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: 2008 2009
In September 2004, National Medical Stores (NMS) was awarded funding by the United States Government
through CDC to purchase, distribute and track HIV/AIDS-related laboratory supplies reagents and HIV test
kits and accessories for all Health Center III facilities and above to the District Hospitals level. Under this
funding FBO, NGO and private-not-for-profit health facilities are provided these HIV-related commodities
through a partnership with the Joint Medical Stores (JMS). National Medical Stores is a parastatal
organization responsible for the management of the national distribution-chain management of essential
medicine kits, antiretroviral medicines, TB medicines, contraceptives and other basic medical and laboratory
supplies. In FY05 the National Laboratory Logistics System for HIV/AIDS-related laboratory commodities
was developed and is now fully functional with the first two push cycles distributed to the health units
country wide in FY06.
Using the Navision 3.7 commodity tracking software, NMS has the ability to generate shipment and
consumption reports of HIV/AIDS test kits and laboratory supplies tracked directly to each health facility. In
addition, this logistics system allows for the integration of donated test kits and accessories from other
sources, such as the Global Fund into the routine supply system for health commodities, thus providing a
comprehensive mechanism to track current stock and forecast procurement. With the USG funding
assistance, NMS capacity to ensure the country's health commodity distribution system has been
strengthened to handle the HIV/AIDS-related commodities and their timely delivery countrywide by
equipping National Medical Stores with additional transport vehicles, warehouse equipment, and central and
district cold-chain boxes. This is leveraged by additional funding sources that provided an electrical mobile
cargo side loader of appropriate specification that will be installed at the Dispatch Bay, thus enabling faster
dispatch of palletized district orders of HIV/AIDS related commodities.
Following the national HIV testing algorithm, National Medical Stores has to-date procured and distributed
over 4,00,000- persons HIV tests accounting for more than half of the national testing requirements. To
address the national "Know your status " drive, MoH requires an additional 2,000,000 persons tests. With
challenges faced by other test kits providers, e.g. the Global Fund, the USG is currently perceived as the
"solution" to this deficit.
In FY07, NMS procured $3,000,000 worth of HIV test kits and accessories. Following the approved MOH
HIV testing algorithm for serial rapid HIV testing this supported 1.8 million person-tests which were
distributed to 1,080 health facilities: 842 public government sites, 220 faith-based/non-government facilities
and 18 counseling and testing program, including the established 20% for JMS supported health centers.
This represents an increase of approximately 40% over the 780 health center supplied in 2006 of which 640
were public government facilities and 140 faith-based/non-governmental centers. However, with the
continuous increase of number of health facilities providing HIV counseling and testing in FY07, this supply
did not fully meet national demand. Also in FY07, the MOH health commodities technical review conducted
in April 2007 resulted in the official implementation of 'The 3-Year Procurement Plan for Essential Medicines
and Health Supplies:2006/07-2008/09' that clearly articulates the GoU stand that "all parties to the sector
procurement of medicines and supplies shall commit to support the national medicines procurement system
through predominantly dedicated financial support to the NMS/JMS through pre-financiing and budget
support...". To that end, USG will continue to work through the national system and contribute to
strengthening institutional capacity for sustained services in the long-term.
With the FY2008 funding National Medical Stores will finalize the integration of the ordering/distribution of
PMTCT HIV testing kits, EID accessories and other accessories which will be initiated as soon as FY07 plus
-up funds are received. These test kits and associated supplies will be 'earmarked' for district PMTCT
programs. As with all commodities 20% of the PMTCT HIV testing commodities will be transferred to Joint
Medical Stores and a central credit control account set up at National Medical Stores created to enable
bimonthly distribution. The FY 2008 procurement plan will cater for 410,00 person test kits including
storage and distribution operations. The PMTCT test kits will be distributed in line with the requirements of
MOH/PMTCT plan and directions, and all the facilities offering PMTCT services in the country will access
these products from National Medical Stores and JMS on a bi-monthly basis under the established lab
supplies credit line.
There is overwhelming evidence attesting to the effectiveness of preventive care, including
chemoprophylaxis, use of bed nets and safe water in delaying HIV disease progression and consequently
improving the quality of life for PHA. However, access to these commodities remains low in Uganda. This
activity initiated with FY 2007 plus-up funding is aimed at expanding access to and ensuring availability of
prophylactic cotrimoxazole countrywide.
Upon receipt of the FY 2007 plus-up funding NMS will procure cotrimaxazole 480mg tablets of worth
$480,000 for made available for distribution to all health facilities in both public and FBO/NGO sector under
a new credit control account at both National Medical Stores and Joint Medical Stores. This will be a
specifically designated cotrimoxazole stock for PHAs. It will supplement the existing Ministry of Health
supply, and prioritize USG partners. These funds will be provided to the National Medical Stores, which has
in the past ably procured and distributed a national stock of prophylactic cotrimoxazole
In the FY 2008 period, this fundig will support additional proccurement with 20% of this fund being
transferred to Joint Medical Stores for the procurement of the same product including costs for storage and
distribution and related operational expenditures.
In FY08, the MOH projects that all health center III facilities at the at sub-country level will have the capacity
to perform HIV testing and outreach HCT services which will increase the total number of sites to1,840,
representing an increase of over 100% since the inception of the project in 2004. This increase is attributed
to the increased scale-up Practitioner-Initiated Opt-Out Routine Counseling and Testing in the health
facilities, home-based HCT and expansion of the PMTCT activities across the country. During the FY 2008
period, National Medical Stores will finalize the integration of the ordering/distribution of HIV testing kits, EID
accessories and other accessories with other laboratory commodities under the lab credit line; and, initiate
support in logistics management in all of the 83 districts, the home-based counseling and testing programs,
various HCT programs implemented by other local institutions. The national FY08 projected HIV testing kits
needs are over seven million person tests; this budget provision will provide 2.6 million thus meeting 33% of
the projected requirements.
In FY07 USG funding to National Medical Stores supported sustaining the supply channel for HIV/AIDS-
related laboratory reagents and supplies as well as HIV test kits and associated materials. The National
Medical Stores and Joint Medical Store expanded the laboratory needs within the scope of the project to
cater for the pediatric HIV/AIDS needs as well as supplies to the eighteen (18) regional referral hospitals
country-wide with the goal to meet at least 30% of facility requirements. Additional accessories for CD4
monitoring for the patients receiving Anti Retro Viral Treatment were also procured. As counseling and
testing services are increased in FY07, the need for laboratory reagents and supplies will increased,
especially those used for monitoring patients on ART and HIV positive populations, not yet eligible for ART.
A substaintial amount of laboratory reagents and commodities were supplied by the Global Fund in
FY05/06, but given the challenges GF had faced this has not continued. As a result, the USG is currently
viewed as a potential back stop for this deficit.
During the FY2007 period HIV/AIDS related laboratory commodities worth $3.2 million were procured and
distributed to all Health Center-III's, Health Center-IV ‘s and District Hospitals with 20% ($600,000)
transferred to Joint Medical Stores. Increased demand for HIV/AIDS related laboratory services attributed to
this project, has been evidenced by the growth of laboratories served under this project from 936 (760
Public and 176 NGO) in March/April 2006 to 1,080 (820 Public and 260 NGO) in November/December 2006
representing a demand growth of 15% in a period of nine months and the number of laboratories served
continued to expand to 1,500 in FY07 (1,190 Government and 310 NGO). This translated into a 60.3%
growth since March /April 2006. Also in FY07 all district stores were provided cold chain equipments.
During the same period the essential list of all HIV/AIDS-related laboratory commodities was reviewed
following to accommodate the inclusion of Regional/National Laboratories as beneficiaries under the
laboratory supplies credit line.
In FY 2008 all the HC-IIIs will be able to access laboratory commodities from National Medical Stores
including the Police Medical facilities, Army Medical facilities and Prisons Medical facilities following the
bimonthly distribution plan. Commodities worth over $2.7 miilion, reflecting 80% of the budget will be for
procurements while 620,000 (18%) will be handling fees. Storage and distribution costs of 2.4% will be used
for operational costs at National medical stores and Joint Medical Stores during period of FY 2008.
Finally, the MOH health commodities technical review conducted in April 2007 resulted in the official
implementation of 'The 3-Year Procurement Plan for Essential Medicines and Health Supplies:2006/07-
2008/09' that clearly articulates the GoU stand that "all parties to the sector procurement of medicines and
supplies shall commit to support the national medicines procurement system through predominantly
dedicated financial support to the NMS/JMS through pre-financiing and budget support...". To that end,
USG will continue to work through the national system and contribute to strengthening institutional capacity
for sustained services in the long-term.
