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
In FY 2011, the Regional Support and Procurement Office (RPSO) will continue to receive funding to complete laboratory rehabilitation and construction throughout Uganda. RPSO in collaboration with CDC-Uganda will complete infrastructure improvements at the district laboratories that were started by the Regional Procurement and Support Office [RPSO], based on the Ministry of Health (MoH) laboratory service and equipment standards. These improvements will ensure that district laboratory capacity will meet the national standards. The laboratories must be able to support HIV/AIDS care and treatment services, HIV-testing to support VCT, TB screening and other key tests related to opportunistic infections diagnosis.
In FY2011 $2,500,000 will be programmed to State/RPSO for the construction of a new NTRL. 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 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.
CDC has supported the National TB Reference Lab during the emergency-response phase of PEPFAR through: renovations to the training and diagnostic labs, including an air-filtration system to bring the lab to BSL 3 standards, required for handling drug-resistant TB; support for Quality Assurance (QA) activities and a national specimen referral system with POSTA Uganda and the mapping of TB microscopy sites in the country using GIS.
There is only one TB reference lab in Uganda.
1. Target populations and coverage of target population or geographic areaNationalProvides 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
The funding is for the construction of a new NTRL .
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 programThere 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 HealthNew NTRL to coordinate activities of 6 TB reference labsRapid determination of TBDR enabling fast responseDe-centralized QA for TB smear microscopy building regional capacity
