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.
The country has only one central laboratory and there is a need to decentralize the services and create regional reference laboratories. For rapid scale up of HIV and TB care and treatment program and achieving the targets, the laboratory infrastructure support is critical. The central laboratory support through the referral network has been a challenged due to limited transport network and logistic support. While MCC is supporting infrastructure upgrade of more than 100 health centers, construction of the national reference laboratory and blood bank, regional laboratories, blood banks, clinical laboratories and health centres at district level are not included. As services decentralize, the MOHSW has planned to establish three regional laboratories in Mafeteng, Leribe and Mokhotlong districts.
As part of strengthening the health system and implementation of HIV/AIDS treatment, care and prevention, PEPFAR Lesotho plans to support infrastructure development of health facilities including major construction and minor renovation works for Regional and clinical laboratories, TB and HIV clinics. Through the implementing partner, CDC Lesotho will coordinate the renovations with the MOHSW from design to completion. Construction/renovation of those facilities will lead the improvement quality of care and treatment services in HIV, TB and PMTCT. With coordinated infrastructure supported by MCC and PEPFAR Lesotho, it will provide a tremendous opportunity to access women, infants, and families and bring them into care and treatment programs. Quality services are also essential to strengthen national systems for sustainable PMTCT scale-up.
In COP2012, PEPFAR will support the construction of one Regional Reference Laboratory in Leribe District.
The purpose of the construction of the new regional referernce laboratory in Leribe Distract is to allow for badly needed laboratory services and to serve as a regional reference laboratory for the district adjoining areas. The demand for testing services has doubled in recent years due to the increased in burden of HIV/TB co-epidemics, the expansion of the ART services and the need for increased culture and drug-sensitivity testing (DST) which is currently.
The new Regional Reference Laboratory will provide safe and adequate working environments to increase its general testing capacity and expand the range of specialty testing including microbial/TB culture, DST, early infant diagnosis and viral load assays. It will improve quality of testing services, support operational research and trainings. The regional Laboratory will have admin and staff offices, meeting and staff room, stores, sample reception room; different clinical laboratories including molecular and TB laboratory.
Detailed design documents of the Lab facility will be created by the contractor in consultation with Director for Laboratory Services, MOHSW. The new building will be approximately 500 square meters including associated site and utility work, and was compiled from several sources representing. The design and the construction of the building is expected to meet the required standards including function, performance, process, flow, space standards, biosafety and special requirements need for regional laboratory .
The cost includes consultants fees necessary to the planning and design of the buildings as well as construction of building, installation of fixed equipment, furniture and fixtures.
