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: 2011 2012 2013
In 2002, the Government of the Public of Zambia (GRZ) introduced ARVs in the public sector and since then the program has grown from 140 patients in 2002 to 350,000 in 2010, but the service has an urban bias with 69% of patients residing in Urban areas. ART has been decentralized with >50% of services provided at health centre level. Majority of patients (>90%), are still on first line regimen, about 4% on 2nd line and less than 1% are estimated to be failing treatment. HIV drug resistance (HIVDR) activities have stalled due to lack of funding, however with support from WHO, pilot sites and HIVDR early warning indicators have been identified.
The UTH-HAP priorities for FY2012 will be aligned with the GRZ national policies and strategic plans, in concert with the five PEPFAR approaches; (integration, continuum of the HIV response, attention to specific vulnerable populations, Country ownership and evidence based programming.
Activities will include the training of a critical mass of Master Trainers in advanced HIV/AIDS prevention, care and treatment; mentorship and clinical evaluations of HIV and AIDS programs; strengthening UTH-Labs through rehabilitation and replacement of obsolete equipment, domestication and timely revision of HIV/AIDS related international guidelines and training manuals.
Monitoring and evaluation will be achieved through the collection, aggregation and transmission of core indicator data from service delivery points to inform clinic and program management decisions at all levels, using the health management information system (HMIS). This will involve ensuring data quality, transmission, exchange formats, security and confidentiality. In 2012, UTH-HAP will strengthen and adhere to the overall purpose and components of an M&E system.
The overall objective of the lab program is to improve laboratory infrastructure, strengthen laboratory management systems and build local capacity within the country to deliver a quality assured, efficient and cost effective laboratory service that supports HIV/AIDS related health services. In FY2012 and FY2013, UTH-Labs will continue strengthening the activities of its various laboratory units
The virology laboratory will continue offering cost-effective molecular and antigen detection methods for HIV diagnosis and resolution of discrepant results. It will also continue performing viral load testing, CD4 enumeration, and HIV resistant testing.The UTH-TB laboratory will expand its TB diagnostic capabilities by increasing the number of competent staff and acquiring more laboratory equipment. The lab will enhance its capability to distinguish different TB species by employing molecular techniques such as Gene Xpert
To effectively manage unwanted effects of HIV or its treatment, the capability of the laboratory will be enhanced to analyze hematological complications, the microbiology and parasitology laboratories to detect microbial infections, the clinical chemistry laboratory to detect biochemical and toxicological complications, and the histopathology laboratory to detect and diagnose malignant complications.UTH-labs will widen the laboratory test profiles and ensure quality patient results are generated. To achieve above objectives, the laboratories will forge ahead with the phased installation of the electronic laboratory information management system (LIMS); have in place quality management systems (QMS), and acquire laboratory equipment to support the widened test profiles. The LIMS will improve result delivery, shorten turn-around time, and improve patient-monitoring as physicians will have easy access to all current and past patient results.
The QMS will ensure better planning and forecasting for reagents and other laboratory supplies, better equipment maintenance and accreditation of laboratory units at UTH. Lessons learned will feed into the UTH and MOH budgeting processes to be used as baseline for which UTH can play a greater role in supporting these activities.
Nationally in 2010 there were 329,567 patients on ART and the target for 2011 1s 334,000 for 2012, 446,000 and for 2013 - 526,000. To achieve the proposed target for 2012 the GRZ and PEPFAR have identified the following priority areas in ART programming which include; 1) Access to integration, 2) linkages and community services, 3) quality & oversight and 4) Country Ownership
In the response to the above; UTH- HAP will provide leadership and demonstrate exemplary best practices of care and treatment of HIV infected adult patients. To increase the number of adult patients engaged in a comprehensive package of ART, support and care services (C&T, prophylactic therapy with Cotrimoxazole, TB screening, aspects of family planning, nutrition assessment, counselling & support - NACS, palliative and home based care and prevention with positives), UTH HAP will adhere to the national 2010 ART guidelines and prescribe ART to PLHV found with TB as well as pregnant women with CD4 counts of <350. It will also pilot the use of third generation ARVs.
In 2012 UTH-HAP will strengthen and support the above priority areas, will assist the scaling up of the ART guidelines through training of healthcare workers, mentorship programs and will form stronger linkages with PMTCT and pediatric ART programs. To enhance sustainability and capacity building, the Department of Medicine (DM) will consolidate their leadership role over this national program. UTH - HAP will continue to support current expansion activities by building on the core programmatic elements established over the past nine years. The DM will continue working closely with its existing partners, (NAC, University of Maryland, CIDRZ) and other future partners, and will continue serving technical support to the MOH through training and mentorship of a critical mass of Master Trainers in advanced HIV/AIDS care and treatment (PMTCT, Adult & Paediatric ART, C&T) and in the development of HIV related guidelines and training manuals.
