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: 2007 2008 2009
Blood safety activities are integrated with the Injection Safety, Laboratory Infrastructure and Quality Control
program areas. Blood Safety works in linkages with maternal health aspects of the PMTCT program area;
social information and mobilization activities and prevention program area; donor referral systems and
confidentiality issues under donor counseling and notification of testing results; and data collection and
management under Strategic Information.
SUMMARY
Overall Activities: The World Health Organization/ Pan-American Health Organization (WHO/PAHO)
provide technical assistance to the Haitian Ministry of Health/National Blood Transfusion Program
(MOH/NBTP) and its partners (e.g., the Haitian Red Cross, Population Service International). This technical
assistance covers all areas related to the development, implementation and sustainability of a safe national
blood system, including strategies for donor mobilization and recruitment, blood collection, laboratory
screening, use of cold chain to distribute blood products and in clinical use of blood to reduce risk of
unnecessary blood transfusions.
Emphasis Areas: WHO/PAHO provides technical support to the MOH/NBTP in Emergency Plan Emphasis
areas.
WHO/PAHO provides technical advice on specifications of equipments, materials and supplies procured by
the MOH/NBTP, for correct functioning according regional and international standards.
BACKGROUND
PAHO is the World Health Organization's regional branch for the Americas. PAHO receives Emergency
Plan funds as a sub-contractor from WHO, which is the principal CDC cooperative agreement grantee.
In Haiti, PAHO's Blood Services Program, works with the National Blood Transfusion Program (NBTP),
created by the Ministry of Health in 2004. The NBTP has the responsibility in the management of funds,
play rolls as legislator and establishing standards in the national blood system and works in conjunction with
the Haitian Red Cross in the process. PAHO has provided critical technical assistance to the MOH
throughout the development of the NBTS, and works continuously to strengthen the fledgling blood
service's policies, guidelines and systems. PAHO coordinates its activities with the NBTP and tailors its
training activities to respond to needs identified by the MOH/NBTP and National Blood Center (NBC).
PAHO's training activities are planed, organized and conducted by PAHO in coordination with partners.
Local expert professionals are invited to participate for these trainings. The National PAHO blood safety
consultant in Haiti interacts with the partners as Population Services International (PSI) and Haitian Red
Cross (HRC), sub-contracted by the MOH/NBTS in the implementation of blood safety strategy for the
country. The PAHO technical assistance program contributes to broader gender issues in Haiti through its
work in the reduction of maternal mortality due to the difficulties to access blood during childbirth. PAHO's
training for nurses, phlebotomists and laboratory technicians also has had a positive impact on the
professional development of Haitian women working in the healthcare field.
ACTIVITIES AND EXPECTED RESULTS
Activities:
1.PAHO will continue working with MOH/NBTP, HRC and PSI in the strengthening of blood donor
promoter's network.
2.PAHO will work straightening mobile blood collection.
3.PAHO will provide technical assistance and training in blood storage management and national blood
network system to help the MOH/NBTP to establish a monitoring in blood exchange-system and reduce the
number of blood units lost to spoilage or improper storage. The enhanced system will also improve the
delivery of blood to urgent cases and lead to a reduction in mortality due to a lack of blood, e.g., maternal
hemorrhaging during childbirth. The network will enable relevant stock data to be shared in a timely
manner.
4.PAHO will provide continues training to NBC's staff in the blood production and implementation of new
technologies.
5.PAHO will provide a follow up in the implementation, monitoring and evaluation (M&E) of QM/QA/QC
system in blood services.
6.PAHO will provide continues training and follow-up in clinical use of blood and hemo surveillance.
7.PAHO will hold quarterly evaluation workshops for MOH/NBTP/NBC and blood services. The workshops
are designed to establish quarterly objectives and planning activities. During these workshops trainings are
given in subjects where weakness has identified or in new technologies. Workshops have as goals to
identify best practices and address program areas/activities that may not be sustainable.
8.PAHO will provide technical assistance and works closely with MOH/NBTP to conduct to solar
electrification in blood services to ensure a sustainable power supply.
9.PAHO will provide continues support to MOH/NBTS in his efforts to establish effective communication and
coordination between clinicians and blood services, as well as between Departmental Medical Direction and
blood services.
10.PAHO will work with the MOH/NBTP/NBC to identify, establish and adopt a strategy in a long term
sustainable blood services program.
Expected results:
In COP 09, WHO/PAHO will provide technical assistance to the MOH/NBTP targeting these expected
results:
•Increase the number of blood collection.
•Elimination of barriers in the access of blood and components.
•Implementation of new strategies in the recruitment of voluntary non-remunerated blood donors VBD,
targeting 100% VBD by end of 2010.
•Increase the number of regular blood donors.
•Reduction of TTI among blood donors (<7%).
Activity Narrative: •Follow up of quality management program in blood services.
•Training for physicians, nurses and allied healthcare workers in best practices and the appropriate clinical
use of blood.
•Reduction of blood units lost to spoilage or improper storage.
•Implementation of new technology (solar system) in cold chain for storage and transport of blood.
•Implementation of service to service delivery of blood (avoiding family roll in this process).
New/Continuing Activity: Continuing Activity
Continuing Activity: 17247
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17247 8159.08 HHS/Centers for World Health 7704 4737.08 Track 1 Blood $500,000
Disease Control & Organization Safety
Prevention
8159 8159.07 HHS/Centers for World Health 4737 4737.07 Track 1 Blood $400,000
Table 3.3.04:
