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: 2007 2008 2009
The funding level for this activity in FY 2008 will remain the same as in FY 2007. Only minor narrative
updates have been made to highlight progress and achievements.
The Rapid Strengthening of Blood Transfusion Program is a national program aimed at scaling-up blood
transfusion activities to ensure efficient, effective, equitable, and affordable access to safe blood transfusion
services throughout Zambia. The program is supported by the US President's Emergency Plan for AIDS
Relief with a five-year grant that ends in March 2010.
The overarching goal of the program is to establish a sustainable, efficient, and effective nationwide system
for safe blood transfusion in Zambia and to prevent transfusion-related transmission of HIV, hepatitis,
syphilis, and other blood borne infections. The program continually seeks to ensure equity of access to safe
blood and blood products and to promote ethics in the collection, testing, and rational use of blood and
blood products. In FY 2007, the program made efforts to significantly improve blood donor retention,
through increasing reliance on voluntary non-remunerated donors to 100% and increase the proportion of
repeat donors to 85%, and by doing so, reduce HIV prevalence in donated blood from 3% to 1%. Among
other activities such as maintaining appropriate project staff to supplement the shortages in permanent staff,
enhancing donor counseling services to help convert first time donors into repeat donors, and procuring all
the necessary inputs in an efficient and effective manner; a database and locator system to ensure that
effective contact with donors is maintained was established.
SmartCare is an ideal platform upon which to build a sustainable donor retention data system. In FY 2007,
ZNBTS convened critical meetings and initiated IT-related capacity building in all 9 provincial blood banks to
support the future scale-up and deployment of electronic patient monitoring and data management tools to
enhance continuity of care through SmartCare. USG will support ZNBTS by upgrading and implementing
the SmartCare framework to hold, completely separately, blood and blood donor related information, which
would be stored on a different Donor Card than the Care Card used for medical records. Each donor will be
provided with a Donor Card which can be used at other ZNBTS donor sites. Although using separate file
systems, there will synergy between the two closely related systems, using one software infrastructure. The
issuing of Donor Cards through the blood donor program will help ensure non-stigmatization of card
recipients as issued in a non-discriminatory population.
During FY 2008, ZNBTS and linked provincial centers will enter in to a development partnership with
SmartCare collaborators which includes developers supported through other mechanisms. The SmartCare
system will be updated to include parameters for ZNBTS's needs. Formal development was previously
complicated by questions of confidentiality. These have now been addressed by limiting explicitly the notion
of data crossover between Donor Cards and Care Cards, and making the cards visually separate and the
data logically separate until and unless the country decides it is ready for a multifunction card that won't
confuse the issue of mixing data. Additionally, a patient data consenting process will be advocated to be put
in place generally that covers the contingency of data cross-over between donor and clinical contexts.
Targets set for this activity cover a period ending September 30, 2009.
