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: 2008 2009
Technical Support for Public Health Laboratory System and Networking
The Association of Public Health Laboratories (APHL) has provided technical assistance to the Ethiopian
Ministry of Health (MOH) and the Ethiopia Health and Nutrition Research Institute (EHNRI) to develop a
National Public Health Laboratory System, which will improve testing quality and in-service training to
strengthen laboratory capacity. These continuing activities will expand technical assistance needed to
support the expansion of a laboratory information system (LIS) and regional laboratories through
collaboration with US state public health laboratories. To date, APHL has provided assistance to develop a
national laboratory quality system plan and provided technical assistance to the EHNRI and PEPFAR
Ethiopia to implement a pilot External Quality Assurance (EQA) program administered at 20 ART laboratory
sites for HIV serology, CD4, chemistry, and hematology. APHL has also trained 67 participants in laboratory
management.
APHL will continue to provide technical assistance in four major areas: (1) Technical support to EHNRI and
regional labs on quality assurance implementation; (2) Support for the establishment of LIS, referral
linkages, and networking between clinical laboratories and regional and national reference laboratories; (3)
Assistance in developing and reviewing training modules in laboratory quality systems and lab management
in partnership with CDC and EHNRI (4) Support for organizational capacity development, including twinning
of regional laboratories with US state laboratories, and strengthening local public health associations to
have them replace APHL in the long-term.
In FY08, APHL will continue technical assistance to the MOH, EHNRI, and regional laboratories to
strengthen the national public health laboratory system, implement laboratory policies, and provide in-
service training. Technical support will be provided to strengthen national and regional reference
laboratories on diagnosing opportunistic infections (OI). Integration and implementation of simple OI
diagnostic techniques and HIV laboratory support at the facility level will be strengthened in collaboration
with US university partners. APHL will continue to establish and implement collaborative agreements
between US state public health laboratories and Ethiopian regional reference laboratories to provide
practical expertise and training on-site in US public health laboratory operations. This will transfer skills in
technology, planning, and implementation. To ensure program effectiveness, US public health laboratory
directors and APHL staff will provide follow-up technical assistance in Ethiopia.
Technical assistance will continue to expand LIS for the reference laboratory network to support
implementation of the ART program. The LIS is currently being developed through PEPFAR Ethiopia with
PolyTech software; it will incorporate additional software application modules and options currently under
development by APHL for use in ART testing laboratories. APHL will provide in-service training on LIS
implementation and operation in Ethiopia for laboratory and Information Technology personnel. APHL will
also provide training on LIS management for senior laboratory supervisors at APHL member facilities. LIS
training modules/CD will be provided to local laboratories as site reference tools.
APHL will support expansion of a National Quality Assurance Program; EQA will be established at national,
regional, hospital, and health-center levels. With APHL technical assistance, a Quality Systems Manager
will be trained and charged with implementation of the program in Ethiopia.
APHL will provide technical assistance for the development of training curricula and train-the-trainer
programs on equipment maintenance, laboratory management for managers and regional laboratory heads,
and facility-level lab management training. APHL will support program implementation through follow-up in
laboratory management. APHL will assign technical experts for periods of up to six months to work with the
national and regional reference laboratories on these tasks. APHL will support the customization and
revision of EQA training modules. In collaboration with CDC-Ethiopia and EHNRI, APLH will also participate
in quality systems training, including EQA, and support rollout of the EQA Program to regional laboratories.
APHL will continue to strengthen laboratory networks in Ethiopia with support for the local laboratory
professional association, and assist in developing a strategic plan and a continuing education program. As
part of sustainability and local-capacity development, APHL will support and closely work with the Ethiopian
Public Health Laboratory Association. Technical support will also be provided in strengthening tuberculosis
laboratories (culture, drug susceptibility tests, and biotyping) and detection of OI (bacterial and viral).
