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: 2008 2009
This is a continuing activity from FY08
In FY09, PEPFAR will continue supporting the activities below with a focus on consolidation and monitoring
of quality.
- Technical assistance (TA) in expanding TB lab capacity in 8 provinces, including implementing standard
operating procedures for smear, culture, identification, and susceptibility testing. KNCV Tuberculosis
Foundation (KNCV) will also provide on-site training and mentoring of laboratory staff, and assist with
reporting standardized TB lab indicators.
- Maintaining lab infrastructure and performance for mycobacterial culture in two focus provinces (An Giang,
Can Tho), and for molecular-based drug-susceptibility testing in Hanoi and Ho Chi Minh City (HCMC).
- Implementation of stronger infection control procedures in 8 provincial TB hospitals, rehabilitation (05/06)
centers that manage both drug-resistant TB and HIV patients, and prisons in two provinces. This activity
includes implementing administrative measures, health education on TB and TB transmission, structural
renovations, use of personal protection measures, and training.
In FY08, PEPFAR supported KNCV for activities to strengthen laboratory network for multiple drug-resistant
TB and establish TB infection control system. Specific activities include establishment of implementing plan
for developing TB labs in Hanoi, and HCMC towards BSL III, in Da Nang and Can Tho towards BSL II;
quality assurance of identification, culture and DST; development of SOPs for lab procedures and lab
safety; development of nationwide lab network; validation of Hain test and establishment of implementation
unit in Ha Noi; infection control assessment and control plans are under development in 5 provincial TB
hospitals, 2 prisons and 05/06 centers.
2) COP 08 narrative:
This is a continuing activity from FY07.
In FY08, PEPFAR will continue supporting the activities below:
• Technical assistance (TA) in expanding TB lab capacity in eight focus provinces, including implementing
standard operating procedures for smear, culture, identification, and susceptibility testing. KNCV
Tuberculosis Foundation (KNCV) will also provide on-site training and mentoring of laboratory staff, and
assist with reporting standardized TB lab indicators.
• Maintaining lab infrastructure and performance for mycobacterial culture in two focus provinces (An Giang,
• Implementation of stronger infection control procedures and structural renovation in eight provincial TB
hospitals and rehabilitation (05/06) centers that manage both drug-resistant TB and HIV patients. This
activity includes implementing administrative measures, health education on TB and TB transmission,
structural renovations, use of personal protection measures, and training.
In FY07, PEPFAR began supporting partner KNCV for activities to strengthen multiple drug-resistant TB
control in high HIV-prevalence settings. Specific activities included building capacity for TB culture in two
focus provinces, providing technical assistance for laboratory capacity expansion in six focus provinces,
evaluation of molecular methods for drug-susceptibility testing in two focus provinces, and infection control
in two provincial TB hospitals.
FY07 Activity Narrative:
Funding will be provided to partner KNCV Tuberculosis Foundation (The Hague, The Netherlands) for the
following activities to strengthen MDR-TB control in HIV-prevalent settings. KNCV is the closest
international partner of the Vietnam national TB program (NTP). KNCV will provide technical assistance for
TB laboratory performance improvement in six focus provinces, enhanced TB culture capacity in two focus
provinces, implementation of rapid MDR-TB diagnostic testing in two focus provinces (HCMC, Hanoi),
upgrading of inpatient wards that manage both MDR-TB and MDR-TB/HIV patients in six provinces, and
evaluation and implementation of infection control in high HIV prevalence 05/06 centers and prisons in one
province (HCMC). A description of each activity is provided below.
KNCV will provide external technical assistance to the NTP for strengthening TB laboratory capacity in the
six focus provinces. Technical assistance will focus specifically on:
(a) Developing standard operating procedures for collection, transport, processing, and culture of sputum
specimens on both solid and liquid media, and for identifying and drug-susceptibility testing mycobacterial
isolates.
(b) Developing and implementing laboratory safety procedures and adequate bio-safety facilities
(c) Developing and measuring standardized indicators to monitor TB laboratory performance
(d) Training and on-site mentoring of laboratory staff in standard operating procedures.
Enhanced laboratory capacity:
KNCV will work with the NTP to provide equipment, training, and consumables for laboratory upgrades to
perform both conventional and liquid culture in An Giang and Can Tho provinces.
Upgrading of MDR-TB treatment facilities for improved infection control:
Hospitals have been documented to serve as powerful amplifiers of TB transmission. With support from
other donors, Vietnam is scaling up treatment of MDR-TB. As part of this plan, patients will be hospitalized
for the first 1-2 months of treatment at TB hospitals. In the six focus provinces, rates of HIV are high in
patients hospitalized at these facilities, and TB hospitals serve as sites for TB screening of HIV patients.
MDR-TB inpatient facilities need to be upgraded to insure that MDR-TB is not transmitted to HIV-infected
Activity Narrative: patients receiving TB diagnostic or treatment at these facilities. This activity will include an assessment of
the present situation and implementation of infection control measures, including administrative measures
and health education on TB and TB transmission, structural adaptations (building and construction
adjustments, forced ventilation, UV), use of personal protection measures, and training.
Evaluation and implementation of infection control in 05/06 centers and prisons:
In HCMC, there are 18 05/06 centers and two prisons, which have high rates of HIV and TB. KNCV will
work with the NTP to assess and implement infection control measures to prevent (MDR) TB among these
confined populations, including administrative measures and health education on TB and TB transmission,
structural adaptations (building and construction adjustments, forced ventilation, UV), use of personal
protection measures, and training.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15247
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15247 12299.08 U.S. Agency for Tuberculosis 7100 6133.08 TB CAP $600,000
International Control Assistance
Development Program, KNCV
Foundation
12299 12299.07 U.S. Agency for To Be Determined 6133 6133.07 KNCV TB
International Foundation
Development
Emphasis Areas
Health-related Wraparound Programs
* TB
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.12:
