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.
Support MOHSS in creating an enabling environment for the development and implementation of regulatory and guiding tools for control of blood borne diseases.
Continuing Activity
Estimated Budget = $50,000
Strengthen the capacity of district health offices in infection control and occupational safety (blood borne and air-borne infections)
Estiamted Budget = $150,000
Build capacity of regional training institutions in integrating infection control and waste management in ongoing health courses.
Estimated Budget = $300,000
Strengthen the National Health Information System to ensure monitoring and evaluation of blood borne diseases and waste management.
ADDITIONAL DETAIL:
Per PEPFAR Country Team consultation (9/2010) the recipient will identify opportunities to collaborate with USG and non-USG supported community-based organizations to broadly integrate injection safety IEC and to reduce the overall demand for injection.
Health Care Improvement Project (HCI) continues to provide technical support to the Namibian Ministry of Health and Social Services (MOHSS) in implementing several policy and programmatic interventions to reduce the transmission of blood borne pathogens.
This continuing activity has 4 main components indicated above:
1) Support MOHSS in creating an enabling environment for the development and implementation of regulatory and guiding tools for control of blood borne diseases;
2) Strengthen the capacity of district health offices in infection control and occupational safety (blood borne and air-borne infections);
3) Build capacity of regional training institutions in integrating infection control and waste management in ongoing health courses, and;
4) Strengthen the National Health Information System to ensure monitoring and evaluation of blood borne diseases and waste management
Geographic coverage and target population:
The program covers all the 13 regions in the country. Clinical services staff, managerial and support staff will be targeted.
The specific activities to be covered are described below:
Enabling environment: In FY11, URC will continue to support the Ministry of Health and Social Services in creating enabling environment aimed at reducing transmission of blood-borne pathogens. Support will be provided for the quarterly meetings of the National Injection Safety Group (NISG). The NISG was established at the beginning of the project and is comprised of various stakeholders both from MOHSS, private sector and various PEPFAR partner organizations. The NISG is chaired by MOHSS, while URC acts as the secretariat and provides oversight on implementation of injection safety healthcare waste management (IS-HCWM) and infection prevention and control (IPC) activities. The NISG meets on a quarterly basis to discuss national priorities and policies, implementation of the program and challenges experienced in implementation of the program that are then addressed.
Technical support shall be provided to MOHSS on the implementation of a waste collection and waste treatment strategy to be developed in FY11. Such kind of support will include piloting alternative waste treatment technologies that are safer and environmentally friendlier
Strengthen the capacity of district health offices:
The 34 district based IPC committees will be strengthened to implement best practices in IS-HCWM. The IPC committees spearhead the implementation of activities in their respective districts and facilities. The funds will support the planning meetings in preparation for drafting the district/facility IPC plans; sensitization of regional and district officials, as well as Home Based Care (HBC) providers, hospice, prisons and private service providers to build their skills to plan, manage, implement and evaluate improved practices in IS-HCWM and IPC. The IPC committees shall also conduct supervision visits in their respective districts.
Quarterly progress review meetings will be held and challenges addressed.
Build capacity of regional training institutions: In continuation of FY11 activities, URC will support pre-service training for 300 students from the training institutions (University of Namibia, Polytechnic of Namibia, the National Training Center and the 5 Regional training Centers). The funds will further be used to strengthen integration of IS-HCWM management in pre and in service training institutions. The process of integration of the trainings was initiated in FY10. The training curricula from both National and Regional Health Training Centers (1 NHTC and 5 RHTC) were reviewed with an aim of integrating infection prevention and control/waste management training into the curricula.
Various components were identified for integration, which the project will support to completion.
Monitoring and evaluation: As a continuation of FY11 activities, URC will provide technical support for the implementation of a waste information system that shows the amount and type of waste generated per facility/region, treatment methods and state of the available treatment options (incinerators in this case. Monitoring and evaluation systems the infrastructure (i.e. forms, etc.) and staff capacity will be further enhanced through. a) training of key staff on the system; b) use of paper-based and/ or electronic tools where feasible; c) promoting site feedback and data use by continuing monthly feedback on progress; d) critical reviews of the data and support sites/districts/regions to share their data at stakeholder meetings, workshops and conferences
The following activities shall be transitioned to MOHSS and therefore will not be supported during this period:
Policies and guidelines:
MOHSS will be expected to print and distribute guiding tools like the Infection Prevention and Control Guideline, Waste Management Policy and Guideline, and PEP guideline.
Capacity building of healthcare workers in the districts and regions:
Each region and district has trainers on injection safety and waste management. The regional and district TOTs were trained as part of URC support in FY10. It is expected that the MOHSS will make use of the trainers to carry on in-service training for healthcare workers in all the 13 regions
Commodities and supplies:
MOHSS has taken full responsibility for procurement of safety boxes and related supplies as from Q1 of FY10. URC however, continues to monitor stock levels of syringes and safety boxes in all the 13 regions. A tender has also been awarded by MOHSS on the procurement of personal protective equipment for incinerator operators. Among the items included in this tender are: overalls, boots, leather gloves, PVC sleeve protectors, aprons, goggles, filter respirators and cartridges. Other commodities that MOHSS is expected to procure include the color coded bags for waste segregation, pedal bins, liquid soap dispensers, hand paper towels, disinfectants, and alcohol-based hand rub solutions.
Behavior change communication:
MOHSS is expected to support the implementation of a behavior change strategy as a continuation of FY10 activities. The strategies aim to reduce demand for and prescription of injections among healthcare workers and the community. Healthcare workers with a particular focus on prescribers should be sensitized on rational use of medication. It is expected that 100 prescribers will be sensitized. IEC materials on IS-HCWM should be printed and distributed in the 13 regions. Such materials include posters on IS-HCWM, PEP, and hepatitis B and C infections.
Transition of activities between MSH and URC:
Strengthening Pharmaceutical Systems program/Management Sciences for Health (SPS/MSH) have been implementing various activities on infection prevention and control, and waste management. These activities are due for transitioning to URC by October 2011. However, due to the reduction in resources available to URC, it is envisioned that the activities be transitioned to MOHSS instead. Such activities include the infection control using the Infection Control Assessment Tool (ICAT) that is being piloted in 7 sites. The ICAT approach is designed to minimize the risk of drug resistant microbes developing in hospital settings. Other activities implemented include: support review and dissemination of infection control IEC materials; procurement of liquid soap dispensers; training of healthcare workers on the ICAT tool; regional quarterly review meetings; supporting therapeutic committees in the hospitals to enhance their capacity to implement infection control activities; support to the Pharmaceutical Society of Namibia; and strengthening existing policies and systems for disposal of pharmaceutical waste in the private sector (6 municipalities).
