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 will be linked with all Palliative Care—Basic Care and Support Programs, and will help to ensure quality standards and comprehensiveness of services.
Palliative care has only recently been introduced in Africa. Many cultures and communities have long traditions of caring for the dying at home, yet few have had organized options in symptom control, counseling, emotional and spiritual support. The HIV/AIDS epidemic has greatly increased the need for home-based services and the relief of suffering, and it is now considered a core component of all home-based care (HBC) for people living with HIV/AIDS in Tanzania.
Palliative care in Tanzania is in its infancy. Presently it only available through a limited number of organizations, including Selian Lutheran Hospital in Arusha, Muheza District Hospital in Muheza, the Ocean Road Cancer Institute in Dar es Salaam, and PASADA in Dar es Salaam. There has been an increased effort to integrate the fundamental precepts of palliative care, including access to oral morphine for the treatment of people with severe AIDS-related pain, within the numerous HBC programs throughout the country. However, significant barriers remain. Only four centers country-wide, of which two are in Dar es Salaam, can access oral morphine which is the only available potent oral opiate. Moreover, three out of the four centers account for all trained palliative care professionals in Tanzania.
In FY06, the African Palliative Care Association (APCA) was provided with funding from Emergency Plan Plus Up Funds to help integrate quality palliative care into HBC services in Tanzania, to advocate for comprehensive palliative care, and to provide technical assistance to the newly formed Tanzanian Palliative Care Association (TPCA). This work will soon be initiated. APCA will support TPCA's effort to scale-up and strengthen palliative care services in Tanzania. The TA offered by APCA will include support on organizational development, advocacy and policy influencing, training, education and standards, monitoring and evaluation. APCA will also support integration of the core elements of palliative care into HBC programs and a review of the Tanzanian national health policy to ensure that it supports the provision of comprehensive, quality palliative care to people living with HIV/AIDS, including orphans and vulnerable children. Important priorities for both APCA and TPCA will be to work with the National AIDS Control Programme (NACP), to promote quality standards in palliative care training and service provision for different levels of health professionals and care providers. In addition, efforts will be initiated to include palliative care in the curricula for all medical and nurse training to increase the skills base so that palliative care provision in the region becomes sustainable. APCA and TPCA can also help NACP to advocate for policy change on the use of oral morphine.
In particular, with FY07 funds, the program will focus on recruiting program staff for advocacy, supporting the implementation of developed palliative care standards, and supporting TPCA to implement a mentorship and accreditation program (planned by NACP, but not yet implemented) for palliative care services in Tanzania. In order to promote linkages and knowledge sharing, the APCA will continue to hold quarterly CME palliative care updates for all stakeholders and TPCA membership, support TPCA to publish a palliative care journal twice a year for dissemination to stakeholders and membership, facilitate and support a national palliative care conference to coincide with the world Hospice and Palliative Care Day, develop and implement a palliative care IEC strategy for Tanzania, and support a TPCA team to attend and participate in the APCA regional palliative care conference.
APCA will also work with TPCA to sensitize policy makers on the role of palliative care in HIV/AIDS, support the development and implementation of a national palliative care strategy, and sensitize key medical and nursing schools on the need to incorporate palliative care within training for all undergraduate doctors and nurses. FY07 funds will also support the development of training materials and train trainers to educate community-based care givers/volunteers to integrate palliative care into services they provide and as trainers for other community-based volunteers. These will be especially important for organizations such as TACARE in Kigoma.
Monitoring and evaluation plans will also be developed maintain a database of members and services, and to evaluate the effectiveness of programs.
