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
Supply Chain Management Systems (SCMS) supports the procurement and delivery of HIV/AIDS medicines and related commodities at the national to the local level, which contribute to the PF and GHI strategy goals for strengthening the supply chain management system. SCMS M&E plan will be to improve product availability; strengthen logistics data collection and analysis capability within MOHSW; develop the capacity of Medical Stores Department (MSD) to manage and deliver health commodities; improve data availability to support central level decision making; and strengthen commodity management capacity at health facilities.
Technical assistance is focused on transferring critical skills to host country counter parts and local institutions. Through the roll out of a mentoring tool kit, DHMTs and RHMTs will receive training on how to provide logistics supervision visits. Institutionalization of a TWG on national quantification for HIV commodities within the MOHSW structure has improved the capacity of supply chain management planning. SCMS also promotes cost efficient commodity sourcing through pooled procurement of partners in laboratory commodities.
By collaborating with USAID|DELIVER, a pre-service training of health commodities will be created. The development of a central logistics data repository leveraging technical expertise and resources across projects will help to further GHI goals. A partnership with MSD on enterprise resource planning (ERP) project, and an infrastructure expansion project funded with contributions from PEPFAR, GF and MSD, has provided opportunities to strengthen collaboration and increase funding efficiencies. In addition, the partnership has allowed MSD to demonstrate country leadership and ownership in both projects development.
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 ActivitiesOHSS Medical Stores Department 2000000 GF granted MSD $2 million for warehouse construction. These funds were leveraged with $8 million from USG to develop three large scale warehouses instead of two smaller buildings on each of three sites.
SCMS will aim to strengthen the national logistics system by providing technical support to MSD, NACP, MOH, and implementing partners. Areas of technical support include ensuring in-country availability of health commodities and updating the three-year forecast and quantification for ARV drugs, test kits, and lab supplies while monitoring data quality from facilities.
Support of MOHSWs PMU model will be expanded to strengthen district-level health commodity procurement processes. For the TB and leprosy programs, revision of SOPs and training curricula will be rolled out to all CTCs in FY 2012. SCMS will support the national roll out of its previously piloted lab supply logistics system. The Supply Chain Monitoring Advisors (SCMAs) will continue working with MSD to monitor HIV/AIDS commodity stock levels in the zonal stores. In support of the GHI strategy, collaboration with USAID|DELIVER PROJECT will extend support to other commodities, such as anti-malarial drugs and contraceptives, as needed. Support by SCMAs will assist the expansion of additional PMTCT sites and continue to support the CTCs.
As an activity to continue improving the project, SCMAs will conduct stakeholder meetings to share information on challenges and solutions in commodity management. Routine meetings with partners will be facilitated by SCMS at the central and zonal/regional levels to review supply chain monitoring results and strengthen sustainability and country ownership of the SCMA program.
Support of MUHAS to test samples of OI drugs and other commodities for quality assurance will continue in FY 2012. Additionally, work with the Tanzania Food and Drug Authority (TFDA) in quality assurance, regulatory compliance monitoring, and customs clearance procedures will commence. SCMS will provide targeted infrastructure support to improve and expand storage capacity in district and regional facilities, which will include facilitating the disposal and recycling of expired products that currently congest facility stores.
SCMS will work with the Zanzibar Ministry of Health to support health commodity security, including capacity building in long-term forecasting, funding requirement analysis, procurement planning, pipeline monitoring, and procurement services for equipping new health facility stores in Zanzibar. Renovation of the MUHAS lab will improve the quality of testing. Implementation of MSDs new ERP system will strength and advance the URTs integrated information system.
GIS mapping of health facilities will be used to analyze and optimize MSDs storage and distribution resources. Continued support for the development of a URT eLMIS to serve as a central data warehouse for multiple sources of health commodity logistics data allows for greater access to data quantification, monitoring, and supervision of the supply chain. This effort will be coordinated with the USAID|DELIVER PROJECT initiative to establish a logistics management unit at MOHSW, which will form the central user group of the eLMIS system.
SCMC will continue to help manage planned and emergency commodity procurement in support of Tanzanias AIDS Control Program for ARV drugs, drugs for opportunistic infections, lab reagents, and supplies and warehouse equipment. This is to inclued a newly initiated process for sourcing quality assured OI drugs from approved local venders.
COP 2012 funds will be used to procure MC kits for USAID's VMMC implementing partner, JHPIEGO. An additional $1,920,000 will be designated for MC kits through carryover funds, which will be strategically distributed to all USG/T VMMC implementing partners. $2,000,000 will be used for MC kits and Rapid test kits for VMMC programs with the DoD.
SCMS will procure emergency blood safety supplies as directed by the the Medical Transmission Interagency Technical Team in consultation with the National Blood Program. These procurements will be based on identified need based on increased scale up of the National Blood Program in Tanzania.
SCMS will procure $670,000 worth of test kits for CDC (320,000) and USAID (350,000) to augment support of NACP and PEPFAR ART programs in Tanzania. SCMS will also procure $620,000 worth of test kits for DoD programs.
The Partnership Framework agreement between the URT and USG stipulates that USG will provide $10 million dollars a year throuigh 2013 for the procurement of ARVs. The USG and National Aids Control Program will make determinations on the ARVs to be procured through quarterly quantifications. SCMS will make the respective procurement as directed through this quarterly quantification process. Funding committements are being met through current pipeline within HTXD.
Through DoD support, SCMS will procure $154,000 worth of test kits to augment support of NACP and PEPFAR ART programs in Tanzania. SCMS will procure $900,000 worth of lab reagents for DoD to support in country ART partners. SCMS will also procure $700,000 of treatment for OIs in adults for DoD programs.
SCMS will procure $140,000 in OI treatment for Pedriatic cases for DoD programs.
