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: 2012 2013 2014
The International Laboratory Branch Consortium (ILBC) is a centrally-managed cooperative agreement with multiple sub-recipients (Association of Public Health Laboratories (APHL), the American Society for Microbiology (ASM), the American Society for Clinical Pathology (ASCP), the Clinical Laboratory Standards Institute (CLSI), and redacted). In Namibia, TA is focused on the national public health lab system, lab quality systems, TB diagnostics, and training for bio-clinical monitoring testing, lab workforce strategies, research capacity, and mentoring. Strengthening lab capacity contributes to accessible, equitable, effective, affordable, and quality services for all. Lab strategic planning has been identified as a priority for the MOHSS in the NSF, which informs the PF and GHI Strategy. This mechanisms coverage is national. The training of trainers as instructors and mentors will, over time, reduce ILBCs role in Namibia. This mechanism provides short-term technical trainings or consultancy services. MOHSS and NIP manage the logistics of the trainings and consultancies, and, increasingly, provides trainers from its own staff to conduct follow-up mentoring and monitoring. MOHSS and NIP are also responsible for procuring equipment and reagents for the trainings. The grantee must submit a detailed work plan with its annual continuation application, as well as bi-annual status reports to CDC. Routine monthly meetings are also held with the CDC Namibia project management team.
Technical assistance from the American Society of Microbiologists (ASM) is a sub-grantee under a cooperative agreement managed by the CDC Global AIDS Program International Laboratory Branch.
Technical assistance from ASM: ASM has provided short- and long-term technical advisors to work with the CDC Namibia laboratory technical advisor, alongside NIP staff at the main laboratory in Windhoek, to improve their proficiency with TB diagnostic testing. This assistance has included on-the-job training on TB-related laboratory equipment and infection control practices. ASM will focus support on peripheral NIP laboratories. Areas of technical focus for this training and TA will include establishing a blinded quality assurance process for rechecking slides; strengthening the management of existing external quality assurance systems, and; training for NIP laboratory technicians on fluorescence microscopy, TB culture, and drug susceptibility testing (DST) strengthening in Windhoek, Walvis Bay and Oshakati.
These partners are all sub-grantees under a cooperative agreement managed by the CDC Global AIDS Program International Laboratory Branch (ILB) in Atlanta.
1) American Society for Clinical Pathology (ASCP) support to Namibia Institute of Pathology (NIP) will include training on basic lab operations for district level labs and phlebotomy training for Ministry of Health and Social Social Services (MOHSS) and NIP staffs. After COP12, local and regional lab partners will be able to provide the TA currently being provided by ASCP.
2) Clinical Laboratory Standards Institute (CLSI) technical assistance to NIP will include support for quality management systems as NIP prepares for laboratory accreditation through Regional accreditation bodies (SADCAS &SANAS). CLSI will support a thorough assessment of NIPs quality management system and practices; conduct an active gap analysis; asses overall program effectiveness, and; provide mentorship. Based on these assessments and reviews, CLSI will help NIP develop improved standard operating procedures and other policy level and training improvements.
3) Association of Public Health Laboratories (APHL) will support:
Finalization of National Lab Policy (NLP) and strategic plan, technical assistance for leadership management and strategic planning
Develop a master plan for the phased implementation of the NLP and strategic plan
Establish a governance structure and organizational plan for the National Public Health Lab
Provide institutional capacity building through coaching, mentoring and training to strengthen the capacity of NIP and MOHSS leadership to develop and implement sustainable management and financing structures for the NPHL.
Assist MOHSS and NIP to cost lab services.
4) PEPFAR Namibia will support a regional partner through a cooperative agreement managed by the CDC Global AIDS Program International Laboratory Branch (ILB) in Atlanta. This partner will be drawn from eligible applicants within sub-Saharan Africa (i.e., not an international partner).
Additional supervision and mentoring will be provided by lab advisors from CDC Namibia. NIP managers and supervisors provide day-to-day management oversight and supervision.
All ILB consortium partners provide short-term technical trainings. NIP manages the logistics of the trainings, and increasingly provides trainers from its own staff for follow-up mentoring and monitoring. NIP is also responsible for procurement for the trainings. Procurements, stock management and delivery are done through NIPs ordering system. Training of trainer (TOT) methods will reduce ILBCs role in Namibia. USG seeks to develop NIPs administrative capacity to allow NIP to contract and fund its own TA
