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
ASM is a centrally managed cooperative agreement with the American Society for Microbiology to support development of laboratory capacity. ASM has wide technical capacity including in microbiologic testing for tuberculosis and HIV diagnostics, including rapid testing. In Ukraine, limited support under this mechanism for ASM activities was programmed in FY10/FY 11 COPs to address specific technical capacities at the nascent National TB Reference Laboratory as recommended by WHO and other partners providing support for establishment of the NTRL. However, the NTRL laboratory has not yet become effectively operational and these activities have not been initiated. These resources will be redirected to support TB laboratories in the two regions covered by the recent Ukraine CDC HIV-TB CoAg. Additional activities will be initiated in rapid test quality control programs as requested by national partners including the Ukrainian AIDS Center's NRL.
The ASM mechanism directly contributes to the achievement of goals 2 and 3 of Ukraines forthcoming Partnership Framework including improved quality and cost effectiveness of HIV prevention, care, and treatment services for MARPs and strengthened national and local ability to achieve Ukraines National AIDS Program objectives. In addition, these activities support the goals outlined in the MOH strategy on counseling, testing and laboratory diagnosis which was released in July 2009.
ASM will coordinate closely with the GF to strengthen labs and advocacy with the GOU to demonstrate the need for increased national support for laboratory strengthening, including the NRL. All ASM activities are designed to increase national capacity and ownership within the national and regional laboratory system.
Due to increasing HIV testing using rapid tests in Ukraine without a functioning quality assurance/control program, special attention is needed to implement an effective program of external quality assessment. Funding in 2012 will be used to train laboratory professionals from the National HIV Reference Laboratory and the Gromashevsky Institute Iin preparing DBS proficiency panels for an external quality assessment program. In addition ASM will assist in the development of external quality assessment protocols for rapid testing in Ukraine with a followon pilot study of implementation, in conjunction with national and regional laboratory partners and implementing prevention NGOs.
ASM technical experts (mentors) will provide in-country support for microbiology for tuberculosis, TB laboratory systems and strategic planning, standardization of protocols for cost effective testing, and good laboratory and clinical practices in the two regions selected under the CDC-Path Ukraine HIV-TB cooperative agreement. Focused support to the National TB Reference Laboratory will be initiated if the laboratory becomes operational.
PEPFAR II indicators: These indicators (no. of testing laboratories and number of accredited laboratories) do not provide the critical information for programming laboratory support in Ukraine. Currently, the no. of testing laboratories in the HIV laboratory system is sufficient; however, quantitative capacity in some assays needs to be augmented and the qualitative capacity, especially human, of all laboratories needs to be strengthened. All laboratories in the system are nationally accredited except for the HIV National Reference Laboratory; however, numerous gaps exist in quality management. ASCP activities are addressing these gaps.
Coverage: Currently coverage with laboratory testing is adequate nationwide with the exception of prison populations. CDC is participating in planning for laboratory capacity augmentation under the GF Round 10 funding to cope with anticipated growth in needs and to extend coverage to prison populations; however, addl laboratories are not planned. As additional capacity is developed, ASCP activities will include them into quality management and other support activities.
Training in management and quality assurance: these trainings are a major part of ASCP laboratory trainings and pre-service curricula.
All CDC-supported laboratory activities in Ukraine target enhancing the capacity of the MOH laboratory system.
