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
The goal is to improve utilization of PMTCT and MNH services to contribute to the elimination of mother to child transmission of HIV. The objectives are to: (1) Increase access to PMTCT, nutrition, and SRH information to HIV infected women and their partners, as well as provide access to PMTCT continuum of care; and (2) support innovative models to reach women and children with PMTCT/MNCH services and reduce loss to follow up.
The project will be implemented in Iringa, Ruvuma, and Dar es Salaam. The primary targets are HIV infected pregnant women identified in PMTCT sites, their babies, and partners, while the other target groups are community members and key informants. The project will focus on establishing mother support groups, comprised of HIV infected women, who will be trained to provide psychosocial support and follow up with their fellow women to ensure that they all get the PMTCT services and EID, as required. CORPS will also be oriented to support and supervise mother groups. The groups will be linked to the PMTCT sites where regular communications will be made using mobile phones. This will allow the support group members to follow up when there are missed appointments. In addition, mother mentors will be deployed at PMTCT sites where all HIV infected pregnant women will be referred for follow up and support.
The CHMT and W/VHC will be involved in planning, training, monitoring, and follow up to ensure that once the project ends, there is ownership and continuity of activities. The mother groups will also conduct awareness to the communities and promote male participation in the PMTCT program. Reported indicators will be aligned with the national PMTCT program. In addition, evaluations of the support group models will be conducted.
UNICEF works as a prime PMTCT partner of CDC to increase the uptake of HIV counselling and testing, antiretroviral prophylaxis, ART among pregnant women, early infant diagnosis, and prophylaxis or treatment of eligible HIV exposed infants through the MNC health service platform.
The sub-partners under UNICEF are Mother 2 Mothers (M2M) and AMREF Tanzania. The current geographic coverage is the five districts in Iringa region, namely Kilolo, Ludewa and Njombe (for M2M), and Makete and Iringa rural (for AMREF). These have the highest HIV transmission rates in the region and high loss to follow up. The project aims to reach at reaching at least 35,000 people per year, translating to USD20 per person per year.
COP 2012 and 2013 will see the scale up of current activities including training for mentor mothers, establishment of mother support groups, distribution of BCC materials on PMTCT, and the empowerment of reproductive and child health coordinators in advocacy. The program will continue to strengthen linkages and referrals of HIV positive mothers and exposed children to care, treatment and other reproductive health services in the health facility and the community.
This program will also use COP 2012 funds towards expanding peer education support services started in the first two years of the project, from 60 sites in two regions to a cumulative total of 130 sites in three regions. HIV positive women who will be recruited and trained in the programme and trained CORPs will take the lead in conducting active client follow up of HIV infected mothers and HEI. This will be complemented by the development of messages for interpersonal communication, community support and couples dialogue. The efforts of HIV positive women will be supported by community health workers and supervisors in fifteen wards who will be trained to provide integrated education on PMTCT, MNCH and nutrition. To facilitate ownership and sustainability of the project, village health committees will be trained and facilitated to conduct bottom-up planning that addresses bottlenecks for utilization of MNCH services, including engaging men in PMTCT and MNCH services. In addition, CHMTs will be trainined in results-oriented planning to assist in developing district action plans in line with the eMTCT targets.
For COP 2012, at least 120 health workers will be oriented on the PMTCT program, and 150 others for 2013. The number of community health workers who will complete M&E and active client follow up training on peer support is 350 for COP 2012 and 340 for COP 2013. The target number of facility sites is 150 for COP 2012 and 180 for COP 2013.
This project will support monitoring and supervision to ensure quality service delivery and achievement of results. During the process of implementation, best practices will be document and disseminate experiences for wider scale up. In addition, new innovations like use of mobile phone to reach majority of women and children with PMTCT and MNCH will be used.
