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.
Agreement with USG ends in FY2010 and will be renewed for another year. Goal and objective:
This mechanism will strengthen MOHSW oversight in the provision of safe and adequate blood and blood products, help address blood quality and quantity issues related to coverage, improve component production, rational use and equitable distribution of safe blood to health facilities in Tanzania mainland. The funds will enhance rational blood usage especially components through training of physician and nurses, improve blood information capture by supporting the implementation of a blood computer system to capture repeat blood donors to develop a safe donor pool which is low (25%) in 2009.
One of the challenges facing the National Blood Transfusion Service (NBTS) since its inception in 2005 has been inability to provide enough blood to cover transfusion facilities needs. The collection in 2009 was 120,000 units which is equivalent to (34%) population coverage. The funding will assist NBTS to step up blood mobilization, recruitment, transportation, component production, track repeating donors through the blood computer system, and continue training of hospitals and orient hospital transfusion committees in component and rational blood use.
Quality systems and processes are very important aspects of blood transfusion; NBTS has reduced the prevalence of HIV in donated blood from 7% in 2005 to less than 3% in 2009. This fund supports the strengthening of the quality systems including review of policy ,guideline and other standards, to further reduce the HIV prevalence and other TTIs to the internationally acceptable and support measures that leads to NBTS laboratories accreditation. The funding will support human resource and management capacity development across all blood processes.
MOHSW will provide leadership and TA in assuring highly functional and operational national blood transfusion services while assuring sustainability and quality systems integration for the support of the HIV/AIDS prevention, care and treatment in Tanzania.
Contribution to health system strengthening:
MOHSW will promote sustainability through building the capacity of local indigenous organizations to carry out blood donor advocacy, recruitment, mobilization and sensitization activities.
To avoid the overdependence on a sole donor, NBTS will be expected to diversify the funding base by applying for GOT MTEF funding, orient districts an regions to budget for blood safety activities in their comprehensive district plans, apply for the Global Fund and other donors, implement cost recovery measures, foster private public partnerships and solicit additional grants from other international development and national funding agencies.
Cross-cutting program and key Issues:
Cornerstone to success of the program is linkages with HIV prevention program that integrate prevention education into donor recruitment, counseling and results notification and the in corporation of sexual prevention groups into the pool of low risk donors and formation of donor clubs. Linkages with Care and treatment program, health facilities to establish strong referral of HIV and other TTI positive donors to proper treatment and care. Collaboration with Malaria (PMI) program, to develop malaria prevention massages for VNRBD. Also, joint prevention strategies to prevent malaria thus decrease malaria related anemia and need for transfusion. linkage to Phones (P4H) for health to send massages to blood donors helps to retain repeat donors helps to build safe donor pool
Strategies to become more cost efficiencies over time:
To facilitate efficiency of the service, the funding will be used to promote component production, appropriate utilization of blood and blood products, donor clubs formation for repeat blood donors, integration of safe blood activities within regional and district plans and strengthening of transfusion committees. Part of sustainability plan, MOHSW NBTS will ensure a gradual transition from donor funding to Government of Tanzania reliance. One strategy will be the establishment of NBTS as a semi autonomous agency and the promotion of public private partnerships.
Geographical Coverage and targeted populations:
This is a national wide program focusing on national coverage with safe blood. The program targets all groups of people, some as VNRBD (especially youth), others to support blood activities such as mobilization and motivational incentive for donors. The funding will enable MOHSW NBTS improve on previous achievement by expanding in scope and increased geographical coverage for the provision of safe blood as part of the HIV prevention, care, treatment,.,
Linkages to Partnership Framework:
The funds will be use to implement the Government of Tanzania's and USG PEPFAR HIV/AIDS and Partnership Framework strategies and HIV/AIDS prevention goals of preventing new HIV infection through unsafe blood by selecting and maintaining of low risk donor pool (VNRBD), counseling and testing of potential donors and testing of donated blood to exclude transfusion transmissible infections (TTIs) especially HIV.
Monitoring and Evaluation Plans:
NBTS will monitor the implementation to ensure quality donor selection, testing, storage, transportation and transfusion services. NBTS will evaluate its achievement on adequate coverage, reduction in HIV and other TTIs amongst donors and national safe blood coverage. This will necessitate employing evidence based strategies and improving on program management and evaluation.
The ammount for NBTS mainland is reduced to fund NBTS Znz under ZACP (the 2 minisstries will be fundaded separately)
