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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
In FY09, ASM will continue to work with the Ministry of Health and CDC-Tanzania to strengthen clinical
microbiology services at the National Quality Assurance (QA) and Training Center, zonal, and regional
laboratories. Ongoing activities include building the capacity for identification of bacterial isolates at the
National QA and Training Center and establishing international and national quality assurance schemes for
clinical microbiology (bacteriology, parasitology, mycology) services. Additional activities include the
development and implementation of basic clinical microbiology workshops targeting bacteriology, mycology,
and parasitology for the laboratory network. Monitoring and evaluation plans will be developed to assess the
impact of new training. ASM will also provide technical expertise for areas of expansion which could include
automation and molecular capabilities at the national and zonal levels. ASM technical experts will provide
on-site consultation, training, and supervision of these activities. Activities are targeted at laboratory
technologists/technicians of local Tanzanian laboratories who render HIV testing and testing for
opportunistic infections. END ACTIVITY MODIFICATION
TITLE: Quality assurance for HIV Opportunistic Infection Diagnosis and Clinical Microbiology Laboratory
Services in Tanzania
NEED and COMPARATIVE ADVANTAGE: Opportunistic infections (OI) are common in HIV populations
and are a major threat to People Living with HIV/AIDS (PLWHA) both prior to diagnosis as well as during
care and treatment programs. Global efforts toward detection of tuberculosis are currently in place.
However, basic microbiology laboratory services for blood stream and other infections which have high
morbidity in the HIV infected patients are limited and lack quality assurance schemes. American Society of
Microbiology (ASM), with a membership of over 40,000 microbiologists, is a lead organization for technical
expertise in clinical microbiology diagnostics. ASM continues to offer support through its volunteers for the
diagnosis of opportunistic infections in more than five countries.
ACCOMPLISHMENTS: N/A
ACTIVITIES: ASM will work with the Ministry of Health and Social Welfare to strengthen clinical
microbiology services at the National HIV Quality Assurance Laboratory and Training Center (NHQALTC),
zonal, and regional laboratories. Activities will include building the capacity for identification of bacterial
isolates at the NHQALTC; establishing international and national quality assurance schemes for clinical
microbiology (bacteriology, parasitology, mycology) services; and providing technical expertise for
molecular capabilities and malaria diagnostics. ASM technical experts will provide on-site consultation,
training, and supervision of these activities. Activities are targeted at laboratory technologists/technicians of
local Tanzanian laboratories who render HIV testing and testing for opportunistic infections. Two
consultants and a Program Manager will conduct an initial site visit to assess the progress of clinical
microbiology diagnostics in Tanzania. Activities will include visits to the NHQALTC zonal and regional
laboratories for an initial assessment. Following this assessment and with recommendations made, two
consultants will provide onsite training and supervision to lab supervisor/technologists to build the capacity
for identification of bacterial isolates at the NHQALTC, build the capacity for OI diagnostics at zonal and
regional laboratories;
ASM will work with MOHSW and the NHQALTC to establish national and international QA schemes
microbiology and opportunistic infections.
ASM will provide technical expertise for possible areas of expansion which could include molecular
capabilities and malaria diagnostics.
LINKAGES: Technical experts will continue to provide support to MOHSW laboratory staff for strengthening
microbiology services and treatment of opportunistic infections working in collaboration with interdisciplinary
health care teams and, USG laboratory partners Clinical and laboratory institute (CLSI) American society for
clinical pathology( ASCP) , American public health laboratories (APHL) who are providing technical
assistance to the schools of laboratory training in curriculum review, the zonal labs with standard and
document preparation and implementation of a laboratory information system. ASM will liaise with other
local organizations who provide reference services to the MOHSW such as the Muhimbili University for
Health and Allied Sciences.
CHECK BOXES: Emphasis area is human capacity development with a major emphasis on in-service
training.
M&E: ASM's will work with other partners to monitor the effectiveness of the trainings conducted, QA
activities implemented and will work closely with the MOHSW through on-site supportive supervision.
SUSTAINAIBLITY: Technical experts will provide support to local laboratory staff by building the capacity of
the NHQALTC for diagnosis of opportunistic infections. The proficiency level of the laboratory staff will be
maintained as a result if the implementation of the quality assurance scheme.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16873
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16873 16873.08 HHS/Centers for The American 7878 7878.08 $425,000
Disease Control & Society for
Prevention Microbiology
Table 3.3.16:
