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
The mHealth Tanzania Partnership, an innovative public-private-partnership (PPP), works closely with MOHSW TZ, USG CDC, and numerous Tanzanian and international public and private sector partners. The Partnership implements mhealth solutions on a national scale. Target populations are health care workers, community members, community health care workers, and senior MOHSW management. Program mHealth priorities include: education and awareness building, remote data collection, remote monitoring, communication and training for healthcare workers, disease and epidemic outbreak tracking, and diagnostic and treatment support.
The Partnership convenes multiple sectors and resources, implementing sustainable and scalable public health programs with increasing cost-efficiency. The Foundation charges an administration fee and includes specific direct costs covering management of the project (personnel, supplies, travel, & equipment); however, PPP relationships with sub-partners/contractors will be transitioned directly to the MOHSW (via the MOHSW PPP Unit) as part of the sustainability plan. M&E plans are incorporated within program plans.
The Partnership supports the PF goals relating to prevention, such as Mama messaging which educates pregnant women in ANC, PMT-CT, malaria, birth planning, nutrition, and danger signs, with emphasis on prevention for HIV/AIDS positive women. Human resources is supported as part of the Integrated Disease Surveillance & Response (IDSR) system scale-up, including informative messaging and quizzes related to materials learned during the health care worker training. IDSR also supports evidence-based strategic decision making by making disease surveillance information available.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHVSI MOHSW (a partner but not receiving funds as a sub partner) 250000 MOHSW has budgeted GF resources to help sustain and expand M-Health activities
The mHealth Tanzania Partnership (Partnership) supports key programs under SI that back the national SI strategy in building institutional capacity at the MOHSW, supporting health information and surveillance systems, and strengthening existing national systems. The Partnership specifically aims to leverage the rapid expansion of mobile networks and technologies in Tanzania to improve the flow of information across and between different levels of the health system, reduce the response time of providing critical services, and increase evidence-based planning and decision-making within the sector. The Partnership will continue supporting efforts to develop national mHealth guidelines and PPP relationships with the MOHSW and private sector partners.
Following an in-depth Ministry-lead project evaluation, MOHSW HMIS and Epidemiology departments advocated for scaling the Partnerships pilot integrated disease surveillance and response (IDSR) system. The joint team is leading the scale-up with the Partnership and additional partners from the HMIS Technical Working Group (TWG). A national scale system is the ultimate objective; however, in the next year, with support from partners, the IDSR system will roll-out to an additional 35 districts, focusing on high-disease threat/surveillance priority areas.
The scaling of the IDSR system directly supports the Ministrys M&E Strengthening Initiative Combined Plan (Oct 2010) in providing a consistent, scalable, and sustainable data collection tool to facilitate evidence-based policy formulation, priority setting, and budget allocation. Disease surveillance is a key component of HMIS reporting and the scale up of the IDSR system fits within the long term vision of the M&E Strengthening Initiative. The Initiative includes direct contributions from several international funding sources and MOHSW to fund a combined plan.
The IDSR system provides health facilities with tools to transmit real-time notifications of infectious disease cases, as well as broader disease trends via a weekly IDSR report, following WHO standards (Diseases of Public Health Importance, Epidemic-prone Diseases, and Diseases Targeted for Eradication / Elimination). The system helps facilitate real-time analysis and use of the submitted data by making it immediately available to public health officials at the district, regional, and national offices via the internet.
The Partnership will continue support of the core indicator data collection tool, district health information system (DHIS), which integrates directly with the existing HMIS being rolled out by MOHSW. The core indicator reporting (CIR) system is utilized to consistently collect key indicators across vertical health programs in a timely and cost effective manner. The continued support of this CIR system will support the PF priorities in improving evidence-based and strategic decision-making related to HIV-related planning (see HTXS section), as well as across vertical health programs. The CIR data collected integrates directly with the Ministry HMIS system (DHIS) and thus promotes use of data concurrent with the national roll-out of the broad data collection of DHIS. The CIR supports the PF by capturing key data related to drug and commodity supplies, thus strengthening the procurement and management of drug supplies by making information regularly available.
The Partnership will continue to support blood donor recruitment and retention activities to assist in addressing the critical blood shortages in Tanzania. Support will be through the further development and utilization of the blood donor SMS messaging system (BDM) launched two years prior. In partnership with the National Blood Transfusion Services (NBTS), the mHealth Tanzania Partnership launched the BDM system, which the NBTS team will be completely trained to administer and operate independently. The BDM system allows the NBTS team to send text messages to existing blood donors in order to retain existing donors and mobilize assistance.
The Partnership will continue support of the NBTS approach to blood donor recruitment and retention through the further utilization of the SMS-driven Blood Donor Messaging System. The current objectives of the BDMS are to help the NBTS maintain contact with its pool of active donors over time and disseminate targeted messages to blood donors in a timely and cost-efficient manner.
SMS messages will continue to be sent one-way to existing blood donors, focusing on the following content areas: Post-donation thank you messages; notification of test result availability; general public service messages as reminders and shortage notifications; notification of specific donation drive sites; specific events and holiday messages; lapse donor reminders; and replacement donors. In addition, the message content will link-in with testing and counseling as the messages will notify donors of counseling and test result availability (with no disclosure of confidential or sensitive data) in order to address issues of low return rates by donors to collect test results and receive counseling.
In addition to supporting the NBTS in leveraging SMS technology to communicate with existing donors in the manner mentioned above, the Partnership will continue providing Technical Assistance to the NBTS in developing an SMS strategic plan for expanded donor and community engagement. The Partnership will support NBTS goals of increasing levels of safe blood donations by exploring the various activities that NBTS currently engages in, such as new donor recruitment and M&E, which could be supported and even enhanced by introducing SMS technology. The Partnership will support community sensitization, education (for populations to 'opt in' to receive SMS messages with facts about blood donation), and community members involvement, whereby they can take quizzes about blood donors/donations, to the extent the NBTS program is interested in such use of the technology platform.
In addition, the Partnership will assist the NBTS team in exploring and utilizing SMS technology in order to conduct routine M&E activities using the mobile phone. For example, sending SMS messages following donors' visits and asking them, through a free 'ping pong' (back and forth) SMS function, a series of questions related to their experience. The Partnership will assist the NBTS team in establishing workplace SMS enrollment programs, whereby members of an organization can receive messages related to blood donation activities for their institution specifically.
Building on the Mama Nipende campaign from the prior year, the Partnership will continue providing messaging platform support to the Ministry PMTCT SMS programs and related implementing partner programs supporting PMTCT. As the Partnership secured a dedicated SMS short-code for the Mama Nipende campaign, the Partnership will continue to promote use of the system and growth of the content included.
The service will remain free of charge for pregnant women and families to register for the SMS service. The SMS campaign will be expanded to include quizzes and two-way messaging (such as keyword information look-up function), in addition to the one-way information messages and appointment reminder messages that were sent the year prior (based on the womans expected delivery date).
Continued outreach to private sector partners will seek additional funding to off-set the cost of the SMS messages and support expansion of the program. In addition, as enrollment rates increase, the telecommunications sector is committed to reducing per unit SMS costs.
While the outreach efforts will continue to be for all pregnant women across Tanzania, the Partnership will continue to focus on developing additional partnerships with PEPFAR PMTCT implementing partners in order to increase health facility and community health worker engagement. Partners will assist in registering and following-up with pregnant women in communities and at health facilities (ANC and PMTCT) and messages can be sent to CHWs and facility workers with educational or reminder messages, as desired by the partner.
In addition to continuing support of the SMS platform, the Mama Nipende, and related activities, the Partnership will also continue support for the Java or SMS core indicator reporting platform. The PMTCT key indicators will continue to support evidence-based and strategic decision-making. PMTCT partners will continue to provide in-service training of health facility workers where they operate programs. The Partnership will continue follow-up with implementers on data use and quality.
The Partnership will support increased evidence-based and strategic decision-making within NACP by continuing to develop an SMS or Java based mobile-phone reporting tool that will assist with the collection of care and treatment core indicators. Support for the system will assist in promoting its scalability and sustainability by leveraging existing implementation efforts.
The core indicator program captures critical, key indicators, as identified by the NACP, to ensure timely decision-making and reporting to partner organizations. The Partnership provides basic support of a core indicator care and treatment tool to support NACP's quarterly reporting to help promote improved timeliness, accuracy, and completeness in reporting. NACP will be responsible for working with care and treatment partners to follow-up on data quality, analyze timeliness and completeness of reporting, and update training materials and performance metrics in order to improve reporting performance over time.
