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.
Years of mechanism: 2007 2008 2009
This activity narrative specifically links with activity #9390, #8691 and #9060 in AB, and with #9501 in Palliative Care.
The JGI-TACARE project is located in the Kigoma region of Western Tanzania where the HIV/AIDS reported prevalence rate is less than 4%. Although this rate is low in comparison to other parts of Tanzania, there are factors which could contribute to an increase if educational efforts with the community are ignored. The Kigoma region hosts refugees from Burundi and DRC, and there are many intermarriages and cross border interactions. HIV Prevalence rates may run as high as 10% in the camps, which increases risk to the community. Using existing structures and program already in the area, TACARE can continue to play a role in curbing a growth in the prevalence rate.
TACARE Roots and Shoots (R&S) Clubs exist in each village in the catchment area. These clubs are dedicated to youth learning about their environment, identifying issues and taking actions to address them. HIV/AIDS has been identified as one of the issues for which youth-to-youth approaches can be used to educate the community, and educate youth in particular, for behavior change.
In FY05, the TACARE project received USG funding for AB, as well as funding for natural resource conservation and family planning from USAID The PEPFAR funding was used to train 10 R&S teachers as TOTs for AB to in turn reach out to 48 established clubs which each average 50 members.
This FY 2007 application seeks to train 16 more TOTs who are expected to reach at least 600 R&S youth members with AB messages. Each trained R&S member can in turn share information with at least 5 non R&S youth through peer education. Thus a total of 3000 students are expected to receive AB messages.
TACARE has also identified Faith Based Youth Groups who are reaching out to youth with religious-based messages that have done well in the past such as "true love waits." These leaders of these five groups (SDA Church, Baptist Church, Pentecost Church and United Muslim Fighters Against Aids and God's Ambassadors) will be trained to reach additional youth in the villages with AB messages.. TACARE will collaborate with KIVIDEA, a local NGO in Kogoma and their Certified Regional Trainers to provide this training
This intervention will focus on 24 villages surrounding the Gombe National Park where TACARE is implementing other project interventions.
This activity will link with activities in Abstinence/Be Faithful (8681). It also links with programs in other parts of the USAID/Tanzania Mission (Natural Resources Management and Health).
The Jane Goodall Institute (JGI) has been involved in the implementation of the community-centered conservation project for the last 12 years. The Institute, through its TACARE Project, had generated valuable experiences and relationships through working with the local community. The project is demonstrating a holistic approach to community-centered conservation that integrates sustainable agriculture, population, HIV/AIDS, social infrastructure and education, water and sanitation and youth-to-youth education.
The project covers 24 villages within Kigoma rural district of Kigoma region where HIV/AIDS pandemic prevails below 5% with towns centers being the most affected than rural settings. Kigoma has a porous boarder with Burundi and Congo DRC countries where AIDS prevails above 10%. The recurrent refugee influx into the region puts Kigoma potentially at a high risk to raise its prevalence rate. This prevalence of HIV/AIDS among the local communities has already affected the lifes of extended families in Kigoma, resulting into increasing death toll, orphans, and widows.
Despite the ongoing awareness campaigns in the country, there are still some unfavorable beliefs, attitudes, and values that affect proper understanding of the diseases and its impacts. Most people know the sign and symptoms of the disease and can roughly identify people living with HIV, though the signs are easily confused with other chronic illnesses. Many symptoms of AIDS are associated with witches and so improper traditional treatment is used. When people start to realize it might be HIV/AIDS, which is infectious, they tend to avoid and isolate the patient from other members of the family.
TACARE received Emergency Plan funds from the USG in 2005 to integrate HIV/AIDS interventions into several components of its ongoing projects. The AIDS education care and support for the rural community of Kigoma District offered mobile VCT services, home-based care (HBC), services for orphans and vulnerable children, abstinence and education for youths. Our experience shows that out of community members who attended the VCT services, 2% was HIV+. Apart from those tested, there are people who would not go for testing but they have been suffering for a long time. Our trained HBC program care providers, who are also Community-based Distributing agents (CBDA) of family planning methods, have identified about 214 people in their working areas with long-standing diseases, of which HIV/AIDS is one of them. The volunteer HBC providers visit them at home and support the family nursing services. Members of the family area also educated on nutrition and locally available foods that are necessary for the patient, hygiene measures that they should employ when nursing the patient to avoid further infections and also to reduce stigma.
The demand for HBC services is high. Out of 157 CBDA, 68% received first phase training on how to provide HBC services people with prolonged illnesses. There is a need to provide them with the second phase training so they can be full functioning and reach more people. In addition, there is need to enhance the comprehensiveness of their training to ensure that national HBC Guidelines are followed. The program will also need to link with the District Management Health Team (DHMT) to integrate other critical components of HBC into the services to be provided. The activity will link with other USG programs in Natural Resources Management. This integrated approach of activities has proved to be effective and produce better results than single standing activity.
JGI-TACARE project is requesting funds for FY 2007 to continue with its existing HBC intervention on AIDS. These HBC funds will be used to complete training of 119 HBC service providers to increase their competence and the comprehensiveness of their services. TACARE intends to reach 300 patients in their communities, and will transition during FY07 to use of the Government of Tanzania guidelines for HBC. As spillover effect, at least two caretakers of each patient will be counseled on appropriate nutrition and hygiene measures for the patient. Educational materials will be adapted to increase awareness and reduce stigma among the community. Prevention will be highlighted among PLWHA to minimize further transmission of the disease. PLWHA will be referred to other services in the community. Identified PLWHA who are still strong will be facilitated to
join micro credit scheme wraparound programs established by the TACARE project in their villages to facilitate their involvement in economic production. Not only does this activity help them to mix with the rest of the community, but also generates income to meet their daily needs for food and other items.
A project coordinator and support staff will be employed for the whole year to supervise the care being provided, and to refer patients for clinical care and treatment. An initial step will be to orient staff to the National Guidelines for Home-based Care. Where necessary, the training program will be adapted to include important components of the minimum package of HBC, e.g., adherence counseling, psychological support, care for carers, recordkeeping and reporting, etc. In addition, it will apply the Stigma Tool Kit developed by Pact for use by USG implementing partners. Office supplies, equipments, furniture and a vehicle will be procured and used to facilitate office and field work respectively. Field and in country travel will as well be covered by this fund as will be necessary.
This activity will be carried out in Kigoma rural district where TACARE is also carrying out other interventions and is well integrated in the community.
