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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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 IS A NEW PROJECT INITIATIVE FOR FY09: UHAI-CT program
NEED AND COMAPRATIVE ADVANTAGE:
Despite great progress in developing counseling and testing (CT) policies, guidelines, and training
materials, as well as a diversity of service models, Tanzania still faces considerable challenges in reaching
the goals of the national CT program and the targets for number of patients on antiretroviral therapy (ART).
To date, CT programs that target groups at high risk due to sexual behavior, livelihood, or geographic
location have been limited in number and in impact. Other constraints to expanded CT services include:
- Overstretched medical personnel;
- Negative perceptions about CT;
- Lack of quality assurance (QA) processes, resulting in limited supervision/monitoring of services and lack
of standardized service delivery;
- Weak links with care and treatment services, as well as poor integration with other health services;
- Weak coordination among Government of Tanzania (GoT) stakeholders and between GoT and civil
society organizations (CSOs) at the district level;
- Inconsistent availability of rapid diagnostic test (RDT) kits; and
- Lack of robust school- and workplace-based interventions.
Moving toward universal access to CT in Tanzania requires a continuation of the enormous political will and
leadership generated by the GoT, as well as significant social mobilization at all levels of Tanzanian society.
GoT leadership has shown strong support for addressing HIV/AIDS, from the former President Benjamin
Mkapa declaring AIDS a national disaster in 1999, to the launch of the national CT campaign in July 2007
by current President Kikwete. Under the UHAI-CT program, Jhpiego and partners will work closely with the
GoT to build on this platform of national support and successes to quickly and effectively strengthen the
ability of the public and CSO sectors to provide expanded, improved, and coordinated CT services linked to
care, treatment and support.
UHAI-CT will use a two-pronged approach to scale up CT. At the facility level, provider initiated testing and
counseling (PITC) will be implemented at health facilities as the standard of care, in accordance with
national guidelines and in line with national PITC scale up plans. PITC is the primary emphasis of this
program. At the community level, a creative mix of community-based voluntary counseling and testing
(VCT) outreach strategies will be implemented with a focus on high prevalence areas as well as very high-
risk and hard-to-reach populations such as CSW, IDU etc.
Jhpiego will also collaborate closely with GOT, USG and other CT stakeholders to maximize effective
geographic coverage and programmatic synergies. Specifically, Jhpiego work closely with AMREF to
implement community outreach strategies that fill gaps and complement AMREF activities and will focus on
highest risk sub-populations not traditionally served by AMREF. Jhpiego will also coordinate closely with
Intrahealth and Pathfinder to ensure coordinated and complimentary PITC scale up plans that are guided by
the GOT PITC roll out strategy.
UHAI-CT is a recently-awarded program (August 2008).
Planned activities include:
- Coordinating with the GOT and PITC stakeholders to affect coordinated roll out of PITC nationally;
- PITC activities which include: development of performance-based standards for quality services;
orientation of regional and district CT supervisors to the PITC program and PITC standards; adaptation of
existing PITC training package to onsite methodology; development of necessary provider job aids;
production of materials (onsite training packages, job aids); training of onsite training teams to prepare for
hospital trainings; onsite training - 59 hospitals, 8 wards each; development of promotional/IEC materials;
work with District AIDS Coordinating Committees (DACCs) to roll out and systematize existing PITC
registers in all sections of all relevant health facilities; and sampled observational assessments of PITC/ CT
- Community outreach and mobilization activities which include: advocacy for policy allowing for lay CT
practitioners; identification of retired or unemployed health professionals who have the clinical qualifications
to provide CT services as service corps volunteers (SCVs); training of SCVs in the continuum of care
approach; pre-solicitation of CSOs; review and approval of CSOs to participate in pre-proposal conference;
pre-proposal conference; CSO proposal review; pre-award assessments; and short-list review, involving
other implementing partners;
- Integration of CT promotion messages into the Vaa Kondom campaign with a particular focus on
addressing male norms that discourage men from getting tested;
- Meetings with National AIDS Control Programme (NACP) to develop plans for rollout of national database
- Training of DACCs and other relevant groups on reporting, analysis, planning and data for decision-
making with CT data;
- Semi-annual meeting with care and treatment partners to share CT program progress and discuss
strategies to strengthen linkages;
- Capacity building of care and treatment partners staff in CT for incorporation into their own programming;
- Annual "state of CT" stakeholders summit to review year's CT results; and
- Quarterly meetings with national level stakeholders to review program progress.
For PITC activities, UHAI-CT will coordinate with the Ministry of Health and Social Welfare (MoHSW) to
scale up services for hospitals and health centers currently lacking other technical assistance (TA) partners,
hence avoiding duplication of efforts. For community outreach, UHAI-CT will serve as a liaison between the
government and local CSOs, facilitating government support of outreach efforts by supplying space for
mobile CT units, distributing RDT kits, offering options for waste disposal, etc.
Activity Narrative: From inception and throughout delivery, UHAI-CT will involve TACAIDS, NACP and its Counseling and
Social Support Unit (CSSU), the Regional AIDS Control Coordinators, the DACCs, the District Council
Health Management Teams (CHMT), and Most Vulnerable Children Committees (MVCCs) at the district
level. Other government partners will include the Zanzibar AIDS Commission and Medical Stores
Department (MSD) health facilities staff. UHAI-CT Program Managers will spearhead the relationship
building at the district and regional level, working closely with CT coordinators from CHMTs to identify new
community-based CT sites, build capacity at current sites, link national level policies and communities, liaise
with local organizations, and jointly analyze data and results for program monitoring.
UHAI-CT will closely partner with other PEPFAR-funded HIV/AIDS partners (AMREF, FHI, AIDSRelief,
Deloitte, Columbia University, Elizabeth Glaser Pediatric AIDS Foundation, etc.) to ensure that all efforts are
complementary and non-duplicative. UHAI-CT will meet with these partners as part of initial program
planning and discuss areas of mutual interest and collaboration, including advocacy for policy change,
development of trainers and training materials, design of communications initiatives and key messages and
quality improvement efforts. UHAI-CT will also meet with PEPFAR-funded VCT partners at national level on
a quarterly basis to review each program's progress and planned next steps, status of initiatives of mutual
concern (such as policy change and capacity development) and challenges being faced by both programs
that need to be addressed in partnership. At a district level, UHAI-CT will work with its partner CSOs,
particularly AMREF, to establish linkages with VCT static sites in the geographic area for purposes of
referral and support. In addition, UHAI-CT will closely collaborate with the World Bank-sponsored Regional
Facilitating Agencies that are facilitating and supporting districts in development, implementation, and
monitoring of community HIV/AIDS initiatives.
Target Population: General population; Most at risk populations; Business community; Discordant couples;
Targets and achievements are based on actual service provision and do not include numbers from CTC
partners trained by Jhpiego to integrate PITC into their facilities. UHAI-CT is committed to reaching key
national, PEPFAR, and USAID goals. All impact indicator reporting will be done by secondary or primary
analysis of national, population-based surveys. Quantitative indicators will be collected systematically
through service delivery sites, supervisors of HBC providers, or monitoring systems from partner and
grantee organizations. Qualitative indicators will be collected through special surveys, including exit
interviews, focus group discussions, and participatory research methods.
UHAI-CT recognizes the vital importance of data monitoring and reporting for scale up of CT in Tanzania. At
the national level, UHAI-CT will work with NACP, TACAIDS, and other partners to: 1) increase submission
to existing data systems for CT, referral, and care and support services; 2) support NACP's CounTest and
CTC databases; 3) disseminate national achievements through an annual "State of CT and Support
Services" summit; and 4) publish or present results in national and international forums. At regional and
district levels, UHAI-CT will work with key stakeholders, including USAID, to strengthen information systems
for CT and referral services (data collection, reporting, feedback), and build capacity of district stakeholders
to use data for decision making.
UHAI-CT plans to build the CT expertise of the GoT to ensure long-term sustainability of program efforts, as
the government is responsible for overall leadership and guidance of the national program. In partnership
with other organizations supporting CT efforts, UHAI-CT will collaborate with the NACP's CSSU to further
develop their capacity to provide leadership, oversight, and support to the national CT program. CSSU staff
will be involved in advocacy, strategic design, planning, implementation, and monitoring of all program
activities, with programmatic and technical expertise transferred to the greatest extent possible. While
supporting capacity development at the national level, UHAI-CT will work in partnership with local
government authorities, including CT coordinators working within district CHMTs, to build their skills in
program implementation and coordination and to strengthen working relationships with CSOs in their
districts. UHAI-CT regional program managers will assist local authorities to develop and foster these
connections, so that CSO efforts are well-coordinated and linked with CHMT strategies and annual
In collaboration with other CT partners, and particularly AMREF, UHAI-CT will also work with trainers at
zonal, regional, and district levels to further develop their ability to implement training, develop relevant
training materials, and conduct supportive supervision visits, with an aim toward creating a pool of technical
resources that can be subsequently tapped by national counterparts for assistance in supporting and further
developing the national CT program.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13416
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13416 8656.08 U.S. Agency for JHPIEGO 6528 1171.08 $1,500,000
8656 8656.07 U.S. Agency for To Be Determined 4976 4976.07 TBD CT follow
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $350,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities