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
Prevention of Mother to Child Transmission (PMTCT) program in Tanzania aims to reach pregnant women visiting antenatal clinics (ANC) and those delivering in health care facilities with HIV counseling and testing services and, for those found to be HIV positive, with interventions to prevent mother-to-child HIV-transmission.
Under PEPFAR, Tanzania received more than Redacted to support PMTCT program. Funds through the partnership framework will further increase the budget in FY 10. With this increasing amount of financing it is even more important to better understand costs of various interventions, maximize impact and accountability.
Objectives
This PMTCT initiative plans to conduct costing of the PMTCT program and strengthen the program through technical assistance from Atlanta. The first activity will address four objectives:
1. To estimate the average annual cost of providing PMTCT interventions per pregnant woman, at RCH sites and maternity wards in Tanzania, from both patient and program perspectives.
2. To evaluate the range of costs for PMTCT interventions across different sites, and to assess how factors associated with the program model and site context influence costs.
3. To evaluate the differences in program costs between different levels of health facilities.
4. To describe the sources, description and uses of resources for PMTCT interventions within sites.
Technical advisors from Atlanta will provide technical assistance to the country team on an ongoing basis with the following objectives.
1. Sharing of new developments and best practices in PMTCT and EID
2. Building the capacity of the country team and supporting implementing partners
3. Assisting the country team to address some of the bottlenecks facing PMTCT and EID program in Tanzania, including follow-up of HIV infected mothers and exposed infants, and linking them to Care and Treatment.
4. Identifying areas for operational research to further improve program quality.
Contributions to system strengthening
Results of the costing study will be shared with MOHSW as well as implementing partners to inform policy and strategic scale-up plans for PMTCT services. The technical assistance will improve the knowledge of the country team regarding the most effective service delivery model which can be used to strengthen PMTCT service delivery on a national scale.
Cross cutting issues
The costing study assesses the expenditure required for each pregnant woman to access PMTCT services, and it will assess the cost at each health facility level. In this regard it will look into average costs of medical supplies, medical equipments, human resources and facility maintenance. These factors cut across all care and treatment programs, including PMTCT, TB and HIV.
The best practices and new developments shared by the technical advisors will improve the knowledge and skills of the country team in the various areas of PMTCT.
With a more accurate understanding of the cost of serving HIV+ pregnant women with different PMTCT models of care, CDC TZ, MOHSW and its partners will be able to identify efficiencies and linkages that will lead to better use of resources and maximize program impact.
Cost efficiency
With more accurate estimates of the cost per pregnant woman in need of these services and better understanding of the most effective way to deliver them, resources can be targeted more strategically. Tanzania is still in the scale up of programs with about 65% of pregnant women being counseled and tested and about 50% of HIV-infected pregnant women receiving an intervention.
Increased knowledge at country office team will help to better guide program directions and target funds in the best strategic way to reduce transmission rates from pregnant women to their babies and fewer children born with HIV infection.
Geographic Coverage
The costing study will be conducted in 15 sites in 3 out of 21 regions on Tanzania mainland. The target population will be women receiving PMTCT services at RCH and maternity wards.
Links to Partnership Framework
The costing study is linked to Goal 1 of the PF: maintenance and scale-up of quality services. Results of the costing study will help identify efficiencies and inform strategic scale up of services.
Goal 2 of the PF focuses on prevention, including PMTCT efforts. This study is directly in line with this goal, as it will strengthen CDC Tanzania's current understanding of the annual cost per beneficiary as well as the most cost effective way to deliver PMTCT interventions.
Goal 6 of the PF aims to ensure evidence-based decision making and strategic planning. The costing study will inform decision making around the most cost effective way to deliver PMTCT services.
Monitoring and evaluation
CDC Tanzania is working to improve the quality of data reported from partners in the field and the uptake of prophylaxis by pregnant women. The costing study will contribute to a better understanding of the more effective deployment of resources in PMTCT programs, while the technical assistance from Atlanta will inform how to improve monitoring and evaluation of the PMTCT system in Tanzania basing on best practices from other countries and new developments from different studies.
