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.
Uganda Blood Transfusion Service
Project: Rapid Strengthening of Blood Transfusion Service in Uganda
Background and key activities undertaken in the Past.
The Uganda Blood Transfusion Service (UBTS) is the National Blood Service responsible for all blood safety activities for the entire country. The mission of Uganda Blood Transfusion Services is to achieve a safe, efficient and sustainable national blood transfusion service based on healthy volunteer blood donors and able to meet the needs of Uganda's health care system while promoting a good blood transfusion system.
In pursuit of the mission, the main objective of UBTS is to make available adequate quantities of safe blood and blood products for treatment of patients.
Specific objectives include:
1. To expand the blood transfusion infrastructure to operate adequately within a decentralized health care delivery system.
2. To increase the annual blood collection necessary to meet the blood requirements of all patients in the transfusing health units throughout the whole country.
3. To test all blood for transfusion-transmissible infections (TTIs) and operate an effective, nationwide Quality Assurance Programme that ensures safety of the entire blood transfusion process (from vein to vein).
4. To ensure continuous education and training in Blood Safety.
The UBTS contributes to the fulfilment of Uganda's Health Sector goals and the United Nations Millennium Development Goals [MDG] (in particular MDG4: reduce child mortality, MDG5: combat HIV/AIDS, malaria and other diseases and MDG6: improve maternal health).
The estimated hospital blood requirement is 200,000 units of blood annually to be able to handle all emergencies that need blood. 140,000 units of blood were collected in 2008 and distributed to 220 health facilities. 50% of all these collections were transfused to children; 25% to pregnant women and 25% to accidents and surgical/medical cases.
The UBTS has an important task of meeting the increased demand for safe blood transfusion especially at Health Centre IVs located in rural areas where most of the population lives. The target outputs and realized outputs are per attached.
The Uganda Blood transfusion services operate through a network of seven regional and six blood collection centers. While the national blood bank at Nakasero prepares all blood components including fresh frozen plasma, platelets and cryoprecipitate other blood banks are only able to prepare paediatric packs of blood concentrates and issues all blood for treatment of adult patients.
Blood collection is the main programme activity of UBTS. All blood collection is from voluntary, non-remunerated blood donors. In the previous four months April 2009 July 2009 57,453 units of blood were collected. In a quality assured manner 100% of collected blood were tested for HIV, hepatitis B surface antigen, hepatitis C antibodies and syphilis.
To support appropriate use of blood clinical guidelines were revised, hospital blood transfusion committees were appointed and documentation of blood used has been embarked on. Training in all areas of blood safety was another key activity implemented in the past year.
Monitoring & evaluation activities were implemented. National level staff and management offer support supervision and monitor implementation progress through regular visits to regional facilities and collection centres. The use of reports and forms designed to capture required data has been institutionalized. The data management unit at the national office analyses the information and compiles it into a quarterly reporting format. Feed back is provided as basis for subsequent planning and training and implementation
REDACTED.
The UBTS continues to face some challenges, including:
Relatively high level of TTIs in collected blood especially Hepatitis B and C causing a significant quantity of blood to be discarded.
Save for two regional blood banks the rest have continued to operate in small, restricted premises that negate efficiency of operates.
The prices of blood collected supplies, like test kits and collection bags have increased yet funding level has remained constant over time. This has severely restricted our effort to increase collections.
The UBTS has continued to meet safe blood availability expectations of stakeholders. A strong case for additional complimentary funding continues to be made to government.
The UBTS is a semi-autonomous department of the Ministry of Health with the overall objective "To ensure adequate supplies of safe blood and blood products are available and appropriately used for management of all patients in need throughout Uganda." The organization partners with the Uganda Red Cross Society (URCS) in blood safety activities nationally, with URCS contributing 40% in the area of voluntary blood donor recruitment and retaining. UBTS has a network of 7 Regional Blood Banks (RBB) and 6 blood collection centers which collect, process and distribute safe blood to health facilities countrywide.
The UBTS has received support for the last 5 years from PEPFAR. The objectives of this 5 year program include:
i) Strengthen UBTS infrastructure;
ii) Increase blood collections from voluntary non-remunerated donors;
iii) Improve the quality of blood available for transfusion;
iv) Improve transfusion practices in hospitals;
v) Implement a plan for sustainability.
PEPFAR support has improved infrastructure and blood safety activities. There is a 30% increase in blood collections from a safer donor pool; i.e. reduced prevalence of HIV, Hepatitis B and C. However, this success comes with the challenge of data collection, analysis and use for blood safety activities, more so with expansion of services. A blood banking information system (BBIS) was developed by UBTS and CDC Uganda which can track all steps in production of safe blood products and interface with high- tech lab equipment. This BBIS was piloted in 3 RBB and needs to be rolled out to 4 remaining RBB. This funding will be used to support the roll out and full functioning of the BBIS throughout the UBTS headquarters and RBB. Specifically, the following activities will be done:
Procurement of hard and soft ware to support the BBIS
Procurement and installation of Internet and E-mail Connectivity across RBBs
Orientation of all the UBTS staff and training of relevant staff in use of the BBIS
Transport for related monitoring and support supervision to the RBB
