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
URC will work within the existing framework to scale-up and improve the quality of PMTCT, ART , OVC and related MCH services, thereby improving the overall health and well-being of mothers and their children and increasing the number of babies born free of HIV.
One objective of the project is to provide support to IPs and MOHSW to strengthen and scale up partnership for ART/PMTCT QI in the demonstration collaborative. The URC Project will further consolidate its cross-cutting roles in influencing policy and provision of technical assistance in QI to both the MOHSW and implementing partners across all levels of care. Building on the foundation laid down in the last two fiscal years, (development of QI policy guidelines for ART/PMTCT and the QI training manual) the focus in this fiscal year will be directed to operationalizing the guidelines and capacity building across all levels of care. In addition, URC will assist the MOHSW to further develop and implement a national HIV/AIDS QI strategic plan for improving quality of care to PLHA based on experience obtained from running three demonstration ART/PMTCT improvements collaborative in Tanga, Morogoro and Mtwara regions.
Another objective is to provide TA to IP, NACP, RHMT and CHMT to spread the lessons learned from ART/PMTCT improvement collaborative to at least 6 additional regions. Documentation of the lessons learned and best practices achieved during the implementation of the Tanga Collaborative commenced at the end of FY9 and will be completed by the first quarter of the COP10. Thereafter, URC will provide technical assistance to IPs, NACP, RHMTs and CHMT to spread the innovations from Tanga to six additional regions -Lindi, Iringa, Dodoma, Arusha, Manyara and Mwanza. URC will provide technical support to IPs to initiate the spread collaborative in respective regions and withdraw as the initiative takes hold to let the IP, RHMT lead the process. Activities in the spread regions will be funded by respective IPs. During COP10, URC will therefore facilitate;
The project will continue with national roll out of IF counseling training and IF QI. The goal is to finalize the IFC training and initiate an IF QI demonstration collaborative in Iringa region. By finalizing the IFC Training this will increase coverage of regional training on infant feeding counseling component of PMTCT.
Starting a IF QI demonstration collaborative in Iringa : Iringa region has conducted IFC training but recent studies revealed gaps to expectation in IF practices among HIV positive mothers. URC seeks to implement an IF QI collaborative in Iringa to improve IF and compile best practices in IF QI that could be spread to other areas with similar problems.
URC will work in collaboration with FHI/Tunajali to implement a demonstration OVC improvement collaborative in Iringa region drawing from the lessons learned from South to South Exchange visit to Ethiopia and experience gained from the ART/PMTCT collaboratives in Tanzania. The Iringa OVC collaborative will test and generate tools for implementation of OVC QI collaboratives and at the same time provide training site for QI teams.
These funds will be used to strengthen health systems by improving Quality Improvement standards and guidelines as relates to OVC and home based care services. URC will be the key TA partner for the QI work and they will collaborate with NACP and FHI (system Strengthening) partner in developing and supporting partners in adopting the QI framework. Where as in HBC we will develop QI improvement guidelines and work with partners to disseminate and adopt them.
In this endeavor, the URC Project will further consolidate its cross-cutting roles in influencing policy and provision of technical assistance in QI to both the MOHSW and implementing partners across all levels of care. Building on the foundation laid down in the last two fiscal years, (development of QI policy guidelines for ART/PMTCT and the QI training manual) the focus in this fiscal year will be directed to operationalize the guidelines and capacity building across all levels of care. In addition,
IM Strategy to become more cost-efficient over time (600) e.g. coordinated service delivery
URC will work with partners that provide grants to the district and gradually integrate these collaborative in routine plans. URC 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.
Geographic coverage and target populations
Tanga, Manyara, Arusha, Mwanza, Mtwara, Lindi Police and prison facilities
How IM links to PF goals
The Tanzania Partnership Framework focuses on six goals: service maintenance and scale-up; prevention; leadership, management, accountability and governance; sustainable and secure drug and commodity supply; human resources; and evidence-based and strategic decision making. PMTCT, ART, OVC and HBC activities are reflected within Goal One: Maintenance and Scale-up of Quality Services.
M&E Plans
By improving quality of service through data review and collaborative approach, URC will indirectly strengthen M&E in PMTCT, ART and OVC and will ensure guidelines are adhered to and M&E tools are available, improve data collection systems, and train service providers on filling of the PMTCT and ART monitoring tools.
These funds will be used to develop Quality Improvement standards and guidelines as relates to home based care services. URC will be the key TA partner for the QI work and they will collaborate with NACP and FHI (system Strengtherning) partner in developing and supporting partners in adopting the QI framework.
URC will use the funds to;
1) Provide mentoring and technical supervision on the QI to the national QI subtaskforce in collaboration with FHI . 2)Support roll out and document the QI national standards to individual partners to improve their performance in service provision. 3)Bridge the QI experience exchanges at national and global level. Conduct Impact assessement and documentation to track OVC and household improvements leading to outcomes for each standard.
URC will continue to work in the Quality Improvement (QI) of ART services through partnership and building QI capacity of both the Ministry of Health and Social Welfare (MOHSW) and that of implementing partners using the collaborative approach. Specifically, URC, MOHSW and partners will build an ART quality improvement system that is linked to National QI Framework using the QI collaborative approach. We will build on current experience and be guided by the revised ART guidelines, and the national QI framework developed by the inspectorate unit of MOHSW. URC will define quality of ART framework and simplified tools to rapidly assess quality and coverage at the national level will be adopted by partners. Based on the approaches designed in the earlier years, URC will work with MOHSW, the National AIDS Control Program (NACP) and partners to expand district capacities for continuous QI in ART services, monitor progress, and document and share experiences in learning sessions.
URC will use the funds provided to ensure quality at scale for PMTCT, Infant Feeding (IF) and strengthen QI efforts using Improvement Collaborative approach. In particular we will continue and complete ongoing efforts to roll out IF Counseling Training in the context of PMTCT from the current regional coverage of 73% to 100%. In addition, we will work with PMTCT implementing partners to initiate a demonstration IF Quality Improvement Collaboratives and move to scale the lessons learned.
URC will work with the MOHSW and partners in updating IF guidelines and job aids based on WHO recommendations. URC will assist USG to assess, measure and document quality of integrated PMTCT/RCHS services and other HIV related programs. In collaboration with IPs, we will roll out QI for PMTCT from the present 4 regions (16.6%) to additional 5 regions bringing to total population covered close to 50%. We will also work MOHSW and IP to assess the level of implementation of the MOHSW minimum package for integrated PMTCT/RCHS services and initiate a demonstration improvement collaborative to provide learning for scaling up efforts to close the gaps.
