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
USAID/Rwanda has three continuing staff engaged through the Global Health Fellows Program, and will
support a fourth position in FY 2008. Funding for these positions is distributed in HVAB, HVOP, HTXD,
OHPS and HVMS. Continuing Fellows are an HIV/AIDS Prevention Advisor, a Logistics Advisor and a
Senior Technical Advisor in the Program Office. For FY 2008, EP Rwanda proposes to add a
GFATM/Donor Coordination Advisor to be located in the GFATM office.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17063
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17063 17063.08 U.S. Agency for Public Health 7539 7539.08 GHFP $200,000
International Institute
Development
Table 3.3.02:
ACTIVITY UNCHANGED FROM FY 2008:
In FY 2009, PEPFAR will support a Commodity and Logistics Advisor position through USAID's Global
Health Fellows Program. This activity includes personnel costs, equipment and services to support
PEPFAR management.
Continuing Activity: 16773
16773 16773.08 U.S. Agency for Public Health 7539 7539.08 GHFP $150,000
Program Budget Code: 16 - HLAB Laboratory Infrastructure
Total Planned Funding for Program Budget Code: $5,402,948
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
PEPFARs FY 2009 laboratory strategy builds on a tiered national laboratory system for creating sustainable infrastructure to
support care and treatment of HIV-infected patients. The funding from FY 2008 is providing support and technical assistance to
four key GOR institutions: 1) National Reference Laboratory (NRL); 2) University Teaching Hospital of Butare (CHUB); 3)
University Teaching Hospital of Kigali (CHUK); and 4) Kigali Health Institute (KHI). A five year strategic plan for the NRL was
established in 2006 and revised in 2008, and PEPFAR activities support that plan. The program is working with the Ministry of
Health (MOH) to further develop this strategic plan in cooperation with President's Malaria Initiative (PMI), Global Fund (GF),
World Health Organization (WHO) and other in-country stakeholders.
The national laboratory policy and strategic plan includes, but is not limited to the following activities: national laboratory policies
for minimal laboratory standards for each tier of the laboratory network; integration of clinical diagnostic laboratory services; plans
for harmonizing and maintaining laboratory equipment; inventory management and national forecasting of laboratory supplies,
reagents and test kits; plans for quality assurance programs; human capacity development; and standards for laboratory
information systems. Using this approach will provide a strategic vision and a better understanding of the function of laboratory
network, appropriate coordination of funding and a dedication of resources for increasing laboratory infrastructure where the
greatest needs exist. The NRL will coordinate all partners' activities within the laboratory network.
In FY 2009, PEPFAR will support NRL to strengthen linkages in the national tiered laboratory system. This includes laboratories,
in the national system that are linked from NRL to regional sites to district hospital sites to primary care site laboratories. NRL
supports 318 PMTCT, 315 VCT and 209 ART sites. The laboratory is comprised of more than 400 health centers, 42 district
hospitals, numerous private laboratories and 5 regional laboratories and 2 university teaching laboratories. NRL will continue to
improve the following infrastructure systems: financial, coordinated procurement, overall quality assurance, laboratory networks
and referrals, and laboratory information systems. NRL will continue to support human capacity development through specialized
training and ongoing technical assistance with special emphasis in FY 2009 on new CD4 count technologies suitable for primary
care, new HIV test technologies, training non-laboratory personnel to perform rapid HIV testing using finger prick method of blood
collection and new lab technicians for OI diagnosis and continue to improve the HIV prevention, care and treatment, TB and
malaria quality control programs.
The early infant diagnosis (EID) program currently supports 126 PMTCT sites to collect dried blood spots (DBS) from children
born to HIV-infected mothers. In FY 2009, the program will be scaled up to support a total of 178 PMTCT sites. In FY 2009, the
program will train 200 nurses and laboratory staff in DBS collection, in addition to laboratory technicians to support the
continuation of scale up of infant testing.
The USG will fund the laboratory coalition partners (Association of Public Health Laboratories (APHL), American Society for
Clinical pathology (ASCP), and the American Society for Microbiology (ASM) to support the NRL. These partners will provide
technical assistance to NRL to develop procedures and standards, to obtain international laboratory accreditation and to
implement OI and STI diagnostic assays. ASCP will be engaged in developing human capacity through curriculum improvements
to standardize in-service training materials and to expand support for pre-service training of laboratory technicians at KHI. ASM in
cooperation with Columbia ICAP will partner to work closely with NRL to improve TB culture laboratories and to strengthen TB and
malaria QA/QC. ASM will also work to improve the laboratory support for the diagnosis of OIs and STIs. Consultants will also be
identified who can provide technical assistance for better management of the tiered laboratory system.
In FY 2009, PEPFAR will continue to support sustainable laboratory systems by providing TA for training in OI diagnosis with
emphasis on MDR and extra pulmonary TB and parasitic infections at CHUB, CHUK and NRL. NRL will provide training in new
techniques to support program evaluation and surveillance and molecular virology techniques for HIV drug resistance surveillance
at five regional clinical diagnostic laboratories. The USG will continue to support long-term technical positions at the NRL to
assure quality HIV-related laboratory services through training and day-to-day mentorship of NRL staff. The USG will also
continue bolstering management and financial capacity at the NRL by maintaining the long-term laboratory management advisor
position and supporting improvements to the data management system for tracking specimens and reporting functions. In FY
2009, PEPFAR will support priority basic program evaluations, such as an evaluation of HIV rapid testing algorithms to support
provider initiated testing by non-lab personnel, an evaluation of simple technologies for CD4 and CD4% testing, and in-country
validation of rapid cryptococcal antigen testing.
In FY 2009, SCMS with assistance from the NRL will be responsible for the procurement of all laboratory commodities purchased
by PEPFAR through direct support to CAMERWA for the procurement, storage and distribution of all medicines, equipment and
laboratory supplies. This consolidated approach to procurement will increase cost savings and improve efficiencies in
procurement and distribution of commodities. It also supports building infrastructure within the country to support distribution of
laboratory commodities. SCMS will also take over the support of the CPDS and logistics management activities to ensure smooth
functioning of the CPDS system, quality data for quantification and strong communication between districts and CAMERWA.
Given a strong willingness to develop a highly functional national network, the USG is working with NRL to establish standard
practices which will facilitate more efficient delivery of services.
Table 3.3.16:
Continuing Activity: 17120
17120 17120.08 U.S. Agency for Public Health 7539 7539.08 GHFP $43,578
Table 3.3.18:
Noted April 24, 2008: Budget cut to fund required M&S adjustment, and to partially fund position to be filled
through another mechanism.
USAID/Rwanda has three continuing staff hired through the Global Health Fellows Program, and will a
fourth position will be added in FY 2008. Funding for these positions is distributed in HVAB, HVOP, HTXD,
OHPS and HVMS. The funding for each of these positions is spread across no more than three technical
areas. Continuing Fellows are an HIV/AIDS Prevention Advisor, a Logistics Advisor and a Senior Technical
Advisor in the Program Office. In FY 2008, EP proposes to add a GFATM/Donor Coordination Advisor to
be located in the GFATM office.
Continuing Activity: 16772
16772 16772.08 U.S. Agency for Public Health 7539 7539.08 GHFP $50,000
Table 3.3.19:
