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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
Activity Narrative:
This activity takes advantage of cross-program synergy by linking with the Partnership for Supply Chain
Management System (SCMS) activities in ARV Drugs, Counseling & Testing and Adult Care & Support, the
President's Malaria Initiative, USAID Population/ MCH funding, Government of the Republic of Zambia
(GRZ), Center for Infectious Disease Research in Zambia (CIDRZ), Catholic Relief Services (CRS)/AIDS
Relief, Churches Health Association of Zambia (CHAZ), University Teaching Hospital (UTH), Zambia
Prevention, Care and Treatment Partnership (ZPCT), Global Fund for AIDS, Tuberculosis and Malaria
(GFATM), UNITAID, and the Clinton Foundation HIV/AIDS Initiative (CF).
The purpose of this activity is to expand assistance for ensuring that ARV drugs, HIV tests, sexually
transmitted infection (STI) drugs, and opportunistic infection (OI) drugs procured by the US Government
(USG), GFATM, and other partners are in sufficient supply and provided to Zambians at service delivery
sites through efficient and accountable logistics supply chain systems. This activity was preceded by
several key initiatives in FY 2005 and 2006 conducted by the JSI/DELIVER project, and by the USAID |
DELIVER PROJECT in FY 2007 and 2008. Their scope of work was to 1) implement the revised ARV drug
logistics supply chain nationwide and to coordinate and centralize the management of ARV drugs; 2)
implement the revised HIV test kit logistics supply chain nationwide and to coordinate and centralize the
management of HIV tests; and 3) design and pilot test a revised essential drugs (ED) logistics supply chain
nationwide in order to coordinate and centralize the management of key OI/STI drugs, antimalarials and
contraceptives.
Examples of previous activities include: centralizing the management of ARV and HIV test procurement
information and planning; providing technical assistance to GFATM Principal Recipients in the development
of ARV drug Procurement and Supply Management Plans (PSM); beginning facility-level computerization of
the ARV and HIV test reporting and ordering process; and training more than 3,900 warehouse staff,
pharmacists, laboratory staff and other key personnel in the management of the ARV, HIV tests and ED
logistics systems.
With FY 2009 funding, the USAID | DELIVER PROJECT will expand efforts to strengthen the effectiveness,
efficiency, and sustainability of the national ARV, HIV tests and essential drug logistics systems. Activities
will include:
1. Supporting the MOH in coordinating ARV drug, HIV test, and OI drug forecasting and procurement
planning capacity at the central level.
2. Supporting the complete transfer of the MOH Logistics Management Unit's (LMU) logistics
responsibilities to Medical Stores Limited (MSL).
3. Quantifying required ARV drugs, HIV tests, and OI drugs consistent with resources and policies for
rapidly scaling-up antiretroviral therapy (ART) programs.
4. Reinforcing the standardization of ARV drug and HIV test kit inventory control procedures at central,
district, and service delivery sites, including the documentation and dissemination of logistics policies and
procedures.
5. Institutionalizing pre-service logistics management training within the appropriate schools of pharmacy,
schools of nursing and medical schools in Zambia.
6. Evaluating the piloted models for the national ED/malaria/FP logistics system.
7. Implementing standardized ED/malaria/FP inventory control procedures at central, district, and service
delivery sites, including the documentation and dissemination of logistics policies and procedures, based on
the results of the year-long ED pilot.
8. Continuing installation of the software tool at ART and CT sites to collect and use for ordering ARV drugs
and HIV tests; significantly reducing the time and effort required for ordering and reporting.
9. Improving ARV drug, HIV test and ED logistics decision-making processes at the central level through
use of aggregated data from health facilities as provided through the national logistics management
information systems (LMIS).
10. Significantly increasing the frequency of monitoring and evaluation of the ARV drug, HIV test kit, and ED
supply chains, and making improvements as needed, taking full advantage of the recently established
seven provincial offices; and,
11. Collaborating with the SCMS project and other partners and stakeholders to address the broader area
of HIV/AIDS commodity security.
To complete these activities, the USAID | DELIVER PROJECT, in collaboration with MOH, MSL, and other
partners, will train up to 1,500 additional key personnel (e.g., doctors, nurses, pharmacists, and laboratory
personnel from the MOH and non-governmental organizations) in both the manual and automated ARV
drug, HIV test kit, and ED logistics management systems. Moreover, at the central level, the USAID |
DELIVER PROJECT will coordinate multi-year national ARV drug, HIV test kit and key ED forecasts and
procurement plans with all key partners, including GRZ and donors. The USAID | DELIVER PROJECT will
also be an active member on appropriate national technical working groups, such as voluntary counseling
and testing (VCT), Home-Based Care; Treatment, Care, and Support; and ART Implementation working
groups. Finally, the USAID | DELIVER PROJECT will provide direct support to the GFATM Principal
Recipients through participation in the Zambia GFATM Steering Committee and provision of assistance in
developing proposals and Procurement and Supplies Management Plans for GFATM/Geneva.
Through the continuing development of the national ARV drug, HIV test kit and ED logistics systems, and
skills transfer to MOH and non-governmental staff, it is anticipated that these activities will contribute
significantly to the MOH's capacity to efficiently manage the national response to HIV/AIDS.
All FY 2009 targets will be reached by September 30, 2010.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16544
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16544 16544.08 U.S. Agency for John Snow, Inc. 6822 5074.08 DELIVER II $1,600,000
International
Development
Emphasis Areas
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $2,000,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.18:
