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
ACTIVITY HAS BEEN REVISED SIGNIFICANTLY FROM FY2008COP.
TITLE: Supporting ART services in six regions in Tanzania
NEED and COMPARATIVE ADVANTAGE:
There are approximately two million people living with HIV in Tanzania. The HIV prevalence is higher in
urban areas (10.9%) than in rural areas (5.3%) and it varies per region. In the Elizabeth Glazer Pediatric
AIDS Foundation's (EGPAF) current four regions, it is estimated that 100,823 people in Kilimanjaro, 68,527
in Arusha, 123,689 inTabora and 182,363 in Shinyanga are HIV infected and will need care and ART
services at some point. Only approximately 21% of the PLWHA who are in need of ART in these regions
were actually receiving this by the end of June, 2008. This percentage is expected to be even lower in
Mtwara and Lindi regions, where EGPAF will extend support in FY 2009. With a strong commitment and
support from the government and local authorities, EGPAF will play an important role to ensure optimum
accessibility to ART services.
ACCOMPLISHMENTS:
As of June 08, 24,897 patients have been initiated on ART in 78 health facilities, including 2,284 (9.1%)
children. The average increase of median CD4 was 39 after six months and 182 after one year. 555 health
workers have been trained to provide comprehensive ART care, including mentorship. In the past six
months, 40 new primary health facilities (PHC's) have started providing ART services. By the end of
September 2008, 60 more PHC's and two hospitals will be providing ART services in the four regions, for a
total of 140 facilities.
ACTIVITIES:
Strengthen ART services in the current EGPAF-supported health facilities, including primary health facilities.
Support planning, training, mentorship and supervision by district teams. Ensure HIV is included in
Comprehensive Council Health Plans. Improve referral systems between facilities, and facilitate transport
for mentorship, supervision and specimen testing. Conduct minor renovations and supply of equipment to
ensure uninterrupted services. Train back-up teams in hospitals and health centers on basic ART care.
Support activities for continuous quality improvement. Train mentors from the district and other higher level
facilities on ART care. Strengthen data collection, on-site utilization and reporting. In close collaboration
with the Clinton Foundation, expand support for ART services to underserved areas in Lindi and Mtwara
regions in response to a request by the Ministry of Health and Social Welfare (MOHSW).
Laboratory Activity:
Expand MOHSW zonal quality assurance (QA)\quality control (QC) activities. Work with regional and
facility-level Quality Assurance Officers to support zonal Quality Assurance Officers in conducting
supportive supervision of all regional and district CTCs in the zone.
Support implementation of the zonal external laboratory quality assurance activities by supporting the
quarterly meetings, and ensuring enrollment and participation of six regional labs in the national and
international external quality assurance (EQA) programs.
Support equipment services and maintenance by training 188 lab staff. Support zonal equipment engineers
to perform quarterly supervision, and produce quarterly updates on equipment status. They will report to
the Regional Medical Officers, EGPAF and equipment engineers at MOHSW diagnostic unit. Work with
Supply Chain Management Systems (SCMS) and the USG lab team to build the capacity of 188 CTC
laboratories' staff to plan in laboratory supplies and reagents forecasting and logistics to ensure
uninterrupted quality laboratory services. Procure reagents for hematology, chemistry and CD4 count.
Provide support for additional laboratory equipment (CD4, chemistry and hematology analyzer) for care and
treatment centers, when the needs are unmet by normal government supplies.
LINKAGES
EGPAF will: 1) collaborate with Council Multi Sectoral AIDS Committees (CMACs) to coordinate linkage
activities in EGPAF-supported regions; 2) assist Ward Multisectoral AIDS Committees (WMACs) in
community sensitization on TB, HIV, pregnant women and HIV, and male testing; 3) collaborate with HBC
providers, traditional birth attendants (TBAs), traditional healers, volunteers and PLWHA groups to
strengthen follow up of patients on ART.
CHECK BOXES
Activities related to renovation will be conducted in an effort to improve the capacity of health centers to
provide care and treatment services. Human capacity development activities revolve around in-service
training of health care workers. HIV testing and enrollment into treatment will focus on the general
population
M&E:
EGPAF will collaborate with the National AIDS Control Program (NACP)/MOHSW to implement the national
M&E system for care and treatment in Arusha, Kilimanjaro, Shinyanga, Tabora, Mtwara and Lindi regions.
Data will be collected using paper-based systems, and where possible, entered into the National CTC2
database. District teams will be supported to perform M&E supportive supervisions to their respective sites.
EGPAF will provide the required national and PEPFAR reports. In order to promote a data use culture,
EGPAF shall provide regular feedback to supported sites and promote data utilization at sites through the
Quality Improvement program for better
patient management. Data Quality Assurance: District teams will be supported to perform M&E supportive
supervision to their respective sites. Scale-up of electronic database: Currently, 15 facilities have the CTC2
database. This number will increase to 38 by September 2008. At the EGPAF Semi-annual partners
meetings, partners will share best practices, motivation and top performing sites will be recognized.
Operational practices will be standardized across all sites.
SUSTAINABILITY:
EGPAF Tanzania works closely with the Government of Tanzania (GOT) in the implementation of activities
Activity Narrative: to ensure that the plans are aligned with the national strategy. Local capacity building is ensured by
improving physical infrastructure, training and mentoring of local Tanzanian health workers and using local
Tanzanian technical officers in project implementation. Systems are developed that rely heavily on local
inputs and personnel. External technical assistance (TA) will gradually decrease over time. In the next
year, trainings from Baylor and The University of California San Francisco (UCSF) will
Concentrate on refresher trainings, training of trainers, and mentorships. District teams will be empowered
to do supportive supervisions and provide TA to lower-level facilities.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13469
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13469 3473.08 HHS/Centers for Elizabeth Glaser 6511 1511.08 Track 1.0 $5,006,215
Disease Control & Pediatric AIDS
Prevention Foundation
7705 3473.07 HHS/Centers for Elizabeth Glaser 4533 1511.07 Central Budget $5,006,215
3473 3473.06 HHS/Centers for Elizabeth Glaser 2875 1511.06 $5,006,215
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $750,559
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.09:
