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: 2013 2014
The TBD Partner will provide technical assistance to the Ministry of Health (MOH) to strengthen the current blood transfusion services at hospitals while assisting with the development of a national blood transfusion service. The MOHs National Laboratory Policy and Strategic Plan state a need to establish a national blood transfusion service that will follow WHO guidelines for a centralized system reliant on regular, voluntary non-remunerated blood donors (VNRD). Global Fund HRH Round 10 supports establishing three regional blood banks as part of a national blood transfusion service.
The Clinical Laboratories Services in the public sector are provided through three National Teaching Hospitals, seven State hospitals, and seventeen County hospitals. Current blood collection is located within all hospital facilities and is reliant on replacement donations from friends and relatives. All blood transfused is supposed to be tested for HIV, hepatitis B and C, and syphilis.
The overall goal the technical assistance is achieving a safe and adequate supply of blood for South Sudans clinical needs. The objectives are to conduct or use an existing assessment of the blood collection, processing and utilization at hospitals in South Sudan and based on the outcome of the assessment, assist the hospitals and Ministry of Health (MOH) to a) increase blood collections from low risk donors; b) improve blood testing; c) improve monitoring and evaluation; and d) determine training needs and plan a multi-level training program. The initial geographic target will be facilities located in the higher HIV prevalence areas. Over the course of the project, the ultimate coverage will be all public facilities that provide transfusions services.
The MOH is striving to implement a national blood transfusion service; with the limited resources available within the country for blood transfusion safety, the Partner will coordinate activities with the MOH and other stakeholders in South Sudan. The Partner will support the MOH to develop a situational assessment and plan for strengthening the current blood transfusion services within the overall plan for a national blood transfusion service. Currently all blood transfusion services are located in the three National Teaching Hospitals, seven State hospitals, and seventeen County hospitals.
The Partner will conduct a situational analysis/assessment of blood services in South Sudan. Based on the results of the analysis, the Partner will identify gaps that can be improved through technical assistance. This may include assistance to develop a 5 year Strategic Plan in collaboration with the Ministry of Health (MOH) and CDC. It is expected that the following key technical areas will be the focus of the Partners technical assistance; the following are examples only at this stage of the possible direction of Partner activities.
1. Blood collection:
Develop site-specific Standard Operating Procedures (SOPs) for collecting, handling and storing, transporting and distributing blood in and from fixed and/or mobile blood collection facilities.
Advise on how to develop and maintain a system to recruit and retain low risk donors in accordance with the National Laboratory Strategic Plan, i.e., VNRD.
Strengthen the capacity of blood donor recruiters and blood donor counselors.
2.
Blood testing
Develop generic national and site-specific protocols for all required testing of blood: including for HIV and other relevant transfusion-transmissible pathogens; sero-typing and cross matching following Good Laboratory Practices. All testing algorithms should be based on internationally accepted standards and include internal and external quality assurance components.
3. Monitoring and evaluation (M & E)
Provide recommendations and guidance on systems for collecting, managing and analyzing data on key programmatic indicators. This may extend to providing advice and guidance on methods and mechanisms for reviewing and adjusting program activities based on monitoring data. Examples of the use of M&E data may include: a) tracking trends in the prevalence of TTIs in donated blood to adjust donor recruitment practices and/or improve educational materials on ways donors can maintain a healthy lifestyle and reduce their risk of HIV infection; and b) tracking program costs to develop cost-recovery and other systems to ensure the programs sustainability.
4. Training
Develop a training plan for pre-service, in-service and on-the-job training, continuing education and short and long-term career development.
