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:
This activity was funded in late 2007 and will continue through the COP08 program period.
The Association of Public Health Laboratories (APHL) through its mandate to safeguard the public's health
by strengthening public health laboratories in the United States and across the world is well suited to
conduct this activity. APHL members, through the international branch of this organization, provide in-
country technical assistance on numerous laboratory issues (including, laboratory
methodologies/techniques, equipment selection, lab management, quality assurance and safety).
This is a continuing activity that includes the following activities:
Conduct an independent, third party evaluation of PEPFAR supported laboratory services in Nigeria. This
will focus on comprehensive laboratory services offered by all six treatment partners. APHL will conduct a
standardized review of laboratory services that will include (but not be limited to): discussions with IP lab
staff, site visits, observation of lab operations, review of SOPs/training programs, evaluation of lab
records/documents, review of training programs and review of the organization of the lab program within the
treatment partner's Nigeria program. The resulting report generated from this evaluation will serve as a
basis for APHL to provide recommendations to individual partners related to preparations for scale up of
activities in COP08; recommendations for implementation/expansion of laboratory QA/QC programs;
identification of best practices; recommendations on the organization of IP lab programs; identification of
gaps.
In addition, APHL will assist in improving the capacity within Nigeria for the evaluation and monitoring of non
-PEPFAR supported laboratories. APHL will provide technical support to the Medical Laboratory Science
Council of Nigeria (MLSCN), the national body responsible for accrediting all medical laboratories in Nigeria.
Support will include review of the current lab accreditation tools/processes, recommendations for
improvements and training for MLSCN staff responsible for conducting accreditation activities.
APHL will partner with IHVN-ACTION (an ART treatment partner currently supported by PEPFAR-Nigeria
with a strong lab program) to lend technical support to the MLSCN and the National Central Public Health
Reference Lab (NCPHRL) in expansion of the national proficiency testing program and associated training
for Government of Nigeria (GON) and implementing partner (IP) lab support staff.
APHL will support training for the director of the NCPHRL (Management of Public Health Laboratory
Systems, Professional Development Seminar). This two week curriculum, jointly developed by the George
Washington University School of Public Health and APHL, is designed for senior public health professionals
who are responsible for planning, managing or directing national public health laboratory systems.
Participants will be provided with tools for assessing national laboratory systems and strategies for
strengthening the capacities and capabilities of quality public health laboratories.
APHL consultants will deliver a week long Lab Management Training Package, formatted as a training of
trainers (TOT), to representative lab staff from the GON and PEPFAR IPs. Attendees are then expected to
provide the training out to a wider group of laboratorians from PEPFAR and non-PEPFAR supported sites.
CONTRIBUTIONS TO OVERALL PROGRAM AREA:
The evaluation of PEPFAR IP lab programs will lead to improved laboratory practices across PEPFAR
implementing partners and will ensure standardization and sustainability of the program through
improvements made based on recommendations. Developing the strengths and capacities of the Nigerian
lab accreditation body (MLSCN) and the central public health lab (NCPHRL) will have a positive impact on
the national HIV/AIDS programs of Nigeria.
LINKS TO OTHER ACTIVITIES:
Strong laboratory systems support C&T, ART Services, ART Lab, Basic C&S, VCT, PMTCT, TB/HIV, and
OVC.
EMPHASIS AREAS:
Emphasis in placed on capacity development through quality assurance and quality improvement and
training (for laboratory staff).
