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: 2011 2012 2013
While improvements have occurred in TB control in selected areas, there are still many challenges in clinical TB and TB/HIV patient management, programmatic issues, and overall collaboration between the HIV and TB units in the MOHCW. Tuberculosis is the most common cause of death in Zimbabwe, particularly in age groups with high HIV prevalence (15-49 years). To reduce disease burden and mortality from TB/HIV, it is imperative to scale up TB/HIV care, as well as strengthen the overall health system that provides these and other health services. The objectives of this USG support are to: (1)scale up decentralization of TB diagnostic and treatment services to primary health care (PHC) clinics in urban areas through activities based on the STOP TB Strategy; (2) expand integration of HIV diagnostic and care services, including antiretroviral treatment (ART), into management of TB suspects, patients and their family members in these settings; (3) expand integration of TB diagnostic and treatment services into management of persons living with HIV (PLHIV) and their family members in these settings; (4) strengthen TB infection control measures in health facilities in urban areas; and (5)strengthen recording and reporting of TB, TB/HIV and HIV care activities. These activities will be implemented by The Union and will essentially be a continuation of the scale up activities from COP 11. An additional 10 - 15 TB/HIV integrated care sites will be added to the 12 that would have been established in FY 12 with COP 11 funds.VEHICLES: Inventory (purchased/leased) under this mechanism = 2; New requests in COP FY 2012 = 0; Total planned/purchased/leased vehicles for the life of this mechanism = 2
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHVTB MOHCW 50000 This mechanism supports TB and HIV/TB collaborative activities in-country. Limited PEPFAR funds are used to support Global Fund implementation, however, significant USAID funds support national level coordination and service delivery through the national TB program.
In FY 12, PEPFAR funds will be used to continue FY 11 activities to scale up a successful TB/HIV integration model that was piloted in Harare and Bulawayo (funded by the EU). This model of TB / HIV integrated care was piloted in the cities of Harare and Bulawayo. In this model , the nurses in a facility are trained to offer a package of services including counseling and testing for HIV, screening for TB, initiating/following up TB treatment, initiating/following up ART and recording/reporting these activities. This model will be rolled out initially to select high burden areas particularly the cities with high population densities. The expected outcomes from this intervention will include:Enhanced human resource capacity for TB/HIV care at primary health care level;High degree of clinical suspicion of TB in all patients visiting health care centers, among clinic health workers;TB/HIV care decentralization to primary care clinics, including initiation of TB treatment and ART;Reduced barriers for HIV testing of TB suspects; reduced barriers for TB screening of HIV infected patients;Strengthening of directly observed TB treatment at clinics;Improved rapport between TB/HIV patients and health workersFacility level TB and HIV data analysis and use for planning.
This activity is expected to cover 12 facilities with FY11 funds and an additional 8-10 with FY 12 funds. These facilities will be predominantly in urban areas with high population densities and consequently high disease burdens. With the anticipated improvements in the ability of health care workers to diagnose TB, it is estimated that there will be between 50 and 60 such facilities nationwide by end of 2012.
