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: 2010 2011 2012 2013 2014 2015 2016 2017
Blood transfusion is an important strategy for the attainment of the national health objectives, and health-related Millennium Development Goals (MDGs), related to maternal and child health, and to combating major communicable diseases, including HIV and AIDS, malaria, and TB. It is one of the most effective methods for prevention of the transmission of HIV and other Transfusion Transmissible Infections (TTIs), including Hepatitis B (HBV), Hepatitis C (HCV), and Syphilis. The blood safety program is aligned to the National Health Strategic Plan 2011 to 2015 (NHSP 2011-2015), and the national multi-sector response to HIV and AIDS.
Main goal: To attain equity of access to safe blood and blood products throughout the country, in order to contribute to national health and development objectives.
The main strategies/activities will include: strengthening and scaling up blood collections, towards meeting the national blood needs; strengthening post-donation counseling, and linkages to care, and treatment facilities; strengthen laboratory testing, and processing of blood; promotion of appropriate clinical use of blood, and blood products; implementation of the pilot project on transfusion support to reduction of Maternal Mortality; strengthening quality assurance; scaling up staff training, and capacity building; strengthening monitoring and evaluation, and evidence-based decision making; promoting, and advocating for long-term sustainability of the blood safety program; and strengthen collaboration with other implementing partners.
ZNBTS will contribute to the strengthening of laboratory infrastructure in the country. During COP 2012, ZNBTS has planned to significantly upgrade the laboratory equipment at all the 9 provincial blood centers, through automation of processes.
ZNBTS will continue to strengthen Strategic Information Management, including: institutionalization of the SmartDonor system at all the provincial centers; implementation of the Vein-to-Vein electronic blood tracking system; and meeting all reporting requirements.
ZNBTS will ensure finalization of the National Blood Policy, and Legislation; restructuring of ZNBTS by MOH. Both activities will be supported by MOH.
ZNBTS will collaborate with the Male Circumcision (MC) program, for mutual benefit. Blood donors will be encouraged to undergo MC and donor education, and counseling will include MC promotion messages. On the other hand, the MC programs will be requested to educate, and encourage their sero-negative clients to become blood donors.
ZNBTS will aim at: scaling up blood collections, towards meeting the national blood needs; strengthening the laboratory systems, and methods for blood screening, and processing; promotion of appropriate clinical use of blood; and strengthening coordination, and management. The program will cover the whole country. The target for blood collections will be 130,000 units.
ZNBTS will continue advocating for injection safety, training of staff on prevention of unnecessary injection pricks, and promoting strict adherence to the established national, and international bio-safety standards/guidelines on the disposal of medical waste.
Post-donation counseling is focused at advocating AB for all the blood donors who are sero-negative to HIV, and other TTIs. The target for COP 2012 is to reach out to approximately 300,000 potential blood donors with AB messages across the country.
All the blood donors undergo pre- and post-donation counseling, with trained phlebotomist/ counselors, to discuss their test results. Donated blood is also subjected to mandatory laboratory screening for HIV, HBV, HCV, and Syphilis, using approved standards.
Approximately 23% of maternal mortality in Africa is due to hemorrhage, and blood transfusion is a critical intervention in such conditions. The USG has initiated a pilot project to support the reduction of MMR in Zambia. Blood transfusion has been identified as one of the key strategies that will support this pilot project.
