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 HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
CLSI will support PEPFAR Nigeria will the following new initiatives:
-Deliver training to PEPFAR IPs on Lab SOP development, use and documentation
The Clinical and Laboratory Standards Institute (CLSI) is a global, nonprofit, standards-developing
organization that develops best practices, voluntary consensus standards, and guidelines through a unique
consensus process that balances the viewpoints of government, industry, and health professions. CLSI
documents/"best practices" are used in over 55 countries worldwide, and are translated into several
languages. Good laboratory practices prove to be cost-effective, promote reliable and accurate results,
contribute to good patient care, and promote a positive attitude towards testing from a patient's perspective.
Driven by our membership and accepted clinical and laboratory standards and guidelines, CLSI is
committed to facilitating the development of quality systems in the laboratory, and providing on-going
advisement to sustain quality improvements. CLSI will build capacity through the provision of laboratory
standards and guidelines, and providing technical assistance, training, and technology transfer to
individuals and organizations. Along with Nigeria, CLSI is also involved in building laboratory capacity in
Namibia, Vietnam, Ethiopia, Cote D'Ivoire and Tanzania.
The objectives of the PEPFAR program are to enhance the overall quality of health care and public health
laboratories across Nigeria. CLSI will collaborate with CDC-Nigeria to actively support PEPFAR program
activities for strenghtening laboratory infrastructure and develop strategic plans through harmonization of
standard operating procedures, 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 continue lab activities initiated with COP08 funding (preparing two PEPFAR supported labs
for international accreditation and lending technical support to improve the local (Nigerian) process for lab
accreditation process). CLSI will also provide technical support for new activities including standardizing the
process each PEPFAR IP uses to develop and control documents (SOPs) for the laboratory.
CLSI will work with the Government of Nigeria (GON), PEPFAR IPs and CDC-Nigera Laboratory Scientist to
harmonize/standardize laboratory documents such as Standard Operating Procedures (SOPs) for use
throughout Nigeria as part of an overall plan for implementing a national quality management system for the
laboratory. This will include the provision of a didactic workshop for lab scientists on development of
documents using the CLSI internationally-accepted standard approach. CLSI technical experts will also
spend time with individual IPs to provide input on the quality and use of their laboratory documents,
specifically at labs conducting HIV diagnostics and supporting ART treatment monitoring.
CLSI will continue its support initiated in COP08 to the Medical Laboratory Science Council of Nigeria
(MLSCN), the GON parastatal responsible for accrediting medical labs and certifying Medical Laboratory
Scientists. CLSI will provide technical support to improve the tool currently used to audit medical
laboratories and support training for lab scientists performing audits. This will be followed by support for
auditors administering the tool in the field.
CLSI, along with its coalition partners, will support international accreditation of two PEPFAR-Nigeria
designated laboratories. 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:
Improved lab testing through regular lab auditing and use of internationally accepted standard operating
procedures results in overall better HIV diagnostics and ART Lab monitoring across Nigeria.
LINKAGES TO OTHER ACTIVITIES:
TARGET POPULATIONS: Laboratory staff working at federal, state and local government area (LGA)
supported health care facilities.
EMPHASIS AREAS:
Emphasis areas include training and lab quality improvement/assurance.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13020
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13020 9845.08 HHS/Centers for Clinical and 6371 5273.08 HHS/CDC Track $331,000
Disease Control & Laboratory 2.0 CLSI
Prevention Standards Institute
9845 9845.07 HHS/Centers for Clinical and 5273 5273.07 Cooperative $200,000
Disease Control & Laboratory Agreement
Table 3.3.16:
