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.
Since 2003, EGPAF has established PMTCT services at over 190 new sites where more than 150,000 women have been counseled, tested for HIV and received results and over 5,300 HIV+ mothers have received prophylaxis to prevent HIV transmission to their newborns. Building on three year's experience, EGPAF's goal is to further expand access to quality PMTCT services and to provide care, support and treatment for women, children and their families in Tanzania. Program objectives for FY 2007 are to: increase the number of pregnant women enrolled in PMTCT programs by expanding the number of new sites and strengthening PMTCT services at current sites; increasing the number of women and their family members enrolled in care and treatment programs; and, documenting lessons learned and best practices. In FY 2007 EGPAF plans to establish PMTCT services at 207 new sites, reach 113,564 mothers with counseling and testing, provide a complete course of ARV to 6,343 mothers and train 778 health care providers. EGPAF will continue to support the National PMTCT guidelines, and contribute to Government of Tanzania coordination function; EGPAF will link with Malaria prevention initiatives. EGPAF will expand PMTCT services at three levels: establishing PMTCT services in Shinyanga Region through new sub-grants with local authorities; expanding services to two new districts in the Arusha Region; supporting Rombo and Same district, formerly under Columbia University in Kilimanjaro Region; and, increasing the number of sites offering services in existing districts. Currently EGPAF supports PMTCT services in 19 districts in seven regions of the country. This expansion is consistent with the priority regions for PMTCT, and regions with high sero-prevalence, identified by the Ministry of Health and Social Welfare (MOHSW) as well as following the regionalization for the Care and Treatment program. An important criterion for expansion is also the proximity to sites that offer Anti Retroviral Therapy (ART). EGPAF will work in synergy with other USG and non-USG programs with complimentary ART and home-based care programs. EGPAF will focus on expanding and strengthening the quality of HIV counseling and testing. Counseling and testing is provided routinely and provider initiated at antenatal clinics (ANC) and labor and delivery ward. EGPAF will support minor renovations to improve the environment for confidentiality. In Tanzania male partners have great influence in decision making for HIV testing, choice of infant feeding options and in support needed by their spouses. EGPAF will actively invite partners to participate by invitation letters and community discussions. Couple counseling in ANC and in maternity and labor wards will also be strengthened. To strengthen infant feeding counseling, EGPAF will continue to work closely with URC. Quality control of HIV testing is important. EGPAF will focus on the logistical barriers to improve external quality control. EGPAF aims to increase the percentage of women receiving maternal ARV prophylaxis from 65% to 75%. EGPAF will continue to advocate for changes in the national guidelines to allow service providers to give pregnant women NVP once they are tested HIV positive. A pilot activity is testing this approach in three districts in the Tabora region is underway. EGPAF will also advocate for and support the inclusion and implementation of more efficacious PMTCT regimens in the national guidelines. ARV prophylaxis among exposed infants is still low (40.7% in FY 2005). EGPAF will strengthen efforts to sensitize traditional birth attendants (TBA) to encourage mothers to deliver at hospital or bring their infant to the hospital within 72 hours of home delivery. The program will strengthen the identification and follow up of exposed children and facilitate access to Co-trimoxazole for OI prophylaxis. Health facilities have introduced a simple format for follow up of HIV exposed infants and to report on important follow-up indicators. Follow up of the HIV exposed infant in community and health institutions will be strengthened through improved counseling, use of peer counselors and support groups, and transfer of the mother's HIV status to the infant card. Counseling and testing for mother and infant will also be offered during immunization and well-baby clinic for those who do not know their status and during postnatal visit to improve the identification of exposed infants. Infant diagnosis is a priority area for attention in FY 2007. Many sites have a cohort of HIV-exposed children eligible for rapid antibody testing, however few are tested. A pilot program in the Mwanga and Moshi Rural districts will strengthen access to PCR testing at KCMC. The Family Centered Care initiative at KCMC will also assist in the expansion of pediatric HIV/AIDS treatment in both Kilimanjaro and Arusha Region and the PMTCT program will work closely with them. EGPAF will also work with the MOHSW and provide technical leadership during early infant diagnosis policy discussions. EGPAF facilitates donated Determine test kits and Nevirapine from Axios International. However, the logistics in receiving timely supplies from Medical Stores Department (MSD), (e.g. Capillus test kits) remains challenging. EGPAF will strengthen site capacity to forecast
their needs and work with Supply Chain Management System (SCMS) and MSD to improve this. EGPAF will continue training new providers in PMTCT and quality ANC services including the SP prophylaxis and bed net vouchers to prevent Malaria in pregnancy and support refresher training for staff at existing service sites. TBA training will reinforce their important role and contribution to PMTCT. EGPAF will support training on HIV staging and basic HIV care for mothers and their family members at selected sites. Information on how to care of the exposed child will be included. In FY 2007, EGPAF's technical team will provide on-site supportive supervision to the all existing services. Lesson learned will be shared on the spot as well as during the annual review meetings. Efforts will also focus on strengthening the Management Information System. Coordination and integration of RCH services is a critical component of any PMTCT program. EGPAF will demonstrate the potential for effective RCH service integration and coordination in Masasi, Mwanga and Nzega districts. The program will empower districts supervisors and local management teams to facilitate service integration. EGPAF plans to share the process and experiences with the MOHSW. The expected outcome of the pilot is increased number of clients for all RCH and sustainability of PMTCT services. EGPAF is working closely with sub grantees to ensure that costs for the PMTCT services are integrated into the Comprehensive Counsel Health Plans and that alternative funding is being explored. After a maximum of four years district will need to be able to fund all ongoing PMTCT activities. With plus up funding, EGPAF will work with the MOHSW in expanding PMTCT services to 2 additional districts through a combination of sub-grants and site support so that more sites have their capacity built to provide PMTCT services and subsequently more pregnant women access the services. Services will include scaling up opt-out counseling and testing of HIV, including testing in labour ward and delivery, offering a combination of single dose NVP and more efficacious regimen based on facility capacity and providing nutritional counseling and support to infants and the lactating moms and the follow-up of HIV exposed infants. Additional interventions will include providing special orientation to midwives handling both HIV+ mothers and HIV exposed children so as to improve their skills and attitudes towards pregnant HIV + and - women. EGPAF will work with local governments and districts to support 3 additional new districts and expand activities in one existing district.