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
This activity will contribute to the Uganda Blood Transfusion Services (UBTS)activities in Blood Safety #8368 and Counseling and Testing #8585. In FY07 RPSO will contribute to strengthening the UBTS blood bank services throughout Uganda.
Specific activities are to construct a regional blood bank in Gulu, northern Uganda and expand capacity at the national referral laboratory at UBTS headquarters.
The regional blood bank in Gulu currently operates in 3 rooms provided by Gulu regional hospital within the hospital laboratory. It supports 25 health facilities in the region and has a current capacity of 10,000 blood units per year which is expected to increase to 20,000 blood units per year after construction is completed. This new premises will house a blood donor area, blood collection, processing, testing and storage area, blood reception and issuing area and staff offices.
Expansion of the national referral blood bank laboratory at UBTS headquarters is critical as currently the workspace is inadequate to accommodate increased blood processing activities and the new laboratory equipment required. This blood bank laboratory supports 60 health facilities including the national referral hospital in Kampala. The current capacity of 20,000 blood units per year does not meet national demand and will be expanded to accommodate 60,000 blood units per year. This expansion will also provide for increased blood donations, expanded testing and processing areas, and a new reference laboratory with a dedicated quality assurance area, as well as the necessary office space for the Nakasero blood bank staff.
Targets
Target Target Value Not Applicable Number of service outlets carrying out blood safety activities 2 Number of individuals trained in blood safety
Target Populations: Public health care workers Laboratory workers Private health care workers Laboratory workers
Coverage Areas: National
Table 3.3.04: Program Planning Overview Program Area: Medical Transmission/Injection Safety Budget Code: HMIN Program Area Code: 04 Total Planned Funding for Program Area: $ 868,336.00
Program Area Context:
According to the recently conducted literature review to identify the drivers of the HIV/AIDS epidemic, medical transmission modes are not key drivers in Uganda. Medical transmission modes do, however, deserve continued attention because of their potential for spreading HIV/AIDS. USG supports a comprehensive approach to injection safety to support national priorities and meet the needs of the Ugandan people.
The Expanded Program on Immunization (UNEPI) is the first Government of Uganda program to implement injection safety practices. Using the bundling system, UNEPI provides injection materials and safety boxes for all immunizations. USAID provides auto disable (AD) needles and syringes for contraceptive injections and curative services, and safety boxes for disposal of sharps waste. In the past, however, the supply of safety boxes has occasionally not kept up with demand.
Uganda's Ministry of Health (MOH) seeks to establish an environment where health workers, patients, and communities are better protected against transmission of blood borne pathogens. With Track 1.0, USG supports a Making Medical Injections Safer (MMIS) project in 20 districts. A key project goal is to assist the MOH in preventing medical transmission of HIV through rapid reduction of unsafe and unnecessary injections. Increasing the number of districts with MMIS projects is critical, as only MMIS districts receive needles and syringes from National Medical Stores (NMS) with accompanying safety boxes for immediate sharps disposal. Most health units have tried to improvise containers for sharps disposal, but these improvised containers are often ineffective, leaving sharps to be disposed of in a manner that poses a risk of needle stick injuries.
In FY06, MMIS projects trained over 1191 health workers from hospitals and lower level health facilities. The project procured 6,187,600 syringes, 261,275 safety boxes and 995 needle cutters, out of which 2,850,658 syringes and 29,004 safety boxes were distributed through March 2006. The stock status of total syringes at Central level by 28/02/2006 was 4,286,150. Also, in FY06, posters developed in English promoting oral formulations were translated into eight languages and distributed in the relevant districts. In FY07, the MMIS project will continue training and education activities, including conducting monthly radio and TV talk shows both at the National and district level. A community video that focuses on early treatment, use of oral formulations (in preference over injectable formulations), compliance with treatment and appropriate sharps and waste management will be viewed by an estimated 400,000 community members.
While the MMIS project addresses the procurement of AD and needle cutters, the design does not fully address medical waste management. However, through partnerships with WHO and others working in the area of safe injection, MMIS has provided support to the MOH in the area of proper waste management. The WHO/JSI module on Healthcare Waste Management was reviewed and adapted for the situation. Approved structural plans of waste pits by MOH Infrastructure were developed by engineers and eleven four-layered pits are now under construction. Healthcare Waste Handlers in the project districts have been trained and now know the basics about waste segregation and appropriate disposal of healthcare waste. Color coded waste bins and bin liners have been provided for segregation of the waste.
A national policy on health care waste has been finalized and is pending dissemination. Guidelines addressing waste management have also been finalized and are currently being disseminated. Unfortunately, the guidelines do not address all of the issues, especially in the area of final waste disposal. Incineration services, which are the recommended method of final disposal by the country, are not readily available. Recent surveys indicate that only 1 -2 % of health units have access to incinerators. That said, existing incinerators are not functioning to full capacity and some have been vandalized. Burning on the open ground or in a pit are the most common methods of final waste disposal being practiced at lower levels. Some health units are disposing of waste directly into pits without burning it first.
Recognizing that final disposal of healthcare waste is one of the biggest medical safety challenges; in FY07, the MMIS project will continue to support the MOH in promoting proper waste disposal. Specific activities will include quarterly meetings of the waste management subcommittee of the Uganda National Injection Safety Task Force (UNISTAF) and the finalization of a comprehensive national final waste disposal plan. Also, it is expected that the national committee will pilot different waste disposal options in the project districts. The MMIS projects will map existing waste disposal options in each district and attempts will be made to establish waste destruction facilities, such as incinerators, where necessary. Waste segregation bins and bin liners will be used to promote the idea of segregation. All waste handlers in the project districts will be trained in safe waste handling. A communication strategy will be developed in partnership with the USG funded projects (blood transfusion project, TASO, AIC) and other stakeholders to promote proper medical waste disposal. Finally, the MMIS project will collaborate with DOD/UPDF officials to integrate injection safety practices to the health facilities managed by the UPDF.
Program Area Target: Number of individuals trained in medical injection safety 6,250
Table 3.3.04:
