NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

The TUNAJALI II program continues to support the scale-up of comprehensive, integrated, and sustainable clinical and community-based HIV/AIDS services in five regions: Njombe, Iringa, Morogoro, Dodoma, and Singida. The program intends to achieve the following results by the end of the program period: improved capacity of local governments to plan; manage and report quality HIV service delivery and support; enhanced capacity of CSOs for comprehensive community-based HIV/AIDS service management and delivery; increased local revenues and resources available for integrated HIV and AIDS care; improved access to quality, integrated and comprehensive HIV care and treatment services; and improved woman and girl child responsive HIV treatment, care and support. The program contributes to the GHI strategy by scaling up services and enhancing local ownership and sustainability. In addition to Pre- ART and ART services, facility services also include the provision of provider-initiated testing and counseling (PITC), laboratory diagnostic services, palliative care, TB/HIV screening and treatment services, management of OIs, cervical cancer screening, FP and RH services, malaria prophylaxis (IPT), PHDP services, and nutritional assessment counseling and support services. Community services include palliative care for PLHIV, PHDP, PLHIV support groups, ART adherence, and patient follow up. TUNAJALI II builds local government and CSO institutional capacities to be able to manage the program and improve gender mainstreaming at all levels. The program also strengthens referral networks and linkages with other HIV/AIDS implementing partners and programs for better outcomes. TUNAJALI II also aligns its services and M&E to national guidelines, standards, and frameworks.

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.