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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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
The purpose of this mechanism is to enhance overall capacity building amongst laboratories within the region through pre- and in-service training of laboratory personnel in Jamaica, Suriname, Belize, St Kitts and Nevis, Grenada, Antigua and Barbuda, and St Vincent and the Grenadines. Training will focus on key testing areas and quality systems essential components.
This implementing mechanism is in direct support of USG Caribbean Partnership Framework Goal for Laboratory System Goal 3, Objective 3.2: Improve laboratory services and systems, sub-objective 3.2.4: Human Capacity. Laboratory training also supports Partnership Framework Goal 4: Health Systems Strengthening which includes human capacity development and overall health system sustainability. This mechanism will enhance in country capacity and produce a cadre of well-trained clinical laboratory personnel, which will facilitate regular and consistent testing and release of quality results to support HIV prevention, care and treatment activities.
This mechanism will be monitored by the number of laboratory personnel trained.
The funds for this activity were reduced by OGAC. Laboratory support for capacity building in Bahamas, Dominica, Trinidad and Tobago, St Lucia and Barbados will be through cooperative agreements with these governments. For the rest of the countries supported by the Caribbean Regional Program (Jamaica, Suriname, Belize, St Kits and Nevis, Grenada, Antigua and Barbuda and St Vincent and the Grenadines), a TBD partner will conduct regional trainings to enhance in- country capacity of laboratory staff. Training workshop content areas will be: 1) TB diagnosis and EQA for AFB smear microscopy; 2) Good Clinical Laboratory practices (GCLP); 3) HIV rapid testing (including algorithm development, quality testing and use of logbooks); 4) and other areas of wet laboratory training.
1) Quality TB diagnosis is currently a significant challenge within the region; therefore the TBD partner will organize regional training on TB diagnosis facilitated by CDC, African Center for Integrated Laboratory Training (ACILT) and American Society for Microbiology (ASM) mentors. The purpose will be to develop and strengthen national EQA programs for Acid Fast Bacilli (AFB) smear microscopy, enabling the national and regional level laboratories to implement and manage TB smear microscopy programs in the laboratory network
2) The TBD partner will also organize regional training on Good Clinical Laboratory Practices (GCLP) that will involve core lectures on laboratory aspects such as housekeeping, personnel, financial and records management, quality control and quality assurance practices, laboratory safety and shipment of dangerous goods.
3) The TBD partner will conduct trainings on HIV rapid testing, including algorithm development, quality testing and use of logbooks. Technical support will be provided by the GAP International Laboratory Branch at CDC Atlanta
4) TBD partner will collaborate with Clinical Cytometry and Analytical Society (CCAS) to organize an annual multidisciplinary training that will bring together clinical and laboratory personnel focused on wet laboratory practices in selected topical issues in the practice of clinical laboratory.
Furthermore, selected laboratory staff from the region will be sent to the International Laboratory Branch at CDC Atlanta to be trained on the use of both manual and automated Roche Amplicor methods for early infant HIV diagnosis (EID) to support PMTCT programs within the region. Other international trainings involving lab staff from these countries will include advanced trainings in CD4, clinical chemistry, hematology, Bio-safety and laboratory management as they prepare for accreditation.