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
In FY 2011, ICAP will maintain and strengthen provision of integrated high-quality HIV care and support aimed at extending and optimizing quality of life for PLHIV from the time of diagnosis throughout the continuum of illness. This will be achieved through enhanced diagnosis and management of opportunistic infections, pain and symptom management, intergration with other key services (PMTCT, RCH, FP, TB etc). Ensure referral and tracking systems are strengthened to minimize patient attrition in follow-up of pre-ART and ART clients through improving evidenced linkages between health facilities and the community. Support and extend nutritional assessment and counseling in all supported sites.ICAP will intergrate and expand positive prevention services in all supported facilities while building the capacity of local government and civil society for sustainable service provision for PLHIV. Provide continued support (Technical Assistance), strengthen coordination and collaboration mechanisms between partners in operational areas. The services will be provided in 23 districts in Kagera, Coast and Kigoma region and Zanzibar.
Focus on high quality HIV services at existing sites by reducing retention gap through identification of problems and strategies that will lead to increased retention of patients on ART. Continue capacity building and provide service delivery in an effort to take over ART sites from the international partner in the allocated regions. Focus more on clinical mentorship, supportive supervision and adhere to consolidation of in-service ART trainings in the zonal training centers. Partner works in 23 districts of Kigoma, Kagera, Pwani, Lindi and Zanzibar and currently covers 19053 patients.
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 in Kagera, Kigoma, Zanzibar and Pwani with the aim of enrolling 1348 new children on ART. $100,000 in additional funds have been added for strengthening referrals and linkages in Pwani region due to a high ANC prevalence.
Implement PMTCT activities to pregnant women in 3 regions (Kigoma, Kagera and Coast). These regions have a total of 19 districts. The ANC HIV prevalence is 1.5% for Kigoma, 4.7% for Kagera, and 7.7% for Coast. The current site coverage based on 2010 SAPR is 69% for Kigoma, 58% for Kagera, and 64% for Coast. Intervention coverage is low, especially in Kagera and Kigoma regions (27% and 39%).
The IP will support scale-up of PMTCT services to cover 80% of pregnant women with counseling and testing. For those found HIV negative, retesting will be considered in late pregnancy, labour and delivery or during postpartum period (and document sero-conversion). Women found HIV positive will be provided with ARV prophylaxis (75% and 85% of HIV positive pregnant women in 2011 and 2012 respectively) in three regions. The IP will support scale-up of EID to 65% of HIV exposed infants through RCH clinics.
a. Staffing NHLQATC (7 positions)
b. Support Mnazi Mmoja ISO accreditation
c. EID at national level (support 3 program officers) these positions will be transitioned to Ministry after FY 11
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 is 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, ICAP will coordinate transportation of sputum and/or blood samples to CTRL for Liquid culture and LPAs. ICAP should ensure TB screening and recording in the CTC2 is happening throughout the supported sites. ICAP will collaborate with the MOHSW and other stake holders to review, update, and develop guidelines/tools for management of TB among adults and the pediatric population. Services will continue being provided in 23 districts in 3 regions (Kagera, Kigoma, Pwani). This mechanism relates to mechanism system ID 83 Columbia.
