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.
THIS ACTIVY IS A CONTINUATION ACTIVITY UNDER LABORATORY AND IS BEING INCLUDED IN
THE PEDIATRIC SECTION. TARGTES WILL BE ROERTED UNDER LABORATORY SECTION.
This activity is linked to #8887, #8993, ART in Lusaka and the New Lab EID .
Reliable laboratory support continues to be critical for treatment and care of HIV/AIDS patients. This activity
in the past year has provided the University Teaching Hospital (UTH) Department of Pediatrics, with training
of laboratory personnel, equipment and supplies needed to perform Polymerase Chain Reaction (PCR)
diagnosis of HIV-exposed infants, viral load and HIV genotyping for the monitoring of drug resistance. The
training activity will continue for UTH but the support for Kalingalinga's laboratory will no longer be needed.
To date over 15 lab technicians have been trained from the two facilities and are now performing PCR for
HIV testing, tuberculosis diagnosis, syphilis testing and HIV disease monitoring. Through US Government
(USG) funding UTH now has machines and performs PCR and drug resistance monitoring. Currently the lab
staff who have been trained are performing all the needed laboratory assays, but at the same time they are
providing technical assistance to personnel from other laboratories as needed. Our trained lab technicians
will further be trained when updated procedures or techniques are introduced. They will be trained by
personnel sent from Nebraska or be sent to Nebraska for further training as needed.
In FY 2009, funds will be used to focus mainly on performing viral load and genotype and testing services.
Currently, three lab techs are trained and genotyping is being performed in the laboratory. This test is now
available for monitoring of treated individuals with clinical and immunological failures. Over twenty cases
from UTH have been tested successfully and our preliminary results on 100 cases from sentinel
surveillance of drug naïve cases throughout the country has indicated that 5% of the cases are already
carrying potential drug resistance viruses. Therefore we are anticipating a higher demand of the tests as
more patients are being treated and more drug failure cases will be observed. Due to the extremely time
consuming nature of the genotyping test, an additional technologist and data entry clerk are required to be
hired and trained to support the viral load and genotyping as genotyping will be scaled up in the coming
year. One senior (MD/PhD) level laboratory coordinator is being recruited to lead this component of the
work. This individual has already been identified and will be returning to Lusaka after completing his current
training in Nebraska in Oct 2008. Technical expertise from this center will support laboratory infrastructure
development of other sites in Zambia if needed. Lessons learned from this activity in FY 2008 in setting up
the various tests, especially the viral load and genotyping, will be applied to expanding the activities to other
sites, such as the UTH Virology Laboratory and the Arthur Davison's Children's Hospital in Ndola if needed.
Initiating and scaling up viral load and ARV drug resistance monitoring at the government hospitals in
collaboration with the Ministry of Health allows these government institutions to build national capacity
through acquiring skills and equipment necessary to scale up and maintain a high standard of pediatric ART
care. Under this activity Zambians trained in FY 2009 will work with facilities in other provincial hospitals to
transfer their knowledge and skills on viral load and resistance monitoring activities so more children can
access treatment as well as build a sustainable pediatric treatment at the provincial levels.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15620
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15620 3701.08 HHS/National University of 7202 4142.08 NIH $280,000
Institutes of Health Nebraska
9015 3701.07 HHS/National University of 5013 4142.07 NIH $280,000
3701 3701.06 HHS/National University of 4142 4142.06 $280,000
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $40,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.10:
