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
The goal of this project is to contribute to the PEPFAR vision of providing treatment to 440,000 HIV/AIDS patients and HIV care to 2,500,000 individuals. To maintain agency operations, the various objectives will be achieved in FY 2012: expand access and maintain quality TB/HIV services; strengthen the capacity of managers and health care providers in both the public and private care sector to correctly manage TB/HIV co-infected patients; scale up management of childhood TB in 47 districts; provide expertise on scaling up implementation of intensified case finding, isoniazid preventive therapy (IPT), and infection control (3Is) in collaboration with NACP and other stakeholders; improve M&E systems, including surveillance of TB/HIV in the country; empower communities to participate in TB and TB/HIV control activities; and improve laboratory capacity to diagnose TB, including multi-drug resistant TB.
Activities will be implemented in 70 districts, which are located in 11 regions on the Tanzania Mainland; the remaining 86 districts will be supported by the Global Fund to Fight AIDS, TB, and Malaria (GFATM), PATH, and other partners. The targeted population are those with potential vulnerabilities to TB, TB and HIV/AIDS patients in both public and private health facilities, and community members. TB and TB/HIV modules will be incorporated into medical schools training curricula. Districts will be encouraged to include TB/HIV activities in their CCHP as part of the transition to local ownership. Progress of implementing project activities will be monitored through quarterly technical and financial reports following supervision visits, coordinating committee meetings, and annual audit.
This project is aligned with MOHSWs revised 2007 policy and Health Sector Strategic Plan III (July 2009-June 2015), Five-Year Partnership Framework that is in support of the Tanzania National Response to HIV/AIDS (2009-2013), National TB and Leprosy Program Strategic Plan (2009-2015), and National TB/HIV Policy Guidelines (2007). The National TB and Leprosy Program (NTLP) has taken a leading role in implementing and coordinating TB and TB/HIV control activities with great success. TB notification and treatment success rates are above the global target, currently at 70% and 88% respectively. Screening of HIV among TB patients is above 90%.
Given its technical capability, NTLP has taken a leading role in developing various TB/HIV guidelines and tools used by collaborating partners in the country. In the last five years, NTLP has established a human resource base to implement the proposed activities. The program, with CDC/PEPFAR and GFATM support, has recruited and trained 90 TB/HIV officers who have been deployed to 106 districts with two coordinators at the national level to monitor TB/HIV activities. In addition, over 4,500 health care workers have been trained in TB/HIV services. Annual audits of financial statements are conducted by the Office of Control and Audit General and predetermined USG approved auditors. The government plans to absorb coordinators recruited through CDC/PEPFAR and GFATM support into regular services under the accelerated recruitment mechanism. The program has already adopted the revised Partnership Framework and PEPFAR II indicators, while M&E plans and tools have been updated to incorporate the revised indicators. The indicators will be reported on a quarterly basis at district, regional, and national levels.
In the last COP, NTLP has made significant achievements in implementing TB/HIV activities in the country. TB/HIV services have been successfully scaled up throughout the country to all districts with support from CDC/PEPFAR, GFATM, and other partners. Over 90% of all TB patients are being screened for HIV and the co-infection rate is approximately 38%. Of these, nearly 92% were initiated on CPT, but only 35% were initiated on ART during the reporting period. Regarding 3Is, IPT was introduced successfully in 18 districts and plans are underway to expand to another 21 districts using experience gained from the early starters.
The following guidelines and tools for implementing collaborative TB/HIV activities were produced: National Policy Guidelines for Collaborative TB/HIV Activities, collaborative TB/HIV activities training manual, 3I's training manual, 3Is M&E tools, TB infection control guidelines, pediatric TB/HIV guidelines, revised TB diagnostic algorithm, revised M&E tools to include TB/HIV variables, TB/HIV job aids, and strategic approach for 3I's phase implementation.
The program took a lead in collaboration with NACP to pilot provision of HIV care and ART services in Temeke TB clinic in 2006. The aim was to increase early HIV care and uptake on ART to TB/HIV patients and ensure TB infection control. The pilot project was evaluated in 2009, which showed that about 81% of those eligible received ART. Following the pilot project, HIV care and treatment services have been introduced in approximately 62 TB clinics. In addition, 22 TB clinics have been renovated to provide HIV care and ART. The program has also updated the ETR.Net software to include TB/HIV indicators.
