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
Mehanism developed in August reprogramming. UNICEF implementing mechanism for "Establishing PMTCT peer education and support services in Tanzania" Project Title: Establishing PMTCT peer education and support services in Tanzania The project aims to improve the effectiveness of PMTCT services in Iringa and Dar es Salaam regions, through the provision of peer-based education and support to HIV-positive pregnant women and new mothers. This project will be implemented through sub grantee funding to mothers2mothers organization (m2m). M2m, a South African based NGO operating in many East and Southern Africa countries. UNICEF is supporting m2m to start operations in Tanzania.
Project Objectives: 1) Establish capacity of the mothers2mothers program and staff to provide comprehensive peer-based education and support to pregnant women and new mothers at selected PMTCT sites in Iringa and Dar es salaam regions 2) Improve the uptake of key PMTCT services and actions among HIV positive Clients. 3) Facilitate access to HIV diagnosis, care and treatment services for HIV+ mothers and their children.
The program will identify and recruit HIV-positive mothers with recent PMTCT experience to be mentor mothers and site coordinators and equip them with comprehensive knowledge and skills to provide peer education and support to PMTCT clients through one-on-one and group sessions. Mother mentors will promote and link clients to key services for PMTCT and HIV care such as CD4 testing, early infant testing, cotrimoxazole prophylaxis, ART for mothers and infants, family planning, infant feeding and maternal nutrition. They will also conduct active client follow-up to encourage women to return for medical care for both themselves and their infants. The hired PLHIV will also be able to undertake non-medical tasks like data collection, filling registers and directing clients to the CTC clinic. Task shifting of non-medical actions will help to relieve medical personnel who are usually overworked thereby improving their effectiveness.
This project has a strong component on greater involvement of PLHIV. Further to the involvement of PLHIV in health facility activities, the peer educators will also be able to engage in HIV activities at community level. The project will employ three strategies to improve cost effectiveness overtime: capacity building at all level; partnership with other organizations; and integration in existing PMTCT services. UNICEF will support finalization of the guidelines for psychosocial support and build capacity of MoH for implementation of the programme. UNICEF will partner with other NGOs working in the two regions and in so doing build their capacity for implementation. Lessons learned from the m2m project will be shared and advocacy made with government and partners supporting PMTCT for integration of psychosocial support services as an essential component of care for clients receiving PMTCT. The project will be implemented in 6 regions with of Iringa , Dar es Salaam, Mwanza, Mbeya, Mtwara and Kilimanjaro . Over the first year, the project will recruit and train 250 PLHIV who will provide peer education and support at 100 PMTCT outlets and reach up to 90,000 pregnant women and new mothers with services. The project contributes to goals 1, 2, 5 and 6 of the PF. Through improving access and uptake of PMTCT, care and treatment for HIV positive pregnant women and new mothers, the project will contribute to reduction of morbidity and mortality and improve their quality of life as well that that of their spouses and children. The project will contribute to reduction of Mother to Child HIV transmission (MTCT), the second mode of HIV transmission in Tanzania. The project will pilot and share lessons on task shifting, one of the best practices for addressing human resource constraints in the health sector. Lessons learned from the project will be documented and shared to inform the national AIDS control programme. A logic framework is attached to the proposal showing the activities for each objective with expected outputs, outcomes and indicators. A baseline and end of year project review will be conducted. Site coordinators and mother mentors trained on M&E will collect data routinely using existing M and E tools and where necessary new tools will be adapted. The M and E coordinator will supervise sites regularly to ensure quality data management and timely reporting.
Scale up thepeer education and support services (m2m) from initial 30 to 60.
During the first year of the project (FY09) 30 PMTCT sites located in the two regions with HIV high prevalence (Dar es Salaam and Iringa) will be supported to integrate peer eduction and psychosocial support services. In FY1, tjhe programme will be scaled up to more districts in the above two regions two additional districts and also in to 4new regions (Mtwara ,Mbeya , Mwanza and Kilimanjaro region). The project will reach a targeted 60,000 New ANC mothers with peer education and support services attending both the old and new sites..
In total there will be 60 sites by the end of FY10 using base fund . Scale up will require the hiring of 1 site coordinator and, on average, 2 mentor mothers per site. Each cadre of field staff will be trained at a central location within Tanzania prior to service commencement using a structured curriculum that has been adapted to the Tanzanian context.
Document peer education and support groups and share experience,also will scale up peer support by 40 new sites makes the total of 100 sites in 6 regions but this might increase depend on the review of the budget. Using this fund will increase the number of clients by 30,000 women with their partners.
Scale up to 20 new sites
Document project implementtion and share experinces with MOHSW and other partners.
Explore initiatives for increasing disclosure to partnes and male involvement in PMTCT.
Project implementation will be documented and the report shared with PMTCT partners and stakeholders in the 6 regions and at national level. In addition project staff will participate in c.onferences conducted in the Sub Saharan region to share experinces from other countries . Lessons learned will be used to inform the national scale up process. (The Government of Tanzania is developing guidelines for psychosocial support and implementation is expected to start towards the end of FY2010).
