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
Several activities will be carried out through the different sub-programs. The HRH sub-program will continue to implement operations research on HRH, disseminate findings, and advocate for utilization of research findings at all levels. In addition, the HRH sub-program will continue training and providing technical support to CHMTs on proposal development, execution of research activities on approved proposals, and producing an HRH bi-annual newsletter. The sub-program will also provide orientation for reviewers who evaluate research protocols with participation in MOHSW activities.
The GIS sub-program will continue to improve the national health facility GIS database and update the national health facility master list, which will be a collaborative activity with MOHSW and other PEPFAR partners. The database will be expanded to accommodate prioritized location-based health information. In addition, the sub-program will improve accessibility of the collected information through utilization of various web technologies.
WAN sub-program will continue establishing connectivity for new sites while providing technical support to sites. The support will ensure that all sites are connected to MOHSW HQ by utilizing fibre optic cable or other means of communication. Security reinforcement of servers at MOHSW and to sites will be addressed.
During FY 2012, HLAB sub-program will improve quality of laboratory services offered. Areas of interest will include office maintenance and communication, in addition to laboratory fixtures and fittings to address preventive maintenance services.
The National Health Laboratory Quality Assurance and Training center (NHLQATC) is the national premier reference laboratory with the overall responsibility for oversight, coordination, and training on laboratory quality systems for both public and private health laboratory services. It also serves as the HIV reference laboratory, health laboratory resource center, and disease surveillance and response center in the country. The goal of this support is to ensure that the NHLQATC working environment is conducive for optimum performance of its core functions.
With FY 2012 funds, NIMR will pay maintenance of the physical infrastructure and all daily NHLQATC running expenses, including contract cleaning, fuel for the backup generator, servicing of air-conditions/chillers, cold rooms, water, servicing of the elevators, and minor repair work.
The training component of the NHLQATC is currently lacking sufficient classroom capacity to accommodate larger groups of trainees, including relevant training tools. FY 2012 funds will continue to identify and improve training rooms in the NIMR building through renovation and purchasing of training tools.
Selection of suitable service providers will be through a transparent and open system, as per URT procurement rules and regulations.
Geographical Information System (GIS) is proficiently used to document geographic disparities and inform policy and program development; thereby contributing in a powerful way to the prevention and management of diseases. NIMR, on behalf of MOHSW, has established a comprehensive health facility list that includes all facilities ranging from dispensaries to hospitals in Tanzania.
NIMR will help MOHSW develop standards for establishing the master facility database, which is compatible with other MOHSW HMIS systems. In collaboration with MOHSW M&E Unit, NIMR will continue updating the master facility list as well as develop an efficient process for continual updates to the master facility database. NIMR will integrate the master facility list with MOHSW online health facility registry system, allowing for easy access by MOHSW personnel and all other stakeholders.
NIMR will establish mechanisms to monitor the update process of the master facility. Random visits will be made to various district facilities to compare any changes that may have been done by district personnel.
Working with MOHSW m-health project to introduce GIS into IDSR systems, NIMR will help map areas where disease outbreaks occur. Information can then be used to analyze disease patterns and help control and eradicate outbreaks which are caused by environmental or climate changes.
NIMR will continue to assist MOHSW and other programs (NTLP, NACP, NMCP, and the National Vaccine Program) on basic GIS training, spatial data analysis, and integration of GIS as part of the data these organizations use when they do their service planning as well as when making various decisions based on evidence. NIMR will also help to advocate for the use of the already established master facility list as a common list to be used by MOHSW as well as various vertical health programs.
This mechanism will continue to support MOHSW ICT efforts by providing technical assistance to existing regional sites.
A strong workforce in the health sector is a critical component in carrying out various health related interventions. While the need for increasing the size of the health workforce is generally well recognized in the country due to alarming shortages, issues regarding health workers performances and productivities, and lack of skilled management currently is receiving attention as key issues in human resources for health (HRH). Thus, improvements in HRH require policies that are informed by evidence-based research about Tanzanias unique problems and issues. Therefore, capacity building in research for HRH and HIV/AIDS including evaluations is inevitable. The findings from research and evaluations provide key inputs in system improvements and policies related to HRH.
National Institute of Medical Research (NIMR) has played a critical role in supporting MOHSW to address the human resource crisis through finding evidence by conducting operational research and evaluations related to HRH. The institute has also notable inputs in the improvement of health systems through CHMT trainings in basic skills for operations research that have been conducted for the past two years. Being part of the MOHSW under the Policy and Planning Department, NIMR is in a key position to advocate for major policy decisions based on the results of their evaluations. As a member of the HRH working group of the MOHSW, NIMR is strategically placed to give input, advocate, and advise MOHSW on changes in HRH policies and health systems.
In FY 2012, NIMR will continue to carry out operational research with a greater emphasis on capacity building of the CHMTs at district levels to decentralize the research. NIMR will collaborate with TACAIDS, MUHAS, and Global Fund while benefiting from a technical support from Research Triangle Institute (RTI) to complete standardized materials for the training of CHMTs in operational research. NIMR will work closely with RTI to continue building capacity of its institution to be able to conduct quality research. Through this capacity building component, NIMR will have the necessary skills to sustain activities in the future.
NIMR will also continue to develop HRH operations research and evaluation protocols in FY 2012, which will be submitted to the Tanzania Ethics Review Committee (NatREC) and CDC headquarters for IRB approvals and implementation in FY 2013. As a follow up to previous work, NIMR will disseminate findings of the task shifting study of health workers in health facilities. Results from this activity will be translated into policy changes for improving HRH in Tanzania. In addition, NIMR will continue to disseminate information and build health workers capacity through production of the quarterly NIMR HRH newsletter and through membership of the MOHSW HRH working group.
