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 2015 2016
SCMS Implementing Mechanism Narrative
Goals and Objectives
Tanzania's public health distribution system has historically been under-resourced it often does not have a full supply of important commodities, the system requires significant infrastructure improvements, and an increase of resources to access modern supply chain technologies. From the beginning, PEPFAR intentionally chose to strengthen the existing national government system and not create a parallel system for public health commodity supply and distribution.
PEPFAR currently funds the Supply Chain Management System (SCMS) contract to strengthen the public distribution system. PEPFAR also procures ARVs, test kits, and other medicines which are delivered to the public system where they are comingled with all other products and delivered to HIV/AIDS care and treatment sites.
Prevention, treatment and care programs have grown rapidly since the beginning of PEPFAR, the volume of commodities passing through the system for these programs have increased ten fold from a decade ago. Therefore, it is imperative that PEPFAR continue to strengthen the GOT's ability to manage the increased volumes through assistance from SCMS; with the ultimate aim of having the GOT procure and manage a high quality supply of products for HIV/AIDS patients without assistance. While providing this assistance, SCMS will procure and deliver the following items to the public distribution system: ARV drugs, opportunistic infections drugs, fortified foods, and medical equipment. The technical assistance that SCMS will offer the GOT and laboratory partners deserves special mention, because while it is similar to other technical assistance efforts around ARV, OI drugs, fortified foods and medical equipment it will focus on a supply system that has largely been separate from other HIV/AIDS commodities. SCMS will procure HIV/AIDS test kits, CD4 reagents and related lab commodities
SCMS will also procure items on behalf of PEPFAR implementing partners which may not be distributed through the GOT's public system, including: lab commodities, water purification tablets, home based care kits, vehicles, fortified foods, storage, storage space modules, and other items as requested by implementing partners. It is worth noting that for the first time, SCMS has been tasked with procuring large quantities of lab commodities for each of the treatment partners. SCMS will continue to assist partners in forecasting and quantifying their laboratory commodity needs.
Contributions to Health Systems Strengthening
PEPFAR's work through SCMS is focused on bringing quality drugs into Tanzania while strengthening the GOT's ability to manage these drugs. SCMS will continue to provide wide ranging assistance that strengthens the GOT's systems at the national and regional levels, and also strengthening the capacity of treatment sites to order and manage stock. The following is a brief outline of SCMS's key systems strengthening activities: Strengthen the MOH's Procurement Management Unit (PMU), which issues most tenders for non-pharmaceutical commodities by conducting an assessment, recommendations, and supportive technical assistance through procurement experts that are hired by SCMS; Support site level use of the logistics management system for Art's and test kits; Support the GOT as it conducts quantifications and forecasts for all major HIV/AIDS related commodities, including laboratory supplies; Improve warehouse function by putting in place upgrades for information systems (including a new ERP system), installing new racking and packing lines and assisting warehouse managers with improving standard operating procedures; Support the strengthening of warehouse storage capacity and commodities management through selected use of prefabricated storage products; Provide support through SCMS-hired Supply Chain Management Advisors at regional warehouses to provide management support and to provide an early warning system in the event of stock outs; Training of new care and treatment sites on stock management and reordering or reporting procedures; Support and contribute to efforts that coordinate commodity procurement in Tanzania across the major donors; Develop a lab logistics system with the MOHSW Diagnostic National AIDS Control Program and conduct a training program for implementing partners and site-level staff that will use the system.
Becoming More Cost Efficient
Due to the benefits of bulk procurement, SCMS will begin to save PEFPAR resources on laboratory commodities, which it will be procuring for the first time in 2010. Savings will also be made on shipping the goods in country in bulk, whenever possible.
Coverage and Target Populations
SCMS beneficiaries include: the Ministry of Health and Social Welfare (MOHSW) and its relevant departments and pharmacists, stock-keepers and other staff at care and treatment sites. Medical Stores Department (MSD) the National Public Health Supply system operator.
Links with Partnership Framework
SCMS will also receive Partnership Framework resources in 2009 and 2010, and the activities funded through the Partnership Framework will be closely related to the work described above.
M&E Plans
SCMS work is monitored through quarterly reports outlining key achievements within the supply chain system. Beginning in 2010 SCMS will track reported stock outs of ARV drugs through the SCMA's and providing a monthly report to the USG team.
These funds will be spent through SCMS for procurement and distribution of the HBC kits. This will be a centralized procurement and all service providing partners will obtain these kits in country. These resources will supplement the annual USG cotrimoxazole investment in Tanzania, to ensure un-interrupted supply by emergency procurement when there are stock outs of the commodity.
Support PEPFAR ART programs in Tanzania.This will be accomplished through the procurement of high quality HIV/AIDS related commodities.SD Bio-line will be procured for the use as screening tests, and Determine tests as confirmatory tests,ARV prophylaxis for HIV infected pregnant women and their infants, drugs for the treatment of Opportunistic Infections, test kits and other related laboratory supplies.SCMS will work to enhance the availability and quality of data on commodity usage for decision making and program monitoring and planning, which is part of the integrated logistics system. Funds will be used for Lab reagent and test kits central procurement by SCMS in order for ART partners to have quick access of laboratory reagents for their sites. Thorogh this mechanis their will be an increase in efficiency as partners will minimize individual procument and also the existing cold chain system will be improved.
SCMS will quantify test kit needs in consultation with GOT. SCMS will procure test kits per agreement with NACP and will provide to the Medical Stores Department which distributes the kits to zonal stores and then testing sites. SCMS will provide technical assistance to strengthen the capacity of sites to order and manage test kit stock. Coverage is national.
The funding will be used to procure reagents and other supplies for surveillance activities including ANC surveillance, MARPs, HIV drug resistance threshold survey and HIV drug resistance monitoring activities. The reagents will assist NACP/ZACP to perform the surveillance.
Strengthen the national logistics system by providing technical support to MSD, NACP, MOH and implementing partners. Provide increased storage and commodities management capabilities through the use of prefabricated warehouse options and material handling systems. Support the procurement of information technology to MSD. The work is at all levels within the Tanzanian health care system.
Support logistics system strengthening and supplement the procurement of test kits and other supplies resulting from increased blood collection at the national level.
Procurment of (1) Reagents, testkits (HIV, syphilis, HB etc), ARV, Drugs for OI, FA, Fe, Mebendazole, vit A, multivitamin (2) of hospital equipment including, weighing scale, delivery beds, Delivery kits, HB estimator, blood delivery, EMOC equipment, protective gears etc. Procure medical training equipment.
Build NHLS capacity to manage laboratory supplies and commodities by funding one position at MSD specifically for lab supplies
and commodity management .
SCMS will conduct a Lab system design workshop to include all relevant stack holders; Lab system will be rolled out through a series of trainings to involve train the trainer methodology; The system will be implemented at District, regional and referral hospitals. (152 sites total)
Procurement of HIV/AIDS drugs, frieght and surcharges only
