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: 2007 2008 2009
Track 1.0 and 2.0 USAID and HHS/CDC funds are combined for this activity.
The Safe Blood for Africa Foundation (SB) is providing services in Nigeria in the prevention program area of Medical Transmission/Blood Safety (BS). 100% of SB activities are linked to the National Blood Transfusion Service (NBTS) long term strategy. The Abuja project is the practical demonstration of the NBTS primary objective of migrating fragmented hospital-based blood banking services to centralized community-based blood banking services nationwide. A key feature of this program is the development of a voluntary nationwide donor recruitment system. SB has pioneered this system in collaboration with the NBTS. The Abuja center is maintained 100% by voluntary donors and this has been replicated in the 4 NBTS centers that have opened across the country. Capacity building is another key objective of the NBTS strategy. SB has instituted a robust training program that has been integral to the rapid expansion of the NBTS. The NBTS certification program that SB is assisting to implement in FY07 will significantly improve NBTS regulatory capabilities. It is NBTS's intent to regulate and harmonize blood banking standards and practices on a national basis. This SB program has been designed to assist them to fulfill this objective.
Significant changes from 06 to 07 will include the expansion of technical assistance (TA) to the NBTS and the incorporation of a SB assisted NBTS hospital certification and accreditation program into the blood banking systems in Nigeria in order to address a more comprehensive BS program in the US Government (USG) supported Nigerian hospitals. SB will assist the NBTS in using assessments resulting from this program to help upgrade the safety profile of each hospital blood bank. SB activities will provide support for 19 service outlets and train 275 individuals from its currently active 17 and 250 respectively.
SB has worked with ENHANSE and the NBTS through the mechanism of the National Technical Committee to develop safe blood related policy. The new National Policy which has been approved by the Federal Executive Council clearly states that 100% of all transfused blood nationwide must be screened for HIV.
In FY07, emphasis will be on entrenchment of the policy into law and the implementation of the policy throughout the country including setting up a regulatory body and standards for oversight. This is a significant intervention for the prevention of HIV transmission through improved BS practices. SB and the NBTS will introduce the principles of quality management processes with site-specific written Standard operating procedures, proper maintenance logs of equipment, validation of processes and a secure method of record keeping.
SB with the support of the Society for Family Health (SFH) will increase voluntary non-remunerated blood donations (VNRBD) through targeted social marketing and community mobilization activities. SFH is implementing an integrated media awareness campaign for all USG BS programs in Nigeria that will also support this effort. Targets for number of blood units screened for HIV in 07 are 13,090. 2,400 of these units will be screened at the Abuja center and the balance will be screened at the NBTS centers and the Akwa Ibom outlets under the SB emergency screening program.
SB continues to strengthen the technical and managerial capacity of the NBTS through its TA program to ensure sustainability and this has resulted in NBTS operating independently and increasingly taking a leadership role.
CONTRIBUTIONS TO OVERALL PROGRAM AREA
100% of SB BS activities will contribute to 07 overall Emergency Plan BS Targets for Nigeria. Activities will improve access to safe blood, increase demand for VNRBD, improve quality of Blood Transfusion Systems and Practices and improve the enabling environment.
Planned increases in the number of outlets carrying out BS activities and increasing the number of people trained in BS will improve equity in access to safe blood. SB will ensure that there are linkages and synergies between the outlets where safe blood is available.
SB will improve the quality of blood transfusion practices in Nigeria. This activity will be
primarily conducted through technical assistance to the NBTS, the hospital certification program and training programs implemented by SB in collaboration with the NBTS. M and E activities will determine the number of outlets adhering to the appropriate use of guidelines and SOPs provided, number of additional outlets established utilizing safe blood standard guidelines and the conduct of regular audits at these outlets at 3 month intervals.
LINKS TO OTHER ACTIVITIES SB VNBRD activities have direct links to Counseling and Testing 6702. 100% screening of all donors does result in HIV + donors. SB refers these donors for additional CT at designated USG treatment centers. SB TA activities are linked to policy analysis and system strengthening activities 6774, 6777, 6728. SB also provides technical assistance and support to the other USG partners implementing emergency blood screening activities under this program area.
POPULATIONS BEING TARGETED SB activities have target populations associated with increasing supply of HIV free blood by VNBRD. Populations are the low-risk sources including, students and select adult men and women. SB will also engage facilitating organizations that will allow SB to access its target populations. These include FBOs, Business/private sector and community and religious leaders. SB training activities and capacity building will target host country government workers and other health care providers.
KEY LEGISLATIVE ISSUES ADDRESSED Key issue addressed by SB activities is Volunteers. Development of a robust and sustainable VNRBD base is by definition entirely dependent on recruiting and retaining volunteers, this activity is community based and focused on the recruitment of suitable low-risk donors to supply centralized blood collection facilities. This will facilitate the migration from hospital based collection systems and allow the hospitals to focus on cross-matching and provision of HIV-free blood to patients.
EMPHASIS AREAS This program includes major emphasis on BS training in all areas of the program including the actual training program and the hospital certification program. Emphasis is also being expended in the area of blood policy and oversight. Other emphasis areas include supporting the NBTS in its development and increasing outlets. Community Mobilization/Participation with Quality Assurance and Supportive Supervision will be areas of minor emphasis.
Table 3.3.03:
