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
Deloitte will provide facility based care services which include the integration of the Positive Prevention services. Deloitte will support nutritional assessment and counseling in all supported facilities as well as improve linkages with other services, including home based care in the following regions: Morogoro, Dodoma, Iringa, and Singida.
With technical assistance from FHI, Deloite implement ART activities in 4 regions, Morogoro, Dodoma, Iringa and Singida through the Tunajali program. Tunajali shall continue to support ongoing treatment services in existing CTCs. Currently they cover 29027 patients on treatement. Tunajali shall provide performance-based grants to health facilities, ensuring that CTCs in hospitals and health centers meet the minimum standards of care.The program will further increase the number of HIV+ clients on ART through recruitment of eligible clients from in-patient and outpatient settings by stepping up provider-initiated testing and counseling (PITC), particularly in maternal and child health (MCH), PMTCT, and also strengthening linkages with voluntary counseling and testing (VCT) settings. The program will follow up on ART patients lost to follow up will be strengthened through home-based care programs and linkages to other key support programs.
As much efforts are done in TB/HIV and prevention program including PITC and PMTCT we expect an increase in number of new HIV positive patients refered to existing Care and Treatment Clinic. Additional funds will be used to support passive growth of approximately 700 new patients coming to existing Care and treament clinic managed by FHI Deloite in Morogoro, Iringa, Dodoma and Singida regions.
Deloitte will maintain and improve the quality of existing pediatric HIV care services. This will be achieved through the provision of CTX, screening, and treatment for OIs. Deloitte will support nutritional assessment and link with other programs such as OVC and HBC, PMTCT, and TB/HIV. The services will be provided in the following regions: Iringa, Singida, Morogoro, and Dodoma.
Deloitte will maintain and improve the quality of existing pediatric services. This will be achieved through supportive supervision visits, in-service training which includes on-site mentoring, infrastructure development, and supplies of essential commodities, including drugs. The services will be provided in Iringa, Dodoma, Singida, and Morogoro.
Deloitte will continue to implement PMTCT services in Morogoro and Singida and then take over Dodoma sites from the Abbott Foundation in 2010. Total number of districts in these regions is 15. ANC prevelance in the regions are : Dodoma 6.1%, Morogoro 4.0%, Singida 2.3%. Current facility coverage is: Morogoro39% and Singida 62%.
This is low coverage and more sites can be covered (Dodoma sites taken over from Abbott). Implementation will include the basic PMTCT package, expansion of MECR, roll out of new M&E system, and adoption of the new computerized (pilot tested) sytem.
Activities to be supported using base funding
The program will scale-up PMTCT services to cover 80% of the facilities providing RCH services in Morogoro, Iringa Dodoma and Singida regions. Deloite will provide grants to respective districts and these services will include but not be limited to: HIV testing (in ANC, L&D), including partner testing, Counseling on infant feeding options (IF), Strengthen counseling on FP methods to HIV+ mothers during postpartum visits, offer HIV testing at the FP clinic and offer referrals to CTC and vice versa, Clinical staging of the HIV+ pregnant women at the RCH clinic by the PMTCT service providers with linkages to CTC, Rolling out of more efficacious regimen to facilities with the capacities, Provision of ART prophylaxis to HIV+ pregnant women who are not eligible for HAART, Provision of Cotrimoxazole to all eligible pregnant women and exposed infants, Conduct PMTCT outreach services in hard to reach areas, Quarterly supportive supervision by the RHMT to ensure quality of services. In collaboration with MOH, bi-annual supportive supervision will also be done in both regions.
Deloite will collaborate with community support groups including M2M program to form psychosocial support groups, which will provide psychosocial support and increase adherence and retention to care. Expert patients will carry out non-medic chores in the facilities.
In addition, mother to mother program and other partners within the regions will follow up mother-infant pairs in the community.
The programs will Renovations, procurement and materials as follows:
Renovate and equip facilities to provide space for offering integrated PMTCT services. Deloite will ensure availability of HIV test kits by procuring to fill gaps, ensure adequate supply of drugs for more efficacious regimen, based on needs, support printing and distribution of IEC materials and job aids.
The program will also train nurses, nurse midwives and other cadres in PMTCT, IF, drug monitoring and stock outs, including WHO staging.
The program will carry out Mentoring of HCW and support use of retired nurses to provide integrated PMTCT services in the region
It will ensure guidelines and M & E tools are available, improve data collection systems, and train service providers on filling of the PMTCT monitoring tool.
The program will strengthen and facilitate RHMT annual review meetings, formation and integration of regional PMTCT task forces into Reproductive and child health. Support regional quarterly partners meeting and strengthening linkages and referrals.
Activities to be supported using PF Funding
Deloite will work with Reproductive health partners and with the respective districts, Deloite will carry out facility infrastructure improvement after carrying out facility audit; subsequently they will renovate and equip facilities to provide space for offering integrated PMTCT services at RCHC and L&D, FP, FANC and BEmoc
Deloite will Improve conditions in the maternity wards so as to attract more women to deliver at the facilities by procuring appropriate equipments such as delivery beds/kits, suction machines, weighing scales, protective gears etc.
Deloite will strengthen PMTCT-ART Integration by supporting Hospitals, Health Centers and Dispensaries to develop capacity to provide more efficacious PMTCT regimen, training PMTCT HCP at RCH on ART so that they can refill ARV drugs at the RCH; Ensure availability of PMTCT guidelines and job aids; Support transportation of CD4 samples of HIV+ pregnant women; Ensure availability of PMTCT M&E tools and Integrate HIV counseling and testing in all the RCH services, including Pediatric wards
Deloite will focus on community and demand creation activities that include: sensitize the community through different media on the improved MCHC/RCHC services with emphasis on PMTCT, EID services and FP), Engage men through different avenues to participate in RCH services (use of invitation letters, priority treatment, through involvement of village authorities etc), Collaborate with Mother to Mother program to establish psychosocial support groups in the 4 regions. Deloite will also integrate its FP program and link with partners supporting Emergency obstetrics, new born and pediatric health and cervical cancer screening services.
Deloite will ensure program ownership and sustainability by working with districts to ensure that PMTCT/pediatric AIDS activities are planned and prioritized and funding allocated through the Council Health Plans.
Deloitte will continue to build the capacity of more laboratories in the 4 regions (Dodoma, Iringa, Singida, and Morogoro) to conduct HIV disease monitoring and testing by providing training and equipment. All testing laboratories will be supported to implement quality control systems and management. Laboratory staff will be trained on information systems and lab management systems
Mentorship at District levels
Deloitte will continue to implement activities to reduce the burden of TB among PLHIV. An additional $50,000 will be used to improve coverage in Iringa (where the HIV prevalence is high at 15.7%) by improving referral systems and by collaborating with other HIV related programs. There will not be separate reporting targets for this additional $50,000. Deloitte will continue to provide services in the 4 regions (Iringa, Dodoma, Singida, and Morogoro).
