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: 2009 2010 2011 2014
The Association of Private Health Facilities of Tanzania (APHFTA) represents more than 400 private, primarily for-profit, health facilities in the country. Since 2005 APHFTA has participated in the HIV and AIDS response as a sub-recipient of Global Fund for HIV/AIDS, TB and Malaria and has trained nearly 275 health care providers from 40 private health facilities in HIV and AIDS care and treatment, VCT, PMTCT and HBC for people living with HIV/AIDS. In collaboration with Wharton Business School, local consulting and training expertise, and PharmAccess International, APHFTA will establish (a) a business training program that will enable medical practitioners to establish sustainable private practices, (b) an upgraded IT network connecting its membership, and (c) a revolving loan fund that will be used primarily to upgrade laboratory facilities and train staff.
This endeavor will contribute to the Partnership Framework Goal 3: Leadership, Management, Accountability, and Governance. More specifically, it will to "build the capacity of non-state actors at national and local levels for these oversight functions." It also supports Goal 1: Service Maintenance by "strengthening facility-based care (ART, PMTCT, and TB/HIV)" and Goal 6: Evidence-based and Strategic Decision Making by enabling APHFTA members to use improved IT for two-way medical reporting. This is a nationwide program that has far-reaching impact. First, it will improve AIDS care and treatment services provided by private physicians through upgraded laboratory facilities and training of staff. Second, IT upgrades and installation of modems will result in improved medical reporting to APHFTA and, in turn, APHFTA's ability to provide critical medical information and support to its members. Third, the organization will be able to play a more influential leadership role in the health care system as its members improve their capacity to provide quality healthcare that is customer oriented.
This activity will stimulate the use of for-profit private sector financial and human resources in the HIV/AIDS response, thus relieving the burden on the public system. It will enable private physicians to profitably manage for-profit private practices, thereby laying the foundation for PEPFAR's exit by having developed sustainable medical practices that are addressing the HIV/AIDS epidemic. APHFTA is required to submit quarterly progress reports that document the results being achieved.
In 1991, the 1977 law proscribing private medical practice in the United Republic of Tanzania was repealed. Since then, the private healthcare sector in Tanzania has experienced significant growth. Today, more than 2,000 private health facilities, most of which are faith-based organizations, deliver more than 50% of patient care. However, there still exists a long shadow of more than 25 years of socialism during which medical care was provided free of charge and for-profit private entrepreneurs were labeled "profiteers" and "saboteurs" of the economy.
The Association of Private Health Facilities of Tanzania (APHFTA) cautiously began in 1994 as a forum for medical professionals to discuss the implications of the change in the legal and policy environment. Since 2005 APHFTA has participated in HIV and AIDS relief as a sub-recipient of Global Fund for HIV/AIDS, TB and Malaria and has trained nearly 275 health care providers from 40 private health facilities in HIV and AIDS care and treatment, VCT, PMTCT and HBC for people living with HIV/AIDS. More than one-half of the facilities have been assessed by the government and have been registered as HIV/AIDS care and treatment centers for the national HIV/AIDS program. Tthe organization now has become a major advocate of for-profit healthcare with more than 400 members and a national network structured around six zonal offices. This activity further strengthens the association and its members who will receive business management training and low-income loans to upgrade their laboratories and IT systems. It is anticipated that APHFTA members, like other private sector entities, will model cost effective medical practice by providing prompt customer service and fully utilizing and carefully maintaining their laboratories.
PPPs inherently are targeted leveraging mechanisms. PEPFAR funding for this activity is being used to leverage APHFTA member membership fees and technical assistance and funds provided by the Global Fund, ParmAccess International and several other donors. This activity supports an organization that plays a vital symbolic and substantive role in the transformation of Tanzania's health sector.
