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 2014 2015 2016 2017 2018
The goal of this GDA is to strengthen the health system in Tanzania by increasing the available number of human resources for health (HRH), as well as to enhance the quality, deployment, and retention of available health workers. This goal aligns with the Global Health Initiative target of improving health systems to strengthen the delivery of health services.
The work is geographically focused in the Lake Zone, where Bugando serves as the tertiary care institution for the Zones 15 million people. To date, the focus has been on strengthening Bugandos capacity to allow the organization to drive expansion into the greater Mwanza Region, with the ultimate program goal of expanding into the Lake Zone.
There are numerous cost efficiency changes that have been implemented, especially in respect to supporting Bugando, gradually transitioning funds from core operating support towards targeting institutional growth and innovation. Faculty development at Bugando is a key element, giving the institution the tools it needs to continue to attract students and future research grants. In addition, plans to transition regional programs to URT are targeted for FY 2014. Robust monitoring and evaluation is being designed in anticipation of scaling up of programs.
All programs contribute directly to health systems strengthening initiatives and fall under two major objectives: increasing the number and quality of available human resources for health (HRH) in Tanzania and building national healthcare management capabilities. In Tanzania, there is a severe lack of HRH across all cadres, limiting access to health services for the majority of Tanzanians, including children and mothers. In addition, the low retention of healthcare workers further contributes to negative health outcomes. These issues are being addressed in all project areas. The broad activities for each major program areas are found below.
To increase the number and quality of available HRH, the project will:(1) Provide a monthly grant for operational support to Bugando which will allow for approximately 1,400 students to be enrolled in pre-service training in FY 2012, with an almost equal number of female and male students;(2) Enhance management capacity through support of academic and finance departments;(3) Develop faculty through a fellowship program in South Africa to improve the quality of education and assist the institution to better position itself to attract research funds;(4) Develop a regional treat and train program which will bring Bugando students to regional and district hospitals to perform their clinical rotations. This will not only relieve capacity constraints at Bugando Hospital, but also will enhance patient care at the regional and district facilities. Students will be accompanied and supervised by specialists from Bugando and from two U.S. academic institutions; and(5) Strengthen emergency care training, including emergency obstetrics as part of medical and post-grad curriculum with U.S. academic partners.
There is a lack of formalized healthcare management training programs in Tanzania, and as a result, the system is sub-optimal and inefficient. A trained group of healthcare managers is urgently needed in order to maximize the efficiency of the health system and allow clinicians to perform their duties. In FY 2012, initial work with African and U.S. academic institutions will commence to create a healthcare management program. This will include conducting an initial assessment, understanding what curriculum currently exists and what gaps need to be addressed, which stakeholders should be involved, and how best to work with MOHSW to develop a program which suits their needs for training students from across Tanzania. Collaboration with leaders at academic institutions and stakeholders in the URT will help to determine the best approach to accomplishing these activities.
The agreement is a public private partnership, requiring a 1:1 match of private funds. Activities crucial to the work at Bugando, but not directly funded by USAID other than Touch program staff, include infrastructure enhancements of the library and MD hostel, as well as the support of a Weill Cornell Medical College specialist to work full-time at Bugando, and a resident rotation program.
