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
THIS IS AN ONGOING ACTIVITY FROM FY 2008. ACTIVITIES LISTED HAVE BEEN INITIATED AND
WILL PROCEED DURING FY 2009 AS IN THE PREVIOUS YEAR. ACCOMPLISHMENTS WILL BE
REPORTED IN THE FY 2008 APR. PLEASE NOTE THAT THE ACTIVITY NARRATIVE REMAINS
UNCHANGED FROM FY 2008.
TITLE: Contraceptive procurement
ACTIVITIES: By 2009, the Government of Tanzania (GOT) estimates the overall demand for condoms will
be over 150 million per year. In 2007, condoms were distributed in Tanzania through a combination of social
marketing programs, the public sector, and commercial sector sales.
Public sector condoms have been procured through the World Bank and the Global Fund for the prevention
of HIV transmission, other sexually transmitted diseases, and for contraceptive purposes. For the first two
years of the Global Fund Round 4 award, roughly 100 million condoms will be procured and sent through
the public central distribution system. The GOT has proposed that PSI assist the MOH with the distribution
of condoms procured. There have been significant issues with overstocking at the central warehouse, with
very little stock being pushed to the regions or districts, in addition to a lack of deliveries to the lower level
facilities from the district sites. This is expected to improve as the roll-out of the integration logistics systems
occurs and several PEPFAR and non-PEPFAR funded partners continue to work with the public distribution
system.
The funds requested in FY 2008 are to supply approximately 8.5 million male condoms and 800,000 female
condoms to be distributed by the social marketing program Tanzania Marketing and Communications
(TMARC). Social marketing in Tanzania has evolved from programs that used to target the general public,
to programs that are focusing specifically on most at risk populations (MARPS). These condoms will be
distributed in high HIV transmission areas such as communities surrounding mines, agricultural estates, and
truck stops and will be made available at places where high risk sex takes place such as bars and
guesthouses. AED's program has benefited from the 2006 launch of DUME condoms, a branded male
condom designed to appeal to MARPS. Lady Papeta, T-MARC's female condom was launched in 2005 and
has been surprisingly popular, particularly among commercial sex work (CSW) populations. These condoms
will be distributed through an elaborate and extensive network of traditional (pharmacy) and nontraditional
(bars, nightclubs, and hotels) points of sale. Emergency Plan partners will also distribute condoms targeting
MARPS including PharmAccess targeting the military, a new Uniformed Services prevention intervention
targeting police, prison guards and immigration officials, and through the transport corridor initiative ROADS
targeting truckers, CSWs and other at risk populations living and working in the project areas of operation.
All distribution activities have been and will continue to be discussed and negotiated with the National AIDS
Control Programme.
Historically, condom procurement and distribution to public sector sites has been problematic, often due to
the unpredictability of donor support and the long lead times in planning for condom procurements in
Tanzania. The USG team believes there is an opportunity to plan carefully for future procurements for the
PEPFAR-supported programs to secure an even supply of condoms. The proposed funding covers the
identified need for condoms socially marketed by PEPFAR partners through the first part of 2010. While this
2010 falls outside the normal programming period for the 2008 Country Operational Plan, this funding must
be secured and obligated in early 2009, in order to avoid supply chain disruptions. The long lead-time for
investing in new condoms for distribution in 2010 is largely due to the national forecast for condoms being
done on a schedule that does not coincide with COP planning.
LINKAGES: Any Other Prevention narratives for T-MARC, PharmAccess, ROADS, JSI, NACP and any
other social marketing programs.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13454
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13454 3508.08 U.S. Agency for Central 6506 1177.08 $1,085,226
International Contraceptive
Development Procurement
7695 3508.07 U.S. Agency for Central 4527 1177.07 $1,263,214
3508 3508.06 U.S. Agency for Central 2898 1177.06 $1,200,000
Table 3.3.03:
