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 7722 in treatment.
The overview of activities described here reflects the entire Harvard School of Public Health 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, sub-partners etc., for the program are therefore reflected in the narrative associated with the in-country funds.
Between the start of the program in November 2004 and July 2005, 16,102 patients have been enrolled in care and treatment, including 1,684 children, 373 pregnant women and 384 TB patients currently on ARV's. Of these, 8,500 were initiated on ART. The MDH (Muhumbili University College of Health Sciences, Dar es Salaam City Council and Harvard) program has expanded to 23 sites which includes the 3 main district hospitals (DH), health centers (HC), and semi-private and private facilities in Dar-es-Salaam (DSM), thereby leading to massive and rapid increase in the number of patients on care and treatment. Activities conducted at these sites include provider initiated counseling and testing, evaluation of patient eligibility for ART, adult and pediatric care and treatment, prevention and treatment of opportunistic infections, laboratory services, strengthening of Home Based Care (HBC), training, Quality Assurance (QA), screening for TB, and Monitoring and Evaluation (M&E) components. The comprehensive training program has provided HIV/AIDS care and treatment to all levels of health care practitioners from different parts of the country.
Many novel programs have resulted in a locally sustainable, high-quality, cost-effective, rapidly expanding care and treatment program. These include the implementation of double shifts, strategic site renovations for optimal space utilization, time block patient appointment systems to streamline patient flow in clinics, successfully piloting initiation of HIV/AIDS care and treatment at the HC level, piloting integration of TB/HIV activities, piloting new referral systems, piloting new pharmacy software for the National AIDS Control Program (NACP), integrating a locally managed Quality Improvement (QI) and M&E system, and incorporating a locally assembled and operated human resources and payroll system.
During the proposed funding period the focus will continue to be on scaling up HIV/AIDS care and treatment services to the larger DSM region, with more emphasis on children and pregnant women. To achieve this objective, in addition to the current 7 sites, 3 DH (Mwananyamala, Amana and Temeke), IDC and 3 HC (Mbagala Rangitatu, Bugurunni and Sinza), MDH will be scaling up operations to one tertiary care hospital (Muhimbili National Hospital) and an additional 14 health facilities namely, UDSM, TMJ, Mikocheni, IMTU, Oysterbay, Tanzania Heart Institute, Mzena Memorial Hospital, St. Bernard, TMS (Kapessa), MSH(Mbezi), Regency, Tumaini, Hindu Mandal, Aga Khan, and Khan Hospital. The key areas for FY 2007 include the institution of the Preventive package, provision of effective TB interventions, strengthening pediatric AIDS care and treatment, integration of TB/ HIV care and treatment, referral systems, prevention with positives and quality of care.
The lessons learnt from the many initiatives piloted have enabled the coverage of more patients than before using the same resources. MDH is incorporating different levels of involvement at each of the proposed sites to maximally stretch available resources and reach many more people who need services. Other areas of focus include integrating services both among facilities at the primary, secondary and tertiary levels, and between different program areas within the HIV program such as PMTCT, TB/HIV and HBC in DSM. Sustainability of the MDH program has always been, and will continue to be, a key component of activities, along with maintaining high quality of service.
