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
The funding level for this activity in FY 2008 has decreased since FY 2007. Only minor narrative updates
have been made to highlight progress and achievements.
In FY 2008 the ZNBTS will continue to provide safe blood through the 118 transfusion outlets and will aim to
provide 80,000 units of blood while focusing on a reduction in the number of discarded units. During the
course of the year 450 health staff will be trained in the provision of safe blood.
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 President's Emergency Plan for AIDS Relief
(PEPFAR) with a 5-year grant that ends in March 2010.
Zambia has a comprehensive national blood transfusion program aimed at ensuring equity of access to safe
and affordable blood throughout the country. Blood transfusion needs in Zambia are currently estimated at
100,000 units (450 mls each) of blood per year. Approximately 40% of the patients transfused are children
under the age of five years and about 20% are mothers due to complicated pregnancies. Since the
initiation of PEPFAR funding in August 2004, the blood transfusion system has been restructured into a
nationally coordinated service with: the national coordinating center in Lusaka; nine provincial blood
transfusion centers, which are responsible for donor recruitment, collection, testing and distribution of blood;
a network of 117 blood transfusion outlets, responsible for blood grouping, cross-matching and monitoring
of transfusion outcomes at the respective hospitals; and a network of blood transfusion outlets providing
clinical transfusion services to patients, which include public, faith-based and private hospitals and clinics.
Mobile blood collection teams have also increased from 10 to 21, while blood collections have drastically
increased from the baseline of approximately 8,000 units per quarter in 2004 to about 20,000 units for the
quarter ended June 2007 and it is projected that the total collections for the year ending March 2008 may
exceed the target of 80,000 units. Transfusion outlets have increased from 90 to 117 sites, as at July 2007,
covering all the nine provinces and all the 72 districts. Trends towards reductions in discards due to TTIs
have also started showing, with the total discards reducing from the baseline of 15% in 2004 to 9.54% for
the quarter ended June 2007, and HIV discards reducing from 6% to 3.14% during the same periods.
PEPFAR funding has allowed for significant scaling-up of blood collections, purchase of 18 vehicles and five
trailers for transporting blood, purchase of nine sets of TECAN Elisa systems for the provincial blood banks;
and about 710 staff and providers have been trained in safe blood operations. Tenders for procurement of
additional donor services, laboratory and cold chain equipment approved under the PEPFAR Track 1
funding for Year 3 are in progress.
The Zambia National Blood Transfusion Service (ZNBTS) has developed an MS Access database for blood
donor tracing system. However, to further strengthen the system and improve the efficiency and accuracy
in the capturing and management of blood donation data, the CDC local office has agreed to provide
ZNBTS with technical, material and financial support towards the development and implementation of a
smart card based blood donor management system. CDC has also provided a total of US$20,000 for
strategic information management activities.
Over the past year, ZNBTS has considered establishing linkages with health facilities which offer voluntary
counseling and testing (VCT) services. Even though ZNBTS has initiated discussions with the relevant VCT
centers, this strategy has not yet been implemented. Such linkages would benefit the blood transfusion
service in two ways: 1) blood donors who test positive to HIV would be referred, with their consent, to
selected reputable health facilities for further counseling and advice on how to live positively and access to
free antiretroviral therapy if necessary; and 2) persons who test negative for HIV at voluntary counseling
and testing centers (VCTs) would be encouraged to visit ZNBTS blood banks and become repeat blood
donors. Funding for this activity would be used on activities related to the establishment of these linkages
with reputable VCT centers, including sensitization of donors.
The GRZ, through the ZNBTS, will ensure that these activities are included in the annual plans for
sustainability.
Targets set for this activity cover a period ending September 30, 2009.
