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: 2013 2014 2015 2016
The goal of this funding is to progressively build an indigenous, sustainable response to the national HIV epidemic in Tanzania through training medical personnel to provide quality HIV/AIDS laboratory services. The focus group will include local laboratory specialists, scientists, technologists and technicians who perform essential HIV-screening and confirmatory tests, CD4 tests for disease staging, and basic chemistry and hematology tests to monitor therapy. It will also include non-laboratory staff involved in confidential HIV Counseling and Testing (HCT), the prevention of mother-to-child HIV transmission (PMTCT), the treatment of Tuberculosis and HIV (TB/HIV) co-infection and rapid HIV testing and screening for blood safety programs.
The aim is to reach everyone doing HIV rapid test (HRT) of which non laboratory healthcare workers are estimated to be over 17,980 and distributed to about 5,600 testing sites; all laboratorians involved in HRT and standard of care tests in 23 regional and 130 district laboratories. In order to ensure quality of results, in addition to trainings, competency assessment will be done on all non Health Care Workers (HCWs). The training of laboratorians will compliment an accreditation process in earmarked laboratories and training participants will be drawn from both Tanzania mainland and Zanzibar testing facilities.
To ensure sustainability, the grantee will build the capacity of the Council Health Management Teams (CHMTs), Regional Health Management Teams (RHMTs), and local implementing partners on program supervision through joint supportive supervision visits and trainings. The program will be monitored through written quarterly, semi-annual and annual reports.
The goal is to strengthen the laboratory capacity in HIV identification and provision of HIV standard of care tests. It has three objectives: 1) to train laboratorian and non-laboratorian healthcare workers on HIV rapid testing (HRT) and standard of care tests to ensure that they perform the tests accurately; 2) provide competency assessment to non laboratorian healthcare workers performing HIV rapid testing to assure the quality of testing; and 3) to support supervision of testing facilities to ensure that knowledge gained during training is being put into practice correctly.
Although to date about 17,980 healthcare staff have been trained on HRT, the evaluation of the HIV testing algorithm planned for FY11 and the fact that WHO is no longer advocating for use of a tie-breaker in the algorithm may result in changing the current testing algorithm which uses a tie-breaker. This mechanism will support training of 10,000 laboratorian and non-laboratorian healthcare workers on the new algorithm.
Lack of a reliable CD4 point-of-care tests and an inefficient sample referral system, especially in remote areas, are among the challenges facing the expansion of HIV/AIDS prevention, care and treatment services in Tanzania. Currently, a point of care device for CD4 testing is being evaluated and if the results are favorable the device will be registered for use in the country. These funds will support training of additional laboratorian and non laboratorian healthcare workers on the use of the new device during rollout nationwide.
In Partnership Framework Goal 1, both the United States and the United Republic of Tanzania governments advocate for quality lab services, which is a major component in ensuring that quality care and treatment is provided to all Tanzanians accessing services in both public and private health facilities. Since non-laboratorian healthcare workers are doing laboratory work, which is not their primary task, this fund will support competency assessment of non-laboratorian testers and pass the database to the Health Laboratory Practitioner Council (HLPC) for licensing according to law (HLPC Act 2007).
The grantee will work closely with the Council Health Management Teams (CHMTs), Regional Health Management Teams (RHMTs), and local implementing partners in monitoring and evaluating the quality of laboratory services in the districts, regions, and at the national-level. The funds will support joint supportive supervision visits and training of CHMTs and RHMTs on management skills.
