done in collaboration with MoHSS and NAMBTS.
Other major areas of emphasis were approval and dissemination of the first National Blood Policy; drafting
the blood transfusion draft legislation, development of the first blood safety 3-year strategic plan; and
technical assistance to facilitate training of NAMBTS, MoHSS, and NIP staff on their respective
responsibilities in quality management, component production, counseling of clients; supervisory skills, and
assessing the cost-effectiveness of localizing testing of donor blood for transfusion transmitted infections
(TTI), currently all TTI screening is being done in South Africa.
Major targets for next year will be continuing to support the role out of the stated programs to regional level
and strengthening of all the systems including setting up data and information systems to assist with
monitoring, evaluation, and haemovigilance.
Initiatives in which the WHO TA could support NAMBTS during FY2008 include -
•Data collection on transfusion practices in Namibian Hospitals
•Evaluation of TTI testing protocols for screening blood donors
•Finalization of blood transfusion legislation and the Human Tissues Act
•Evaluation of the adequacy of the blood transfusion infrastructure in Namibia
•Facilitate preparation of memoranda of understanding between MoHSS, NIP and NAMBTS
•Formulate and implement an M&E plan for the National Blood Programme
•Develop a system of cost recovery for blood and blood products
Training initiatives to be supported by WHO in FY2008 include:
6x 3 day training workshops for doctors nurses and laboratory workers on the Guidelines for the appropriate
use of blood and blood products. Approx 35 persons attending each workshop, to be held in different parts
of Namibia in order to accommodate persons in all regions.
6x 2 day training workshops for NAMBTS and Namibia Institute of Pathology (NIP) staff in quality
management and cold chain management. NIP staff assist in the provision of blood bank services in many
of the hospitals in Namibia and training relating to the storage, transport, crossmatching and issuing of
blood and blood products needs to be ongoing. Approx 8 persons attending each workshop, to be held in
different parts of Namibia in order to accommodate persons in all regions.
4x Morning or evening educational talks for doctors by visiting experts in the field of transfusion medicine,
with two sessions in Windhoek and two in areas such as Swakopmund or Oshakati.
4x 3 day training sessions for NAMBTS staff in Quality Management, Blood Safety, Cold Chain
Management . Approx 20 persons attending each workshop.
3x 1 day training sessions for NAMBTS Donor Staff in donor resuscitation procedures, including CPR.
Approx 10 persons attending each workshop.
3x 5 day training sessions for NAMBTS staff in computer skills (Windows, Work, Excel, Outlook). Approx 10
persons attending each workshop.
2x 5 day training sessions for NAMBTS staff in management skills. Approx 10 persons attending each
workshop.
1x 3 day orientation workshop for members of the proposed National Blood Authority. Approx 15 persons
attending.
