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 2009
USAID is consolidating its support to Uganda's supply chain management system to improve coordination
and build upon the work of the three implementing partners that currently provide technical assistance on
logistics management in the country. It is expected that procurement services for ARVs and other HIV/AIDS
commodities will continue to be provided by SCMS to ensure that there is no disruption in ART patient
treatment. The new mechanism will provide technical assistance (only) to improve the functioning of the
national supply chain for ARVs and other HIV/AIDS health commodities including improved forecasting and
quantification of overall country program needs and the needs of implementing partners; transparent
procurement mechanisms to ensure the right products are purchased in a timely manner; quality assurance
of commodities; proper storage and timely distribution to the end user health facilities; and complete and
accurate logistics information at all levels of the supply chain. The new mechanism will work with key
Government of Uganda entities (Ministry of Health (MOH), National Medical Stores (NMS), National Drug
Authority (NDA), district health offices and health facilities, Joint Medical Stores (JMS), and in-country and
international partners.
This activity is linked to ARV drugs, Adult Care and Treatment, Pediatric Care and Treatment, CT, TB/HIV,
and Laboratory Infrastructure.
The Ministry of Health, with support from the Abbott and Boehringer donation program, has expanded
PMTCT coverage to all districts in Uganda currently reaching 90 percent of health center IVs and 20
percent of health center III's, with a plan to reach 100 percent and 35 percent respectively by the end of
2008. Regarding support to PEPFAR partners, SCMS provided technical assistance to NUMAT in
forecasting and quantifying program needs and procurement of PMTCT commodities for NUMAT-supported
sites. During a recent field visit health workers from a sample of NUMAT districts reported no problems with
ARV supplies. At the national level, SCMS supported the MOH in providing capacity building in logistics
data capture and management, forecasting, procurement planning, and coordination of emergency
responses to product shortfall in PMTCT and other HIV/AIDS commodities. In FY 2008, SCMS provided
support to revise the logistics system to incorporate new treatment policies and the additional commodities
required to implement the current scale-up of PMTCT services. Training of new staff in the logistics
management system of PMTCT commodities continued. A proposal to integrate PMTCT into the essential
drugs system was proposed in January 2008, but has not been approved. SCMS worked with MOH to
submit a final procurement and supply management (known formally by the GFATM as the PSM) plan for
Global Fund Round 7, Phase 1 ARV procurement. SCMS worked with the quantification review committee
to review the assumptions used in the quantification. Submission of the plan is a GFATM requirement for
signing of the grant agreement and having funds released for ARV procurement. SCMS provided regular
status updates on HIV test procurement in light of the almost six 6 month stock out of the screening test.
In FY 2009, SCMS will continue to provide procurement services to USAID-supported partners to buy ARVs
and other commodities as appropriate for PMTCT and other HIV/AIDS services. The new procurement
mechanism will provide technical assistance to national and district-level PEPFAR partners on commodity
forecasting and quantification, procurement planning, donor coordination, and strengthening the logistics
management information systems for ARVs and other HIV/AIDS related commodities. The ART
procurement harmonization exercise begun in FY 2008 will continue in FY 2009 to achieve a consolidated
supply plan for all PEPFAR partners offering ART services. TBD will continue to participate in technical
working groups to address emerging issues that impact on logistics management systems, e.g. changes in
treatment protocols. Logistics advisors will work closely with MOH technical programs, the Pharmacy
Division and NMS to build capacity and facilitate the transition of logistics management functions to local
counterparts. To improve central level management and distribution of ARVs and other commodities, TBD
will work the NMS and other donors to implement the key recommendations of numerous NMS
assessments including installation and training on new systems software, and hardware procurement (e.g.
computers, software, warehousing equipment, odometer readers) to improve efficiency and cost-
effectiveness of operations. JMS will also receive technical support as needed to complete implementation
of their new warehousing systems. At the policy level, TBD will work with the MOH, NMS and other GoU
ministries, e.g. Ministry of Finance, to address the well-documented legal, regulatory, and financial issues
that negatively affect the national supply chain system. An important area of focus will be to improve
accountability and enforcement of procedures, laws and regulations regarding leakage of public health
commodities. At the district and lower level, more TBD technical assistance will be focused on on-job
training and support to DHO, HSD and health facility staff in carrying out their logistics management
operations including planning and tracking their expenditures and submitting timely reports to keep the
supplies flowing. A special area of focus will be the development and testing of a scalable model to improve
"last-mile" distribution from district stores to health centers in selected districts.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14230
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14230 12367.08 U.S. Agency for John Snow, Inc. 6746 4961.08 Partnership for $350,000
International Supply Chain
Development Management
12367 12367.07 U.S. Agency for Partnership for 4961 4961.07 Partnership for $91,796
International Supply Chain Supply Chain
Development Management Management
Table 3.3.01:
This activity is linked to ARV drugs, Adult Treatment, PMTCT, Pediatric Care and Treatment, Counseling
and Testing, Laboratory Infrastructure, TB/HIV.
In FY 2008, the SCMS project provided procurement services and technical assistance to the Inter-
Religious Council of Uganda (IRCU), Northern Uganda Malaria AIDS and TB program (NUMAT), and
UPHOLD (now ended) to improve the availability and management of ARV drugs in their sites. SCMS also
provided funds to the MOH for emergency ARV procurements. To-date, a total of $1,795,000 of ARVs and
related commodities has been procured through SCMS for these partners. SCMS will also procure ARVs for
EGPAF. NUMAT, in partnership with SCMS, established logistic management systems and procedures for
ARV supply in its ART sites and a working arrangement was developed with Joint Medical Stores, a central
warehouse for FBOs and other private sector organizations, to deliver to the partner sites based upon
requisition. NUMAT technical officers trained and mentored ART teams in logistics management to ensure
smooth system performance and logistics tools and materials adopted from MOH formats were distributed
to the ART sites to ensure proper reporting of drug consumption. During the period, two cycles were
delivered of first and second line adult ARV formulations for 17 existing ART sites and later for 6 additional
newly accredited ART sites in the nine districts. Gaps in pediatric support were identified, which led to
negotiations with Baylor Children College (Uganda) to provide the ART clinics with ARV formulations for
young children. The choices of ARV drugs selected by the program were determined by the current GoU
ARV policy that took into consideration efficacy, adverse effect profile, and pill burden. The ARV drugs
selected also took into consideration needs of the clients gaining entry through the other program areas of
PMTCT and TB.
SCMS also procured ARVs and drugs for opportunistic infections for the IRCU program. Technical staff
have been trained in forecasting drug needs for the program and on the ARV logistics management system.
A computerized logistics management information system was installed using standard soft ware to track
consumption and stock levels at the individual sites. Thirteen implementing sites are currently submitting
bimonthly ARV drug reports and orders to the IRCU Logistics Officer. The partnership with SCMS and JMS
has been successful to date and has guaranteed steady availability of ARVs at all IRCU supported sites. In
addition, as a result of this partnership, IRCU has been able to procure quality ARVs at the most
competitive rates available on the market, guaranteeing that its clients are accessing quality products and,
with the savings, enabling the program to recruit more ART clients.
At the national level, SCMS provided technical assistance to the MOH to forecast and quantify the country's
ARV needs, coordinate procurement with donors, and train new district and new ART site staff on logistics
management and reporting. SCMS also assisted in support supervision activities at district level to improve
facility level performance. Specific achievements include 683 health workers country-wide trained on the
redesigned MOH ART logistics management system, 28 MOH regional pharmacists and senior dispensers
trained on management of ART logistics activities, and 92 health workers from 38 newly accredited ART
sites trained on the logistics management system. The SCMS supervisory team visited a total of 174 ART
sites to monitor performance and provide on-the-job support to health workers charged with logistics
management. Efforts to harmonize ARV procurement among PEPFAR partners and communicate supply
issues continued through various technical working groups and technical support was provided to the
GFTAM third party procurement agent (WHO/UNICEF). In FY08, technical assistance was provided to JMS
to completely overhaul its warehousing and inventory management system including installation and
training in the new warehouse management information system (MACS) and the financial system (SAGE)
software. Support was also provided to NMS to assess its warehousing and inventory management system,
the recommendations of which were endorsed by the NMS Board of Directors.
Capacity building in ARV logistics management will continue in FY 2009 at the PEPFAR-supported sites
and national level but through the new partner (TBD). Technical assistance will be provided to build
capacity and improve logistics management at IRCU and NUMAT sites as well as sites supported through
the new district-based HIV/AIDS programs. This new partner will provide the logistics management
technical assistance that SCMS used to provide, including commodity forecasting and quantification,
procurement planning, donor coordination, and strengthening the logistics management information
systems for ARVs and other HIV/AIDS related commodities. The ART procurement harmonization exercise
begun in FY 2008 will continue in FY 2009 to achieve a consolidated supply plan for all PEPFAR partners
offering ART services. TBD will continue to participate in technical working groups to address emerging
issues that impact on logistics management systems, e.g. changes in treatment protocols. Logistics
advisors will work with MOH technical programs, the Pharmacy Division and NMS to build capacity and
facilitate the transition of logistics management functions to local counterparts. To improve central level
management and distribution of ARVs and other commodities, TBD will work the NMS and other donors to
implement the key recommendations of numerous NMS assessments including installation and training on
new systems software, and hardware procurement (e.g. computers, software, warehousing equipment,
odometer readers) to improve efficiency and cost-effectiveness of operations. JMS will also receive
technical support as needed to complete implementation of their new warehousing systems. At the policy
level, TBD will work with the MOH, NMS and other GoU ministries, e.g. Ministry of Finance, to address the
Activity Narrative: well-documented legal, regulatory, and financial issues that negatively affect the national supply chain
system. An important area of focus will be to improve accountability and enforcement of procedures, laws
and regulations regarding leakage of public health commodities. At the district and lower level, more TBD
technical assistance will be focused on on-job training and support to DHO, HSD and health facility staff in
carrying out their logistics management operations including planning and tracking their expenditures and
submit timely reports to keep the system moving. A special area of focus will be the development and
testing of a scalable model to improve "last-mile" distribution to health centers in selected districts.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.08:
This activity is linked to ARV drugs, Adult Care, Pediatric Care and Treatment, CT, TB/HIV, and Laboratory
Infrastructure
Continuing Activity: 14235
14235 12489.08 U.S. Agency for John Snow, Inc. 6746 4961.08 Partnership for $300,000
12489 12489.07 U.S. Agency for Partnership for 4961 4961.07 Partnership for $300,000
Table 3.3.09:
This activity is linked to PMTCT, ARV drugs, Adult Care and Treatment, Pediatric Care, Counseling and
Testing, Laboratory Infrastructure, TB/HIV.
The new procurement mechanism will provide technical assistance to national and district-level PEPFAR
partners on commodity forecasting and quantification, procurement planning, donor coordination, and
strengthening the logistics management information systems for ARVs and other HIV/AIDS related
commodities. The ART procurement harmonization exercise begun in FY 2008 will continue in FY 2009 to
achieve a consolidated supply plan for all PEPFAR partners offering ART services. TBD will continue to
participate in technical working groups to address emerging issues that impact on logistics management
systems, e.g. changes in treatment protocols. Logistics advisors will work closely with MOH technical
programs, the Pharmacy Division and NMS to build capacity and facilitate the transition of logistics
management functions to local counterparts. To improve central level management and distribution of ARVs
and other commodities, TBD will work the NMS and other donors to implement the key recommendations of
numerous NMS assessments including installation and training on new systems software, and hardware
procurement (e.g. computers, software, warehousing equipment, odometer readers) to improve efficiency
and cost-effectiveness of operations. JMS will also receive technical support as needed to complete
implementation of their new warehousing systems. At the policy level, TBD will work with the MOH, NMS
and other GoU ministries, e.g. Ministry of Finance, to address the well-documented legal, regulatory, and
financial issues that negatively affect the national supply chain system. An important area of focus will be to
improve accountability and enforcement of procedures, laws and regulations regarding leakage of public
health commodities. At the district and lower level, more TBD technical assistance will be focused on on-job
Activity Narrative: training and support to DHO, HSD and health facility staff in carrying out their logistics management
Table 3.3.10:
Table 3.3.11:
This activity is linked to ARV drug procurement, Adult Care and Treatment, Pediatric Care and Treatment,
CT, PMTCT, and Laboratory Infrastructure.
Ensuring the availability of laboratory supplies for TB and HIV diagnosis, and drugs for TB prevention and
treatment, is fundamental to the success of the TB/HIV program. To improve the availability of anti-TB
drugs, including Isoniazid preventive therapy, the MOH National Tuberculosis and Leprosy Programme
(NTLP) has over the past five years received technical assistance from the DELIVER project in forecasting,
procurement planning and monitoring of stock levels through a logistics management information system.
The system now covers 1,385 sites that provide TB treatment. Similar technical support has also been
provided to the Central Public Health Laboratory (CPHL) to strengthen HIV and TB diagnostic services
through the design and implementation of a national logistics management system for laboratory supplies.
Technical staff have been placed in NTLP and CPHL to assist in capacity building and thousands of
supervisors, health workers and laboratory technicians have been trained in logistics management of both
these systems at regional, district and facility level. Technical staff from implementing partners (UPHOLD,
NUMAT) have also been trained to monitor logistics system performance in their districts and sites. These
systems have improved the availability of anti-TB drugs and lab test supplies nationwide but stock outs of
the former, in particular, persist because of insufficient funding available for drug procurement; new funding
from GFATM to buy anti-TB drugs should improve the situation in the near future. An assessment of NTLP
drug logistics management system will be carried out in 2008 to revise procedures where needed.
In FY 2009, the new procurement mechanism will provide technical assistance to national and district-level
PEPFAR partners on commodity forecasting and quantification, procurement planning, donor coordination,
and strengthening the logistics management information systems for ARVs and other HIV/AIDS related
commodities. TBD will continue to participate in technical working groups to address emerging issues that
impact on logistics management systems, e.g. changes in treatment protocols. Logistics advisors will work
closely with MOH technical programs, the Pharmacy Division and NMS to build capacity and facilitate the
transition of logistics management functions to local counterparts. TBD will continue to work in collaboration
with WHO, UNAIDS, GFATM and other stakeholders to provide technical support to the MOH to strengthen
the laboratory logistics management system. Ensuring the availability of laboratory supplies for diagnosis,
treatment and care is fundamental to the effectiveness of the HIV/AIDS and TB activities. The MOH and
CPHL will receive assistance to build their capacity in forecasting and quantification of national laboratory
needs, procurement planning and coordination, monitoring of stock levels, and training of new laboratory
staff in inventory management. To improve central level management and distribution of ARVs and other
commodities, TBD will work the NMS and other donors to implement the key recommendations of
Continuing Activity: 14231
14231 8862.08 U.S. Agency for John Snow, Inc. 6746 4961.08 Partnership for $800,000
8862 8862.07 U.S. Agency for Partnership for 4961 4961.07 Partnership for $260,000
Table 3.3.12:
treatment and other HIV/AIDS services. The new mechanism will provide technical assistance (only) to
improve the functioning of the national supply chain for ARVs and other HIV/AIDS health commodities
including improved forecasting and quantification of overall country program needs and the needs of
implementing partners; transparent procurement mechanisms to ensure the right products are purchased in
a timely manner; quality assurance of commodities; proper storage and timely distribution to the end user
health facilities; and complete and accurate logistics information at all levels of the supply chain. The new
mechanism will work with key Government of Uganda entities (Ministry of Health (MOH), National Medical
Stores (NMS), National Drug Authority (NDA), district health offices and health facilities, Joint Medical
Stores (JMS), and in-country and international partners.
PMTCT, TB/HIV, and Laboratory Infrastructure.
With the introduction of routine counseling and testing, and expansion of PMTCT services throughout the
country, the demand for HIV test supplies has risen sharply. In FY 2008 alone, 7 million HIV tests were
planned to be procured with funds from GFATM, PEPFAR and Clinton Foundation At the national level,
SCMS supported the MOH in providing capacity building in logistics data capture and management,
forecasting, procurement planning, and coordination of emergency responses to product shortfalls in HIV
test kits and other HIV/AIDS commodities. SCMS provided regular status updates on HIV test procurement
in light of the almost six 6 month stock out of the screening test.
commodities. In addition, TBD will continue to work in collaboration with WHO, UNAIDS, GFATM and other
stakeholders to provide technical support to the MOH to strengthen the laboratory logistics management
system. Ensuring the availability of laboratory supplies for diagnosis, treatment and care is fundamental to
the effectiveness of the CT and other HIV/AIDS and TB services. The MOH and CPHL will receive
technical assistance to build their capacity in forecasting and quantification of national laboratory needs,
procurement planning and coordination, monitoring of stock levels, and training of new laboratory staff in
logistics management. At the district and lower level, more TBD technical assistance will be focused on on-
job training and support to DHO, HSD and health facility staff in carrying out their logistics management
Continuing Activity: 14233
14233 8882.08 U.S. Agency for John Snow, Inc. 6746 4961.08 Partnership for $440,000
8882 8882.07 U.S. Agency for Partnership for 4961 4961.07 Partnership for $390,000
Table 3.3.14:
USAID is consolidating its support to Uganda's supply chain management system into a single procurement
mechanism to improve coordination and build upon the work of two implementing partners (SCMS,
DELIVER) currently providing procurement services and technical support in this area. The new mechanism
will provide technical assistance to key Government of Uganda entities (Ministry of Health (MOH), National
Medical Stores (NMS), National Drug Authority (NDA), district health offices, Joint Medical Stores (JMS),
and in-country and international partners to ensure the availability of quality ARVs and other health
commodities to meet the care and treatment needs of people living with or affected by HIV and AIDS. This
includes improved forecasting and quantification of overall country program needs and the needs of
implementing partners; transparent procurement of the right products in a timely manner; quality assurance
accurate information at all levels of the supply chain.
This activity is linked to Adult Care and Treatment, Pediatric Care and Treatment, Counseling and Testing,
PMTCT, Strategic Information, and Health Systems Strengthening.
With the MOH priority focus on improving and expanding laboratory services for HIV/AIDS, TB and other
diseases, the number of MOH and NGO-supported laboratories has increased from 579 to over 1,000
facilities in the last two to three years. With support from SCMS, the Central Public Health Laboratory
(CPHL) and National Medical Stores established a national logistics management system and credit line for
laboratory supplies to maintain a regular chain of supplies to the rapidly expanding number of laboratories.
Laboratory supply requirements continue to increase with the scale-up of HIV counseling and testing, ART
and TB prevention and treatment services and SCMS provides technical support to CPHL in preparing
annual specifications and quantifications for laboratory consumables and reagents based upon
consumption and other service data collected through a laboratory logistics management information
system. Work has been initiated to build the capacity of the Laboratory Technical Committee to improve
procurement by enabling them to do conduct future quantifications. SCMS conducted pre-service training
for 586 final year students from 13 accredited laboratory training schools (private and public) country wide in
an effort to strengthen laboratory logistics capacity and as part of a plan to institutionalize logistics
management in the national laboratory training curriculum. SCMS, in collaboration with CDC, is supporting
a national laboratory logistics training program to improve skills of lab personnel in logistics management,
ordering and reporting. SCMS, in collaboration with CPHL and the Laboratory Technical Committee, carried
out a logistics assessment for automated equipment supplies (CD4, clinical chemistry and hematology) in
20 MOH health facilities. Data from the assessment will be used to redesign a more effective laboratory
automated equipment supplies logistics system for the MOH. Support for regular supervisory visits to lab
personnel is provided with an emphasis on logistics management and commodity availability.
In FY 2009, TBD will continue to work in collaboration with WHO, UNAIDS, GFATM and other stakeholders
to provide technical support to the MOH to strengthen laboratory services. Ensuring the availability of
laboratory supplies for diagnosis, treatment and care is fundamental to the effectiveness of the HIV/AIDS
and TB activities. The MOH and CPHL will receive assistance in forecasting and quantification of national
laboratory needs, procurement planning and coordination, monitoring of stock levels, and training of new
laboratory staff in inventory management. To improve central level management and distribution of
laboratory commodities, TBD will work the NMS and other donors to implement the key recommendations
of numerous NMS assessments including installation and training on new systems software, and hardware
operations including planning and tracking their expenditures and submit timely reports to keep the system
moving. A special area of focus will be the development and testing of a scalable model to improve "last-
mile" distribution to health centers in selected districts.
Continuing Activity: 14236
14236 8984.08 U.S. Agency for John Snow, Inc. 6746 4961.08 Partnership for $650,000
8984 8984.07 U.S. Agency for Partnership for 4961 4961.07 Partnership for $650,000
Table 3.3.16:
