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
In Vietnam, FIND is implementing a set of activities aimed at strengthening the quality of laboratory services, introducing new / more rapid diagnostic tools, increasing human resource capacity, and supporting the integration of laboratory services for diagnostic testing of tuberculosis (TB) and HIV. This activity is referenced in the Partnership Framework Implementation Plan (Goal #2: Supporting the provision of sustainable HIV/AIDS Services through strengthening systems for peoples health and welfare, Objective 2.1 c: Improve Laboratory Systems through improved strategic planning, systems management, coordination, training and accreditation). FIND will support one national reference, five regional reference, one provincial and up to 15 district TB laboratories throughout Vietnam.
Anticipated benefits and outcomes include: 1) FIND will facilitate inclusive meetings to develop plans and policies that garner commitment to goals and implementation. During individual country assessments, FIND and partners will review and discuss policies, plans, and laboratory strategies with in-country leadership to craft the best approaches and objectives to reflect current needs, gaps and challenges. 2) FIND will work to bridge the gap in diagnostic tools, as well as patient care and treatment, by assisting in the development of integrated laboratory networks that include the testing of all HIV patients suspected of having TB and ensuring that TB patients are screened for HIV. Laboratory technicians will be trained to use more sensitive diagnostic tools.
In September 2010, FIND was awarded a centrally held, five-year cooperative agreement from the CDC to strengthen and integrate laboratory services under PEPFAR. For Vietnam, FIND is implementing a set of activities aimed at strengthening the quality of laboratory services, introducing new / more rapid diagnostic tools, increasing human resource capacity and supporting the integration of laboratory services for diagnostic testing of TB and HIV. FINDs project approach involves country leadership in discussions of laboratory service integration, reviewing past policies and strategic plans to identify needs and gaps, developing national standardized monitoring and evaluation plans, and creating timelines that pave the way forward.
Past activities include: 1) Laboratory assessments for selection of labs to be enrolled in Expand TB project and piloting of slide EQA e-software; 2) Creation and adaptation of training courses for TB laboratories, both management and technical training; 3) Production and delivery of training in TB laboratory management and improvement of TB testing quality/capacity; 4) Full-time in-country senior microbiologist providing TA to the Vietnam National TB Program (VNTP) and regional TB laboratories to improve TB diagnostics towards international standards and accreditation.
In COP 12, FIND will support the following new activities: 1) Provide trainings and technical assistance to national/regional TB laboratories for improvements towards accreditation, e.g. slide EQA, electronic recording and reporting system, equipment maintenance/calibration; 2) Support VNTP and the National TB Reference Laboratory (NTRL) to roll out EQA program for TB molecular tests; 3) Continued support from the full-time in country senior microbiologist for international standards and accreditation.
Monitoring and evaluation of the FIND projects will be done by the FIND central headquarters. FIND-HQ and CDC Vietnam regularly communicate via conference calls. Biweekly meetings between FIND-Vietnam and CDC are organized in order to give updates and discuss next steps. The close monitoring of the progress of activities implemented will be used for evaluating the efficacy of the project and help to decide what areas need more focus or improvement. The monitoring and evaluation plan from FIND will analyze outputs, results, and assess impact to identify successes, challenges, and to ensure that goals, targets, and national commitments are being met. FINDs exit strategy will include training local organizations how to implement, monitor and evaluate activities. Transferring projects to local institutions will provide country ownership and ensure program sustainability and progress towards accreditation.
