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 narrative link to activity # 7771 ARV services.
The Government of the United Republic of Tanzania has mandated the National Tuberculosis and Leprosy Program (NTLP) to coordinate and implement activities necessary for the control of TB and TB/HIV in collaboration with the National AIDS Control Program (NACP) and other stakeholders. The NTLP has wide experience in implementing the DOTS (Directly Observed Treatment short course) strategy throughout the country. Having achieved national coverage since 1983, the program is one of the best functioning disease control programs in the country and enjoys high government and international commitment. The NTLP therefore is uniquely positioned, in terms of legal authority, credibility and support from the government and the public, to coordinate and implement TB/HIV activities in the country.
NTLP is currently scaling-up TB/HIV activities in the country after successfully piloting in three districts. From July 2005 to June 2006 a total of 3904 TB patients were registered in the 3 pilot districts of Temeke, Iringa and Korogwe. Of these, 3383 (87%) were counseled and tested for HIV. Of the latter, 1,535 (45%) were found to be HIV positive. Despite delays in accessing the funds (received in April 2006) there has been good progress in scaling-up TB/HIV activities. Needs assessments have already been conducted in 10 districts. To date, 9 trainers have been trained and 30 others are to be trained before the end of September 2006. More than 150 health workers have been trained on collaborative TB/HIV interventions and training for another 100 health workers is planned by December 2006.
Funds requested in FY 2007 will be used to scale-up TB/HIV activities in an additional 33 service outlets in 11 districts and sustain interventions in the districts supported in the first and second year. The plan is to have at least three service outlets in each district. At the end of the third year, the project will reach 66 service outlets in 21 districts in the country. It is envisaged that scaling up will significantly and rapidly increase the number of patients on HIV care and treatment and thus contribute to the President's Emergency Plan for AIDS Relief (PEPFAR) goal.
At the national level, the funds will be used to support a TB/HIV coordinating body that will include members from the TB and HIV community. This group is charged with providing strategic direction of TB and HIV integrated activities the country.
Specific activities include training 165 health staff on TB/HIV activities including Diagnostic Counseling and Testing (DCT) which will result in 13,562 TB patients receiving HIV counseling and testing by September 2008. It is estimated that 6,781 (50%) of these will be HIV-infected and 4,068 (60%) will be eligible for ART. In order to increase the number of PLHA on Anti Retroviral Treatment (ART) and care, patients who are co-infected with TB/HIV will be provided ART services within the TB clinic in the first six months in at least one TB clinic within a district. Furthermore, 80% of all TB/HIV patients will be provided with cotrimoxazole preventive therapy (CPT). In order to provide ART to TB patients within TB clinics, upgrading of these clinics is required. At least one clinician and a nurse will be recruited and trained in the 10 districts to strengthen the capacity of TB clinics to provide ART. In addition, district TB/HIV coordinators will be recruited to support the 11 new districts in implementation of the collaborative TB/HIV activities. HIV rapid test kits and ARVs will be provided by NACP. It is estimated that a total of 1,500 TB/HIV patients will be provided with ART in TB clinics.
The funds will also be used to strengthen the referral system and linkages between TB and HIV/AIDS clinics. Linkages and networking systems will be enhanced to ensure that all eligible TB/HIV patients access appropriate HIV care, treatment and support. NTLP will take the lead to establish information exchange meetings between TB and HIV/AIDS clinics and other stakeholders at the district level. Specifically, NTLP will take the lead to work with NACP and other stakeholders to develop a TB screening tool for PLHA to be used in CTC clinics and will update the existing TB registers and referral forms to capture TB/HIV data to and from the CTC clinics for monitoring targets. These tools will be computerized to improve data quality and provide timely and accurate information for program planning. The ongoing roll-out of the Electronic TB Register (ETR.NET) will continue in FY07. Training and dissemination of ETR.NET is planned for districts where partners are conducting TB/HIV collaborative activities. The Electronic TB Register
facilitates management and supervisory functions of health facilities and generates reports and feedback to health facilities on case finding. It is also capturing information on HIV testing that is aggregated at the national level. These aggregated testing results will be shared with NACP. In addition, NTLP will ensure TB clinics receive referrals of suspected or diagnosed TB cases among PLHAs from CTC clinics. Patients will be confirmed for TB diagnosis and if positive will be provided with TB treatment.
Supervision will be strengthened at all levels in order to improve data quality. The existing NTLP supervision plans will be update to accommodate monitoring of TB/HIV activities at the national, regional, district and health facility levels using the updated tools. Challenges and gaps found during supervision will be addressed on site and through committee meetings. Where necessary, NTLP will seek technical assistance from local and international experts especially in the area of laboratory quality assurance for HIV testing in TB clinics, monitoring and evaluation, TB/HIV training curricula and TB/HIV health communication strategy. A mid-term evaluation will be conducted using local and international consultants.
With FY07 plus-up funds, NTLP will further scale up TB/HIV activities beyond their COP targets. They will provide TB/HIV services in 15 additional service outlets, increase community awareness on TB/HIV in order to increase health care seeking behavior and thus improve TB infection control. Funds will also be used to train 45 additional health care workers on TB/HIV collaborative activities including infection control and patient administration. Finally, funds will also be used to implement activities that will lead to the prevention of MDR/XDR TB.
Plus-up FY07 funds are also requested to support the following M&E activities; a) development of a paper-based tool to aggregate TB/HIV information from the Unit TB register, b) training of TB clinic staff to produce this report as well as use the information for program improvement, c) procure the services of UCC to enable the ETR to automatically produce the TB/HIV activity report d) collaborate with NACP and USG treatment partners to develop paper-based tools and strategies for cross referral between TB clinics and HIV Care & Treatment Clinics (CTCs) in order to ensure continuum of care for infected patients and ensure smooth integration of M&E activities that focus on TB/HIV and e) procure the services of UCC to develop linkages between the CTC database and ETR in order to effectively capture information on the continuum of care between TB and the CTC.
