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.
May 2010 Programming = REDACTED
People with HIV who develop active TB are less likely to have sputum smears positive for acid-fast bacilli and less likely to
have typical chest x-ray findings, the two mainstays of diagnosis in Vietnam as in most TB high-burden countries. In
Vietnam, a recent TB prevalence survey identified a much lower than expected case detection rate (54%), which may be in
part related to low rates of diagnosis of smear-negative TB. The recognized limitations of smear microscopy for TB
diagnosis, particularly among PLHA, have led to many new diagnostic methods being developed and promoted in the last
several years. However, these methods are more expensive and require more technical expertise to use compared to
current approaches. A critical need for national TB and HIV programs is to identify how much benefit these new assays
provide in increasing diagnosis rates, which kind of patients benefit most, and how feasible they are to implement at
different levels of the healthcare system.
One particularly promising method is the "loop-mediated isothermal amplication" or LAMP assay which is significantly
cheaper and simpler to use than traditional PCR-based methods, and is intended to be used at peripheral laboratories. We
propose to work with the NTP to implement the LAMP test in 3-5 sites at different levels of the laboratory network. TB
suspect patients would have standard diagnostics according to routine care (smear microscopy and chest x-ray) in
addition to liquid-based culture (gold standard) and the LAMP test on sputum. Objectives are to assess the feasibility of
implementation at different levels of the laboratory network, and to assess the additional diagnostic yield of the LAMP test
compared to current routine tests in various patient populations, in particular PLHA. The project is expected to take 3 years
from preparation phase through implementation and evaluation.
