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: 2008 2009
This is a continuing activity from FY 2007.
In FY 2008, the EP will continue a cooperative agreement with the NRL for direct funding of certain key
reference laboratory functions. As the lead institution in Rwanda's national laboratory network, the NRL
plays a critical role in the successful expansion of HIV prevention, diagnostics, training, care and treatment
services nationally. The NRL has been a close collaborator in EP efforts for many years, and has benefited
from EP technical and financial support through several implementing partners. Substantial resources have
already been invested in NRL by CDC and Columbia UTAP support for infrastructure, technical activities,
and management capacity. Support will continue in FY 2008 through CDC direct technical support, a new
cooperative agreement (partners TBD), and through continued funding of this cooperative agreement.
NRL cooperative agreement activities in FY 2008 include support for human resources (technical positions
and training), infrastructure maintenance, and select QA activities. In FY 2008, NRL activities will again
focus on selected infrastructure maintenance of the tiered laboratory system, human resources, and QA
activities. One of the major responsibilities will be to continue the decentralization of the laboratory referral
system at two levels of the laboratory network. NRL will continue to support early infant diagnostic PCR
testing and introduce viral load testing, TB culture and identification, and extrapulmonary TB diagnosis in
the Butare reference laboratory. NRL cooperative agreement funds will support building repairs needed to
maintain this laboratory and the training of Butare staff. NRL will strengthen five district hospital laboratories
that will provide services to the region. The NRL will also continue a maintenance contract for all of its
central and laboratory network equipment through the MOH (Atelier Central de Maintenance) and NRL
maintenance units, as well as conduct small repairs and preventive maintenance in the ART site
laboratories, secure warehouse storage space, and transport laboratory equipment and reagents to sites.
The NRL will continue to strengthen the national referral system for patient specimens.
NRL will support technical staff needed to carry out surveillance and M&E activities that have laboratory
components; these include ANC sentinel surveillance and the national ART program evaluation activities.
Laboratory staff supported by this cooperative agreement performs a range of tasks to support the national
laboratory system. One of those activities is to evaluate new techniques and technologies for the clinical
diagnostic services to improve the care and treatment of HIV-infected patients. Once these technologies
are approved, staff transfers the new diagnostic techniques to lower level laboratories in the tiered system.
A modest amount of funding will be made available to support participation of key senior technical staff in
international trainings and conferences directly relevant to increasing capacity for HIV-related laboratory
techniques.
Throughout the national laboratory network, NRL will train 200 laboratory technicians in good laboratory
practices and HIV-related techniques, including CD4 testing, biochemistry, hematology, and HIV and OI
diagnosis. This will include two-week trainings for technicians at new ART sites, and two-day refresher
trainings for all previously trained lab technicians. These trainings will be carried out by a national team of
11 trainer/supervisors placed both centrally and in regional laboratories. As part of its QA activities for TB
diagnosis, NRL will also provide refresher training for laboratory technicians in health centers and district
hospitals to maintain skill levels in sputum examination for TB by direct AFB smear microscopy. A new
activity in FY 2008 will be to provide training for one laboratory technician per district hospital to upgrade
their skill levels to develop minimum human capacity standards at all district hospitals.
To ensure quality HIV-related services, this NRL cooperative agreement will continue to fund operational
costs (such as specimen transport, supervision costs) associated with HIV QA/QC/QI activities in peripheral
lab sites for HIV serology, CD4 testing, chemistry/hematology, TB, malaria and good laboratory practices.
Commodities needed to conduct all of the above activities will be procured through the SCMS activity in FY
2008. Continuation of laboratory tool standardization and maintenance, and expansion of the national
laboratory information system will be supported.
