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
Goals and objective:
The intent of this new mechanism is to make funding available for an international institution to provide technical assistance (TA) to mainland and Zanzibar National Blood Transfusion Services and MOHSW to strengthen safe blood supply and services to ensure adequate coverage and equitable distribution in the country. The ultimate goal is build a sustainable blood program with continued high quality and evidence based interventions through local and indigenous organizations in collaboration with the Tanzania MOHSW.
The TA provider will work in collaboration with NBTS in mainland and Zanzibar and HHC/CDC Tanzania office to achieve program outcomes that improves the breath, scale and quality of blood safety program, particularly in areas of mobilization of low risk voluntary non remunerated blood donors (VNRBD), collection, transportation, cold chain maintenance, testing for transfusion transmissible infection(TTIs) HIV, HBV,HCV and syphilis in a quality assured manner, strengthening of national quality systems and improve monitoring and evaluation program.
Furthermore, to work with NBTS to facilitate the distribution of blood and blood products to facilities, coordinate and monitor the appropriate use of clinical use of blood and monitor outcomes of transfusion (haemovigelance) and the establishment of a comprehensive quality system covering the entire transfusion process from donor recruitment to the follow up of recipients of transfusions.
The TA provider will also be responsible for coordinating other TA providers that are funded to support NBTS implementation in blood safety. The TA provider will assist NBTS to develop and implement strategies for securing other financial support for the program and program development toward autonomous.. Will work with NBTS to develop annual Country operation plan for Tanzania both mainland and Zanzibar which focuses on identifying the most cost effective methods of undertaking blood safety services.
Contribution to Health system strengthening:
Training of NBTS staff directly and through mentorship programs will build NBTS short-term and long term capacity. The TA provider will work with NBTS towards strengthening the quality systems through development/update of guidelines, SOPs and tools, strengthening and implementation of blood information system to involve regional and district transfusion facilities, to encourage and support formation of transfusion committees, training of physicians and other health care workers at regional and districts in rational use of blood and blood products. TA provider will work with NBTS to develop orientation packages and orient regions and districts management team to budget for blood transfusion activities such as procurement of cold chain blood equipment and to ensure availability of transportation facilities for safe blood to facilities and collection from zonal centers. The ultimate goal is build NBTS into a self sustaining autonomous organization with an adequate budget and sound financial systems.
Cross cutting programs and key issues:
Strengthening of NBTS laboratories services and staff cut across all laboratory services that applies the same quality elements and similar accreditation process
IM strategy to becoming more cost efficient over time:
Orientation and training of regional and district management teams in blood safety and rational use of blood aims at integrating blood safety activities in to the regional and district plans and budgets, this will enable regions and district use their own basket funding and comprehensive council budget for blood safety activities and promote , ownership cost efficiency and sustainability
Geographical coverage and targeted population:-
The TA provision for blood safety program aims at national coverage to ensure quality and quantity of safe blood. The programs targets different groups of people including youth in and out of schools, NGOs and cooperates both private and public to directly donate blood or support blood safety activities
How IM links to PF goals:
The PF goals are full filled through the investments in leadership and management training, and mentorship which build the capacity of national and local level program oversight and the human capacity towards achieving quality health and social services.
M&E plans:
The program achievement will be monitored by program outcome goals which are related to the percentage of time in a year the blood supply for NBTS is above emergency as per set targets, the decline in TTIs levels in collected blood, meeting the set collection targets through out the year and timely submission of various key reports which includes annual and semiannual, quarterly and COP plans by both NBTS programs are among the selected targets.
The IM is funded to provide TA and coordination of TA provision to NBTS through different funding. This aspect will also be monitored and evaluated during yearly implementation
The assumption is that TA providers will be centrally funded in the form of task orders. (funds not included here) .This budget is additional country funds to facilitate NBTS TA coordination of centrally and country funded activities. This TA also is responsible for overall TA provision and coordination to blood safety program mainland and Zanzibar.
