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
COP 2010 Overview Narrative
NEW/REPLACEMENT NARRATIVE WITH SUBSTANTIAL CHANGES The International Laboratory Branch (ILB) consortium partners' main goal is to strengthen laboratory systems through technical assistance to the Namibia Institute of Pathology (NIP). NIP, in turn, provides quality laboratory services to MOHSS HIV, TB and OIs programs.
To achieve this goal each of the four ILB consortium members provides technical assistance in specific areas. For the Association of Public Health Laboratories (APHL), those objectives include:
1- Conducting an assessment of existing laboratory services and providing recommendations to strengthen the national laboratory system.
2- Assist MOHSS and NIP to develop a national laboratory strategic plan.
3- Provide laboratory management trainings.
This will work will be coordinated with similar assessments and trainings provided by other members of the ILBC.
How the Implementing Mechanism is linked to the Partnership Framework goals and benchmarks over the life of its agreement/award:
Through support for quality bio-clinical monitoring and training, this implementing mechanism is key to the USG commitments related to the PF goal of "scaling up and enhancing the antiretroviral treatment services as well as reducing TB/HIV co-infection" The technical assistance delivered through this IM will specifically aid the GRN and the USG to meet the following PF objectives:
1) Enhance the quality of ART care through quality assured bio-clinical monitoring.
2) Expand coverage of screening for TB/HIV co-infection.
The implementing Mechanism's geographic coverage and target population:
This mechanism is designed to provide national coverage through the NIP network of laboratories. APHL will work with NIP and other partners to provide training to staff working in all of the NIP laboratories. The gap analyses and mentoring assistance will be rolled out in a targeted manner, depending on identified needs.
Key contributions to Health System Strengthening:
Strengthening laboratory capacity for the public healthcare system assures that services are accessible, equitable, effective, affordable, and of high quality for all. Strategic planning has also been identified as a priority for NIP and the Ministry of Health and Social Services (MOHSS) in the new National Strategic Framework for HIV/AIDS (NSF). Direct TA to NIP staff will build local human resource capacity, another key objective in the NSF.
Implementing Mechanism's cross-cutting programs and key issues:
As noted above, APHL support for strategic planning contributes to key objective in the NSF and in the PF. Support for planning is also expected to improve cost efficiencies over time by reducing duplication and increasing coordination. Human Resources for Health will also be strengthened through direct mentoring and other support provided to NIP staff by APHL consultants.
The Implementing Mechanism's strategy to become more cost efficient over time:
All ILB consortium partners provide short-term technical trainings or consultancy services. NIP manages the logistics of the trainings and consultancies, and, increasingly, provides trainers from its own staff to conduct follow-up mentoring and monitoring. NIP is also responsible for procuring equipment and reagents for the trainings. These procurements, including stock management and delivery, are done through NIP's local ordering system. As indicated above, the training of trainers as instructors and mentors will, over time, reduce APHL's role in Namibia. On that note, APHL's role is already 100% technical assistance. NIP is solely responsible for laboratory service delivery. A USG objective for the next five years is to develop NIP's administrative capacity to allow NIP to contract and fund its own technical relationships, as needed, with IDP consortium members.
Monitoring and evaluation plans for included activities:
All CDC cooperative agreement grantees must submit a detailed work plan with their annual continuation application. This work plan must be based on PEPFAR indicators and aligned with targets set for each country. All IDP consortium members must also submit bi-annual status reports to the IDP program manager in Atlanta. These reports are shared with CDC program managers in Namibia and used to inform any year-on-year changes to the work plan.
Technical assistance from the Association of Public Health Laboratories (APHL) to the Namibia Institute of Pathology (NIP) and Ministry of Health and Social Services (MOHSS) for leadership management, strategic planning, and support for plans to establish a Public Health Laboratory System.
Continuing Activity
Estimated Budget = $147,000
ADDITIONAL DETAIL:
PEPFAR Namibia will support APHL through a cooperative agreement managed by the CDC Global AIDS Program International Laboratory Branch (ILB) in Atlanta. Other partners supported through this mechanism include: the American Society of Clinical Pathology (ASCP), the American Society for Microbiology (ASM), and the Clinical Laboratory Standards Institute (CLSI). ASM's work is described in the HVTB technical area. CLSI and ASCP are described in separate narratives under HLAB.
All ILB consortium partners provide short-term technical training assistance. On that note, APHL's role is already 100% technical assistance. APHL focus for the coming year is to help MOHSS to establish the Public Health Lab System in Namibia. NIP will be a stakeholder in the process, and not the sole recipient of APHL TA. Administratively, APHL will work with NIP and, where relevant, the MOHSS, to ensure systems and structures are in place for either entity to potentially source its own TA directly from APHL in the future.
