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
The increase in funds on this implementing mechanism (IM) does not represent a real increase in the cumulative budget between the TUNAJALI home-based care and Orphans and Vulnerable Children (OVC) programs. The OVC activity has been realigned back to this mechanism and both activities are flat funded from their FY 2009 level.
The primary purpose of the Tunajali program is to increase the number of HIV-positive adults and children on palliative care and OVC services in Dodoma, Iringa, Morogoro, Coast, Mwanza, Singida regions and Zanzibar. This supports Partnership Framework goal 1 On service maintenance and scale up which will help to reduce morbidity and mortality due to HIV/AIDS.
In FY 2010, Tunajali will focus on quality improvement for both OVC and HBC programs using the national standard for OVC services and newly developed quality improvement (QI) framework for community home-based care. To ensure quality at the point of service delivery, volunteers will be trained using the facilitators guide for the OVC quality improvement. All new volunteers will be equipped skills on how to work with children, track children improvement using the child status index and undergo comprehensive training courses in HBC, using the Ministry of Health and Social Welfare (MOHSW) curriculum, and will understand the referral process for OVC. Efforts will continue to be made to include more children under care through linkages with care and treatment centers (CTCs), and improve case finding for HIV-exposed children in the homes of PLHA.
In FY 2010, Tunajali will continue to support the district capacity to coordinate the community services interventions. In FY 2009, thirty (30) District Continuum of Care Coordinating Committees (DCoCCCs) were established in the mainland and two in Zanzibar. These DCoCCCs are supported by Tunajali to meet quarterly to review progress and plan ways in which to enhance and monitor program performance. The program is starting to reap evidence of sustainability, with three district councils allocating resources within their budget for HBC services, and about seven more have promised to do the same allowing the program to become more cost efficient.
In FY 2010, there will be an increased focus on provision of prevention positives (PP) services for PLHA. PP interventions will be integrated into the HBC services and linkages will be formed with the facility care outlets for referral services. Tunajali will work with FHI UJANA project to support integrating of the youth friendly preventive services to the OVC, training of the volunteers and linking the adolescents OVC to the youth friendly reproductive health services. To ensure sustainability of OVC services, economic strengthening of the OVC household will be critical. Tunajali will work with the TBD economic strengthening implementing partner to design and implement viable livelihood program as well as expanding the ongoing income generating activities to the vulnerable households. In addition, Tunajali will continue to work closely with the local government to ensure financial commitments from the local councils' budget to complement the planned OVC and HBC activities
Mapping of other children services and meaningful referral will be done to ensure comprehensive service to OVC and for PLHA referrals will be made for family planning, if appropriate.
Tunajali will ensure the provision of the basic prevention package with supplies procures centrally by USG/Tanzania. These includes; promotion, education and distribution of point of use (POU) water treatment safe water and hygiene practices, distribution of insecticide-treated bed nets to PLHA and promotion on their correct usage. Tunajali will ensure that all eligible PLHA are linked to the facilities to receive Cotrimoxazole for prevention of opportunistic infections. Tunajali will provide community based nutritional assessment and counseling with appropriate linkages to food by prescription (FBP) program and other community based food security and livelihood programs.
Tunajali will continue to provide refresher training on the national MVC data management and the tools to the sub grantees and community volunteers, ensure OVC entry to the national data management system. In 2010, the new emphasis will be on the dissemination utilization of the collected data for development plans. Through the child status index training the volunteers will be given household checklist to support their monitoring role.
Tunajali will continue to utilize the national M&E systems for OVC and the new system for HBC, and will continue to support districts and other relevant local authorities into the use of data for decision making. Tunajali will also support the USG/Tanzania program to improve the financial management capacities for indigenous Civil Society Organizations (CSOs), Non-Government Organizations (NGOs) and LGAs through a technical assistance mechanism from Health Systems 20/20.
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