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: 2012 2013
The goal of this program and the Masters of Health Services Research (MHSR) degree is to produce practically oriented health services research leaders possessing the knowledge and skills required to address current and future health services delivery challenges both nationally and internationally. As pediatric HIV service delivery issues are a PEPFAR priority, this program has an objective of answering key Tanzanian health systems issues related to pediatric HIV prevention, care, and treatment through fellowship dissertation projects.
The program addresses PF goals 5 and 6 regarding human resources and evidence-based decision making. The program will support all the regions in Tanzania over time, with two new fellows identified each year from two new regions. Program related costs are primarily associated with academic program tuition and fees, fellow stipends, and partial salary support for individuals supporting program administration and fellow mentorship. As the program matures and annual fellow recruitments, placements, and performance activities become routine, efficiencies in program administration will be realized; thus, leading to cost efficiencies.
Increased linkages with the MOHSW at the national and regional level is intended in FY 2011 in order to place the fellows in positions relevant to their newly acquired training in the region of fellowship origin. Integration of the fellows and potentially some of the fellowship administration activities (e.g. recruitment and placement) into regional plans will be explored. Regular quarterly narrative and financial reports, semi-annual fellow grade reports, and post training fellow tracking through FIC/AITRP Career Track will support program M&E activities.
The Baylor College of Medicine International Pediatric AIDS Initiative (BIPAI) receives support from the Fogarty International Centers AIDS International Training and Research Program (AITRP) for advanced level research training. This program supports health systems strengthening and advanced training in health systems research through the Makerere University School of Public Health in Kampala, Uganda. This program sponsors regional level health professionals, identified through a competitive application process, for a Masters of Health Services Research (MHSR) through the Makerere University School of Public Health in Kampala, Uganda. The goal of this two-year, masters level training is to produce practically oriented health services research leaders possessing the knowledge and skills required to address current and future health services delivery challenges locally, nationally and internationally.
As the program roll out plan intends to support this training for one health professional per region over time, with a requirement that the trainee returns to the region of origin to support health systems research within the regions throughout Tanzania. As regional health facilities are tasked by MOHSW with conducting health systems research which contributes to quality improvement and enhanced regional health systems service delivery and efficiencies, this health systems strengthening program will work to support the goals of URTs MOHSW as well as the PEPFAR Partnership Framework goals for support of evidence-based programming and decision making for health.
BIPAI and its local implementing organization Baylor-Tanzania focus on pediatric HIV-focused care and treatment as well as capacity building; the program requires the sponsored fellows to focus their dissertation projects on health systems issues related to pediatric HIV service delivery. This will allow for simultaneous addressing of gaps and challenges associated with pediatric HIV services delivery.
