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
ACTIVITY DESCRIPTION:
No funding planned for FY08 in the COP September base submission.
Activities to be carried out with FY07 funds provided during COP07 plus-up and reprogramming ($200,000).
The Clinical and Laboratory Standards Institute (CLSI) is a global, nonprofit, standards-developing
organization that promotes the development and use of voluntary consensus standards and guidelines
within the healthcare community. CLSI is based on the principle that consensus is an efficient and cost-
effective way to improve patient testing and services. Currently, CLSI is involved in building laboratory
capacity in Tanzania, Namibia, and Vietnam in addition to Nigeria.
CLSI will collaborate with USG-Nigeria to actively support PEPFAR program activities for strengthening
laboratory infrastructure through completion of process maps, harmonization of standard operating
procedures (SOPs), guides, and job aides to provide a framework that will ensure consistency in testing
performance, increase efficiency and cost effectiveness, provide training opportunities as appropriate, and
assure a quality foundation in testing and organizational practices to reduce testing-related errors.
CLSI will participate in an initial site visit to gather critical information (e.g., laboratory infrastructure, locally
developed standard operating procedures). CLSI staff will work with the Government of Nigeria (GON),
PEPFAR Implementing Partners (IPs) and USG Laboratory Technical Working Group (LTWG) to
harmonize/standardized SOPs developed independently by IPs and GON. These will be made available to
the GON for use throughout Nigeria as part of an overall plan for implementing a national quality
management system for the laboratory. CLSI will also provide technical assistance to the GON and IPs in
the writing of new SOPs (as new technologies are made available in Nigeria).
CLSI will also work in close coordination with its coalition partner, American Society for Clinical Pathologists
(ASCP), to prepare designated laboratories (2) for international accreditation. Preparation will be facilitated
through use of CLSI best practices and other internationally-accepted standards. These labs will serve as
models for other clinical laboratories.
CONTRIBUTIONS TO OVERALL PROGRAM AREA:
The successful implementation of PEPFAR goals requires a significant strengthening and expansion of
laboratory services. CLSI, working together with the LTWG, will enhance laboratory systems in Nigeria by
providing assistance in the writing of lab SOPs and harmonizing existing SOP's. CLSI will develop a
national approach to quality systems by implementing comprehensive laboratory quality services with the
ultimate goal of accrediting 2 laboratories in Nigeria to an international standard and providing continuing
education on the value of accreditation.
LINKS TO OTHER ACTIVITIES:
Improved quality of HIV diagnostic testing has implications for VCT (HVCT-3.3.09). Strong clinical labs
support monitoring and treatment of HIV infected individuals and improves palliative care (HBHC-3.3.06 and
HVTB-3.3.07).
POPULATIONS BEING TARGETED:
CLSI will train laboratorians at two sites in the laboratory accreditation process. CLSI will collaborate with
the GON, IPs and USG technical experts. It will also work with laboratorians based in clinical health labs in
the correct use of standardized laboratory SOPs.
EMPHASIS AREAS:
The emphasis of this activity is local organization capacity development related to quality assurance and
quality improvement of laboratory testing. There is also emphasis on infrastructure improvement in
preparing demonstration labs for accreditation.
