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.
This is a new activity for FY09.
Support for the Vietnam Administration for Medical Services (VAMS) is one component of PEPFAR's
ongoing commitment to the development of laboratory infrastructure across Vietnam. This Ministry of Health
(MOH) department, formerly known as the Division of Therapy (DoT), is a management department
responsible for authorizations, supervision, monitoring, and management of all technical aspects related the
health care and treatment systems in Vietnam (including public/private hospitals and all medical care units
with consultation and treatment activities). Some of VAMS's main objectives in medical services include the
development of quality management systems for laboratory (building networks and making policies), the
creation of national guidelines for testing, the development of laws/regulations, and the development of
national technical standards. For HIV/AIDS-related activities, a memorandum of understanding has been
signed with the Vietnam Administration for HIV/AIDS Control (VAAC), which tasks VAMS with developing
the national strategic laboratory plan (NLSP) and strengthening laboratory quality management systems.
VAMS has received support from PEPFAR in the past through VAAC/LIFE-GAP. Due to the significant role
VAMS plays in clinical laboratories throughout Vietnam, PEPFAR will fund them directly starting this year.
With support from PEPFAR in FY08, VAMS has made strides in the development of a NLSP. A steering
committee for Quality Management of Laboratory Systems has been appointed. The leadership includes the
Vice Minister of MOH (chairperson) and the director of VAMS (deputy chairperson); participating members
include directors from others relevant departments, administrations, and medical laboratories. Under this
steering committee five technical working groups and one writing group have been formed. The Steering
Committee has directed working groups to develop individual components that will be combined to form a
national strategic laboratory plan. The NLSP is expected to be completed in FY08 and implementation will
commence in FY09. Some of the major initiatives from the NLSP include the development of technical
guidelines for an HIV testing algorithm, a standard operating procedure/quality assurance (SOP/QA)
program for biochemistry, hematology, microbiology, pathology and medical diagnosis, laboratory quality
assurance regulations, creation of a national laboratory accreditation authority affiliated with MOH, and the
establishment of national standards for laboratories in Vietnam. The American Public Health Laboratory
(APHL) and the Clinical and Laboratory Standard Institute (CLSI) will provide technical assistance for NSLP
completion and the above listed activities. This technical assistance will be coordinated through PEPFAR
Vietnam's Laboratory Program staff. See narratives for APHL and the Laboratory Coalition for additional
details.
In FY09, VAMS will continue to provide expertise to strengthen the national laboratory network by
establishing the Center for Standardization and Quality Control. This new MOH organization will be
responsible for laboratory QA programs, will support laboratory accreditation (both national and international
standards), will develop appropriate education/training programs, and will support informatics management
of laboratory activities. VAMS, as a policy maker, will continue to develop rules, regulations, legal policies,
and national guidelines for laboratories and laboratory testing. APHL and CLSI, with coordination from the
PEPFAR laboratory team, will continue to provide technical assistance for VAMS for these activities.
FY09 will be the first year VAMS will participate in laboratory information systems (LIS)- related activities.
They are an ideal partner owing to their mandate from MOH to provide oversight of all clinical laboratories in
Vietnam. VAMS will play a key role in bringing stakeholders together. Funds will be used to organize
stakeholder meetings to build consensus around a minimum data set for laboratories. Having a single,
national standard for laboratory data will facilitate use of LIS in any laboratory, whether computerized or
paper based. At the second Global Laboratory Information Systems meeting (held in Vietnam in 2008), it
was evident that there is a need to have standards for data collection and reporting that would then help
with the exchange of data between laboratory instruments and LIS. VAMS will be responsible for defining
the minimum data set both for laboratory forms/LIS as well as for data output from laboratory instruments.
VAMS will also provide guidance on minimum requirements and specifications for laboratory instruments
that will include the capability to interface with LIS.
PEPFAR support to VAMS will also result in laboratory infrastructure improvements at 15 facilities including
10 provincial hospitals in PEPFAR focus provinces, Bach Mai Hospital and four institutional laboratories
(Pasteur Institute, the National Institute for Hygiene and Epidimiology (NIHE), Nha Trang and Tay Nguyen
Pasteur Institutes). One hundred trainings will be developed/delivered on laboratory techniques and QA.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $64,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.16:
