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 2017 2018
WHO/Tanzania will receive PEPFAR/Tanzania support under the CDC-PEPFAR-Multi-Center Program called "Support Services for the HIV Pandemic." The main goal of the WHO/Tanzania component of this multi-country agreement is to collaborate with PEPFAR/T to support the URT in providing comprehensive HIV/AIDS care and treatment services to all patients eligible for treatment nationwide.
As the WHO provides more high level strategic technical assistance, the collaboration will include components such as strengthening advocacy to the Ministry of Health and Social Welfare (MOHSW), adapting key policies into national guidelines, and providing technical expertise to relevant stakeholders in Tanzania. Through this mechanism, WHO/Tanzania will provide technical assistance and expertise among various program areas to the MOHSW, all aiming to support the government of URT in reaching their national goals for putting 489,000 people on ART by June 2013. This support will also prove instrumental to PEPFAR/T's achievement of World AIDS Day targets for enrolling and maintaining 451,000 people on ART by the end of September 2013. The activities planned through this mechanism go toward advancing both Goal 1 (Services) and Goal 3 (Leadership) of the Partnership Framework.
FY2013 COP funds will support the URT and PEPFAR/Tanzania in reaching as many HIV-positive people with ART services as possible throughout Tanzania. The programmatic activities will be implemented with the primary purpose of identifying and initiating people on ART. The WHO focus includes supporting the treatment guideline implementation, by ensuring that all patients eligible for ART are initiated and maintained on ART. The URT is currently rolling out the full adoption of the WHO guidelines released in 2010, recommending ART initiation for all patients with a CD4 count of less than 350. Additionally, the WHO will support implementation of PMTCT Option B+ by revising the national PMTCT guidelines and tools, in order to initiate all HIV-positive pregnant women on ART and link them to care and treatment clinics; and also support TB/HIV service integration by scaling up Isoniazid Preventive Therapy and ensuring that all TB/HIV co-infected patients are initiated on ART and link them to care and treatment clinics.
HIV testing and counseling is expected to increase throughout Tanzania with the planned revision process of the national HIV testing and counseling guidelines. This includes printing and dissemination of the new algorithms, including for PITC to healthcare providers, and training appropriate stakeholders on the new guidelines. This will directly impact PEPFAR/T and national numbers of people on ART, as more people are identified as HIV-positive and referred and linked to care and treatment clinics.
The WHO currently provides, and will continue to provide, technical expertise in the Treatment as Prevention (TasP) initiative in Zanzibar, which specifically focuses on increasing the numbers of key populations on ART. The roll out of the TasP program will continue through FY 2013 and FY 2014, to ensure that all HIV positive patients, regardless of eligibility and social status, will be initiated and maintained on ART. In addition, the organization will focus efforts on advocating to the MOHSW to improve the quality of services for key populations and develop national guidelines specific to key population-based interventions.
As part of the continuum of care among HIV positive patients on ART, PEPFAR/T is expanding PHDP interventions to ensure that those patients on ART maintain healthy living and adhere to care services and antiretroviral treatment. The WHO will support the implementation and expansion of PHDP interventions by revising the national guidelines to expand facility-based PHDP services, indirectly supporting the goal of maintaining patients on ART.
The WHO will also support the strengthening of laboratory services through the national accreditation process, and improve the quality of M&E activities to accurately capture patients currently on ART at any given time. Finally, in order to ensure that all HIV-positive patients are able to be identified, enrolled, and maintained on ART through a qualified healthcare provider, the WHO will support the development of the Human Resource for Health Production Plan. This will increase the number of skilled staff to provide comprehensive ART services to all patients in care and treatment facilities nationwide.
