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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
1. Elaboration of activities:
In FY 2009, PEPFAR will continue to maintain 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 of
laboratory technicians and other health care workers, and care and treatment services nationally. The NRL
has been a close collaborator in PEPFAR efforts for many years and has benefited from PEPFAR technical
and financial support through several implementing partners. Substantial resources have already been
invested in NRL by CDC and Columbia including, support for infrastructure, technical activities and
management capacity. Support will continue in FY 2009 through CDC direct technical support, laboratory
coalition partners (ASCP, ASM and APHL) and through continued funding of the NRL cooperative
agreement.
NRL cooperative agreement activities in FY 2009 include support for human resources (new positions for
laboratory managers, technical positions and training), infrastructure maintenance and select QA activities.
In FY 2009, 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 HIV viral load testing, TB culture and identification plus
susceptibility testing to first-line drugs and extra pulmonary TB diagnosis at the CHUB and CHUK referral
laboratories. The NRL cooperative agreement funds will support building repairs needed to maintain the
NRL laboratory and the training of laboratory network 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 (ACM) and NRL maintenance unit, 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, HIV drug resistance and the national ART program
evaluation activities. Laboratory staff supported by the NRL 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 laboratory network. 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
trainers/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
continuing activity in FY 2009 will be the implementation of a laboratory information system to manage
laboratory data and support HIV and AIDS patient care. A new activity for FY 2009 will be to work toward
accreditation of the NRL to WHO standards.
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, biochemistry/hematology, OIs, TB, malaria and good laboratory
practices. Commodities needed to conduct all of the above activities will be procured through the SCMS
activity in FY 2009. Continuation of laboratory tool standardization and maintenance and expansion of the
national laboratory information system will be supported.
New/Continuing Activity: Continuing Activity
Continuing Activity: 12863
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
12863 4976.08 HHS/Centers for National 6318 3497.08 National $1,400,000
Disease Control & Reference Reference
Prevention Laboratory Laboratory
7224 4976.07 HHS/Centers for National 4341 3497.07 National $630,000
4976 4976.06 HHS/Centers for National 3497 3497.06 National $600,000
Emphasis Areas
Construction/Renovation
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $300,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.16:
