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: 2007 2008 2009
INTEGRATED ACTIVITY FLAG: AABB will use FY 2007 funds to support SANBS in the activities listed below. For detailed descriptions of the SANBS activities, please refer to the SANBS COP (#7394).
SUMMARY:
The American Association of Blood Banks (AABB) has been awarded Track 1 funding to continue providing technical assistance to the South African National Blood Service (SANBS) for purposes of strengthening the blood supply in South Africa. The main focus of this activity is to achieve substantial improvement in the affected transfusion services and their infrastructure, and to improve transfusion safety. The ultimate goal is to effect significant change in the incidence of transfusion-transmitted HIV.
BACKGROUND:
The AABB cooperative agreement was intended to fund technical assistance for six of the 15 PEPFAR target countries. Although this is a continuing activity, this is the first time that AABB activities have been included in the South African COP.
ACTIVITES AND EXPECTED RESULTS:
ACTIVITY 1: Blood Donor Base Expansion:
The focus of this activity is to expand the donor base by including younger and more demographically representative population groups. Blood safety will be achieved by donor education and self-exclusion of those who have a higher risk of HIV exposure. AABB will participate in the development and review of SANBS donor recruitment materials.
In 2006, SANBS conducted a Knowledge, Attitudes, Practices (KAP) survey and geo-demographic segmentation analysis to define and identify effective recruitment strategies in previously untargeted geographic areas to expand the donor base. AABB will participate in the review and interpretation of the KAP survey results.
ACTIVITY 2: Training
Training activities will focus on building human capacity and addressing the skills shortage in SANBS. In order to facilitate knowledge and skills transfer, AABB will provide SANBS with AABB membership and facilitate key personnel to attend the AABB Annual Meeting. They will also provide fellowship opportunities for physicians in transfusion medicine through Emory University. Second, AABB will assist in the development of educational programs for physicians on the appropriate use of blood and other relevant topics. They will also assist SANBS in the creation of a curriculum for the development of research protocols to be included in physician training programs. Lastly, AABB will develop a proposal for the provision of Specialist in Blood Banking (SBB) personnel certification or similar programs.
ACTIVITY 3: Policy and System Strengthening
SANBS recently began using nucleic acid testing (NAT) on all individual blood samples for HIV, HBV and HCV. In FY 2007, AABB will conduct an assessment of SANBS' quality systems to ensure that mechanisms are in place to ensure the safe blood supply.
Currently SANBS is self-regulated but they would like to move towards developing an external accreditation program. AABB will assist with the establishment of the accreditation program to provide more objectivity on the operations of SANBS. AABB will also participate in the development of South African national blood policies, especially regarding notification of blood donor test results.
ACTIVITY 4: IT Systems
Recently, SANBS rolled out the Meditech operational (information) system with technical assistance from AABB. This will allow the management of the blood donor base, analysis of the effectiveness of donor education and selection programs, risk management and the
optimal management of the blood inventory. AABB will continue to provide technical assistance as it is rolled out to all regions. AABB will also assist with the development of M&E systems and Quality Management Systems data reporting for purposes of monitoring improvement to blood safety and blood services operations.
By providing technical assistance to SANBS, AABB will help to ensure that the blood supply is safe and meets the blood supply needs in South Africa. Building local capacity will also ensure the sustainability of SANBS programs.
