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 activity is linked to 7698 in treatment.
The overview of activities described here reflects the entire Columbia ART program in Tanzania. The central funds from headquarters will be used to complement in-country funds for the roll-out of this whole program. The targets, legislative issues, major and minor focus etc. for the program are therefore reflected in the narrative associated with the in-country funds.
Since the United Nation's Call to Action on HIV/AIDS, Columbia University (CU) has been at the forefront of increasing access to HIV/AIDS care and treatment services. The International Center for AIDS Care and Treatment Programs (ICAP) at the Mailman School of Public Health supports the development of high quality HIV/AIDS care and treatment services in low-resource settings. ICAP programs, including the MTCT-Plus Initiative, Multi-country Columbia Antiretroviral Program (MCAP), and University Technical Assistance Program (UTAP), provide technical assistance on a breadth of HIV/AIDS services, such as PMTCT, PMTCT-Plus, family-focused comprehensive HIV care and treatment, TB/HIV collaborative programming, and pediatric care and treatment. Through ICAP's three focal areas of expertise - service delivery, training, and research - CU faculty and staff provide support to international partners in program development, clinical care, capacity building, monitoring and evaluation, and operations research. Six core principles characterize their program approach: 1. Family-centered service is fundamental to improving the lives of the majority affected by HIV/AIDS and helps ensure that women and children receive equal access to care. 2. Comprehensive HIV/AIDS care provided by a multidisciplinary team of providers is critical to improving the health of people who are HIV-infected. 3. Technical assistance at both national and site levels are key supports for national programs. 4. National policy provides the structure for program planning and implementation. 5. Quality, sustainable HIV/AIDS programs are accomplished when developed in alignment with national guidelines and best scientific evidence, coupled with program evaluation and operations research. 6. The long-term success of HIV/AIDS programs is contingent on community involvement and support.
ICAP programs currently support HIV/AIDS activities in eleven African countries. In Tanzania, country operations have established a foundation for HIV/AIDS program activities, including pMTCT, pMTCT-Plus, and Care and Treatment, as well as an early infant HIV diagnostic program. With regionalized planning for care and treatment services in Tanzania, ICAP-Tanzania has collaborated with the Tanzania Ministry of Health (MOH) in the expansion of HIV/AIDS services in the framework of PEPFAR. With "regionalized" planning for care and treatment services, ICAP was designated in FY 2006 as the primary USG care and treatment partner for three regions Kagera, Pwani, and Zanzibar, with some activities in Dar es Salaam and Mwanza. Some specific accomplishments include: establishment of care and treatment services at 13 facilities in five regions of Tanzania; establishment of PCR testing of HIV-exposed infants in the Lake Zone; strengthening of entry points to care and treatment by using two novel approaches-the MCH platform and the district network approach; ensured over 90% uptake of PMTCT at ANC and labour and delivery at all CU supported sites; trained over 600 health care workers and enrolled 6000 clients on ART, of which 10% are in the pediatric age group.
For FY 2007, they propose to expand their support of ARV services to 28 health facilities in Kagera, Pwani, and Zanzibar regions, allowing for 100% coverage of NACP-designated care and treatment facilities within these regions. To achieve these targets, ICAP will emphasize comprehensive services, sustainability and the strengthening of linkages across program areas. Specifically, they propose to: increase access by raising community awareness through community sensitization campaigns and by strengthening entry points to care; expand mobile VCT to hard-to- reach communities in Zanzibar, Pwani and Kagera: strengthen HIV oncology services at Ocean Road Cancer Institute and assist in the decentralization of HIV oncology services to the Zonal level; increase case finding of HIV-exposed infants and infected children through routine opt-out counselling at the maternal child health clinic and diagnostic counselling and testing of pediatric clients in the wards; initiate early infant diagnosis of HIV for babies from the age of six weeks in the lake Zone and expand services to a total of 12 sites by the end of FY 2007; enhance quality of care and continuum of care by linking with other partners and organizations providing adherence support, home based care and support to orphans and vulnerable children. Linkages will
also be made with humanitarian organizations supporting refugees in Kigoma in order to ensure that these vulnerable groups access counselling and testing and care and treatment services; they will establish high quality paper-based M&E systems in remote and rural facilities, computerise all regional and high volume facilities and provide training and ongoing supervision in the generation of clean data from all sites with established systems. In addition, CU will computerise and provide HIV-exposed infant data for the first time in Tanzania.
