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.
This activity relates to 8585-CT. Blood safety is a crucial element in the prevention of HIV/AIDS transmission, and a life-saving treatment for children with severe anemia, due to malaria, and management of severe anemia and hemorrhage as complications of pregnancy and childbirth. Currently, the majority of patients that need blood transfusion in medical wards are HIV/AIDS patients. Safe blood therefore, is important in the overall management of AIDS patients and in supporting the national anti-retroviral therapy program. The main goal of the Uganda Blood Transfusion Service (UBTS) is to attain and maintain an adequate, sustainable supply of safe blood and blood products for treatment of all patients in Uganda's hospitals. Our sub partner in the blood safety program, the Uganda Red Cross Society (URCS), also shares this goal. URCS implements activities that involve community mobilization, blood donor recruitment and counseling. UBTS on the other hand, conducts some counseling, blood collection, transportation, testing, storage and distribution. Other activities of UBTS include training, monitoring and evaluation, and appropriate clinical use of blood. The rehabilitation of the two regional blood banks, Mbale and Mbarara, is expected to be completed by December 2006. The laboratories at these facilities will receive power backup generators in addition to the laboratory at Nakasero Blood Bank. No new equipment or vehicles will be purchased in FY06. In spite of budgetary constraints, UBTS/URCS will be able to collect 150,000 units of blood and thus attained their target for this indicator. Performance targets originally set for FY06 were revised downwards because of funding constraints. By the end of FY06, 100% of all blood donors will be voluntary non-remunerated donors. The main focus in FY 07 is to increase the proportion of repeat donors by 10% to 60%, and increase the number of blood donor clubs, a strategy aimed at increasing the proportion of low-risk donors. The main goal is to recruit 130,000 low-risk volunteer donors to provide the estimated 180,000 units of blood needed by about 230 health facilities mandated to conduct blood transfusion in the country in FY 07. These activities are jointly planned with the URCS. The current average frequency of donation per donor is about 1.25 donations a year. This will be increased to a frequency of 1.3 donations per year, which will be made possible through improved communication with blood donors, a process initiated in FY06. The planned increase of blood collection teams, which could not be effected in FY 06, will now be realized; 20 blood collection teams will be operational in FY07 to complete the expanded network planned under this PEPFAR support. Daily monitoring of the operations of these field teams and provision of necessary logistical support will ensure increased efficiency of the teams. Strategies that have been developed for effective recruitment of low risk donors will be further reviewed to ensure that HIV prevalence among blood donor population is less than 1.5%, a target originally set for FY 06. Post-donation counseling, which is effective in eliminating blood donors testing positive for TTI from the donor pool will be further emphasized; UBTS with URCS will target 60% of all donors to receive their TTI results. In FY 07, the communication strategy will continue to be implemented to encourage behavior change among blood donors and the general public. More materials will be developed for effective blood donor education including leaflets, television programs and video shows. The use of personal digital assistants (PDA) to collect, store and retrieve donor information has proven to be an effective strategy in the field to access information on any donor, including identifying TTI positive blood donors, who may return to donate. Training on the use of PDA was started in FY 06, and will be completed in all the regions in FY 07. The rollout of the PDA for donor screening and registration will improve efficiency and accuracy of blood collection activities. Retraining of counselors in the use of revised data collection instruments for both pre- and post-donation counseling will continue in FY07. Procurement of reagents for testing of TTI - HIV, Hepatitis B and C and syphilis will continue in FY07. Test kits for all TTI are the most costly component of the program, taking up about 30% of the funds. For 180,000 units of blood to be collected, 216,000 tests (180,000 plus 20% for repeats and QA) are expected for each of the four TTI. Testing algorithms will be reviewed to ensure that the most effective methodologies continue to be used. Work on development of standards and quality manuals, and training in use of these materials will continue as a step towards completion of the Quality Assurance program. To address the inadequate infrastructure at the national referral laboratory at UBTS headquarters and a regional blood bank in northern Uganda construction of new structures in collaboration with Regional Procurement and Services Overseas (RPSO) will be undertaken in FY 07. The expansion of the work space area of the national referral laboratory will enable testing of increased amounts of blood, and quality assurance support to UBTS regional laboratories; and construction of a regional blood bank in the north will address the need for increased services. As a new proposed activity, UBTS intends to extend laboratory quality assurance support to other PEPFAR
funded programs performing HIV counseling and testing activities. More equipment will be purchased for testing, and proper storage of blood. In view of erratic supply of electricity in the country, backup generators will be purchased for regional centers that have not benefited from the FY06 provision of generators. Vehicles will be purchased for half (10 in each category) the blood collection and community mobilization. These teams did not receive vehicles in FY 05. During the FY07 the M & E program will be strengthened by the appointment of a specific person for this activity. Further collaboration with CDC partners, in-country, will be sought to ensure more effective M&E that will support efforts to realize our stated goal and objectives. Training in all UBTS departments will continue to reflect the need for improvement in those areas identified through M&E. Specific training is planned for the following cadres of staff: UBTS Technicians (20), UBTS mobile team staff (40), UBTS and URCS Blood Donor Recruiters (20), UBTS and URCS Counselors (40), MIS staff (25), Finance and Personnel (15), Medical Doctors and Clinical Officers (150), Hospital Blood Bank Technicians, one from each of the 165 hospitals (165). Development of efficient IT program initiated in FY06 will also be finalized in FY07. UBTS in collaboration with the PEPFAR blood safety technical assistance Sanquin Consultants and the Makerere University Medical School, in FY 06 started training programs in appropriate clinical use of blood for doctors and medical students. This activity will continue in FY07 with further plans to integrate specific training in blood safety in medical school curriculum. The Ministry of Health adopted a National Blood Transfusion Policy in 2005; the legal framework for UBTS will be finalized in FY07. This will support further development of enabling policies and the establishment of a strong autonomous institution and largely ensure sustainability. The staff structure for UBTS currently being formulated will be finalized to enable all key staff to be recruited; this is a pre-requisite for efficient operations. In FY 07 UBTS plans to have a motivated and self-driven workforce in place as well as a human resource development plan with conducive human resource policies catering for training, improved facilitation including provision for allowances.
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Targets
Target Target Value Not Applicable Number of individuals trained in logistics pull system for VCT Number of laboratories with capacity to do HIV tests Number of laboratories with capactiy to perform CD4=1 Number of service outlets providing counseling and testing 1,700 according to national and international standards Number of individuals who received counseling and testing for HIV 108,000 and received their test results (including TB) Number of individuals trained in counseling and testing according to 25 national and international standards
Target Populations: Adults
Coverage Areas: National
Table 3.3.09:
