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: Expanding HIV Care and Treatment Services in Kagera, Kigoma, Pwani, Zanzibar
Need and comparative advantage: Columbia University (CU) has supported high quality comprehensive
HIV Care and Treatment services for adults and children in Tanzania since 2004. It is well positioned to
further expand these services in FY 2009. CU supports ART services in areas (HIV prevalence of 0.9%-
7.2%) where there is currently an estimated 51,503 patients in need of ART. In response to the Ministry of
Health and Social Welfare's (MOHSW) need to decentralize services, CU is supporting the establishment of
ART services at lower-level facilities. This involves infrastructure rehabilitation, training of health care
workers (HCWs) and establishing systems that are necessary to support ART programs.
Results: During FY 2008, CU supported ARV service in 44 health facilities (HFs) (31 hospitals, 13 health
centers (HCs)) increasing from 27 in September 2007. By June 2008, CU enrolled 10,281 new clients in
HIV care, and initiated 4,601 on ART (64% females and 36% males). Among the new enrollments, 88%
were screened for active TB, 8% were identified as TB suspects, 37% were diagnosed with tuberculosis
and initiated on treatment. 489 (68%) of the TB/HIV patients started co-trimoxazole preventive therapy
(CPT). Since the onset of the program, 115 pregnant women started ART and over 300 children under the
age of 15 received ART. Through early infant diagnosis (EID) activities, 1,101 HIV-exposed infants were
identified. Of those, 975 received an HIV test, 123 tested HIV-positive, and 50 received HIV care and
treatment (CT). The International Center for AIDS Care and Treatment Programs (ICAP), working with
district and regional health management structures, initiated sub grant programs in all 18 of their mainland
and Zanzibar districts.
Activities
Ensure high quality ART service coverage. Decentralize ART service to peripheral HFs, focusing on
primary care facilities; improve infrastructure at peripheral HFs for ART provision; continue expanding
continuing medical education (CME) program for HCWs, focused on improving treatment outcomes,
monitoring side effects and treatment failure; implement the Family Testing Model for all clients receiving
ART; ensure linkages between different services (care and treatment, PMTCT, TB etc) are established, and
strengthen both the facility and the community; implement partner-initiated counseling and testing (PITC)
linked to ART at district and regional hospitals, focusing on in-patient wards; strengthen the capacity of
sites, districts and regions in the collection, analysis and interpretation of data, and empower them in data
ownership; conduct regular data feedback sessions with implementers, regional authorities and MOHSW;
hire additional staff at high volume ART sites.
Ensure sustainability of ART service
Capacity building. Empower Regional and Council Health Management Teams (RHMTs and CHMTs) in
planning, implementation and supportive supervision. Ensure that ART-related activities are included in the
Comprehensive Council Health Plans. Train and clinical mentor HCWs on ART provision. Facilitate the
ART service provision task-shifting process. PLWHA groups will conduct ART adherence support activities.
Develop a training program for pharmacists on forecasting and ordering of ARVs.
Partnerships. Expand ART service to private organizations and faith-based HFs. Engage local authorities
and private partners (PPs) on collaborative provision of ART service. Identify urban and Para-urban sites
with a shortage of priority health care packages (PHCPs) where private groups can initiate ART services.
Train PPs on ART management. Collaborate with private for-profit businesses to provide ART for
employees at the work place.
System strengthening. Ensure uninterrupted ARV/opportunistic infection (OI) drug management through
regular Record & Reporting at pharmacy level and strengthening the capacity of RHMTs and CHMTs in
forecasting and gap filling.
Strengthen laboratory network. Upgrade laboratories for ART provision at lower level health centers.
Ensure access to CD4 testing at baseline and every 6 months for all clients on-site or through linkages.
Train staff on laboratory management and practices and OI diagnosis. Provide a minimum package of
laboratory equipments and reagents to the regional, district, and HC laboratories. Strengthen the sample
transportation system. Support laboratories' supplies chain management. Establish a laboratory data
management system. CU will support MOHSW quality assurance/quality control activities by supporting
regional and facility Quality Assurance Officers in supportive supervision of all regional and district CTCs in
their four regions. Support equipment services and maintenance by training 100 lab staff and two Zonal
Engineers on planned preventive maintenance.
Linkages: CU will strengthen partnerships with; PLWHA organizations/NGOs on improving the quality of
ART services; Population Services International (PSI) and Mennonite Economic Development Associates
(MEDA) on strengthening commodity provision; STRADCOM on information education and communication
(IEC)/behavior change communications (BCC) and ART radio programs; Interchick, Kagera Sugar, Uvinza
Salt, KabangaNickel Mines, Nyanza Cooperative Cotton growers on ART program for workers and
surrounding communities; WFP and faith-based organizations on enhancing nutritional support.
M&E: CU will collaborate with the National AIDS Control Program (NACP)/MOHSW to implement the
national M&E system in four regions. Data will be collected and reported using paper-based and electronic
National CTC tools to generate national and OGAC reports. CU will promote site feedback and data use by:
continuing the monthly feedback of achievements in enrolment of patients with HIV, training staff to
generate quarterly, semi-annual/annual reports; and planning future interventions. A data quality assurance
protocol for paper-based and electronic data will be implemented at all sites with one quality assurance
supervision visit per quarter. The NACP Access database will be scaled up. CU will train HCW in M&E
systems and provide technical assistance to all CTCs across 21 districts, three regional offices and
Zanzibar. CU will undertake critical reviews of the data, and support sites/districts/regions to share their
data at stakeholder meetings, workshops and conferences.
Sustainability: This year's focus will be local governments, private sector engagement and work with
PLWHA organizations/NGOs for ART service sustainability and treatment adherence.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13456
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13456 3474.08 HHS/Centers for Columbia 6508 1512.08 Track 1.0 $4,400,000
Disease Control & University
Prevention
7697 3474.07 HHS/Centers for Columbia 4529 1512.07 Central Budget $4,400,000
3474 3474.06 HHS/Centers for Columbia 2876 1512.06 $4,400,000
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $796,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.09:
