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: 2011 2012
Implementing Mechanism Narrative
The project objectives are:
Increase access to CD4 testing for HIV positive patients to support the roll out of the ART program according the new WHO guidelines.
Increase access to lab monitoring of patients on ART for early identification of treatment failure.
Provide access to other laboratory tests that are essential to monitor the health of people living with HIV/AIDS and side effects of ART.
Facilitate access to opportunistic infection diagnosis through establishment of a referral network from district hospitals and rural clinics to provincial labs with higher testing capacity.
The activities that will be implemented support the HIV/AIDS national strategy and plan through strengthening of the laboratory services for implementation of the National ART guidelines in line with WHO ART recommendations and improving the quality of care provided to HIV/AIDS patients.
This project will operate at provincial level to achieve national coverage. Initial focus will be on strengthening a referral network centered at Mpilo Hospital for provision of services to sites in Matabeleland North, Matabeleland South and Bulawayo. The project will then be rolled out to 3 additional provinces with an overall target of 8 sites by the end of the project.
The key contributions of this program to health systems strengthening are the expansion of laboratory services within a limited resource setting optimizing the available human resources, simplifying the lab supply chain, and strengthening the available infrastructure to increase the availability of clinical laboratory services to rural populations.
Demonstrating the cost-efficiency of this project will increase its impact when other partners are leveraged to replicate the model. Additionally this project will work together with existing PEPFAR implementing mechanisms for laboratory activities and with the Ministry of Health and Child Welfare (MOHCW).
A woman and girl centered approach will be achieved through ensuring that pregnant women get access to the entire baseline testing required for their antenatal care.
The cross-cutting programs that this project covers are Human Resources for Health through in-service training of laboratory personnel and performance allowances to existing staff. Key issues include TB and safe motherhood as TB testing and prenatal screening testing will be part of the laboratory test menu offered through the referral network.
The strategy for cost-efficiency is based on bulk procurement of reagents and consumables for HIV, TB and other related monitoring and diagnostic tests. Application of good inventory management practices like first in first out (FIFO) will avoid expiration of reagents. Resources that are already in place will be utilized as much as possible.
Monitoring and evaluation of the program will be done through the implementation of a Laboratory Data Management Systems (LDMS) that will allow tracking of laboratory tests performed by discipline, number of patients served, and quantification of reagents. M&E information will be reported in quarterly progress reports.
This project will procure reagents for HIV lab monitoring tests at the four referral laboratories.
This project will:
Implement minor renovations to lab infrastructure at selected sites for high efficiency testing.
Mentor laboratory personnel to build capacity for high volume testing.
Introduce Laboratory Data Management Systems (LDMS) for data collection and reporting.
Build the referral network with the neighboring districts and clinics through the sample/results referral system.
Support performance allowances to laboratory scientists on site.
Ensure the continuity of testing through maintenance of laboratory equipment.
COP11 funds will procure high efficiency field performing equipment and reagents/cartridges to diagnose TB at the four referral laboratories to reduce turnaround times of results and increase accuracy of diagnosis and treatment initiation of TB suspected clients from rural populations.
