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: 2005 2008 2009
THE ACTIVITIES ARE MODIFIED IN THE FOLLOWING WAYS:
1. Elaboration of activities
In FY 2009, the National Center for Blood Transfusion (NCBT) will continue its activities in blood collection,
processing and distribution throughout Rwanda. The NCBT is planning to introduce new activities regarding
blood safety, including: expanding blood components according to the needs of patients;, initiating a
certification program; implementing a plan for the rational use of blood in hospitals; hiring new staff in newly
rehabilitated centers; and promoting human resources development; and creating a partnership with other
Transfusion Centers (twinning). The NCBT will also initiate collaborations with the private sector (private
clinics, MTN, Rwandatél, Bralirwa) and formalize collaboration with other Ministries (Mineduc, Minadef,
Minaloc, Minispoc, Miniyouth)
The NCBT will introduce new technologies aimed at improving blood safety. These are leukoreduction, viral
inactivation and blood components fractionation at 100%. The NCBT will also ensure rational use of blood
and blood components in all Rwandan hospitals through provision of guidelines regarding rational use of
blood and will supervise its effective use.
Concerning the twinning program, the NCBT is planning to establish new partnerships with other blood
transfusion centers that are advanced in transfusion practices in order to implement best practices leading
to certification of our National Blood Services. In addition, the NCBT will hire new personnel for its newly
rehabilitated centres and ensure staff capacity building.
The NCBT will continue implementing its blood safety protocols which involve screening for
Transfusion Transmissible Infections (TTIs), procurement of blood safety supplies, and staff supervision and
training for blood safety activities in the 47 National Hospitals and private clinics
One of the main goals for FY 2009 is to expand blood safety services. This will be achieved through site
rehabilitation and community outreach activities which will aim to increase the overall number of blood
donations and encourage more low-risk individuals to donate, particularly those with minimal exposure to
HIV. The CNTS will be expanding its blood transfusion-related services to all five regions of the country. In
addition to services already provided in the Southern and Northern Provinces plus Kigali City and Kibuye
(Western Province), the NCBT will expand to a new Center in Rwamagana (Eastern Province) and and
therefore increase the number of collection sites and expand transfusion capacity to better serve the
outlying regional hospitals and reduce the demand on the Kigali center.
Another goal for FY 2009 includes ongoing improvement of the quality of existing services and increasing
local capacity. A major area of emphasis will continue to be on quality assurance (QA). This will include
implementing QA policies, documenting blood transfusion standards and norms, implementing procedure
manuals for the blood collection process, training staff in standard operating procedures, evaluating and
validating current standard operating procedures, continuing quality control for blood screening tests on a
national level, improving the information system for data collection, and documenting procedures for the
preventative maintenance of laboratory equipment. There will be a focus on building local capacity, based
on national safety standards and blood safety policies, through the training of Rwandan blood safety staff in
the areas of QA, laboratory best practices, donor recruitment, blood storage, monitoring and evaluation,
platelet production, and blood transfusion management.
NCBT staff will be trained in Voluntary Counseling and Testing so that a donor notification program will be
implemented. In FY 2009, the CNTS will evaluate and improve intake forms to help identify low-risk donors,
will inform all donors that their blood will be tested for various transfusion-transmissible infections (TTIs)
including HIV, Hepatitis B & C, and Syphilis, and will inform positive donors of their test results. This
program will enable better prevention efforts and ensure that donors positive for HIV will be referred to the
appropriate medical services for care, treatment, and follow-up.
Finally, the NCBT aims to conduct more general mobilization activities to inform the public about the
universal benefits of blood donation and to encourage more donations. The NCBT will implement
community mobilization activities through collaborations with the Rwandan media, particularly the Rwanda
Health Communication Center, local radio stations, opinion leaders and use the champion model for the
donors who have donated more blood than others to encourage retention of repeat blood donors.
New/Continuing Activity: Continuing Activity
Continuing Activity: 12862
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
12862 2786.08 HHS/Centers for National Program 6317 115.08 Strengthening $2,500,000
Disease Control & for Blood Blood
Prevention Transfusion, Transfusion
Rwanda
Services
7223 2786.07 HHS/Centers for National Program 4340 115.07 Strengthening $2,700,000
2786 2786.06 HHS/Centers for National Program 2564 115.06 Strengthening $1,000,000
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $200,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Program Budget Code: 05 - HMIN Biomedical Prevention: Injection Safety
Total Planned Funding for Program Budget Code: $1,253,935
Total Planned Funding for Program Budget Code: $0
Table 3.3.05:
