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 2014 2015 2016
Supply Chain Management Systems (SCMS) supports the procurement and delivery of HIV/AIDS medicines and related commodities at the national to the local level, which contribute to the PF and GHI strategy goals for strengthening the supply chain management system. SCMS M&E plan will be to improve product availability; strengthen logistics data collection and analysis capability within MOHSW; develop the capacity of Medical Stores Department (MSD) to manage and deliver health commodities; improve data availability to support central level decision making; and strengthen commodity management capacity at health facilities.
Technical assistance is focused on transferring critical skills to host country counter parts and local institutions. Through the roll out of a mentoring tool kit, DHMTs and RHMTs will receive training on how to provide logistics supervision visits. Institutionalization of a TWG on national quantification for HIV commodities within the MOHSW structure has improved the capacity of supply chain management planning. SCMS also promotes cost efficient commodity sourcing through pooled procurement of partners in laboratory commodities.
By collaborating with USAID|DELIVER, a pre-service training of health commodities will be created. The development of a central logistics data repository leveraging technical expertise and resources across projects will help to further GHI goals. A partnership with MSD on enterprise resource planning (ERP) project, and an infrastructure expansion project funded with contributions from PEPFAR, GF and MSD, has provided opportunities to strengthen collaboration and increase funding efficiencies. In addition, the partnership has allowed MSD to demonstrate country leadership and ownership in both projects development.
Comprehensive palliative care is essential to the health and well being of PLWAs. Volunteers are organized in Tanzania to provide home-based palliative care to people who are infected with HIV/AIDS or other critical chronic diseases. The home-based care kit provided to these volunteers is a backpack outfitted with medication for basic pain and symptom management; bandages and other wound dressing; gloves; condoms; and materials for integrated counseling and testing (where appropriate), hygiene, malaria prevention, promotion of good nutritional practices, integrated prevention messaging, family planning, and other child survival interventions. The supplies not only facilitate
care but also endow the volunteer with credibility and a sense that they can provide concrete support as well as psycho-social assistance. Plus Up funding in the amount of $400,000 is requested for the purchase of these kits. The proposed funding would support the purchase of approximately 2,600 kits. Restocking would be provided through local GoT facilities as part of the overall service.
In addition, an additional $250,000 is requested for the purchase of nutritional support for people living with HIV/AIDS (PLWHA) who are receiving palliative care services through Home-based Care. HIV/AIDS and malnutrition are both highly prevalent in Tanzania, and their effects are integrated and exacerbated by one another. The current WHO recommendations for the nutrient requirements for PLWHA call for increases for energy over the intake levels recommended for healthy non-HIV infected individuals. The proposed intervention will support those who are HIV-infected with confirmed severe malnutrition. It is estimated that 15 - 20% of the adult population on ART will have severe malnutrition.
The requested funding will allow the piloting of the intervention. This pilot will be linked to the funding requested for nutritional support for orphans and vulnerable children. Broader implemention of the nutritional support for severely malnourished HIV-positive individuals will be planned with FY2008 funding.
Funding for HVTB will go toward comodity support as well as integration of the TB supply chain which currently operates as its own stand alone system. SCMS will combine the latter into the intgrated logistics system for essential medicines. This will allow better and more efficient service to individual service delivery points, while creating a more substainable system.
This activity links to activities HLAB MOHSW 7758, 7779 NIMR, CDCBase 7834, CLSI 7696, APHL7682, AIHA7676, ASCP 7681, AMREF 7672, RPSO 7792, BMC 7685, ZACP 8224, DoD 7746; Track 1 ART CU7697/7698, EGPAF 7705/7706, HARVARD7719/7722, AIDSRelief 7692/7694, DoD7747, Blood Safety; CT NACP 7776, TB/HIV 7781, PMI, FHI 7712; SI NACP 7773, MOHSW 7761
With the FY 2007 funding USG/HHS/CDC will place $ 200,000.00 for negotiation of reagent procurement for the National Quality Assurance and Training Center (NQA&TC) currently under renovation and expected to be completed by December 2007. Through this mechanism various laboratory supplies and reagents and kits for HIV rapid testing and ELISA kits, PCR, CD4 count, Chemistry, Hematology Hepatitis, syphilis and Opportunistic infections tests kits will be procured.
When completed, equipped, and staffed, the laboratory will support MOHSW to introduce, develop and implement HIV/AIDS laboratory quality systems in Tanzania. Also the laboratory would conduct quality assessment of HIV/AIDS testing at Zonal, Regional and district laboratories, develop HIV laboratory training materials, train trainers in HIV/AIDS related testing and testing specific quality assurance, support and conduct HIV surveillance for prevalence, drug resistance threshold and Incidence testing, establish a central area for receiving and delivering distance-based training, and provide technical assistance for external quality assessment (proficiency testing) programs.
The reagents and laboratory supplies purchased will be used for these activities by the National Quality assurance and Training Center.
SCMS will aim to strengthen the national logistics system by providing technical support to MSD, NACP, MOH, and implementing partners. Areas of technical support include ensuring in-country availability of health commodities and updating the three-year forecast and quantification for ARV drugs, test kits, and lab supplies while monitoring data quality from facilities.
Support of MOHSWs PMU model will be expanded to strengthen district-level health commodity procurement processes. For the TB and leprosy programs, revision of SOPs and training curricula will be rolled out to all CTCs in FY 2012. SCMS will support the national roll out of its previously piloted lab supply logistics system. The Supply Chain Monitoring Advisors (SCMAs) will continue working with MSD to monitor HIV/AIDS commodity stock levels in the zonal stores. In support of the GHI strategy, collaboration with USAID|DELIVER PROJECT will extend support to other commodities, such as anti-malarial drugs and contraceptives, as needed. Support by SCMAs will assist the expansion of additional PMTCT sites and continue to support the CTCs.
As an activity to continue improving the project, SCMAs will conduct stakeholder meetings to share information on challenges and solutions in commodity management. Routine meetings with partners will be facilitated by SCMS at the central and zonal/regional levels to review supply chain monitoring results and strengthen sustainability and country ownership of the SCMA program.
Support of MUHAS to test samples of OI drugs and other commodities for quality assurance will continue in FY 2012. Additionally, work with the Tanzania Food and Drug Authority (TFDA) in quality assurance, regulatory compliance monitoring, and customs clearance procedures will commence. SCMS will provide targeted infrastructure support to improve and expand storage capacity in district and regional facilities, which will include facilitating the disposal and recycling of expired products that currently congest facility stores.
SCMS will work with the Zanzibar Ministry of Health to support health commodity security, including capacity building in long-term forecasting, funding requirement analysis, procurement planning, pipeline monitoring, and procurement services for equipping new health facility stores in Zanzibar. Renovation of the MUHAS lab will improve the quality of testing. Implementation of MSDs new ERP system will strength and advance the URTs integrated information system.
GIS mapping of health facilities will be used to analyze and optimize MSDs storage and distribution resources. Continued support for the development of a URT eLMIS to serve as a central data warehouse for multiple sources of health commodity logistics data allows for greater access to data quantification, monitoring, and supervision of the supply chain. This effort will be coordinated with the USAID|DELIVER PROJECT initiative to establish a logistics management unit at MOHSW, which will form the central user group of the eLMIS system.
SCMC will continue to help manage planned and emergency commodity procurement in support of Tanzanias AIDS Control Program for ARV drugs, drugs for opportunistic infections, lab reagents, and supplies and warehouse equipment. This is to inclued a newly initiated process for sourcing quality assured OI drugs from approved local venders.
COP 2012 funds will be used to procure MC kits for USAID's VMMC implementing partner, JHPIEGO. An additional $1,920,000 will be designated for MC kits through carryover funds, which will be strategically distributed to all USG/T VMMC implementing partners. $2,000,000 will be used for MC kits and Rapid test kits for VMMC programs with the DoD.
SCMS will procure $670,000 worth of test kits for CDC (320,000) and USAID (350,000) to augment support of NACP and PEPFAR ART programs in Tanzania. SCMS will also procure $620,000 worth of test kits for DoD programs.
Additional $558,318 to support additional commodities
The Partnership Framework agreement between the URT and USG stipulates that USG will provide $10 million dollars a year throuigh 2013 for the procurement of ARVs. The USG and National Aids Control Program will make determinations on the ARVs to be procured through quarterly quantifications. SCMS will make the respective procurement as directed through this quarterly quantification process. Funding committements are being met through current pipeline within HTXD.
Through DoD support, SCMS will procure $154,000 worth of test kits to augment support of NACP and PEPFAR ART programs in Tanzania. SCMS will procure $900,000 worth of lab reagents for DoD to support in country ART partners. SCMS will also procure $700,000 of treatment for OIs in adults for DoD programs.
