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
National Medical Stores (NMS) is an autonomous government corporation established in 1993 to procure,
store and distribute essential medicines and medical supplies to government heath facilities throughout
Uganda. National Medical Stores has developed a countrywide distribution supply chain for essential
medicines and supplies as well as for the HIV/AIDS-related Laboratory materials provided through PEPFAR
funding. Health facilities and HIV Counseling and Testing Centers (HCT), can access these commodities
through the established laboratory credit line system, at both NMS and Joint Medical Store (JMS) a
subsidiary partner. Following the national credit line for essential medicines, the Ministry of Health (MOH)
provides a 20% contribution to JMS for faith-based and mission health facilities and NMS allocates the
same 20% of PEPFAR funding for JMS to procure and store HIV/AIDS-related laboratory commodities.
The Ministry of Health (MOH) has accredited 580 health center laboratories to perform PMTCT HIV testing
and other associated laboratory tests including: urinalysis examinations, stool examinations; blood
hemoglobin concentration; and syphilis tests for antenatal services. In the updated National HIV/AIDS
Strategic Plan 2007/08-2011/12, an increased emphasis has been placed on expanding HCT for pregnant
mothers and their partners. This HTC expansion mechanism will contribute to reducing mother to child
transmission, by identifying and providing treatment to HIV + woman during pregnancy and in addition their
partners. To support this effort, in FY 2007 NMS procured an additional 300,000 HIV test kits to contribute
to Health Center IIIs and IVs for distribution to the PMTCT program.
NMS will continue to utilize FY 2008 funds, for the procurement of additional test kits to support PMTCT
activities. NMS will also ‘pilot' having PMTCT HIV test kit orders prepared by individual PMTCT testing
sites; the orders will be submitted to NMS using the laboratory commodity order form, ensuring prompt
delivery of test kits to the District Stores. The JMS PMTCT test supplies for FBO/NGO health facilities will
be collected directly from the JMS warehouse. Bimonthly credit utilization, distribution reports and trucking
reports will be prepared on monthly basis. The reports will be shared with all relevant stakeholders, starting
in the first quarter of FY 2009. In FY 2009, NMS and JMS will continue to supply additional HIV test kits for
PMTCT activities and expand the coverage to 780 PMTCT testing sites. In addition, both NMS and JMS will
support training their management and support staff in order to build internal human resource capacity to
improve the supply chain system. NMS has also received support from DANIDA in several areas, most
recently for the construction of a 20,000 m3 volume extension to the main warehouse in Entebbe. This
additional space will eliminate the need for rented warehousing. The World Health Organization (WHO) is
also supporting NMS by conducting a business process and information systems assessment review. This
WHO technical assistance will also identify gaps, outline strategies, and improve NMS management
capacity to fully implement the national supply chain system. Finally, JMS had recently been supported by
the PEPFAR funded Supply Chain Management System (SCMS) project to conduct a business process
review, and assist JMS with the acquisition of a new logistics management information system.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13302
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13302 12377.08 HHS/Centers for National Medical 6435 629.08 Purchase, $753,936
Disease Control & Stores Distribution &
Prevention Tracking of
Supplies to
Support
HIV/AIDS
Related
Laboratory
Services
12377 12377.07 HHS/Centers for National Medical 4810 629.07 $300,000
Disease Control & Stores
Prevention
Table 3.3.01:
National Medical Stores (NMS) is an autonomous government corporation established in 1993, to procure,
Uganda. NMS has developed a countrywide distribution supply chain for essential medicines and supplies;
as well as providing HIV/AIDS-related Laboratory materials which are supported by PEPFAR funding.
Health facilities and HIV Counseling and Testing Centers (HCT), can access these commodities through the
established laboratory credit line system, at both NMS and Joint Medical Store (JMS) a subsidiary partner.
Following the national credit line for essential medicines, the Ministry of Health (MOH) provides a 20%
contribution to JMS for faith-based and mission health facilities and NMS allocates the same 20% of
PEPFAR funding for JMS to procure and store HIV/AIDS-related laboratory commodities.
In FY 2005, this NMS project received expansion funds, to provide an increased stock of Cotrimoxazole
tables following the national policy to prescribe all HIV + persons with daily Cotrimoxazole prophylaxis.
Using this stock over the past three years, both NMS and JMS have successfully expanded their distribution
to accredited treatment sites. NMS has established a frame work contract with an in-country manufacturer
(long-term agreement which allows multiple shipments), to ensure distribution to the health facilities.
Similarly, NMS established an updated distribution mechanism for USG implementing partners and private
sector who can not procure directly; the percentage to JMS was increased from 20 to 30%. Of the 60,000
units (unit = one tin of 1,000 tablets) procured to-date, 38,000 units have been distributed to health facilities.
NMS estimates, that the remaining units will be utilized by the facilities and implementing partners during
the third quarter of the FY 2008 project period. The next Cotrimoxazole procurement will be delivered in-
country by January 2009; for inclusion in the NMS health facility credit line, with 30% of the funds going to
JMS for procurement to supply USG Implementing Partners and the private sector.
In FY 2009, the funding level will increase to $750,000. NMS will allocate $375,000 for procurement and
distribution to national health facilities; and JMS will receive $375,000, which is an increase from previous
years' allocations (from 30 to 50%) for procurement and distribution to USG care and treatment partners
and private sector facilities. These activities will continue to contribute greatly to the success of HIV care
programs in Uganda as both NMS and JMS will have an expanded supply of Cotrimoxazole for HIV+
patients, and expand access by leveraging Global Fund procurements for the public sector.
In addition, both NMS and JMS will support training their management and support staff, building internal
human resource capacity; thus improving the supply chain system. NMS has also received support from
DANIDA in several areas, most recently for the construction of a 20,000 m3 volume extension to the main
warehouse in Entebbe. This additional space will eliminate the need for rented warehousing. In FY 2008,
the World Health Organization (WHO) supported NMS by conducting a business process and information
systems assessment review. This WHO technical assistance will also identify gaps, outline strategies, and
improve NMS management capacity to fully implement the national supply chain system. Finally, JMS had
recently been supported by the PEPFAR funded Supply Chain Management System (SCMS) project to
conduct a business process review, and assist JMS with the acquisition of a new logistics management
information system.
Continuing Activity: 13303
13303 12443.08 HHS/Centers for National Medical 6435 629.08 Purchase, $750,000
12443 12443.07 HHS/Centers for National Medical 4810 629.07 $600,000
Table 3.3.08:
Table 3.3.10:
as well as providing HIV/AIDS-related Laboratory materials which are supported by PEPFAR funding
Health facilities and HIV Counseling and Testing (HCT), can access these commodities through the
Since, starting the project in 2004, all eligible laboratories (public, NGO / FBO, private health facilites and
armed forces health facilities) across the country have received HIV/AIDS-related laboratory commodities
and supplies from NMS and JMS. These laboratory reagents have enabled health facilities and
implementing partners provide HIV testing. HIV testing kits and related accessories are now being
distributed nation-wide to 980 MOH accredited testing sites and projects. As of March 31, 2008, 2.2 million
tests have been procured and distributed. During the same time period, the MOH utilized funding from the
Global Fund, to procure an additional 3.2 million tests; of which 2.6 million were distributed by NMS. As a
result, testing sites and projects have expanded their capacity to perform HIV testing.
During FY 2009, NMS and their sub-partner JMS will continue to procure, store and distribute HIV test kits
and accessories to all health facilities and testing projects countrywide. With FY 2009 funding, the project
will secure another 1.8 million test kits, to contribute to the national HIV/AIDS testing program; as the MOH
projects that there are 10 million people in need of testing. Additionally, the Global Fund, Makerere
University's Joint Aids Programme (MJAP) and the Clinton Foundation will continue to procure test kits and
accessories to meet the national projected need. All of these combined activities contribute to the overall
success of HCT program areas; by ensuring the consistent availability of required test kits and related
supplies.
In addition, both NMS and JMS will support training their management and support staff in order to build
internal human resource capacity to improve the supply chain system. NMS has also received support from
DANIDA for several areas, most recently for the construction of a 20,000 m3 volume extension to the main
warehouse in Entebbe. This additional space will eliminate the need for rented warehousing. The World
Health Organization (WHO) is also supporting NMS, by conducting a business process and information
Continuing Activity: 13304
13304 4030.08 HHS/Centers for National Medical 6435 629.08 Purchase, $4,103,523
8351 4030.07 HHS/Centers for National Medical 4810 629.07 $3,645,000
4030 4030.06 HHS/Centers for National Medical 3178 629.06 $1,950,000
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $76,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.14:
Health facilities and HIV Counseling and Testing Centers (HTC), can access these commodities through the
contribution to JMS for faith-based and mission health facilities and NMS also allocates 20% of PEPFAR
funding for JMS to procure, store, and distribute HIV/AIDS-related laboratory commodities.
Since, starting the project in 2004, all eligible functional laboratories (public, NGO / FBO, private and armed
forces health facilities) across the country have received HIV/IDS-related laboratory reagents and
commodities from NMS and JMS. Currently, HIV/AIDS-related laboratory reagents and supplies are
currently being distributed to 1,280 accredited laboratories throughout the country. The NMS/JMS
laboratory material list includes: HIV/AIDS related TB reagents, gram staining reagents; malaria reagents;
complete blood count reagents; clinical chemistry reagents; HIV test accessories; blood collection materials
and laboratory waste management materials. These laboratory resources have enabled health facilities
countrywide to perform needed HIV testing and HIV/AIDS patient monitoring. The established laboratory
credit line system, allows laboratories to draw down commodities on a quarterly basis as follows: Health
Centre IIIs can order commodities worth Sh980,000; Health Centre IVs laboratory credit line limit is
Sh1,200,000; District Hospitals' credit lines is Sh1,800,000; Regional Hospitals' credit allows for
Sh2,600,000; and the Armed Forces Hospital's laboratory credit line is Sh1,400,000. NMS and JMS track
quarterly draw downs by health sub-district and hospital levels. The tracking system monitors the
appropriate utilization of commodities, ensuring that facilities do not surpass their credit line ceiling. As of
June 30, 2008, HIV/AIDS-related laboratory commodities worth Sh3.2 billion have been distributed.
Additionally, NMS partnership with the Clinton Foundation, lead to a sizeable donation of CD4/8 reagents
worth Sh650,000,000; this supply of reagents supports NMS distribution to the 956 Health Centre IIIs, 162
Health Centre IVs, and 104 Hospitals including the Armed Forces.
In FY 2009, NMS and JMS will continue to supply the laboratory credit line to ensure consistent availability
of HIV/AIDS-related laboratory reagents and supplies. However, current funding covers only 46% of the
national laboratory testing requirements for HIV/AIDS testing and patient monitoring in Health Centre IIIs to
perform rapid HIV testing, complete blood counts, and STI testing for HIV+ patients. Health Centre IVs will
be able to perform all HIV/AIDS-related laboratory testing, and early infant sample collection for PCR
testing. All Regional Hospitals, District Hospitals, and Armed Forces health facilities will continue to perform
all HIV/AIDS related laboratory testing for adults and pediatric cases; including basic hematological and
clinical chemistry including CD3/CD4/CD8 remunerations. NMS will also provide training in logistics
management to the 83 District Stores and home-based HCT initiatives in the country. As a result of the
procurement and distribution of HIV laboratory reagent and related supplies provided by PEPFAR, the
demand for HIV/AIDS-related laboratory services in health facilities has increased from the 552 laboratories
served in FY 2004 to 1,200 labs in FY 2008.
internal human resource capacity and improve the supply chain system. NMS has also received support
from DANIDA in several areas, most recently for the construction of a 20,000 m3 volume extension to the
main warehouse in Entebbe. This additional space will eliminate the need for rented warehousing. The
World Health Organization (WHO) is also supporting NMS, by conducting a business process and
information systems assessment review. This WHO technical assistance will also identify gaps, outline
strategies, and improve NMS management capacity to fully implement the national supply chain system.
Finally, JMS had recently been supported by the PEPFAR funded Supply Chain Management System
(SCMS) project to conduct a business process review, and assist JMS with the acquisition of a new logistics
management information system.
Continuing Activity: 13305
13305 4027.08 HHS/Centers for National Medical 6435 629.08 Purchase, $3,400,000
8350 4027.07 HHS/Centers for National Medical 4810 629.07 $3,200,000
4027 4027.06 HHS/Centers for National Medical 3178 629.06 $1,950,000
Estimated amount of funding that is planned for Human Capacity Development $125,000
Table 3.3.16:
