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.
In FY 2010, PEPFAR will continue to maintain an agreement with the National Reference Laboratory
(NRL) for direct funding of certain key reference laboratory functions. These functions include the following: 1) assisting the laboratory network to develop quality systems for their laboratories; 2) provide external quality assessments for the laboratory network; 3) provide reference testing for the laboratory network; 4) perform operational research; 5) training for the laboratory network; and 6) strategic planning for laboratory services.
As the lead institution in Rwanda's national laboratory network, the NRL plays a critical role in the successful expansion of HIV programs in prevention, diagnostics, training of laboratory technicians and other health care workers and support for care and treatment services nationally. The NRL has been a close collaborator in PEPFAR efforts for many years and has benefited from PEPFAR's technical and financial support through several implementing partners. Resources have already been invested in NRL by USG to support infrastructure, technical activities and management capacity. Support will continue in FY 2010 through USG direct technical assistance, laboratory coalition partners (ASCP, ASM, APHL and CLSI) and through other partners such as Columbia University and the University of Maryland. The NRL will conduct training for its laboratory personnel and support staff in good laboratory practices and laboratory management. The NRL will conduct integrated laboratory training workshops on HIV, malaria, and tuberculosis diagnoses and quality assurance/quality control, microbiology, biochemistry and hematology programs.
In the areas of data management and evaluation, the NRL will organize a monitoring and evaluation (M&E) team to monitor the performance of laboratory activities such as supervision visits, refresher training, laboratory test data and quality assurance data from the laboratory network. The NRL will hire a M&E expert to lead this team. External quality assessments (EQA) will continue to be a major emphasis of the NRL's oversight of the laboratory network. To expand EQA to all levels of the laboratory network and to decentralize the program, district hospital laboratories will provide EQA oversight for health centers in their districts and the NRL will provide EQA oversight for district and university hospital laboratories.
The NRL will train lab staff in the management of donor funds, drug susceptibility testing, ARV drug resistance testing, laboratory logistics management, and quality management systems to improve their managerial and technical skills. The NRL will conduct an assessment of the laboratory network to determine if service delivery meets the needs of the clinical programs.
The NRL will continue to improve the maintenance program for equipment at the NRL and in the laboratory network. Maintenance contracts will be purchased for all equipment and a maintenance plan
will be put in place for the laboratory network. The NRL will work with Atelier Centre de Maintenance (ACM) to expand and improve its maintenance and oversight of equipment in the health sector including the laboratory.
The Government of Rwanda (GOR) is planning to develop a new organizational structure for the Ministry of Health. This new structure is referred to as the Rwanda BioMedical Center (RBC). This new center will encompass all of the institution within the MOH including the National Reference Laboratory. This new organizational structure will require new infrastructure for the MOH and all of its institutions. This new infrastructure will allow the NRL to increase its available space and expand laboratory services. In FY 2009 and into FY 2010, the NRL will develop infrastructure plans for the National Reference Laboratory and for the Rwanda Laboratory Network. This infrastructure plan will be a collaborative endeavor as the World Bank is committed to assisting the east African community to build laboratory infrastructure and improve laboratory services for the region. With this new collaborative effort, laboratory services will improve greatly in the near future.
The purchase of laboratory equipment and reagents for the NRL and the Rwanda Laboratory Network is managed by CAMERWA with assistance from the Partnership for Supply Chain Management (SCMS). Some specialized pieces of equipment (PCR and sequencing equipment) will be purchased by the NRL directly. The NRL will continue to work with CAMERWA and SCMS to develop a logistics management information system (LMIS) to improve procurement, inventory management and quantification activities for the laboratory network.
The NRL will continue to work with the Association of Public Health Laboratories to implement a laboratory information system for the NRL and for its expansion to other sites within the laboratory network.
The USG will continue to support the NRL to perform operational research, develop protocols and analyze data as a means of program evaluation, the introduction of new testing methodologies and strategic planning for the laboratory network in Rwanda.
Staff development and capacity building will continue to be emphasized in FY 2010. The USG will assist the NRL in salary support and other programs designed to improve staff commitment and effectiveness, such as performance based financing.
COP FY 2010 In FY 2010, PEPFAR will continue to maintain an agreement with the National Reference Laboratory (NRL) for direct funding of certain key reference laboratory functions. These functions include the following: 1) assisting the laboratory network to develop quality systems for their laboratories; 2) provide external quality assessments for the laboratory network; 3) provide reference testing for the laboratory network; 4) perform operational research; 5) training for the laboratory network; and 6) strategic planning for laboratory services.
As the lead institution in Rwanda's national laboratory network, the NRL plays a critical role in the successful expansion of HIV programs in prevention, diagnostics, training of laboratory technicians and other health care workers and support for care and treatment services nationally. The NRL has been a close collaborator in PEPFAR efforts for many years and has benefited from PEPFAR's technical and financial support through several implementing partners. Resources have already been invested in NRL by USG to support infrastructure, technical activities and management capacity. Support will continue in FY 2010 through USG direct technical assistance, laboratory coalition partners (ASCP, ASM, APHL and CLSI) and through other partners such as Columbia University and the University of Maryland. The NRL will conduct training for its laboratory personnel and support staff in good laboratory practices and laboratory management. The NRL will conduct integrated laboratory training workshops on HIV, malaria,
and tuberculosis diagnoses and quality assurance/quality control, microbiology, biochemistry and hematology programs.
The NRL will continue to improve the maintenance program for equipment at the NRL and in the laboratory network. Maintenance contracts will be purchased for all equipment and a maintenance plan will be put in place for the laboratory network. The NRL will work with Atelier Centre de Maintenance (ACM) to expand and improve its maintenance and oversight of equipment in the health sector including the laboratory.
The purchase of laboratory equipment and reagents for the NRL and the Rwanda Laboratory Network is managed by CAMERWA with assistance from the Partnership for Supply Chain Management (SCMS). Some specialized pieces of equipment (PCR and sequencing equipment) will be purchased by the NRL
directly. The NRL will continue to work with CAMERWA and SCMS to develop a logistics management information system (LMIS) to improve procurement, inventory management and quantification activities for the laboratory network.
Staff development and capacity building will continue to be emphasized in FY 2010. The USG will assist the NRL in salary support and other programs designed to improve staff commitment and effectiveness, such as performance based financing. In FY 2010, the USG will collaborate with NRL in support of long term capacity building needed in the laboratory of CHUK. NRL, in collaboration with CHUB lab, will organize training for one microbiologist and one histotechnician. The USG under the guidance of NRL will assist in the purchase of equipment and reagents for the laboratory and the training of six physicians in anatomical pathology.
