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
Goals and objectives
ENGENDERHEALTH will work within the existing framework to scale-up and improve the quality of PMTCT 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.
Objective (1): Scale up PMTCT services to 80% coverage in assigned regions
The base funding will especially be used to increase quality of services related to mother and child health in a program which has already reached 80% geographical PMTCT coverage and in which 80% of all women who come to ANC are tested and receive results. For this reason, the additional funding will have a modest effect on the targets for the number of sites and the number of pregnant women tested and received results.
The program will scale-up PMTCT services to cover 70% of the facilities providing RCH services in Iringa and Manyara regions.
Objective (2): Improve quality of PMTCT and MCH services and strengthen service integration
ENGENDERHEALTH will provide respective districts with grants and to support services that include but are not limited to: HIV testing (in ANC, L&D), partner testing, counseling on infant feeding options (IF), strengthening counseling on FP methods and services to HIV+ mothers during postpartum visits, offering HIV testing at the FP clinic, offering 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
Objective (3): Improve PMTCT effectiveness for mothers and infants
Roll 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.
Systems Strengthening:
The programs will renovate and equip facilities to provide space for offering integrated PMTCT services. ENGENDERHEALTH will ensure the availability of HIV test kits by procurement to fill gaps, ensure adequate supply of drugs for more efficacious regimen based on needs and 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 and 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 also strengthen and facilitate RHMT annual review meetings, the formation and integration of regional PMTCT task forces into Reproductive and child health, support regional quarterly partners meetings and strengthen linkages and referrals.
Activities to be supported using Base Funding
The program will scale-up PMTCT services to cover 80% of the facilities providing RCH services in Manyara and 70% in Iringa regions. 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 RHMT to ensure quality of services. In collaboration with MOH,bi-annual supportive supervision will also be done in both regions.
In Iringa region, EH will collaborate with Mother to Mother (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 programme 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 8 facilities to provide space for offering integrated PMTCT services. EH 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 Manyara 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
Working with the respective districts, EH will carry out facility infrastructure improvement after engaging 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
EH 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, sunction machines, weighing scales, protective gears etc.
EH 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
EH 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 programme to establish psychosocial support groups in Manyara region. EH will also integrate its FP program and link with partners supporting Emergency obstetrics, new born and pediatric health and cervical cancer screening services.
EH 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.
