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.
ACTIVITY UNCHANGED FROM FY 2008 COP.
TITLE: Tanzania Preceptor Initiative and Hospital Partnership
Note: This activity will continue in FY 2008 with zero funding due to existing unused funds.
NEED and COMPARATIVE ADVANTAGE:
The Tanzania MOHSW is expanding ARV treatment services. Facilities are accredited to provide ARV
services by the NACP, and are already receiving ARVs, but are facing serious limitations of human
resources.
Volunteer preceptors with appropriate qualifications and experience will support HIV CTCs on an individual
basis as on-site technical assistants for staff within the facilities and assist in the provision of services as
necessary to fill gaps in staffing needs.
Through two twinning partnerships, US hospitals will assist Tanzanian counterpart institutions to better
organize and manage their work while building the capacity of staff to provide better care at the CTCs.
ACCOMPLISHMENTS:
An in-country volunteer coordinator has been hired. An orientation program for preceptors has been
developed, including an orientation guide, local guidelines, and a safety manual. Suitable accommodation
and other logistical arrangements were made for volunteer placements. Discussions with USG partners are
ongoing to identify potential volunteer assignments. The scopes of work for the first placements have been
developed and sites were identified. Qualified volunteers were recruited and the first six preceptors have
been placed.
ACTIVITIES (ongoing):
1. Preceptor Initiative:
1a. Identify 15 suitable sites for the hosting of volunteers, in collaboration with USG partners and other
institutions
1b. Finalize10 Scopes of Work for 25 volunteer assignments, with the support and assistance of USG
partners and other organizations
1c. Identify qualified volunteers to fill available volunteer opportunities
1d. Identify and secure suitable accommodation for volunteers
1e. Conduct pre-departure and in-country orientation of volunteers
1f. Place volunteers in their site assignments
1g. Volunteers conduct needs/organizational assessments of placement sites to identify technical
assistance and training/mentoring needs
1h. Volunteers work with site supervisors to develop individual action plan for each assignment, based on
assessment results
1i. Volunteers implement action plan in coordination with site supervisors, including training of health
professionals
1j. Volunteers submit progress reports during assignment to document progress achieved and document
training provided
1k. Volunteers submit post-assignment final report documenting achievements, including suggestions for
continued support and training needed at the placement organization
1l. Receive feedback from host sites and volunteers in post-assignment debriefing interviews
2. Hospital Partnership:
2a. AIHA conducts assessments of Tanzanian hospitals with CTCs, and in collaboration with MOHSW and
the USG team, select the Tanzanian hospitals to participate in the partnership.
2b. AIHA solicits proposals from interested US hospitals to select appropriate US partner institutions, with
concurrence from MOHSW, USG team, and selected Tanzanian partner hospitals.
2c. US partners conduct needs assessment of the Tanzanian partner hospitals, to determine organizational
development and training needs
2d. Partners jointly develop workplan outlining partnership activities, to be approved by AIHA, with
concurrence from MOHSW and the USG team
2e. Partners participate in partnership exchanges (to Tanzania and the US) to provide technical assistance
to address organizational development and training needs as identified in the workplan
2f. Partners implement programs and activities to address organizational development and training needs
2g. US partners submit quarterly reports to document progress achieved versus the partnership workplan,
document training and other technical assistance provided, and indicate progress toward partnership and
PEPFAR indicators.
LINKAGES:
To address the recent regionalization of USG Treatment Partners, the preceptor initiative will be closely
coordinated with the respective partners to ensure that preceptors are most effectively deployed. As
appropriate, volunteer physicians and nurses will participate in NACP CTC training and certification courses
prior to initiation of their service. Partners have offered to include volunteers in the NACP courses they
facilitate.
The hospital partnership will seek to develop similar relationships with appropriate institutions, depending on
the Tanzanian hospital selected to participate in the program.
CHECK BOXES:
The overall goal of the Preceptor Initiative in Tanzania is to increase the capacity of Care and Treatment
Centers (CTCs) to provide services through the fielding of trained and qualified professionals.
The overall goal of the Hospital Partnership in Tanzania is to increase the organizational capacity and staff
expertise at a Tanzania hospital with a CTC to provide better quality care.
M&E:
Preceptors will report regularly on progress towards achieving their scope of work, training and other
Activity Narrative: technical assistance provided. At the end of the placement, volunteers will submit a final report and
participate in an exit interview. AIHA will conduct a post-service evaluation with the host organization.
AIHA will assist hospital partners to develop and implement a M&E system for the partnership. With USG
stakeholders, AIHA and partners will select the PEPFAR, and other relevant indicators. AIHA will assist
partners to develop tools and systems to collect and report relevant data, provide technical assistance when
necessary. AIHA reports to USG teams quarterly and will evaluate the partnership's effectiveness in
meeting its goals and objectives upon completion of the workplan.
SUSTAINAIBLITY:
The preceptor initiative is building the capacity of the country's CTCs to provide quality services to its
patients. Training, supervision and mentoring of clinic staff will increase their knowledge, practical skills and
confidence to provide HIV/AIDS care and treatment.
By engaging a US hospital in a partnership with a Tanzania counterpart institution, the capacity of the
Tanzanian hospital to provide better care in its CTC over the long term will be enhanced. US health
professionals from the partner hospital will develop long-term collaborative working relationships with their
Tanzanian peers. The partnership will leverage substantial in-kind contributions of professional time and
equipment and supplies from the participating US hospital.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13434
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13434 5344.08 HHS/Health American 6495 3555.08 Twinning $0
Resources International
Services Health Alliance
Administration
7679 5344.07 HHS/Health American 4517 3555.07 AIHA $500,000
5344 5344.06 HHS/Health American 3555 3555.06 $500,000
Table 3.3.18:
