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.
This activity is related to CDC Lab TA.
Opportunistic Infections (OIs) are common in HIV populations and are a major threat to People Living with
HIV/AIDS (PLWHA) both prior to diagnosis and during care and treatment programs. Global efforts toward
detection of tuberculosis (TB) are currently in place, however basic microbiology laboratory services for
blood stream and other infections such as sexually transmitted diseases, which have high morbidity in the
HIV-infected patients, are limited and lack quality.
In FY 2007, this activity supported technical assistance from the American Society for Microbiology (ASM).
ASM technical experts provided support in the areas of TB and OIs. The technical experts conducted a
fluorescent smear TB microscopy workshop, provided gram staining training and proficiency testing, trained
on the function and maintenance of the BACTEC 9050, and also educated laboratory staff and medical
personnel on proper blood culture collection techniques. Training was also provided to laboratory staff,
clinicians, and pharmacists to evaluate the antibiotic formularies and laboratory testing panels to rationalize
their usage.
In FY 2008, the ASM will continue to provide in-country expertise for cost effective microbiology services
and expand support for detection of sexually transmitted diseases, infant HIV diagnosis by dried blood spot
(DBS) polymerase chain reaction (PCR) techniques, laboratory systems, strategic planning, standardization
of protocols for antibiotic utilization, infection control and good laboratory and clinical practice. ASM's major
emphasis area will continue to be human capacity development. Activities conducted will include training
on the most common bacterial infections and cost-effective diagnostic techniques, improvement in rapid TB
culture, identification and drug susceptibility testing at the National and Regional TB reference laboratories.
Other activities will include on-site training and consultation for development and standardization of
laboratory procedures, improving specimen management, correlation of laboratory results with patient
outcomes in other laboratory areas such as chemistry, hematology, and CD4 testing. Rapid cost effective
diagnostics to improve quality and human resource capacity in the laboratory will be implemented.
Technical experts will continue to provide support to the U.S. Government (USG) team, the Zambian
Ministry of Health (MoH) and the Zambian Ministry of Defense (MOD). Additionally, ASM will work with
cooperating laboratory partners (such as JHPIEGO and the naval defense medical team) to strengthen
microbiology services and treatment of OIs. Integration and co-ordination of the teams involved will improve
the monitoring and utilization of diagnostic services for OI's and STI's.
The technical experts provide in-country technical assistance for periods between three to four weeks and
return for multiple consultations. This activity provides support for their travel and other costs related to
their consultancy to the National Laboratory QA Program in Zambia. Trainings will be done in consultation
with CDC-Zambia or other organizations. Target data is collected and incorporated with the CDC Lab TA
activity.
