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
FY 2010 NEW COP IMPLEMENTING MECHANISM FOR BASIC PROGRAM EVALUATION
Objectives
Prevention of Mother to Child Transmission (PMTCT) programs in Tanzania aim to reach pregnant women visiting antenatal clinics (ANC) and those delivering in health care facilities with HIV counseling and testing services and, for those found to be HIV positive, with interventions to prevent mother-to-child HIV-transmission.
Two PMTCT program evaluations will be conducted. The first one will determine whether routine data collection systems are double-counting pregnant women who are counseled and tested or receive an intervention. Because some women come for repeated ANC visits and around 40% deliver at a health facility, they may be counted repeatedly at the different occasions and therefore artificially inflate the numbers reported and used for decision making.
The second evaluation will compare the outcomes of three different service provision programs for HIV-positive women in PMTCT. The study will compare three service delivery strategies, looking at the uptake of ART by HIV positive pregnant women identified through PMTCT and are eligible for treatment of their own disease. One service provision model is currently being piloted in a few sites and directly integrates ART into RCH women are able to receive ART and PMTCT services at the same time, in the same clinic if eligible. In the second model, ART is provided at the same facility as PMTCT services, but in a different part of the facility. Women have to be referred from the RCH clinic to the care and treatment clinic. In the third model women are referred to a different facility for care and treatment services.
Contributions to the system strengthening
The results of these evaluations will be shared with the MOHSW as well as implementing partners to inform policy and strategic scale-up plans for PMTCT services. The results of the first evaluation will be used to improve the tools used to monitor the number of pregnant women being tested for HIV, and the proportion of those found to be positive who are receiving an intervention. The second evaluation will contribute to knowledge regarding the most effective service delivery model, which can be used to strengthen PMTCT service delivery on a national scale.
Cross cutting issues
These evaluations focus on PMTCT, but also touch on a variety of program areas like RCH (reproductive and child health) and safe motherhood. With a more accurate understanding of the numbers of HIV+ pregnant women served with different PMTCT model of care, CDC TZ and its partners will be able to identify efficiencies and linkages that will lead to better integration of PMTCT into routine RCH services.
Confidentiality of data will be assured at all times throughout these evaluations.
Cost efficiencies
With more accurate estimates of the numbers of women in need of these services and better understanding of the most effective way to deliver them, resources can be targeted more strategically. Tanzania is still in the scale up of programs with about 65% of pregnant women being counseled and tested and about 50% of HIV-infected pregnant women receiving an intervention. Funding is directed according to results achieved to assure maximum efficiency and coverage.
Geographic Coverage
The first evaluation will be conducted in 10 sites in 3 regions out of 21 regions on Tanzania mainland. The number of sites for the second evaluation to be determined.
The target population will be women receiving ANC services at these sites.
Links to Partnership framework
The evaluations are linked to Goal 1 of the PF: maintenance and scale-up of quality services. Results of these evaluations will help identify efficiencies and inform strategic scale up of services.
Goal 2 of the PF focuses on prevention, including PMTCT efforts. This evaluation is directly in line with this goal, as it will strengthen CDC Tanzania's understanding of the current coverage as well as the most effective way to deliver PMTCT interventions.
Goal 6 of the PF aims to ensure evidence-based decision making and strategic planning. The first evaluation addresses data quality and its use for informed decision making. The second evaluation will inform decision making around the most effective way to deliver PMTCT services.
Monitoring and evaluation
CDC Tanzania is working to improve the quality of data reported from partners in the field and the uptake of ART by pregnant women. The first evaluation will contribute to a better understanding of the work being carried out by PMTCT programs, and will improve data collection and monitoring and evaluation of PMTCT activities. The second evaluation will determine best practices for integrating ART and PMTCT programs which can be shared with all implementing partners.
ART Costing study will continue to conduct detailed cost analyses at identified HIV treatment clinics, adopting a programmatic perspective and taking account of all resources devoted to supporting HIV treatment at the clinic over a 12-month period. Information obtained will be used for proper planning of HIV programs in Tanzania. The following BPE will be conducted 1.Pre Art/Art lost to follow up in rural district hospital in Tanzania basic program evaluation will help understanding the reasons for lost to follow up and therefore come up with appropriate interventions on patient retention. 2. Lost to follow up in children compared to adult. The results will help in improving the adult adherence and retention.
BPE (1) in ART-PMTCT Integration (2) assess data quality in PMTCT program. Two PMTCT program evaluations will be conducted. The first one will determine whether routine data collection systems are double-counting pregnant women who are counseled and tested or receive an intervention. Because some women come for repeated ANC visits and around 40% deliver at a health facility, they may be counted repeatedly at the different occasions and therefore artificially inflate the numbers reported and used for decision making.
