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
APHL goals in Tanzania are to strengthen the laboratory networks, infrastructure, and services in the country. APHLs major objectives for FY 2012 include strengthening national laboratory information management systems (LIS)-paper and electronic, supporting the central laboratory database, and supporting the implementation, monitoring, and evaluation of the national health laboratory services strategic plan.
APHL will continue to support the following Phase I and II LIS regions: Bugando, Mbeya, Songea, Shinyanga, Dar es Salaam, KCMC, Tanga, Amana, Temeke, Dodoma, Morogoro, and Arusha. Within FY 2012, APHL will expand the eLIS system to six new sites to the following new regions: Kagera, Tabora, Mara, Mwananyamala, Lindi, and Rukwa.
Cost efficiency strategies will be obtained by building local capacity to manage the paper and electronic LIS system, reducing foreign technical assistance visits, and negotiating more competitive LIS contracts with the vendors selected by Tanzania.
APHL and MOHSW will co-develop and manage the LIS contracts and Tanzania LIS cost of ownership documents. This will build capacity for the MOHSW to plan and budget for the LIS in the coming years. APHL is also ensuring local MOHSW will get trained in the LIS software systems and central database, including troubleshooting, so that MOHSW can manage more of these responsibilities on their own.
APHL will evaluate the effectiveness of the LIS by examining indicators, such as turn-around-time, both pre and post the LIS systems. Key laboratory data will be shared with the MOHSW and CDC from the central database, per their data set specifications. APHL will provide M&E tools for assessing the national laboratory strategic plan implementation.
In order to assist Tanzania in the implementation of a paper based laboratory information system (LIS) to support HIV/AIDS care and treatment, APHL will assist with reviewing the paper based tools with MOHSW and CDC on an annual basis. In addition, APHL will provide technical assistance to the MOHSW to update these tools. Continual support of the monitoring and evaluation component of a paper based training, which is being rolled out by MOHSW, will be supported by providing technical assistance to ensure improvement projects are being effectively implemented. Five laboratories implementing paper based improvement projects are being targeted with laboratory tools being reviewed and revised as necessary.
APHL will support data mining activities and deliver training on the LIS central database, which includes building MOHSW capacity to manage the central database. This database will be interfaced with the Health Management Information System database currently being developed in Tanzania. Training will be offered on the database, general data management, and data mining skills. This initiative will provide more timely data for surveillance and policy decision. The target will be to have two MOHSW designated data management administrators trained and 60 MOHSW representatives trained on data management and mining.
APHL will assist with the implementation of the LIS to support HIV/AIDS care and treatment in six of the phase III laboratory sites from Kagera, Tabora, Mara, Mwananyamala, Lindi, and Rukwa. APHL will expand the electronic LIS system to phase III sites as outlined in the Tanzania LIS strategic/operational plan. Laboratory assessments in these new sites will be completed to determine high-level system requirements. Hardware procurement and minor renovations to prepare for the LIS will be completed. An open RFP process will be completed immediately thereafter to ensure the most appropriate LIS vendor is selected for the expansion sites. APHL will provide technical assistance throughout this process and ensure the LIS software selected is properly customized for Tanzanias needs.
APHL will support software costs, oversee the implementation of the LIS at the sites, and ensure proper management and support structures are in place for the electronic LIS. APHL will work with the MOHSW to ensure capacity is built within the Ministry to sustain the ongoing initiatives. Super-user training, user training, and software customization will continue targeting key representatives from the new LIS sites. This will ensure knowledge transfer to the local laboratory community on LIS implementation. Scheduled re-fresher trainings will also be provided periodically to ensure the training is successful. APHL will continue these sustainability initiatives in the next phases of the LIS roll out training laboratory representatives from the newly selected sites. Six new sites are targeted to have LIS installation with at least 60 lab staff trained as super end users on the software.
Technical assistance will be provided to review the national health laboratory strategic plan and to evaluate and document progress in this area. APHL will provide monitoring and evaluation tools to assess the effectiveness of the laboratory strategic plan implementation. The target will be to create and finalize the M&E tool for the national health laboratory strategic plan.
