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
PASADA will continue to provide intergrated HIV care and support services providing the whole continuum of care. In FY 2011 PASADA will continue to focus on intergrating Prevention with Positives (PwP), and extending nutritional assessment and couseling (NACS) through both community and facility based service platforms. PASADA will link with National TA partners leading Economic Strengtherning (ES) to support these interventions in the community. PASADA activities are in Dar Es Salaam.
1) Provision of quality, sustainable and coordinated OVC services in Dar es Salaam. 2) Support economic strengthening to enhance household capacity to care for OVC in Dar es Salaam. 3) Capacity building and strengthening of local CBOs, MVCC and LGAs in Dar es Salaam to support OVC
As a graduation partner working in Temeke district, PASADA 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 strengthening linkages with voluntary counseling and testing (VCT) settings. The program will follow up on ART patients lost to follow up will be strengthened through home-based care programs and linkages to other key support programs.
Continue support for HCT services including child testing; Program is covering Illala, Kibaha, Kinondoni, Mkuranga, Rufiji and Temeke. 10k taken away as part of 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 some facilities in Dar es Salaam and Pwani region.
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 some facilities in Dar es Salaam and Pwani with the aim of enrolling 465 new children on ART.
Implement PMTCT and improve MCH and PMTCT services (see PF package): The PF funds will support Selian 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) Improving infrastructure through renovation, (3) Improving the procurement of MCH-related equipment, drugs and supplies through a central procurement system, (4) Strengthening M&E systems to track and document the impact of the PMTCT program, (5) Providing training and improving retention rates of health care workers, and (6) Strengthening and expanding interventions to improve maternal and child survival.
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 disease 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, PASADA will coordinate transportation of sputum and/or blood samples to CTRL for Liquid culture and LPAs. PASADA should ensure TB screening and recording in the CTC2 is happening throughout the supported sites. To maintain services, PASADA will collaborate and leverage resources with NTLP, PATH, Harvard and GF who are also working in Dar es Salaam and improve referral and linkages. Services will be provided in 2 districts of Mkuranga in Pwani and Temeke district in Dar es Salaam region
