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: 2010 2011 2012 2013
Goal:
To contribute to the creation of a conducive environment for provision of effective HIV/AIDS prevention and care for drug using populations.
Objectives:
To sensitize the public including decision makers at Government level on needs and support for HIV prevention and care for drug using populations.
To review, formulate and operationalize policies, standards and guidelines for provision of HIV/AIDS prevention and care for drug using populations.
To increase capacity among stakeholders to effectively provide HIV/AIDS prevention and care services for drug using populations.
To increase the capacity of stakeholders to effectively engage in HIV/AIDS prevention and care for alcohol users.
To develop and maintain a system for monitoring and evaluating of HIV/AIDS prevention and care for drug using populations.
To strengthen project management, monitoring and evaluation.
This IM contributes to Health Systems Strengthening through development and dissemination of national policy frameworks and standard guidelines for prevention, care and treatment of drug dependence, including Medically Assisted Treatment (MAT) of opioid dependence and for comprehensive HIV services for drug users. As part of this initiative, health care providers will receive in-service training on treatment for drug dependence and on screening and brief motivational interviewing for alcohol and other drugs.
The project targets injection and non-injection drug users who have been identified as a most-at-risk population due to harmful injection practices coupled by harmful sexual practices within networks that overlap with the general population. The project plays a strong advocacy role with decision makers for appropriate HIV prevention and care initiatives for drug users.
The project is integral to existing structures of the Government of Tanzania. The Drug Control Commission (DCC), an inter-ministerial agency of the Prime Minister's Office works in close collaboration with the Department of Substance Abuse Prevention and Control (DSAPR) of the Ministry of Health and Social Welfare on this initiative. Implementation employs local expertise whenever possible, seeking technical assistance to strengthen local capacity as needed. By working within existing systems, the initiatives will require less external inputs over time.
While initially MAT will be provided in Dar es Salaam, the approved national frameworks and guidelines for services and treatment will be applicable to all 25 regions of Mainland Tanzania.
The project contributes to the PF goals on prevention, leadership and strategic decision making. DCC will exercise leadership in coordinating comprehensive services for HIV prevention and care for drug using populations and by developing policy guidelines, building capacity among stakeholders, providing supportive supervision, coordination and networking among services providers, monitoring and evaluating. The guideline documents and minimum standards create an enabling environment for interventions and provision of services, including peer education and outreach, risk reduction counseling, condom (and lubricant) promotion and distribution, targeted information, education and communication, prevention and treatment of STIs, HIV testing and counseling and antiretroviral therapy, and MAT. Along with the guidelines, monitoring and evaluation tools will facilitate systematic collection of information by stakeholders to inform future decision-making.
DCC coordinates a multi-stakeholder IDU M & E working group to develop a framework with generic tools for incorporating into the national guiding documents for implementers. With an emphasis on participatory M & E, the framework will provide reliable information on HIV among drug users. Furthermore DCC employs mechanisms to track adherence to terms and conditions of the award as well as ensure effective implementation of stakeholders' initiatives.
Support to DCC for HIV - DU/IDU program and service coordination; establishment of a framework that includes development and finalization of a strategic framework, guidelines for HIV - DU/IDU outreach and primary health care facility services, protocols and supporting documentation for introduction of Medication Assisted Therapy (MAT). DCC reports directly to the President's Office and has a board composed of members of various key ministries, and thus plays a key role in HIV-DU/IDU policy development for Tanzania mainland. Support to ZACP for the establishment of first for MAT service site on Zanzibar, including support for training of providers on MAT; TA and support for National MARPS DU/IDU working group fro development of tools for MAT M&E
