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: 2010 2011 2012
1. A unique approach to implementing HIV laboratory measurement in rural, resource poor primary health care settings.
2. South Africa is dealing with an advanced epidemic of HIV-1 infection and AIDS with an estimated 500,000 new infections per annum and the current imperative to get 1 million people on antiretroviral therapy (ART).The problem is huge and requires courageous and creative interventions with involvement of all of civil society.
3. Laboratory measurement underpins all aspects of HIV management including basic care of patients, administration and evaluation of programmes and even impact on whole communities. While the bulk of HIV management must reside at primary health level, the current pathology paradigm excludes contemplation of performing key tests such as CD4+ lymphocyte level and HIV viral load at primary health level on the basis of feasibility and cost. In rural and resource poor settings this complicates the provision of quality care and places stress on centrally based laboratory facilities.
4. One of the benefits of this model is that laboratory measurement empowers peripheral facilities to deploy task-shifting or down-referral, thus extend the healthcare footprint for HIV (and by implication for other chronic diseases as well) without compromising the quality of patient care.
5. Prior to the commencement of this programme Toga laboratories had evolved a facilitated, peripheral
laboratory solution utilising purpose built and converted shipping containers or modified buildings, together with highly functional communication. This solution continues to be operational in three different settings, including in association with a Government programme in the Western Cape. Experience gained during the implementation of the proof of concept confirmed that clinical support based on a comprehensive menu of appropriate HIV pathology tests performed in a community setting is both affordable and technically feasible.
6. The scope of this project includes the placement of 15 such peripheral laboratories in association with established and growing clinical HIV programmes in rural and/or resource poor settings, each capable of supporting 8-10,000 people on ART.
7. The qualification of candidate sites for the programme is best contextualized within the development of the concept of the Autonomous Treatment Centre where all aspects of HIV are managed within a community clinic setting. The service includes the ability to offer infant diagnosis in support of PMTCT programmes.
8. The complex of activities and expenditure includes: 8.1. Project management. 8.2. Laboratory container conversion. 8.3. Information systems for laboratory test requesting and resulting. 8.4. Configuration and placement. 8.5. Staffing and human resource support. 8.6. Implementation and operational management. 8.7. Training and continuous professional development. 8.8. Quality system management and accreditation (SANAS [South African National Accreditation System] or ISO/IEC 17025 progressing to ISO 15189 standards). 8.9. Itinerant and backup support. 8.10. Site sustainability planning.
9. The successful implementation of this project may be determined by reference to the 'deliverables' listed below. 9.1. Deployment of containerised laboratories. 9.2. Empowerment through informatics. 9.3. Test and patient metrics. 9.4. Skills development. 9.5. Partner leveraging.
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