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: 2009 2010 2011
THIS ACTIVITY HAS BEEN COMPLETELY REVISED
TITLE: Create linkages and coordinate PMTCT and pediatric HIV service delivery
NEED AND COMPARATIVE ADVANTAGE: USG-Tanzania has indicated a need for technical assistance
(TA) 1) to enhance the structure and effectiveness of national efforts for scale-up of PMTCT services by
regionalization; 2) to create effective linkages between the PMTCT and pediatric HIV programs in order to
support follow-up, care, diagnosis and treatment of HIV-exposed infants; 3) to integrate comprehensive
PMTCT service and mother-infant follow up within Reproductive and Child Health services. Joint workplans,
a model for infant-follow-up, and plans for program integration will be instrumental in building sustainable
program activities. TA to the PMTCT Unit in their work with regional MOHSW representatives, donor
organizations, and other ministries, will support timely accomplishment of program objectives.
ACCOMPLISHMENTS: n/a
These activities were previously implemented by FXB who was funded under the UTAP mechanism which
is expiring. An FOA for these activities will be developed and competed. Activities are the same as Activity
ID # 16411.08 but cover the second half of the FY 2008 funding period.
ACTIVITIES: 1) Initiate collaboration and establish system linkages between NACP's PMTCT and pediatric
teams. 1a) Gather relevant HIV/AIDS, PMTCT and pediatric HIV documents and review national strategic
plans and NACP-specific goals and objectives. 1b) Consult with PMTCT and pediatric HIV technical working
groups (TWGs) and MOHSW to prioritize response to identified gaps and needs for revision. 1c) Develop a
draft action plan and share with key stakeholders and TWGs during a 2 day retreat to revise and prioritize
objectives, discuss lead agencies and timeline 1d) Submit revised action plan to MOHSW for final approval,
allocation of work plan activities to respective Departments, identification of budgets, approval of a
monitoring plan and further dissemination
2) Provide technical assistance to NACP to scale up PMTCT, diagnosis, care and treatment of HIV infected
mothers and children, support integration in RCH services. Based on outcomes of joint PMTCT/Pediatric
HIV joint strategic plan: 2a) Work with MOHSW to identify 10 pilot sites to develop a model for systematic
linkages of PMTCT services and pediatric care and follow-up of mothers and HIV-exposed infants 2b) Work
with key MOHSW staff and TWGs to create a Care and Treatment Integration Plan for implementation of
the model at pilot sites. 2c) Train 40 staff on implementation of Plan 2d) Collaborate with MOHSW to build a
communication system between RCH and CTCs to monitor follow-up of exposed infants. 2e) Evaluate the
model's effectiveness at the sites 2f) Develop a strategic plan for replication of the model in other regions of
Tanzania in subsequent years.
3) Work with PMTCT and pediatric units to assist in work planning, report writing including monitoring of the
national program, evaluation of activities such as trainings and assist with dissemination of guidelines, BCC
materials, counseling tools and supervision checklists 3a) identify and discuss with national-level staff,
implementation gaps, program linkages and common problem areas in program implementation 3b) provide
mentoring on program management of PMTCT activities 3b) provide feedback and coaching on operations
management, evaluating, reporting and project planning, with reduced involvement over time 3c)develop
support tools and assist with dissemination of PMTCT guidelines, early infant diagnosis, counseling tools
(pediatrics and PMTCT) and dissemination of the PMTCT supervision checklist and PMTCT standard
operating procedures.
4) Coordinate PMTCT/pediatric HIV implementing partner's work to ensure unified goals and targets and
avoid duplication of effort 4a) Conduct a nationwide assessment of the number and scope of work of in-
country partners providing PMTCT services 4b) Develop a Collaboration Report and Catalogue that lists
service providers, their respective services/activities and contact information 4c) Provide leadership for
development of a regular management, reporting and monitoring system to streamline service provision and
coordinate activities
LINKAGES: The TBD agency aims to continue to strengthen the capacity of the national PMTCT program to
achieve its goals by expanding PMTCT services through system linkages with the national pediatric HIV
program and integration of these services in routine reproductive and child health services nationally.1)
Sustainable linkages between the currently vertical PMTCT/pediatric units of the NACP and the MOHSW
RCH Division will be established.
2) A practical model for linkages between these programs will be pilot tested at MOHSW PMTCT identified
sites 3) Work planning and operational activities of both the PMTCT and pediatric units of the NACP will be
coordinated 4) Stronger linkages with and between implementing partners will be developed through
catalogue of partners and their respective activities and regular reporting mechanism.
CHECK BOXES: Support standardization and scale-up PMTCT services and create linkages between
PMTCT and pediatric HIV program activities. Integrating PMTCT and pediatric HIV services into RCH.
Mentoring/coaching national level staff on program management and supervision and establishing a system
to coordinate the work of all PMTCT implementing partners to ensure unity in pursuit of PMTCT program
goals and targets. Increased capacity of national program and national staff will support scale-up of PMTCT
services, which target pregnant or recently-delivered women, women with HIV exposed infants.
M&E: Monitoring and evaluation is an integral component of each activity. The TBD agency will engage in
monitoring and evaluation activities that lead to continuous improvement and replication of the model for
continuous service delivery between PMTCT and pediatric HIV care. Using national indicators, PEPFAR
indicators and other established performance measures, the TBD agency will build into the workplan
monitoring tools to evaluate objectives of the project for the one-year duration; develop evaluation forms for
each training and workshop using standard templates. Approximately 5% of budget is used for overall M&E
purposes.
SUSTAINABILITY: Activities are all focused around sustainable capacity building.
Activity Narrative: Major Activities: 1) Establish system linkages between NACP's PMTCT and pediatric teams. 2) Provide TA
to scale up PMTCT, diagnosis, care and treatment of HIV infected children, support integration in RCH
services 3) Work with PMTCT and pediatric units to assist in program management 4) Coordinate
PMTCT/pediatric HIV implementing partner's work to ensure unified goals and targets and avoid duplication
of effort
New/Continuing Activity: Continuing Activity
Continuing Activity: 16411
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16411 16411.08 HHS/Centers for University of 8545 8545.08 PMTCT Support $631,493
Disease Control & Medicine and (UTAP)
Prevention Dentistry, New
Jersey - Francois-
Xavier Bagnoud
Center
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $20,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Estimated amount of funding that is planned for Education $20,000
Water
Table 3.3.01:
