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.
This PHE activity, "Cost-effectiveness of models of adult treatment delivery", was approved for inclusion in
the COP. The PHE tracking ID associated with this activity is ZM.07.0182.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17765
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17765 17765.08 HHS/Centers for Tulane University 7186 2929.08 UTAP - Boston $250,000
Disease Control & University-ZEBS
Prevention -
U62/CCU62241
0
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Estimated amount of funding that is planned for Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.09:
This PHE activity, "Factors influencing enrollment in ART for HIV/AIDS in Zambia", was approved for
inclusion in the COP. The PHE tracking ID associated with this activity is ZM.07.0181.
New/Continuing Activity: New Activity
Continuing Activity:
The PHE "Evaluation of Interventions to Reduce Early Mortality among Persons Initiating ART in
Emergency Plan Countries" has been approved by the SSC. The tracking number is ZM.08.0201.
This PHE activity, "Factors influencing the care and treatment of HIV-1 infected children in rural Zambia",
was approved for inclusion in the COP. The PHE tracking ID associated with this activity is ZM.07.0184.
Table 3.3.11:
This PHE activity, "Cost-effectiveness of models of pediatric treatment delivery", was approved for inclusion
in the COP. The PHE tracking ID associated with this activity is ZM.08.0186.
Continuing Activity: 17767
17767 17767.08 HHS/Centers for Tulane University 7186 2929.08 UTAP - Boston $250,000
NEW ACTIVITY
April '09 Reprogramming: 1) Mechanism change to 'TBD' since former APHL mechanism ended and is
currently being recompeted. 2) Increase in funding amount by $300,000.
This activity is linked with CT (#0631), PMTCT (#0158), Chest Diseases Laboratory (CDL #15510), Centers
for Disease Control and Prevention - Technical Assistance (CDC-TA #9022), adult and pediatric care and
treatment and all activities within the Laboratory section.
In FY 2009, the funds will be used to support the Association of Public Health Laboratories (APHL) to
conduct new activities that will provide technical assistance to the Centers for Disease Control (CDC)
Global AIDS Program (GAP) and the Ministry of Health (MOH) in Zambia to build laboratory infrastructure in
the country through the President's Emergency Plan for AIDS Relief (PEPFAR).
APHL is recognized for its excellence in supporting laboratory infrastructure activities. APHL has
developed and established mechanisms to coordinate the assessment and improvement of multiple aspects
of international public health laboratory practice. Contributions include training laboratory personnel;
providing laboratory training materials (e.g. videos); providing guidance on equipment selection, supporting
the procurement and shipment of laboratory equipment and supplies; providing information on technical
procedures geared to the in-country environment; providing information on new techniques to streamline
laboratory testing; training and mentoring in laboratory management skills; making recommendations on
facility upgrades, and introducing quality control and quality assurance practices. APHL looks forward to
collaboration with partners in Zambia to provide this assistance.
Specifically, in FY 2009, APHL will address the following areas:
1. Strategic Planning. APHL has developed a strategic planning procedure in collaboration with the Global
AIDS Program (GAP)/International Lab Branch (ILB). This procedure has been implemented in five
countries successfully. APHL proposes to collaborate with CDC-GAP Zambia to use this procedure as a
guideline to develop a planning process and support the development of a five year laboratory strategic plan
for Zambia. Zambia has a national laboratory operational plan 2006-2008 that will end this year. The MOH
has already started planning and working with their partners to develop a new one
APHL will provide experienced senior consultants: 1) to assist CDC/GAP-Zambia and MOH in the planning
process, assist MOH in organizing working meetings for drafting the strategic laboratory plan along with the
stakeholders, 2) assist MOH in the development of recommendations for the key issues to be addressed by
work groups at a three day planning meeting, 3) assist the MOH and CDC/GAP-Zambia in refining the
vision and mission of the national laboratory system, 4) assist MOH in performing a prompt updated SWOT
analysis of the current situation of the national laboratory system prior to the Strategic Planning meeting so
reference materials and key information would be available to the stakeholders to efficiently develop a draft
strategic plan, 5) APHL will provide information on strategic planning, which would include a variety of
effective developmental models for this purpose. MOH can select the procedure(s) most appropriate to
their situation, and 6) provide assistance in drafting the strategic plan as well as printing and disseminating
the final documents to the MOH. APHL will coordinate with CDC/GAP-Zambia to convene a stakeholders
meeting for the development of the strategic plan on dates as requested by MOH and CDC.
2. Laboratory power supply. APHL will provide technical assistance to assess current energy issues in
Zambia in particular in provinces where electrical power is unreliable and prevents proper functioning of
laboratory services thus reducing access to testing and adversely affecting quality of test results. The
technical assessment will provide sustainable recommendations for options to provide stable continuous
electrical supply for laboratory services, provide design recommendations for a range of options such as
solar energy and generator, and develop and present a training workshop for laboratory personnel, sites
engineers, and sites administrators on energy use and management. Provide TA to develop and design an
appropriate energy system for healthcare facilities so electrical power is available continuously, to supply
laboratories, and provide energy training as well as to procure supplies and equipment. The funds will be
used to support all of this activity.
3. Technical assistance for improving the capacity and quality of testing services. APHL will provide
technical assistance to the MoH as requested by CDC/GAP-Zambia in a) strengthening and standardizing
of paper-based and electronic specimen management and reporting systems. APHL has implemented
electronic LIMS in Mozambique, Tanzania, and Vietnam and is in the process of implementation in Kenya
and Botswana, b) develop, plan, and design public health laboratory.
APHL will continue to provide technical leadership for a sustainable National quality assurance and external
quality assurance laboratory program with existing clinical facilities, MOH, CDC, and partners to strengthen
the capacity in the form of training, supervision, and monitoring and evaluation, and coordination to provide
continual sustainable quality lab services and programs to compliment the national vision.
Workplace Programs
Estimated amount of funding that is planned for Human Capacity Development
Table 3.3.16:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
The funding level for this activity in this program area for 2009 remains unchanged. Narrative changes
include updates on progress made and expansion of activities. The name of the implementing partner has
also been changed from ‘NASTAD' to more generic terminology.
In FY 2008, the United States Government (USG) supported National Association of State and Territorial
AIDS Directors (NASTAD) to coordinate and provide technical assistance (TA) to the Zambia National
HIV/STI/TB Council (NAC) to catalyze the flow of information from the district and provincial levels to the
central level with a view to improve system-wide planning, and to facilitate the launching of the University of
Zambia Monitoring and Evaluation Center of Excellence (UNZA COE). NASTAD worked in partnership with
several PEPFAR partners in Zambia including, Support for HIV/AIDS Response in Zambia (SHARe), UNZA
COE, and the Joint United Nations Program on AIDS (UNAIDS). The continued goals for FY2009 will be to
1) to strengthen the sector-wide response to HIV/AIDS particularly in management, leadership, policy
development and evaluation of HIV/AIDS activities, 2) to facilitate the synthesis and communication of data
at national, province and district levels with a view to improve data use for policy and program development,
and 3) to strengthen the capacity of the UNZA COE to train local people in monitoring, evaluation and
planning.
NAC continues to strengthen multi-sectoral planning and data use efforts with NASTAD working in tandem
with SHARe to support Provincial AIDS Coordinating Advisors (PACAs), District AIDS Coordinating
Advisors (DACAs), Provincial AIDS Task Forces (PATFs), District AIDS Task Forces (DATFs) and
Community AIDS Task Forces (CATFs) intensively in refining, prioritizing, resource finding, implementing,
and monitoring HIV/AIDS activities. NASTAD's achievements in FY2008 included, facilitating the
development of the national HIV/AIDS research bibliography and agenda, providing TA to 20 DATFs, nine
PACA's and two PATFs in data quality improvement, Community AIDS Task Force (CATF) formation,
training 190 people from eight districts in community-level M&E, facilitating the launching of the UNZA COE
business plan, and collaborating with CDC/Zambia to complete the national M&E manual. NASTAD and
SHARe continued to work in close collaboration using their unique approaches to maximize appropriate and
timely support as well as geographical coverage.
The mechanism (TBD)'s funding for FY2009 will be used to provide on-going technical assistance (TA) to
NAC, three PATFs and 25 DATFs in Southern, Lusaka and Western provinces. The focus of the partner's
TA is to strengthen the national system for collecting, disseminating and using data to inform the national
response to HIV/AIDS. In addition, funding will be used to strengthen the institutional capacity of the UNZA
COE. As part of the activities outlined above, the implementing partner will focus its support to NAC to
strengthen data utilization and dissemination, evidence-based planning, the use of data to inform policy and
prevention and strengthening the community-level response to HIV/AIDS. These activities should allow
Zambia to understand its HIV/AIDS epidemic better and use local data to inform policy and HIV/AIDS
programs.
The desired mechanism should be uniquely structured to provide intensive, in-depth support to the districts
in need over a sustained period of time using a peer-to-peer approach to technical assistance that focuses
on building local skills and systems. As a complement to locally coordinated support, the selected
implementing partner should build on the experience and peer-to-peer relationships with the PATF and
DATFs built by NASTAD, and where the technical expertise has been jointly developed and delivered.
In 2009, the mechanism will continue to provide hands-on technical support to the three PATFs and 25
DATFs in Southern, Western and Lusaka Provinces. In addition, the partner will provide on-going TA to
improve the delivery of M&E courses by the UNZA COE and evidence-based planning by the NAC. USG
will continue to support the UNZA to become an in-country training and resource center for capacity building
in planning, monitoring, and evaluation. In 2008, NASTAD worked closely with UNZA to implement the
M&E Centre for Excellence Strategic and business plans for 2007-2011. The business plan outlined an
organizational structure, services areas, potential markets, and fee structure to provide planning,
monitoring, and evaluation consultation to HIV/AIDS related organizations in Zambia. In 2009, the
mechanism will continue working with UNZA to update the M&E training curriculum, launch a visiting
scholars program, secure scientific literature for the centre, link the COE with a related program based in
the U.S., and facilitate international accreditation of the COE.
In FY 2007, NASTAD placed a full-time technical advisor at NAC to facilitate continuity in TA provision and
to assist with the analysis and use of NAC activity reporting form (NARF) data. In FY 2009, an M&E Officer
position will continue to be funded through this mechanism to provide on-going TA to NAC. In addition, the
mechanism will collaborate with Voluntary Services Overseas (VSO) to place three systems strengthening
volunteers within the NAC system to aid the work of PACAs. In total, three PATFs, 25 DATFs, 90
organizations and 300 individuals will receive TA from this mechanism in FY2009, while the remaining
PATFs and DATFs will be supported by other PEPFAR partners. In addition, NASTAD will collaborate with
SHARe, UNZA COE and NAC to develop policies and procedures for strengthening the performance of
DATFs and PATFs in data triangulation, evidence-based planning, community planning, resource
mobilization and HIV/AIDS policy development.
USG has been instrumental in facilitating a joint capacity building plan with NAC and the national M&E
Technical Working Group to ensure harmonization of capacity building efforts and procedures in Zambia.
An Evaluation Capacity-Building Sub-Committee includes staff from NAC, SHARe, UNAIDS, United Nations
Development Program, Global Fund, Ministry of Health, United States Agency for International
Development, and CDC. The sub-committee has developed a very specific plan to ensure an integrated
and coordinated implementation plan. In 2008, a countrywide TA plan was implemented in collaboration
with NASTAD, SHARe and USG. The new mechanism will provide enhanced support to this collaboration
in 2009 by leading key elements of the plan as identified by the various partners.
Targets set for this activity cover a period ending September 30, 2009.
Continuing Activity: 15541
15541 3719.08 HHS/Centers for National 7177 3021.08 NASTAD - $250,000
Disease Control & Association of U62/CCU32459
Prevention State and 6
Territorial AIDS
Directors
9014 3719.07 HHS/Centers for National 5012 3021.07 NASTAD - $200,000
3719 3719.06 HHS/Centers for National 3021 3021.06 TA- NASTAD $200,000
Disease Control & Association of
Prevention State and
Table 3.3.18:
