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 2014
CDC foundation became a USG partner in the August 2009 Reprogramming. Objectives:
Despite significant investments made over the past decade in improving global health, health workers in Tanzania primarily rely on manual processes and ineffective tools to communicate information to government, donor agency, and NGO officials. These communication constraints have left the Ministry of Health and Social Welfare lacking timely, complete, and useful data needed to make decisions and respond to health needs. In addition, health workers remain limited in their ability receive data and feedback to improve the quality of services and ultimately improve health outcomes.
The prevalence of mobile phones and emerging investment in the internet makes it feasible to relay important health information directly to health authorities' computer systems, via mobile phones and other technologies, allowing rapid interventions. Health workers in remote areas can also quickly learn of emerging pandemics and take necessary preventative actions in their communities.
This award to the Centers for Disease Control Foundation (CDCF) is to manage and coordinate Phones for Health (P4H) public private partnership (PPP) to improve data collection, reporting, feedback and use. This award will build on the work completed over the last two years by the P4H partnership which has been managed by Voxiva. The P4H partnership has put in place an enterprise class web based information system to support a range of mobile data collection and reporting applications. As of the end of COP 08 the P4H system has a functional voice prompted surveillance system with consistent 80% reporting rates in Urambo, the first pilot district.
The long-term vision for Phones for Health Tanzania is to make timely, relevant information available to service providers, government and supporting partners in support of treatment and prevention of HIV/AIDS and other diseases, in an accountable, cost-effective and sustainable way. Phones for Health will facilitate evidence-based planning and decision-making within the health sector and the MOHSW Tanzania.
Contributions to Health System Strengthening:
The presence of timely, relevant and accurate information is vital to any long term health system strengthening effort. Health Systems must use this empirical evidence to achieve continuous improvement by basing and justifying all decisions, budget allocations, policies and strategies on empirical evidence.
The MOHSW has established an HMIS vision that makes use of DHIS software to improve data flow between the district, region and national levels. The P4H PPP managed by CDCF will compliment this vision and focus on the data flow between the district and the facility.
Cross-cutting Issues:
Timely and accurate reporting of data from facilities is a key issue for all HIV/AIDS programs and health programmes in general. CDCF mechanism will receive funds from Care and Treatment, Strategic Information, PMTCT and Blood Safety and the infrastructure and systems that are being established by this mechanism can provide support to all health programmes in the future.
The P4H mechanism implementers will work closely with the MOHSW and the HMIS unit in particular to ensure that its activities are integrated with the DHIS vision.
Cost Effectiveness over Time:
The CDCF Implementing Mechanism (IM) has two major strategies to become more cost efficient over time. The overall purpose of the mechanism is to manage the P4H initiative as a PPP and create an environment where a broad range of partners make meaningful contributions over the long term. The second strategy is to ensure that P4H systems are not considered a solution on their own but are a part of a wider strategy to implement improved M&E tools and train health workers. Toward this aim CDCF and its partners will be expected to work closely with MOHSW to leverage the position and resources of PEPFAR implementing partners and District offices. Within this mechanism, CDCF will establish a long term sustainability strategy and monitor its implementation throughout the award.
Geographic Coverage:
The CDCF P4H mechanism includes activities across different programmes and each has a slightly different geographic coverage and target population. The long term goal is to create systems that support all regions and districts. In the short term coverage for each will be dependent on MOHSW priorities and scale up plans.
Links to Partnership Framework:
The CDCF IM is an effort to achieve the sixth goal of the partnership framework which is 'Evidence-based and Strategic Decision-making goal'. The implementing mechanism relates directly to the first area of focus to 'Enhance and coordinate multi-Sectoral M&E systems to ensure quality vertical and horizontal flow and use of data through the HIV & AIDS, Health, and Social Service sectors.' Additionally the IM will also contribute to the 'adoption of best practices in evidence-based and strategic decision-making.'
Monitoring and Evaluation Plans:
Overall monitoring and evaluation of the district will focus on annual outputs which demonstrate increased reporting and feedback and seek out evidence of medium term health outcomes which demonstrate enhanced data use across all levels. CDCF will explore options to implement baseline and post intervention studies to produce evidence of long term impact on the delivery of health services.
The care and treatment funds will be used create a P4H interface for facilities to report their care and treatment data directly into the DHIS and therefore help move towards an environment where the government reporting system meets the needs of all stakeholders. P4H will also provide the feedback on collected data to the facility via SMS. The initial deployment of the P4H - CTC system will focus on the coastal region in line with the HMIS consortium plans to pilot a range of data collection interventions in this region.
?To support MOSHW's national vision and plan for data flow based on DHIS. P4H is planned to bring data from the facility to the district and provide the feedback required to the facility itself.
?This will be done through exploring the feasiblity of bringing either the CT/STI, PMTCT or CTC reporting into the P4H functionality and thereby contributing to the goal of supporting GOT data collection system to eventually reduce the need for the parallel reporting lines.
?Also IDSR system will be expanded to include more facilities and test the ability for the system to provide national coverage disagregated to the district level.
In COP 2010 the CDCF will be tasked with improving the SMS messaging functionality deployed in COP 2009 to support automated integration with the e-delphyn blood management system. The integration with the e-delphyn system is expected to result in targeted SMS messages to support donor retention.
"CDCF will make use of MTCT funds to create a P4H interface for facilities to report priority indicators related to MTCT and provide feedback on collected data to the facility via SMS."
