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: 2007 2008 2009
ACTIVITY UNCHANGED FROM FY 2008.
TITLE: Scaling-up HIV Prevention, Care, and ART services to Primary Health Centres
NEED and COMPARATIVE ADVANTAGE:
To support scale-up of universal access to HIV prevention, care, treatment, and support services, WHO
proposed collaboration with the USG to implement the integrated management of adolescent and adult
illness (IMAI) approach for delivery of HIV services to primary health centers. WHO has supported the
Ministry of Health and Social Welfare (MOHSW) to adapt IMAI tools and conduct training of 30 national
trainers using IMAI tools. For the year 2007, the MOHSW has planned to reach 400-500 primary level
facilities with services for HIV prevention, care, treatment, and support with the ultimate goal of scaling-up
the services to all primary health facilities. WHO is supporting the MOHSW to develop guidelines and
training packages for implementation of HIV workplace interventions in the health sector to strengthen
access to all HIV related services, and provide care, treatment, and support to workers infected with
HIV/AIDS and their families. WHO continues to support the MOHSW to implement IMAI approach, and
intensify its efforts to get health care workers (HCWs) to access these services. IMAI is coordinated through
the National AIDS Control Program (NACP) while the special program for HCWs is coordinated through the
occupational health unit of the MOHSW, both under the director for preventive services.
ACCOMPLISHMENTS:
The MOHSW, in collaboration with WHO and other partner,s adapted IMAI documents that were field tested
in Arusha in November 2005. In March 2007, MOHSW conducted national training of the trainers (TOTs) for
20 regions on the mainland. WHO in collaboration with the Clinton HIV/AIDS Initiative (CHAI) conducted
IMAI training in Mtwara in July 2006. A total of 23 health care providers from health centers have been
trained on the IMAI approach and are now providing ART services. IMAI approach is being implemented in
Mtwara and Lindi as a rural initiative.
ACTIVITIES:
1) Strengthen support to the MOHSW to implement the IMAI approach to accelerate universal access to
HIV prevention, care, treatment, and support services. 1a) Assist the MOHSW to print and disseminate IMAI
guidelines and training packages. 1b) Conduct quarterly supportive supervision visits to the selected
primary health facilities. 1c) Support biannual national meetings with all partners implementing care and
treatment services to share experiences and document best practices. 1d) Attend international HIV and
AIDS conferences. 1e). Hire and pay salary to one national program officer to be seconded to the NACP. 1f)
Support the National Council for People Living With HIV/AIDS (NACOPHA) to coordinate activities of expert
patients trainers.
2. Build capacity of zonal training centres to conduct training for regional TOTs and teachers from the health
training institutions using the IMAI approach 2a) Conduct training for multidisciplinary zonal TOTs (18
trainers from 4 zones including Zanzibar) 2b) Conduct training for regional facilitators (20 facilitators from
each region including Zanzibar). 2c) Conduct TOT for PLHA as zonal and regional expert patients trainers
(12 from each zone and 15 from each region). 2d) Conduct orientation IMAI training to 200 teachers from
the health training institutions for nurses, assistant medical officers and clinical officers as a strategy
towards inclusion of IMAI trainings in the pre-service curriculum. 2e) Procure training equipment for each
zonal training centre in collaboration with other USG partners.
3) Support the MOHSW to build capacity for clinical mentoring and supportive supervision of districts and
primary health facilities. 3a) Support the MOHSW to adapt, print, and disseminate WHO guidelines and
training packages for clinical mentoring and supportive supervision. 3b) Conduct TOTs for the 40 national,
120 zonal, and 243 regional clinical mentors and supportive supervisors.
4) Support the MOHSW to update IMAI guidelines, training packages, patient monitoring tools, and the
operational manual. 4a) Support workshop to review and update IMAI guidelines, training packages, patient
monitoring tools for HIV care/ART, and TB-HIV operational manuals. 4b) Translate the IMAI guidelines and
training packages into Kiswahili 4c) Print and distribute updated tools and guidelines.
LINKAGES:
The World Health Organization is a multi-lateral agency to which Tanzania is a member state. In Tanzania,
WHO Country Office (WCO) is providing technical support to the MOHSW to adapt and implement the IMAI
approach; develop guidelines, training packages, and IEC materials; and build capacity to implement
HIVand AIDS programs for health care workers. WCO has three national professional officers (NPOs)
seconded to NACP as technical advisors to the care and treatment unit, laboratory services, home-based
care, provider-initiated testing and counseling (PITC) and community support services. WHO and USG
have established collaboration to develop the operational manual for care and treament. WHO, in
collaboration with MOHSW will work with and provide technical support to the regional, zonal, and district
authorities. In addition, WHO will work with the USG and non USG care and treatment partners like the
Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), Harvard University, Columbia University, Family
Health International (FHI), AIDS Relief, PATH and Clinton Foundation in the implementation of IMAI and the
scale-up of ART services in Tanzania mainland and Zanzibar.
CHECK BOXES:
The areas of emphasis are chosen because WHO provides technical support to the MOHSW to build
capacity to implement all HIV and AIDS related components including IMAI approach, and HIV and AIDS
programs for health care workers.
M&E:
Since WHO technically supports the MOHSW to develop and update all relevant monitoring tools, the same
tools will be used for this collaboration.
SUSTAINABILITY:
Activity Narrative: WHO supports the MOHSW to build capacity for implementation and inclusion in the medium term
expenditure framework (MTEF) and districts work plans and budgets. Moreover, all the supported activities
are part of the HIV strategy for the health sector for the period of 2008-2012.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13681
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13681 9463.08 HHS/Centers for World Health 6572 4691.08 $900,000
Disease Control & Organization
Prevention
9463 9463.07 HHS/Centers for World Health 4691 4691.07 $600,000
Table 3.3.09:
THIS ACTIVITY IS UNCHANGED FROM FY 2008.
TITLE:
World Health Organization Monitoring and Evaluation Technical Support to NACP
The National AIDS Control Program's (NACP) Surveillance and Monitoring and Evaluation Unit develops
and manages information systems for HIV/AIDS programs including Care and Treatment, Counseling and
Testing (CT), Prevention of Mother to Child Transmission (PMTCT), and Home Based Care (HBC). NACP
also coordinates with other units in the Government of Tanzania on monitoring of crossing cutting HIV
issues including the Ministry of Health and Social Welfare (MOHSW) Health Management and Information
System (HMIS) Unit, the National Tuberculosis and Leprosy Program (NTLP), and the Department of Social
Welfare for monitoring of activities for orphans and vulnerable children.
The Tanzania NACP Surveillance/M&E Unit needs technical assistance and support in the coordination and
use of all national HIV/AIDS program monitoring systems. With the increase in the number of people being
served by HIV/AIDS program, comes an increase in the need to manage and use the data that are
generated by the national reporting systems. Also, NACP is charged with coordinating all the partners who
using the national systems that report to NACP.
As an independent technical organization, the World Health Organization (WHO) is well-placed to provide
this assistance and support to NACP. The NACP has agreed to this technical assistance and the WHO
Resident Advisor will be able to play a key role in NACP work at the national level.
This activity builds upon efforts in FY 2006 and FY 2007 to support HIV/AIDS information systems at the
NACP/MOHSW by hiring a resident advisor and providing short term technical assistance to work hand-in-
hand with NACP/MOHSW Surveillance/M&E unit. MOHSW and WHO have approved the Scope of Work.
Previous years' funds have been allocated recently for the Resident Advisor who will begin work in
Tanzania by the end of 2007.
With FY 2008 funds, WHO will provide a Resident Advisor for 12 month period and short term technical
assistance as specified by NACP. WHO will provide technical assistance (TA) to NACP to coordinate,
maintain, and use existing national HIV/AIDS information systems. The Advisor will support NACP in
development of the Home Based Care system.
The Resident Advisor and short term technical assistance will;
a) Assist NACP to update and operationalize the health sector M&E framework and strategy;
b) Assist NACP to monitor all current systems concerning HIV/AIDS information;
c) Assist in coordination and training of trainers, and sub-national trainers on the systems and use of data
from the systems, particularly when many partners are involved;
d) Assist NACP in developing supportive supervision protocols for data quality, data use and data feedback;
e) Assist in setting up systems at the national level that ensure data quality at all levels of the system
including data and report flow from sub-national to national levels;
f) Advocate for the utilization of electronic information to generate and disseminate reports for program
improvement;
g) Assist NACP's efforts to increase demand and use of data for program planning and feedback, including
setting up systems to assure timely and useful feedback of the information;
h) Liaise with representative from USG, the World Bank, the Global Fund, and other donors that have direct
and indirect interest in HIV/AIDS monitoring systems.
The Resident Advisor will liaise with technical staff in NACP HIV/AIDS units and M&E staff, and with donors
on national monitoring systems. CHECK BOXES:
This is an SI activity that involves in-service training.
SUSTAINAIBLITY:
The WHO Resident Advisor will develop capacity in national and sub national staff and build sustainable
systems for the current and future use in HIV/AIDS monitoring.
Continuing Activity: 13682
13682 5258.08 HHS/Centers for World Health 6572 4691.08 $100,000
7814 5258.07 HHS/Centers for World Health 4691 4691.07 $18,195
5258 5258.06 HHS/Centers for World Health 3655 3655.06 ART MIS $481,805
Table 3.3.17:
