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
Family Support Groups for People Living with HIV/AIDS
Goal: To improve treatment adherence and retention of patients into care and treatment
Objectives:
The objectives of the Family support Groups (FSGs) are for members to help each other to:
1. Disclose to each other, friends, relatives, partners and children in order to build a support group.
2. Accept and understand their HIV sero- status and learn how to live positively
3. Encourage each other and other family members to get tested for HIV
4. Learn how and when to access cotrimoxazole prophylaxis and ART
5. Prepare for adherence to ARVs
6. Link to and access HIV prevention, care, treatment and support services, including community social services.
Target population
FSG members consist of (1) HIV-positive individuals, their partners and children, (2) Caretakers of orphans born to HIV positive mothers.
The newly enrolled patients will be actively recruited for the FSG, for they are the ones who may need the most assistance in accepting their diagnosis and as a result they may become lost to follow-up
Description:
The United Republic of Tanzania faces many economic and social development challenges, including those posed by a generalized AIDS epidemic and other communicable diseases. Adult HIV prevalence in the country is estimated at six percent and an estimated 1,400,000 Tanzanians are living with HIV/AIDS (THMIS 2007/08), while about 440,000 are in need of treatment. DOD supported regions have high prevalence of the disease compared to other regions in the country; Mbeya has a prevalence rate of 9.2% Rukwa 4.9% while Ruvuma has 5.9%.
Although strategies for HIV prevention and a continuum of care for people living with HIV and AIDS (PLHIV) are now better understood, the burden of disease and suffering continues. Critical impediments to strengthening health outcomes include the inadequacy of trained human resources, inadequate infrastructure, inadequate community involvement (especially people living with the disease) and overburdened logistics systems and supply chains.
Many lessons have been learned and gaps identified. One of them is the lack of psychosocial support for HIV positive individuals and their families. Stigma and disclosure difficulties compound the situation. Due to the staffing shortage, there is a limited time for post-test counseling services and on-going psychosocial support. Ashamed and afraid, beset by denial and depression, HIV-positive individuals keep away from healthcare facilities after testing. The uptake and adherence to ART services, including HIV-assessments, ARV therapy and Cotrimoxazole usage where appropriate, education regarding feeding options and nutrition, and HIV-testing for exposed partners falters significantly when individuals are psychologically incapable of coping with their status. As a result, there are several challenges in the implementation of the ART interventions. These include among others lack of psychosocial support, access to and poor uptake of services.
Trained PLWA support groups will take care of each other and other HIV/AIDS infected individuals and get them engaged in educational and training activities meant to increase awareness and stop the epidemic of HIV/AIDS in the southern highlands. Trained PLWA volunteer help will be highly useful in the following activities:
Care and encourage HIV/AIDS affected individuals
Support each other for treatment adherence and track and provide counselling to treatment non-compliant patients.
Counseling and education in hospitals and communities
Raise personal risk perception among the youth, men and women by involving them to actively participate in HIV/AIDS preventive education.
Help various HIV/AIDS organizations in their community outreach programs with information on the virus within their local community
Linkage to PF:
Efforts to improve ART quality of service is a key element for achieving the Partnership Framework between the GOT and the USG. One of the objectives in the PF document is to expand prioritized care, treatment, and support services, dependent on available resources and the USG is committed to fund/support introduction of innovations/new care, treatment, and support services, as well as agreed upon priority requests. Use of FSG to improve ART quality of services is one of the innovative methods to achieve PF objectives.
M&E
DOD through the RMOs will continue to promote outreach services/supervisory visits from the facilities to the communities. Each facility will have lists of FSGs involved in HIV/AIDS psychosocial support, indicating geographical coverage. These lists will be displayed so that health staff can refer clients to them. These referrals will be further strengthened through facility staff serving as Point of contact for the FSGs.
M&E data activities for all the supporting CTC and FSGs will be supported by TA from the DoD SI team. A standardized data collection tool will be developed for use by the FSG and the supporting health facility. CTC1 and CTC2 forms will continue to be used at the CTC, based on NACP and facility data needs, entered into the electronic medical record system (EMRS) and transported to the DoD data center located at Mbeya Referral Hospital for synthesis, and produce USG reports as well as to provide feedback to reporting CTC and the FSGs for use in improving quality of services.
Funds will be used to strengthened integration of peer education (PE) activities within ART services. PEs in all ART partners-supported regions will be trained to support ART services on adherence to treatment. Based upon the evaluation PE data collection tools in CTC sites will be developed. The expected output is PEs will enhance quality service.
