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
Selian will continue to provide intergrated HIV care and support services, in FY 2010 Selian will focus on intergration of services particularly on Prevention with Positives (PwP) and extending nutritional assessment and couseling through the community services. Selian activities are in Arusha region.
1)Continue to provide quality OVC care 2) strenghten OVC household to ensure sustainable support 3) Facilitate linkage of exposed OVC for F&N and care and treatment support
As a graduation partner working in Arusha region, Selian will continue to improve the quality and comprehensiveness of ART services for adults at the current CTCs following the National Guidelines for ART. 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.
Continue to provide HCT services including PITC. Program covers Arusha, Anrumeru, Manduli, Simanjiro
Maintain and improve quality of existing pediatric HIV Care services. This will be achieved through provisison of CTX, Screening and Treatment for OIs, Nutritional Assessment and support and Linkages with other programs such as OVC and HBC, PMTC, TB/HIV. The services will be provided in Arusha Region
Maintain and improve quality of existing pediatric HIV services. This will be achieved through support supervision visits, inservice training including on site mentorship, infrastructure devolopment and supplies of essential commodities including drugs. The work will occur in Arusha.
Graduating partner (FBO) implementing comprehensive HIV care program in Arusha. One of Selian facility is now a designated district hospital.Activities to be supported using base funding
The program will scale-up PMTCT services to cover 80% of women attending RCHS services in Arusha region. Selian, through the AIDS control Program will support Selian Lutheran Hospital and the Designated District Hospital, as well as town clinic, health center and dispensary. These services include but not 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 DHMT to ensure quality of services. In collaboration with DHMT,bi-annual supportive supervision will also be done and be documented.
Selian 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. Selian 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 DHMT annual review meetings, formation and integration of District 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
Selian will work with Reproductive health partners and with the respective districts. Selian 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
Selian 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.
Selian 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
Selian will focus on community 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 region. Selian will also integrate its FP program and link with partners supporting Emergency obstetrics, new born and pediatric health and cervical cancer screening services.
Selian 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.
