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.
ARV Services at Mbeya Regional Medical Office
This activity also relates to activities in CT (7749), palliative care (7723, 7735), and treatment (7747) and SI (8683)
Mbeya is one of four regions including Iringa, Rukwa and Ruvuam which make up the Southern Highlands in Tanzania. Zonal health services for these four regions are provided by the Mbeya Referral Hospital which works in concert with but not over the regional medical offices. Based on a network model, the Mbeya Regional Medical Office (MRMO) supports the implementation of prevention, care and treatment programs throughout the region, providing funding and supervision to the regional hospital and district level facilities. This office supports not only the needs of hospitals, health centers and dispensaries in providing primary care but also works to strengthen the continuum through providing quality counseling and testing (CT) and PMTCT services, strengthening of referrals between facilities and services, conducting the training in palliative care to HBC providers, and supporting community education on health service initiatives. All three regions (Mbeya, Rukwa and Ruvuma) supported through the US Department of Defense (DoD) are implemented in a coordinated and almost parallel fashion, directly supporting the MOH's desire for donor agencies to undertake a more regional focus in developing networks of care.
Though the MRMO was originally slated to begin receiving Emergency Plan support with FY05 funding for ART, due to initiation of treatment at the regional, two district (Kayela and Rungwe) and one mission (Igogwe) hospital, as part of the MOH rapid roll out plan, work with this partner in the area of treatment began in January 2005.
Funding in FY07 will continue to support expansion of treatment services at these four facilities plus the addition of a fifth, Mbozi District Hospital, with a combined September 2008 target for the MRMO of 1,800 patients on ART and over 3,000 patients on care. FY 2007 support will ensure that all the six districts in Mbeya are supported with ART services. This expansion will include increasing the number of individuals trained through NACP efforts to an additional 38 personnel (at least six individuals per facility) under the Mbeya Referral Hospital submission in this section. PMTCT is being further integrated into treatment. Although traditional PMTCT offered by several MOHWS facilities, pregnant women in their third trimester are being identified and evaluated for triple ARV if their CD4 is less than 350/microliter.
Currently 13 % of the ART and care population is between the ages of zero to 14 years. Pediatric uptake will be increased by increasing the enrollment of children especially younger ones by promoting and supporting routine counseling and testing of children and their mothers at all contact points in the health facilities, including immunization clinics, outpatient clinics, and in-patient wards and through PMTCT programs.
Through these sites, the pediatric ward at the referral hospital, and linkages with over ten NGOs and FBOs providing support to OVCs in the Municipality, pediatric cases will be identified and evaluated for treatment.
MRMO will promote couple counseling and testing for all clients that receiving counseling, care and treatment. This strategy will become the backbone for the hospital's efforts to promote prevention for positive and will also assist in boosting the number of males on treatment. As part of ensuring the continuum of care, the MRMO works in close concert with several NGOs and FBOs in the Municipality. These organizations not only assist in patient identification and referral to the HIV Care and Treatment Center (CTC) at the hospital but provide at home follow up of patients under treatment. In order to link services, training will emphasize that care for People Living with HIV/AIDS should be provided in a continuum with links from care & treatment to other programs within the health facilities and extend from the health facilities into the community.
A referral mechanism, using existing structures, is being strengthened in FY05 to link services to centers providing counseling and testing at TB clinics, stand alone sites and lower level health facilities. Efforts in FY07 under the MRMO in CT will look to strengthen the integration of provider initiated counseling and testing in the five facilities' out patient clinics and in patient wards to identify the maximum number of treatment ready patients.
In FY 2007, an electronic medical record system will continue to be imroved at the Mbeya Referral Hospital and will be introduced at each of these sites. Currently these facilities use the paper versions of the patient report forms for this database with the Mbeya Referral Hospital keeping the electronic version and providing the hospitals with weekly patient reports. This record system has been not only helpful in improving patient management but also tracking of patients as they are referred back to their district hospitals for primary care from the regional or referral facility. By extending this capacity directly to the districts, physicians and hospital administrators can make better real time decisions that will improve services at their facilities and develop a network of information on care and treatment in the region.
Under this submission, the MRMO will continue to develop capacity of local NGOs and FBOs in provision of HBC, focusing on the introduction of ARV education into HBC training and treatment adherence as part of service delivery. In FY07, the MRMO will continue working with the medical staff of a large NGO in the region, Kikundi Huduma Majumbani (KIHUMBE), to devise a six-day course to cover topics in adherence and basic patient monitoring for individuals on ART. The MRMO will train more than 100 HBC providers in basic palliative skills with KIHUMBE training current providers in the region in the "advanced" care package. At all five treatment facilities, linkage of ART and care patients to HBC providers, under the Network umbrella submission under palliative care, will be built upon in FY07 to provide this home follow up. The MRMO will continue to evaluate and monitor HBC programs in the region supporting a continuum of care approach and ensuring quality services are provided.
