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 2017
PharmAccess will provide facility based care services including the intergration of positive prevention services, supporting nutritional assessment and counseling in all Tanzania Peoples' Defense Forces (TPDF) facilities as well as to improve linkages with other services.
1) Provide quality care services and support for 400 Orphans and Vulnerable Children of Military Personnel in barracks surrounding TPDF hospitals in operational regions. 2)Link older OVC with lifeskills and economic strengthening opportunities in Mbeya region. 3)Work with the social welfare officer to support the re-intergration of children with their families in Mbeya region.
Focus on quality HIV services at existing sites in the eight military hospitals in the country. This will be accomplished through regular supportive supervision, clinical and nutrition mentoring, patient monitoring, and ensuring uninterrupted supply of drugs and reagents through the central procurement mechanism, capacity building of local partners in financial accountability, technical support, program oversight and M&E. Funds will also be used for facilities and community linkages. PharmAccess works in eight regions; Dar es Salaam, Morogoro, Mwanza, Arusha, Singida, Mara, Tanga and another region, and currently covers patients.
Continue CT services at 8 TPDF hospitals & 10 health centres, and initiate CT services at 10 health centres. Retrain a total of 164 clinicians, nurse-counselors, lab technicians and pharmacists. Refurbish 3-4 counseling rooms for the 10 new sites and maintenance at the 8 hospitals and 15 already active satelites sites. Provide condoms & STI drugs and training for nurse-counselors from each CT site for home visits, and organize HIV/AIDS sensinstization campaign. Advocate CT post-test clubs, organize home visits and home-base care services. 60k taken away as part contribution to PPP.
These funds are proposed for the following activities: Scale up cotrimoxazole (CTX) prophylaxis for HIV-exposed and infected children; provide nutrition assessment, counseling and support; provide prevention, diagnosis and management of tuberculosis and other opportunistic infections (OI's); provide palliative care and psychosocial support. The funds will be used to improve linkages to Community Based Care including: under 5 child survival interventions and community HIV supported services. These activities will be achieved through training and on-site mentorship, establishment of coordinating committees with community-based organizations, advocacy and community mobilization. These activities will take place in military settings in Tanzania.
These funds are proposed for the following activities: Implement updated WHO treatment guidelines to improve access to pediatric ART, including treatment of all HIV infected children <24 months;enhance the identification and diagnosis of HIV for infants and children through EID, PITC in in-patient and out-patient settings, immunization, OVC, and TB/HIV clinics; improve follow-up services for HIV-exposed infants and children and track and retain children in care and treatment; monitor response and adherence to treatment. These activities will be achieved through training, on-site mentorship, advocacy, community mobilization, and updating of tools for tracking and retention. These activities will take place within military settings in Tanzania with the aim of enrolling 452 new children on ART.
Continuation of support to maintain MC services for both military and civilian populations at selected facilities sites in Mbeya and the Makambako military site in Iringa.
Continue to support provision of a comprehensive HIV/AIDS education program, based on life-skills modules which were developed by the Tanzania Peoples Defense Forces (TPDF) through Emergency Plan funding with PharmAccess. Address GBV, male involvement and issues around alcohol.
PharmAccess will adapt and distribute IEC and life skills materials obtained from the UN and other African military program by a dedicated TPDF taskforce. Execute prevention programs targeting high-risk behavior. Strenthen PWP. Distribute condoms and include prevention education as part of counseling and testing services at post/camp treatment clinics.
Implement PMTCT and improve MCH services (see PF package): The PF funds will support the implementing partner (IP) to meet the objective of scaling-up quality PMTCT services by:-
(1) Strengthening the linkages and referrals of HIV+ women and children to care and treatment services and other health and community programs
(2) Integrating PMTCT and ART
(3) Having the partner complement FP and Focused Antenatal Care (FANC)
(4) Having the PMTCT partner complement Emergency Obstetric Care (EmOC) package
(5) Having the partner complement Newborn Health package.
(6) Supporting EID transportation of samples including DBS and sending back the results to the clients.
(7) Improving infrastructure through construction and renovation (8) Improving the procurement of MCH-related equipment, drugs and supplies through a central procurement system
(9) Strengthening M&E systems to track and document the impact of the PMTCT program
(10) Providing training and improving retention rates of health care workers
(11) Strengthening and expanding interventions to improve maternal and child survival
(12) Supporting new activities such as Cervical cancer screening
(13) Creating community demand
Maintain services related to implementation of the Three I's. It is estimated that around 20% of new patients enrolling into ART would present signs and symptoms of advanced HIV diseases and diagnosing TB among this group remains difficult as the routine diagnostic tests (AFB smear microscopy and/or chest X ray) are neither very sensitive nor very specific and undiagnosed TB remains a major cause of mortality in this group. To enhance TB diagnosis in this group, there is a high need of investing in sophisticated TB diagnostic tests e.g. Liquid culture and Line Probe Assays. To increase access to this service, PAI-DOD will coordinate transportation of sputum and/or blood samples to CTRL or Mbeya Referral Hospital for Liquid culture and LPAs. PAI-DOD should ensure TB screening and recording in the CTC2 is happening throughout the supported sites. The services will continue being provided in the TPDF and National service.
