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: 2011 2012 2013 2014 2015 2016 2017 2018
1. Overall goals and objectives
The 2nd National Health Policy (NHP II, 2011 - 2020) includes language addressing the need to provide and maintain functional, safe, environment friendly and sustainable health infrastructure including laboratories and waste management facilities. As part of the MOH structural reform, health laboratory services appear for the first time as a Division within the Department of Diagnostic Services emphasizing the importance MOH places on ensuring comprehensive, high-quality laboratory services throughout the country. PEPFAR has supported the establishment of an HIV Reference Laboratory at the Uganda Virus Research Institute (UVRI) and the maintenance of a national quality assurance (QA) program focused specifically on HIV-related testing. In order to continue supporting and strengthening this activity in government, private and non-government organizations, funding to continue and expand this service will be competed in 2011. Specific activities will include; quality control testing of a representative number of serum samples from newly enrolled field sites; distribution of proficiency testing (PT) panels to participating sites, GIS mapping of all static, participating sites in the country and documentation of human and other available resources at the sites as well as performance in QA activities. Working closely with the MOH Quality Assurance Unit, the Central Public Health Laboratory, the African Field Epidemiology Network (AFENET) and other partners, the successful grantee will provide, technical assistance, quality assurance/control to blood banks, national HIV surveys, VCT, PMTCT, RCT and other programs in both the public and private sectors. REDACTED. There will also be funding to validate new HIV tests and testing algorithms, to prepare proficiency testing panels and to establish and maintain a specimen repository. Staff at the HIV Reference Laboratory will be given both management and technical training as well as training in bio-safety/security. Once trained, staff will be facilitated to provide training to staff at health laboratories across the country following the WHO/CDC Training Manual. PEPFAR has also supported the creation and maintenance of the National HIV Drug-Resistance
Secretariat at UVRI. This unit is responsible for preventing and monitoring the emergence of drug- resistance to the ARV regimes in current use in the country. There are a number of laboratories in the country, including the national HIVDR laboratory at UVRI, with the capacity to conduct molecular analysis of drug-resistance strains arising in the country and the Secretariat coordinates this activity. Prevention of drug-resistance is achieved by continuous monitoring of the practices around ART and this is monitored by periodic assessment of early warning indicators (EWIs) as well as surveys of transmitted drug- resistance in newly-infected people. Where practices fall short of national standards for ART delivery, corrective actions are taken. HIVDR activities complement those of the national HIV QA testing program ensuring that newly-arising drug-resistant strains of HIV can still be detected by the national HIV serologic testing algorithm.
2. Target populations and geographic coverage
This program provides national support for QA activities and reaches all districts
3. Enhancing cost effectiveness and sustainability
Evidence of the cost-effectiveness of the national HIV testing program is obtained through continuous monitoring of the performance of facilities and organizations conducting HIV serologic testing. In addition, evaluation of new HIV tests and testing algorithms and subsequent adoption by ACP/MOH ensure that the overall national HIV testing program remains cost-effective and is able to detect all variants of HIV in circulation. Sustainability will be achieved as government progressively takes on more financial responsibility for procurement of commodities - the human resource to make this activity sustainable is being developed
4. Health Systems Strengthening The project will support the development of a small, effective QA unit for HIV serologic testing. Over time, QA activities for other HIV/AIDS-related laboratory services will be introduced. Through the PT program, capacity will be built in the districts that will ensure high-quality HIV testing services are available to all.
5. Cross-Cutting Budget Attributions
HIV serologic testing is the foundation on which the PEPFAR response to HIV/AIDS is built. Thematic
areas include SI, CT and laboratory. No budget attributions can be allocated at this time
None
1. Target populations and coverage of target population or geographic area This program provides national support for QA activities and reaches all districts
2. Description of service delivery or other activity carried out
The 2nd National Health Policy (NHP II, 2011 - 2020) includes language addressing the need to provide and maintain functional, safe, environment friendly and sustainable health infrastructure including laboratories and waste management facilities. As part of the MOH structural reform, health laboratory services appear for the first time as a Division within the Department of Diagnostic Services emphasizing the importance MOH places on ensuring comprehensive, high-quality laboratory services throughout the country. PEPFAR has supported the establishment of an HIV Reference Laboratory at the Uganda Virus Research Institute (UVRI) and the maintenance of a national quality assurance (QA) program focused specifically on HIV-related testing. In order to continue supporting and strengthening this activity in government, private and non-government organizations, funding to continue and expand this service will be competed in 2011. Specific activities will include; quality control testing of a representative number of serum samples from newly enrolled field sites; distribution of proficiency testing (PT) panels to participating sites, GIS mapping of all static, participating sites in the country and documentation of human and other available resources at the sites as well as performance in QA activities. Working closely with the MOH Quality Assurance Unit, the Central Public Health Laboratory, the African Field Epidemiology Network (AFENET) and other partners, the successful grantee will provide, technical assistance, quality assurance/control to blood banks, national HIV surveys, VCT, PMTCT, RCT and other programs in both the public and private sectors. REDACTED. There will also be funding to validate new HIV tests and testing algorithms, to prepare proficiency testing panels and to establish and maintain a specimen repository. Staff at the HIV Reference Laboratory will be given both management and technical training as well as training in bio-safety/security. Once trained, staff will be facilitated to provide training to staff at health laboratories across the country following the WHO/CDC Training Manual. PEPFAR has also supported the creation and maintenance of the National HIV Drug-Resistance Secretariat at UVRI. This unit is responsible for preventing and monitoring the emergence of drug- resistance to the ARV regimes in current use in the country. There are a number of laboratories in the country, including the national HIVDR laboratory at UVRI, with the capacity to conduct molecular analysis of drug-resistance strains arising in the country and the Secretariat coordinates this activity. Prevention of drug-resistance is achieved by continuous monitoring of the practices around ART and this is monitored by periodic assessment of early warning indicators (EWIs) as well as surveys of transmitted drug-resistance in newly-infected people. Where practices fall short of national standards for ART delivery, corrective actions are taken. HIVDR activities complement those of the national HIV QA testing program ensuring that newly-arising drug-resistant strains of HIV can still be detected by the national HIV serologic testing algorithm.
3. Integration with other health activities
Participation in the HIV QA scheme promotes good laboratory practice for all laboratory activities
4. Relation to the national program This is the national program
5. Health Systems Strengthening and Human Resources for Health The project will support the development of a small, effective QA unit for HIV serologic testing. Over time, QA activities for other HIV/AIDS-related laboratory services will be introduced. Through the PT program, capacity will be built in the districts that will ensure high-quality HIV testing services are available to all.
