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
This project aims to improve the quality of laboratory testing in support of HIV diagnosis, care and prevention programs and have 30 public sector laboratories accredited by the end of the project period. This will be achieved through 1: Strengthening laboratory management to support/maintain laboratory accreditation; 2: Providing EQA Services to laboratories and testing sites in Zimbabwe; 3: Supporting the MOHCW Laboratory Directorate coordinate its management responsibilities; 4: Supporting the Medical Laboratory & Clinical Scientist Council implement its regulatory functions. The Project has national coverage, and includes public, private, mission and research laboratories. The focus will be on the 2 national reference labs in Zimbabwe. The project collaborates with partners such as Global Fund and the World Health Organization. The strategy for cost-efficiency of this program is based on bulk procurement of reagents and consumables for TB and other HIV related testing. Cost savings will be realized by conducting integrated site visits to sites within close vicinity to minimize traveling costs and ensure future sustainability of activities initiated in this project. A sustainability strategy will be developed which includes ZINQAP as the EQA Provider and public sector laboratories. Monitoring and evaluation of the activities will be through quarterly progress reports. Progress in the accreditation of labs will be monitored by WHO assessors and confirmed by ISO when the facilities are at the required international level. VEHICLES Purchased under this mechanism from the start of the mechanism through COP FY2011 = 10 New requests in COP FY 2012 = 0 Total planned/purchased vehicles for the life of this mechanism = 10 New request justification - COP FY 2012: N?A
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHLAB MOHCW 1385000 Strengthening capacity of labs to carry out quality clinical lab testsHVTB MOHCW 200000 Strengthening TB testing capacity in the public health labs
The overall goal of this component is provide quality. TB testing in support of TB diagnosis, monitoring treatment and surveillance. ZINQAP will strengthen the refferal network for TB testing particularly for MDR-TB surveillance. This project will gap-fill procure laboratory commodities for TB microscopy, culture and drug susceptibility testing (DST). This project will provide support to both the NTBRL in Bulawayo the TB culture laboratory at Harare Hospital and microscopy sites nation wide. This is in line with the NTP plans and will augment efforts by others partners , such as Global Fund and TB CAP in providing TB testing services. In order to strengthen human resource capacity, ZINQAP has been training laboratory personnel at NTBRL in quality systems for improved service delivery. One of the NTBRL's objectives is accreditation to ISO15189 and implementation of a sustainability strategy that will move NTBRL from being dependent on partner support to running as a self-sustaining laboratory. ZINQAP will use PEPFAR as well as program level indicators to this component of the project. Number of culture and DST supported and accreditation status will be measured as PEPFAR indicator. The following program level indicators will be measured; laboratory turn around time; number reagent stock-outs; the conduct of IQ and performance in the PT programme. Achievements to date: 200 DST conducted to date. NTBRL has received mentorship in quality systems and has implemented laboratory improvement projects such as, determining and improving the turn around time, participation and monitoring of PT for TB microscopy and DST.
INQAP will provide laboratory training and mentorship, in Quality Systems, using the Strenghtening of Laboratory Management Towards Accrediation (SLMTA) model, in thirty laboratories. Provide specific technical training based on technical competence gaps identified. Strengthen laboratory services in Zimbabwe, through maintaining the laboratory network of provincial laboratory scientists. Gap - Procurement of laboratory equipment and commodities. Provide an accredited multi-disciplinary Proficiency Testing (PT) program. Provide retention packages for key personnel NMRL. ZINQAP operates a national programme, that covers all provinces and primarily focuses on public sector laboratories. ZINQAP uses PEPFAR and program level indicators to monitor progress. Achievements to date are: The Zimbabwe Medical Laboratory Standard (Guideline) was finalised and launched, defining minimum requirements for laboratories and testing sites. Mentorship of eleven laboratories in quality sytems, for improved service delivery and in preparation for accreditation. Provision of an accredited PT programme to 164 sites. Restocking 38 laboratories, with laboratory equipment and commodities, based on the determination of needs and quantification by the Logistician. Gap - procurement of laboratory reagents. repair and routine service of laboratory equipment. Development of an M & E tool to be used to determine laboratory tests conducted in each laboratory and collect information that will be used for disease surveillance and forecasting for the laboratory logistics unit. Provision of laboratory testing services for national surveys such as the ZDHS and the HIV DR survey by the NMRL. Establishment of a laboratory surveillance system to be used for the detection of outbreaks and capturing of emergence of anti-microbial resistance and determining the trends in anti-microbial resistance in different provinces. Monitoring the trends in bacterial agents through reporting by Zimbabwean laboratories. Development of an information datat management systems for laboratory services. Implementation of the Lab Ware Laboratory Information System at the National TB Reference Laboratory (NTBRL) and Mpilo Hospital Laboratory.
This project supports NMRL in the testing of specimens for the National ANC survey and expanding the data base laboratory monitoring and evaluation syystem. A national laboratory Monitoring and Evaluation system has been developed and will be used to collect information on laboratory testing. The M & E system will feed into the national Health Information Management System and will be used to guide decision-making. The Surveillance Officer will be responsible for collecting, analyzing, preparing dirstributing reports from the M & E system. The planning and coordination of national is now the responsibility of a different partner. Results achieved in FY 2010-2011 are: Supported 12 sentinel sites, by paying allowance. Supported 26 out of the 48 EWI survey sites, data validation and payment of allowances. Dissemination of EWI results. Delivery and collection of Nitrogenn tanks to the sentinel site.
