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 2014 2015 2016 2017 2018
1. Overall goals and objectives
REDACTED
There is only one TB reference lab in Uganda. Ideally there should be a network of regional TB reference labs to ease the pressure on NTRL, to shorten specimen turn-around times and to form part of a wider network of TB laboratories in the East African Community (EAC). Under the World Bank TB Laboratory
Strengthening Program for East Africa (Uganda, Kenya, Tanzania and Rwanda) and as part of a 'two for one' funding arrangement with the Uganda Government ($10M in total), regional TB reference labs will be established in Arua, Fort Portal, Mbale and Mbarara - AISPO will fund a further lab at Lacor Hospital in Gulu and CDC will build a new NTRL in Port Bell, Kampala, allowing the existing lab at Wandegeya, Kampala to assume reference responsibilities for the central region. The existing NTRL is more than 50 years old and is inadequate to meet the expanded needs of a national reference lab in the 21st century. These initiatives together will put in place a network of seven TB reference labs across the country with the new NTRL assuming the responsibilities of a supra-national lab for the EAC and will also provide office space.
2. Target populations and geographic coverage National Provides reference facilities for the whole country and as a WHO supra-national lab, for the whole EAC.
Provide demographic information on the target population(s) and total numbers planned to reach. Name districts in which the IP will implement activities
3. Enhancing cost effectiveness and sustainability Oversees 6 national TB reference labs Partnership with WB and AISPO Co-location with Central Public Health Laboratory
4. Health Systems Strengthening New NTRL to coordinate activities of 6 TB reference labs Rapid determination of TBDR enabling fast response De-centralized QA for TB smear microscopy building regional capacity
5. Cross-Cutting Budget Attributions a. Human Resources for Health b. Construction/Renovation - REDACTED c1. Food and Nutrition: Policy, Tools, and Service Delivery c2. Food and Nutrition: Commodities
d. Economic Strengthening e. Education f. Water g. Gender: Reducing Violence and Coercion
1. Target populations and coverage of target population or geographic area National Provides reference facilities for the whole country and as a WHO supra-national lab, for the whole EAC.
2. Description of service delivery or other activity carried out
3. Integration with other health activities
Under the World Bank TB Laboratory Strengthening Program for East Africa (Uganda, Kenya, Tanzania
and Rwanda) and as part of a 'two for one' funding arrangement with the Uganda Government ($10M in total), regional TB reference labs will be established in Arua, Fort Portal, Mbale and Mbarara - AISPO will fund a further lab at Lacor Hospital in Gulu and CDC will build a new NTRL in Port Bell, Kampala, allowing the existing lab at Wandegeya, Kampala to assume reference responsibilities for the central region.
4. Relation to the national program There is a growing realization on the part of Ministries of Health that laboratories are one of the weakest links in health systems in a country (2008 Maputo Declaration on Strengthening of Laboratory Systems). An efficient national public health laboratory system is critical for: supporting integrated disease surveillance; complying with International Health Regulations and conducting clinical diagnosis, guiding treatment, and managing the spread of drug resistance. The existing NTRL is more than 50 years old and is inadequate to meet the expanded needs of a national reference lab in the 21st century
5. Health Systems Strengthening and Human Resources for Health
New NTRL to coordinate activities of 6 TB reference labs Rapid determination of TBDR enabling fast response De-centralized QA for TB smear microscopy building regional capacity
