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: 2008 2009
TITLE: Estimating Mortality Trends on Mainland Tanzania
NEED and COMPARATIVE ADVANTAGE: Under PEPFAR, the proportion of deaths due to HIV/AIDS
among persons aged 18-59 years is an outcome indicator of the impact of PEPFAR on general population
health. The importance of community-based data on survival and cause-specific mortality are vital for
health policy and planning.
In Tanzania, there are few reliable sources of information on mortality rates and the causes of death.
Tanzania has conducted adult morbidity and mortality surveys in 1992-1997 and 1997-2003.
Ifakara Health Research and Development Center is part of the demographic surveillance system (DSS) in
Tanzania, and it has the capacity to collect information on total deaths and deaths due to HIV/AIDS to show
the impact of PEPFAR investments in the fight against HIV/AIDS in Tanzania.
Ifakara is one of eight demographic surveillance sites that make up the National Sentinel Surveillance
System (NSS) in Mainland Tanzania. Ifakara Research Centre works closely with the Ministry of Health and
Social Welfare (MOHSW) to maintain and oversee the eight sites.
ACCOMPLISHMENTS: N/A. This is a new activity.
ACTIVITIES: Ifakara will conduct sample vital registration with verbal autopsy (SAVVY) to estimate mortality
related to HIV/AIDS among persons aged 18-59 years using a phased approach. Initially, Ifakara will
conduct a survey in Ifakara and Rufiji, with expansion to the other DSS in the following years.
Ifakara will use a validated verbal autopsy tool to determine major causes of death at the DSS. Currently,
Ifakara conducts a semi-annual census on births, deaths, and migration in the DSS. Ifakara will follow up all
identified deaths with a verbal autopsy. A medical team will be established to code deaths and determine
the possible cause of deaths.
In FY 2008, Ifakara Research Center will conduct training in strategic information and further discussion on
the design and implementation of the SAVVY system in Ifakara and Rufiji.
PEPFAR-Tanzania will use the results to measure the impact of the PEPFAR investment in Tanzania, and
to measure equitable development of the population. The results will be used to make evidence-based
decisions on health policy, planning, and monitoring and evaluation of HIV/AIDS related programs at the
appropriate national and sub-national levels.
LINKAGES: The results from the SAVVY will be used to measure the impact of PEPFAR funding on
morbidity and mortality associated with HIV/AIDS in Tanzania. Ifakara Health Research and Development
Centre will liaise with the MOHSW and CDC Tanzania.
CHECK BOXES: The morbidity and mortality survey will be conducted among adults aged 18-59 years. It is
a strategic information activity.
SUSTAINAIBLITY: Ifakara Health Research and Development Centre's mission is to develop and sustain
district based health research and resource centre capable of generating new knowledge and relevant
information for public health policy and actions. It has been in existence for over 20 years, and can lead the
planning and implementation of SAVVY in Tanzania.
