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
Noted April 24, 2008: Support for laboratory activities in Rwanda includes providing technical assistance to
the Kigali Health Institute (KHI) to strengthen the infrastructure of the pre-service training programs for
laboratory technicians by supporting curriculum development and professional enhancement of current
instructors. In addition to strengthening the development of new technicians entering the field, current
technicians and laboratories in Rwanda will be strengthened by supporting the National Reference
Laboratory (NRL) to develop a comprehensive program for laboratory monitoring (chemistry, hematology
and CD4 testing) of HIV/AIDS patients and in the diagnosis of opportunistic infections associated with
HIV/AIDS. The detection of tuberculosis and malaria in Rwanda is a critical service for the HIV/AIDS
population in Rwanda. The ability of laboratories in Rwanda to detect other parasitic and bacterial
infections is not available in the majority of labs within the country. In FY 08, the American Society for
Clinical Pathology will continue to support Rwanda by working with the National Reference Laboratory for
accreditation, assisting with improvements in Quality Systems and patient monitoring, and in the operational
management of the tiered laboratory network. A total of $200,000 will be available to support these
programs by ASCP. To develop infrastructure to support opportunistic infection detection, the American
Society for Microbiology will have $100,000 to develop a program to develop training and laboratory
implementation of methods for the detection of bacterial and parasitic infectious diseases.
New cooperative agreement (TBD)
In FY 2008, the EP will continue a partnership with ASCP, building upon FY 2007 activities initiated by CDC
and Columbia UTAP in support of KHI. CDC and Columbia renovated and equipped KHI's training
laboratory, more than tripling their classroom capacity. ASCP's FY 2007 activities are expected to begin in
November 2007. With FY 2007 resources, ASCP will provide TA to KHI to strengthen its laboratory training
program. Funding will support laboratory curriculum development, direct support for laboratory training for
75 students, and continued infrastructure strengthening. Training activities will place particular emphasis on
HIV/AIDS, tuberculosis, and malaria diagnostics. ASCP will develop a laboratory pre-service internship
training activity under which KHI lab students are placed at district hospital laboratories to gain field
experience in HIV/AIDS-related lab work. KHI is the sole institution in Rwanda that provides pre-service
training for laboratory technicians. As such, KHI is a key institution in Rwanda's efforts to provide quality
clinical and laboratory services in support of national-scale HIV care and treatment. FY 2007 funding will be
provided to develop a program curriculum for lab technicians for in-service training that will qualify them to
move to a higher grade level of competency. This will enable them to move up the laboratory system to be
promoted to a higher level laboratory that performs more sophisticated testing. This activity will be
continued in FY 2008. These activities address the Rwanda EP five-year strategic goal of building
sustainable laboratory human capacity.
In FY 2008, other coalition partners will be funded to support the following activities: provide TA to develop
a plan for accreditation of the NRL, work with NRL to improve TB culture, provide TA for TB and malaria
QA/QC, standardize in-service training materials, and improve the management of the national tiered
laboratory system. Accreditation of NRL will be an important step toward quality improvement of the
laboratory system. Staff at NRL provides TA and technology transfer to other tiers of the laboratory
system—regional, district and point of care. Once these standards are in place, in-country capacity will be
available to assist other laboratories in the accreditation process. The other activities listed above are also
part of a national plan for improving overall quality of clinical diagnostic laboratories to support prevention,
care, and treatment.
