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 2013
TITLE: Increasing Laboratory Capacity to Support HIV/AIDS Care and Treatment
Since 2005, the USG laboratory partner American Society of Clinical Pathology (ASCP) has worked to strengthen the quality of laboratory personnel for the Tanzanian Ministry of Health and Social Welfare (MOHSW). The success of ASCP projects over time is marked by its advance from in-service to pre-service and mentorship programs. ASCP's accomplishments to date include: Training of Trainers for Chemistry, Hematology
and CD4; technical assistance for regional roll-out trainings; simplification of Chemistry, hematology and CD4 modules to facilitate continued lower level trainings; curriculum review for certificate and diploma level, teaching methodology workshop for laboratory school faculty; development of supplemental materials to be presented to school tutors through partnerships with US based Universities; Review and modification of facility-level Laboratory Management modules and training of trainers for facility level management training.
ASCP first focused its program development on in-service laboratory training. ASCP closely links its activities with MOHSW, AMREF, and other USG laboratory consortium partners including: CLSI, APHL, and ASM. The institution works with these partners to strengthen HIV/AIDS laboratory standards. In 2010 ASCP will also work with the Joint Commission International (JCI) to accomplish accreditation activities. Coordination with the MOHSW will enable the ASCP to link with Care and Treatment implementing partners (IPs). ASCP will use this linkage to continue providing oversight in CD4, Chemistry and Hematology in-service training and quality assurance (EQA) at NHLQATC.
Having achieved remarkable progress in its in-service program, In 2008/9 the ASCP initiated pre-service training support program aiming at integrating HIV and AIDS material in the teaching curriculum so that the new graduate are ready for the HIV and AIDS national care and treatment program. ASCP pre-service training activities included curriculum review, tutors teaching methodologies and mentorship program. The reviewed curriculum followed a National accreditation committee for technical Education (NACTE) format which is a competence based curriculum modules in which the graduate is certified at any exit level to carry out specific tasks. The candidate may enroll at level NTL4 and may exit at this level as lab apprentice able to perform certain tasks, similarly may exit at NTL 5 as lab assistant certificate level or NTL 6 as a diploma holder each level takes one year and is incremental. In 2010 ASCP will continue supporting these pre-service schools by procuring: laboratory training equipment, class room teaching equipment, textbooks, and other essential teaching materials. ASCP will also procure these items for the Dar Institute of Technology. ASCP, in collaboration with MOHSW and CDC will develop a curriculum for one-year auxiliary staff training program which will assist in certifying an increased number of lower level apprentice to meet the growing demand for health-center level workforce as the care and treatment program expands into 700 new sites.
NHQALTC accreditation will also contribute to sustainability by providing a national quality assurance laboratory capacity to carry out quality assurance activities in the country which will serve to assure the Ministry of Health, the Government, and licensing bodies and clinicians that laboratories have documentation to prove their capability to carryout diagnosis and diseases surveillance. In 2010 ASCP will assist the MOHSW in the realization of that accreditation. To do so, an ASCP will provide a consultant on two one-month technical assistance trips. The consultant is to assist the NHLQATC on accreditation preparation.
In FY 2009, ASCP initiated mentorship and other technical assistance programs. It provided school's faculty with training methodologies trainings for the reviewed curriculum ASCP facilitated this program by pairing American university faculty members with each of the five Tanzanian zonal schools. In 2010 ASCP will continue to provide mentorship at diploma and certificate schools. ASCP mentors will provide seminars to students; teachers will be available to serve as tutors for designated subjects. ASCP designed this activity to build the local capacity necessary for long-term sustainability.
The USG laboratory program fosters the development of the national laboratory network, including the establishment of a National Health Laboratory Quality Assurance and Training Center (NHLQATC) as the networks nucleus of public health. Designed to serve as a national center for quality assurance and training center. For this reason the NHLQATC requires accreditation according to international standards.
In 2010 ASCP will collaborate with Clinical and Laboratory Standards Institute (CLSI), the Association of Public Health Laboratories (APHL), and the American Association of Microbiology (ASM) in strengthening specific areas according to their program area of specialty in the NHLQATC
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ASCP will continue monitoring and evaluation (M&E) activities for past and current training activities. In 2010 the ASCP M&E plan will include methods of observation as well as checklists based on training materials, primary interviews, and regular laboratory assessments. ASCP also plans to develop M&E national capacity by developing and introducing M&E training module using train the trainer approach at national level. The focus groups for the training are; implementing partners, quality officers, and laboratory managers. This training will focus on M&E methods, previous training activities, and the skill sets or expressed training needs of new personnel.
Establish Continue Medical education program at NHLQATC
Support pre-service training for lab schools by bringing in addidtional turors to mentor local tutors on the reviewed curriculum in three schools and procuring texts books, teaching lab equipment and teaching aids.
