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: 2011 2012 2013 2014
Efficient, appropriate and reliable laboratory services are essential and fundamental components of an effective, well-functioning health system. High-quality laboratory testing is critical for prevention , disease surveillance outbreak investigations and patient care.
The APHL supports the development of quality laboratory services and provides technical assistance to the MOH in the implementation of the National Laboratory Strategic Plan to achieve comprehensive quality of laboratory services. This is in line with the APHL vision of a healthier world through quality laboratory practice and in agreement with PEPFAR program strategy of ensuring a strong national network of laboratories that provide quality services as well as developing qualified technical personnel.
The focus of the APHL technical assistance to the MOH is to establish a quality laboratory management system (QMS) at all levels of a national tiered laboratory system. A QMS is a systematic approach that describes, documents, implements, measures and monitors the effectiveness of laboratory work operations in meeting international, national, regional, local and organizational requirements and promotes the efficient use of resources. Through working on the 12 quality system essentials, it is expected that by the end of FY12, two laboratories will be able to enroll into the WHO stepwise laboratory improvement process towards accreditation (SLIPTA).
Laboratories play vital roles in disease diagnosis, surveillance, patient care and management. Accurate and timely laboratory analyses are critical in identifying, tracking and limiting public health threats. Optimal functioning of the public health system to curb these threats is dependent on uniform and quality laboratory services and testing, which also depends on a well-organized laboratory network, adequate skilled workforce, and good infrastructure.
In order to improve the quality of laboratory services, APHL will provide technical assistance and support to the MOH to develop quality management systems (QMS) at the National Public Health Laboratory (NPHL) and at all levels of the laboratory system. The QMS is expected to provide an opportunity to deliver consistent, high-quality and cost effective laboratory services. Critical areas for the implementation of QMS in FY 12 will include organization, personnel, facilities and safety, documents and records and purchasing and inventory and information management.
APHL will develop and distribute a quality manual, which will state the quality policy, quality system and quality practices for laboratory services in South Sudan. The quality manual will provide guidelines for meeting quality system requirements and demonstrates managements commitment to quality.
APHL will provide training to laboratory managers on laboratory leadership and management. It will also train quality managers on ISO 15189 implementation. These trainings will be for managers in the NPHL, regional hospital laboratories and the state hospitals laboratories, and are expected to lead to enrolment of two laboratories into the WHO stepwise Laboratory process towards accreditation.
APHL will support the MOH in the development of documents such as standard operating procedures for routine laboratory tests including HIV, STIs and opportunistic infections, job aids, instructions on handling incoming specimens, and quality control charts and trouble-shooting instructions. These documents will be available at each testing site in the laboratory.
In order to continuously monitor quality systems, it is essential that laboratories have record keeping procedures in place. Most of the laboratories do not yet have proper recording practices. Therefore, APHL will work together with the MOH to ensure that there are standardized laboratory request and reporting forms, registers, quality control, External quality assurance, equipment maintenance, personnel, specimen referral and inventory records are available in the laboratory.
In FY12 APHL will introduce a paper based Laboratory Information Management system to all ten state hospital laboratories; an assessment will be done to determine if a paper or electronic system will be established at the NPHL, referral laboratories and Al-Sabaha Childrens Hospital and technical assistance provided to implement the most feasible system in each of these sites.
In order to ensure safety of personnel and environment, APHL will support the MOH in the development of a national biosafety and biosecurity guidelines, and implementation of the guidelines at all levels of the laboratory system.
