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:
American Society for Clinical Pathology (ASCP) is a not-for-profit medical society organized exclusively for
educational, scientific, and charitable purposes. ASCP provides laboratory support and assistance in
building human resource capacity and laboratory infrastructure for diagnostic testing in clinical laboratories
within PEPFAR countries. In FY 2009, PEPFAR will continue a partnership with ASCP building upon FY
2007 and FY 2008 activities initiated by CDC and Columbia UTAP in support of Kigali Health Institute (KHI).
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. CDC and Columbia renovated and equipped KHI's training
laboratory, more than tripling their classroom capacity. With FY 2007 resources, ASCP provided TA to KHI
to strengthen its laboratory training program. Funding supported laboratory curriculum development, direct
support for laboratory training for 75 students and continued infrastructure strengthening. ASCP worked
with KHI to begin developing 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.
FY 2008 funding is developing a program curriculum for lab technicians for in-service training that will
qualify them to move to a higher grade level of competency as well as finishing the pre-service curriculum.
This in-service program will enable technicians to move up the academic scale and perform at a higher level
laboratory that performs more sophisticated testing. These activities address the Rwanda PEPFAR five-
year strategic goal of building sustainable laboratory human capacity.
In FY 2008, ASCP will complete the curriculum development for KHI. In addition to improving the
curriculum, ASCP is working with KHI faculty to improve their teaching skills and training resources. ASCP
is also supporting the National Reference Laboratory and the Laboratory Network of Rwanda. Training in
Hematology is being provided to coincide with the installation of new Sysmex hematology instruments for
laboratories supporting ART sites. The NRL maintains a group of trainers at the NRL and throughout the
Laboratory Network to provide training to district hospital and health center level technicians. The ASCP is
working closely with this group of technicians to provide training of trainers in FY 2008.
In FY 2009, ASCP will focus on three main activities: 1) support to KHI's faculty and pre-service program; 2)
support for in-service training for NRL and the Laboratory Network; and 3) support the NRL to achieve
accreditation to WHO standards.
ASCP will continue to support KHI to improve its curriculum as additional requirements are added to the
program. ASCP will focus on in-service training curriculum in support of the Rwandan government's policy
that all in-service training activities be a permanent part of any pre-service curriculum. In addition, ASCP
will continue to work with KHI faculty to improve their teaching skills and will assist to improve the
educational resources for the institution. ASCP will work with the NRL to provide in-service training in
hematology, biochemistry, CD4 testing, phlebotomy and laboratory management. This is a critical element
as new automated equipment is introduced into the laboratory network with greater emphasis on quality
assurance. ASCP will also work with the NRL to achieve accreditation of its laboratory services. The WHO
has introduced a program for laboratories in Africa to achieve accreditation. ASCP will provide technical
assistance to the NRL to meet these standards to become an accredited institution. ASCP and CDC,
working together, will enhance laboratory systems of Rwanda by implementing comprehensive laboratory
quality assurance programs and conducting integrated laboratory training.
In FY 2008, other coalition partners are 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.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16895
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16895 16895.08 HHS/Centers for American Society 7587 7587.08 Lab Coalition $400,000
Disease Control & of Clinical Partners
Prevention Pathology
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
Table 3.3.16:
