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: 2009 2010 2011
The objectives of this planned activity are to (a) provide training and onsite coaching of bio-medical technicians in the use of lab equipment, (b) develop job aids that will help reinforce what trainees have learned, (c) establish maintenance protocols that will be institutionalized, and (d) identify needed repair parts and consumables that might be sourced from the U.S. These objectives contribute to Partnership Framework Goal 1: Service Maintenance in that they strengthen facility-based care activities (ART, PMTCT, and TB/HIV).
The anticipated primary implementing partner of this PPP will be Global Assistance in Medical Equipment (GAME). With offices in Atlanta GA near the CDC international headquarters, GAME is a voluntary coalition of global medical device experts who began their work in Kosovo in October 2005. In February 2009, GAME entered into a partnership with the World Health Organization (WHO) and the ministries of health of Tanzania, Uganda and Kenya to conduct a training program that included lab training and technology support management on equipment such as CD4 counters, chemistry and hematology analyzers.
PPPs inherently are targeted leveraging mechanisms. In this instance it is envisaged that GAME, as appropriate, will mobilize expertise from the American College of Clinical Engineering and secure assistance from MedShare International, which has provided high quality, donated medical equipment and supplies to 80 developing countries since 1998. In Tanzania GAME enjoys a working relationship with the Department of Continuing Education and Professional Development at Muhumbili University of Health and Allied Sciences and with Orbis International and its partner, the Dar-es-Salaam Institute of Technology (DIT). While the provision of seed financial assistance is an important contribution of PEPFAR, the more important aspect of this activity is facilitating the renewal and strengthening of these linkages, including those already formed in the February 2009 with the Ministry of Health and Social Work (MOHSW).
The national laboratory services (NHLS) testing platform consists of low, medium to high volume automated equipment. The MOHSW currently does not have sufficiently competent biomedical engineers who can appropriately design an efficient equipment maintenance scheme for the program. Most of this automated equipment is under service contract between MOHSW and a commercial vendor. However, the non-automated and non-HIV/AIDS equipment like centrifuges, incubators, fridges etc. are not in the contract. Strengthening capacity of the five zonal workshops through training of biomedical/technicians and provision of spare parts and tools will greatly improve NHLS equipment viability. This activity will also include the transfer of skills to the MOHSW in how to negotiate service contracts with equipment manufacturers. GAME is required to submit quarterly progress reports that document the results being achieved.
Medical equipment in developing countries often lacks the appropriate monitoring, maintenance and operation to maximize its planned lifetime use. WHO estimates that 20-40% of sophisticated medical equipment in developing countries is underutilized or never used at all due to the lack of sufficient operating staff, installation and maintenance capacities, and medical expertise. WHO also estimates that 30-80% of medical equipment potential lifetime use is never realized due to inexperienced operators and the lack of repair and maintenance. The anticipated primary implementing partner of this PPP will be Global Assistance in Medical Equipment (GAME). It is envisaged that GAME, as appropriate, will mobilize expertise from the American College of Clinical Engineering and secure assistance from MedShare International, which has provided high quality, donated medical equipment and supplies to 80 developing countries since 1998. While the provision seed financial assistance is an important contribution of PEPFAR, the more important aspect of PEPFAR is facilitating the renewal and strengthening of these linkages, including those already formed in the February 2009 with the Ministry of Health and Social Work. Through the provision of training and creation of technical manual job aids, GAME will develop a cadre of bio-medical technicians that can better operate and maintain medical equipment in both public and private facilities. In this way PEPFAR lays the foundation for its exit.
