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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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: 2008
THIS IS AN ONGOING ACTIVITY FROM FY 2008. ACTIVITIES LISTED HAVE BEEN INITIATED AND
WILL PROCEED DURING FY 2009 AS IN THE PREVIOUS YEAR. ACCOMPLISHMENTS WILL BE
REPORTED IN THE FY 2008 APR. PLEASE NOTE THAT THE ACTIVITY NARRATIVE REMAINS
UNCHANGED FROM FY 2008.
The funding for this activity has changed from 1,300,000 to 1,104,321.
Cervical cancer screening activities will be funded in FY09 out of adult care services
*END ACTIVITY MODIFICATION*
TITLE: A Comprehensive Community Approach to Integrated PMTCT/FANC/PNC Services
NEED AND COMPARATIVE ADVANTAGE: This proposal addresses the need to support both HIV and
broader Reproductive health needs of HIV positive mothers and their children, and provides an example of
a wraparound program. The program supports PMTCT services through ensuring a more comprehensive
and integrated Maternal Neonatal and Child Health (MNCH) services for HIV+ pregnant women and their
infants. It covers unique needs from the antenatal care (ANC) period, through labor and delivery and
period through a community approach.
JHPIEGO will mobilize and work with the community through community health workers (CHW) and
Community Own Resource Persons (CORPS) to mobilize moms and their family support units to create
demand and access to comprehensive reproductive health services that strengthens both PMTCT and
Reproductive health services at the community level.
ACCOMPLISHMENTS: Based on JHPIEGO's previous work in Tanzania in Focused antenatal care, Safe
Motherhood initiative in emergency obstetric care, and more recently Malaria through community health
workers , JHPIEGO intends to use the experience gained to strengthen community mobilization and
demand creation so that more women access PMTCT and RH services.
ACTIVITIES: In the proposed program, the strategy is to ensure that HIV+ pregnant women are linked to a
continuum of comprehensive MNCH care services through an integrated community/facility approach. This
proposed program will build on the CDC-funded community mobilization project and tools as well as the
USAID-funded FANC/PMTCT service provider orientation tools. JHPIEGO will train CHWs to transmit key
messages among pregnant women regarding PMTCT, FANC, preventing malaria, post natal care (PNC)
services, family planning (FP), and cervical cancer prevention. Using their FANC orientation package, the
program will complement and strengthen the skills of low-level providers working in health centers and
dispensaries serving as care and treatment centers refills/outreach sites. Providers will offer quality RH and
HIV services to women in their communities and ensure follow-up as indicated. The community component
will create demand for quality integrated health services, and will therefore complement HIV and RH
services at the health facility level to strengthen service provision.
Up to four districts that have the need/capacity for strengthening community outreach will be selected to
pilot this initiative, with a scale-up planned for subsequent years based on lessons learned.
ACTIVITIES: 1) Carry out advocacy and sensitization meetings: at national, regional, district and ward
levels with a focus on CHWs leadership to create awareness and to facilitate buy-in from stakeholders.
2) Initiate active FANC/PMTCT program for mothers and infants in the target districts through CHW: with
messages to improve ANC care, HIV screening, ARV prophylaxis, follow-up of infants and mothers, uptake
of intermittent presumptive therapy/prevention (IPTp), use of long-lasting ITNs (based on national PMTCT
and malarial guidelines), exclusive breastfeeding (AFASS as appropriate), transition to complementary
feeding, cotrimoxazole prophylaxis for infants, cervical cancer prevention and FP. 2a) Conduct assessment
of existing RH/PMTCT/FANC/PNC services. 2b) Develop strategic approach to support PMTCT/FANC and
PNC follow-up using assessment findings.
3) Improve PNC/safe delivery/cervical cancer prevention/FP services, including postpartum FP at up to four
district hospitals (that are also serving as care and treatment centers) and up to eight selected health
centers (two per district), where FANC/PMTCT services have already been established to improve
availability of quality, comprehensive RH/MNCH services for mothers and infants. 3a) Ensure training as
appropriate in PNC, safe delivery, cervical cancer prevention and/or FP for providers, based on existing
training materials and national standards. 3b)Conduct supervision quarterly.
4) Community mobilization for RH/FANC/PMTCT/PNC and follow-up through the first year: to support
norms for routine RH/FANC/PMTCT/PNC and follow-up of mothers and infants. CHWs will sensitize fellow
community members on the importance of ANC, PMTCT and other RH services for HIV+ pregnant women;
refer pregnant women in their communities to ANC and PMTCT services; refer women who recently
delivered for postpartum and newborn care; refer women for cervical cancer prevention and FP services;
and refer infants for treatment with cotrimoxazole. 4a) Identify needs in RH/FANC/PMTCT/PNC and
develop an action plan, including messages and information education and communication (IEC) materials
supportive of RH/FANC/PMTCT/PNC and follow-up care through the 1st year postpartum. 4b) Carry out
local sensitization meetings for community leaders in the importance of RH/FANC/PMTCT/PNC for women
and infants. 4c) Adapt previously developed training materials for CHW trainers, CHW supervisors, village
health committees (VHCs) and volunteers in RH/FANC/PMTCT/PNC. We will work with stakeholders to
revise the current FANC community mobilization training materials to include additional information on
PMTCT, HIV prevention and care, MIP, safe delivery, PNC, cervical cancer prevention, FP and other key
MNH areas that are not currently covered through existing community mobilization efforts and will ensure
that these are appropriate for the local context. 4d) Two trainers from each district will be oriented on
training and supervision manuals and reference guides for community mobilization for integrated
Activity Narrative: 4e) In each ward, four service providers will be selected and trained to provide supportive supervision to
CHWs. 4f) In each district, two CHWs will be trained from approximately four to six villages on how to
transmit key messages, conduct individual and group counseling and develop action plans. 4g) Support
CHWs, VHCs, and other advocates to carry out household visits to women in their communities and refer
LINKAGES: We activities will be linked with existing RH, PMTCT, FANC and other MNCH services
implemented by the MOHSW and local partners at both the facility and community level. We will work with
the Ministry of Community Development, Gender and Children, and international NGOs training service
providers and CHWs on all topics to integrate RH/PMTCT/FANC/PNC messages. At the facility, we will
work in coordination with ACQUIRE, EGPAF and URC for PMTCT, with ACQUIRE and other partners for
FP, with national MOHSW initiatives for improving maternity care and current FANC activities. We will
collaborate closely with those organizations currently working to support CTCs. For example, our partner,
international medical association (IMA) World Health, has relationships with many such CTCs. In addition,
We will bring in new partners who are working in areas such as cervical cancer (from Ocean Road Cancer
Institute) to work with regional JHPIEGO experts on cervical cancer prevention training and service delivery.
CHECK BOXES: The program emphasizes a wraparound approach because activities will include
promotion of FANC (a malaria and child survival-focused activity), safe delivery, cervical cancer prevention
and PNC services including FP with special consideration for HIV+ women. We will work closely with the
RCHS to develop and implement this program.
Pregnant women, adult women, adolescent girls, and men were selected as target populations. Because
the median age at first birth in Tanzania is 19-years old, many female adolescents are pregnant and
subsequently may use PMTCT services. It is anticipated that the VCT and ARV FP counseling activities will
reach women who may be interested in becoming pregnant. Group education within the community will
focus on male involvement in MNCH.
M&E: Monitoring of community activities will be done mainly by immediate supervisors through monthly
meetings with CHWs and joint home visits to follow up clients. Immediate supervisors will compile the
reports and forward them to the district level where they will be sent to the RCHS and ACCESS-FP. RCHS
and ACCESS-FP, accompanied by district staff, will complete monitoring visits to selected sites once a
year. We will also evaluate increased use of RH/PMTCT/FANC/PNC services in the target facilities by
examining service statistics on PMTCT counseling and testing, early booking at ANC, intermittent
presumptive therapy (IPT) 1 & 2, attendance at PNC, uptake of post-partum FP, and cervical cancer
screening and treatment statistics. JHPIEGO uses an electronic system to monitor number of people trained
and ensure no duplication of training. M&E will account for 8% of the total budget.
SUSTAINABILITY: We will work closely with district health management teams and national level MOH
partners, including RCHS and NACP, to ensure sustainability. During advocacy meetings, We will support
district health teams to plan for continuation of facility support as well as CHW training and support by
including the program in Council Health Plans. Integrating with other ongoing service provider and CHW
training programs will also increase longevity of support for the program. In FY 2009, JHPIEGO/ACCESSFP
will also introduce a strategy of recognition of high-achieving facilities and CHWs as a further incentive
New/Continuing Activity: Continuing Activity
Continuing Activity: 16402
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16402 16402.08 U.S. Agency for Access FP 9214 9214.08 $1,300,000
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $200,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $50,000
and Service Delivery
Food and Nutrition: Commodities
ACTIVITY NARRATIVE REMAINS UNCHANGED
TITLE: Strengthening Infection Prevention and Control (IPC) Injection Safety (IS) in Tanzania
Transmission of infection is a major problem in Tanzanian health care settings. Improper IPC practices,
including unsafe use of injections, continue to serve as a route for HIV transmission. The Ministry of Health
and Social Welfare (MOHSW) and other stakeholders in the health sector acknowledge that IPC-IS is one
of the pre-requisites for ensuring safe health care delivery as well as protecting the population from
infectious diseases including HIV/AIDS. Injection safety is essential to protecting the health workforce.
JHPIEGO is an international leader in implementing evidence-based IPC practices that protect both the
client and the health care worker and has developed successful IPC-IS initiatives through focused antenatal
care (FANC) and Reproductive and Child Health Services (RCHS) in over 40 countries.
ACCOMPLISHMENTS: This IPC-IS program builds upon efforts already being implemented by JHPIEGO in
partnership with the MOHSW health services inspectorate unit (HSIU), under the ACCESS program and
John Snow International, Inc (JSI). Utilizing FY 2005 PEPFAR funding, JHPIEGO/ACCESS assisted the
HSIU in developing national guidelines on IPC. During FY 2006, the guidelines were adapted into a
simplified pocket guide for health care providers, translated into Kiswahili, printed, and widely disseminated
to frontline health care workers. Currently, in FY 2007, JHPIEGO/ACCESS is assisting the HSIU in
developing an IPC orientation package for use in orienting district-level policymakers and training
institutions to the IPC guidelines. Approximately 60 tutors will be updated on IPC-IS and use of the
orientation package for updating others in the pre-service training institutions. These trainers will receive
support to implement the IPC-IS training. In addition, the IPC orientation package will serve as a tool for
advocacy with Council Health Management Teams (CHMT) to ensure that standard precautions are
featured in Council Comprehensive Health Plans (CCHP). JHPIEGO/ACCESS collaborated with the
MOHSW/HSIU to develop and introduce a formal quality improvement (QI) initiative at individual health
facilities. JHPIEGO/ACCESS, JSI, and HSIUwill develop nationally standardized performance standards for
IPC-IS and will adapt these standards into
checklists for both external assessments and internal QI work. This work has been discussed and solidified
by all key stakeholders, and suggested target districts have already been identified with HSIU input.
ACTIVITIES: JHPIEGO/ACCESS will introduce IPC-IS performance standards and a QI approach to 26
hospitals previously identified and trained on IPC-IS best practices by the MOHSW/HSIU and JSI.
JHPIEGO/ACCESS will work with 13 of these hospitals under the FY 2008 plus up funding to introduce the
IPC performance standards and the QI approach. This initiative will come to fruition when FY 2009 funding
becomes available for program introduction to the remaining 13 hospitals.
The program will include assembling advocacy meetings with regional and district health teams in the areas
where selected hospitals are located in order to introduce the program to local authorities and advocate for
IPC-IS training and equipment to be entered into council health plans. Additionally, up to five IPC-IS focal
persons from each facility will be trained on IPC QI process and tools through a modular approach.
Selected focal persons were chosen by the HSIU, updated on IPC best practices, and will form the core of
QI teams within the IPC-IS committee at their facilities. Furthermore, 13 hospitals will receive support to
conduct baseline assessments on IPC-IS. The QI team will subsequently review results, identify gaps, and
develop action plans to address these gaps.
The 13 hospitals will receive additional support in order to conduct quarterly follow up assessments on
conduct onsite analysis, and share results with hospital staff and HSIU. Roughly three months following
baseline analysis, the first follow up assessment will be conducted by the QI team to evaluate progress and
identify larger gaps and arising issues. Results will feed into module two training where progress and
challenges will be shared. A subsequent follow up assessment will be conducted at a similar interval, with
results shared during module three training. Lessons learned at these trainings will allow QI teams to make
greater improvements in their facilities. After identifying gaps through the assessments, limited support will
be in place to address those shortcomings. These disparities could include support for onsite training,
technical assistance visits, and benchmarking visits.
Two national IPC quality improvement-sharing meetings will be supported by JHPIEGO. Following QI
modular training, program stakeholders from national, regional and district level, as well as facility
management, will convene bi-annually to review results to date, discuss common gaps, and suggest
solutions. Participation in these meetings will assist in advocacy with district and regional policymakers and
support for sustainability of the program.
Additionally, JHPIEGO will facilitate the development of a recognition mechanism/plan for high
scoring/achieving facilities to encourage productivity. JHPIEGO/ACCESS will collaborate with facilities and
the HSIU to develop a formal system of recognition for facilities who achieve at least 80% of standards.
This is a critical element in order to sustain motivation and maintain the QI process at the facilities.
JHPIEGO/ACCESS and HSIU will work with districts to develop local systems for recognizing staff and
funding them through their council health plans based on experiences with other QI work in UIanga District.
LINKAGES: JHPIEGO/ACCESS will collaborate with other organizations and local partners currently
working on IPC-IS. JHPIEGO/ACCESS has already established close working relationships with
MOHSW/HSIU and JSI/Making Medical Injections Safer as part of the IPC-IS thematic group. JHPIEGO
will also link the IPC programs with ongoing work in antenatal care (ANC), ensuring that FANC providers
are also implementing quality IPC-IS practices.
M&E: JHPIEGO will collaborate with HSIU, district health management teams, and other partners working in
IPC-IS in all data collection, evaluations, assessments, supervision tool development and quality
improvement initiatives undertaken as part of IS programs. The supervision and follow up tools that were
developed with FY 2007 funds in collaboration with the MOHSW will be used in the quality improvement
QI assessment results will provide a set of quantitative data for measuring facilities' improvements over time
Activity Narrative: in implementing infection prevention practices to standard guidelines. All work on the QI in the 26 facilities
will be closely coordinated with MOHSW and documented to ensure replication capability in other facilities
in future years. As part of the QI JHPIEGO will collect key service statistics from a sampling of sites to
evaluate translation of improved IPC-IS practices to reduced instances of infection transmission. PEPFAR
training indicators will be reported and other indicators adapted to assist MOHSW to better measure the
progress and potential impact of IS programs.
SUSTAINABILITY: As previously discussed, QI teams will be actively involved in advocacy efforts with all
districts. District allocation of resources to conduct orientation sessions on IPC and IS will ensure greater
coverage and effectiveness. Integrating recognition mechanisms into the program is another way to ensure
sustainability as facilities continuously strive to achieve at least 80% of standards or to maintain this level.
Finally, IPC focal persons will have the training and facilitation skills necessary to replicate this initiative in
Continuing Activity: 13501
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13501 3422.08 U.S. Agency for JHPIEGO 6528 1171.08 $393,016
7730 3422.07 U.S. Agency for JHPIEGO 4546 1171.07 $400,000
3422 3422.06 U.S. Agency for JHPIEGO 2848 1171.06 $200,000
THIS IS A NEW ACTIVITY.
NEED and COMPARATIVE ADVANTAGE: Research conducted by technical experts and other credible
evidence indicates a higher correlation between HIV-positive women, the Human Papilloma Virus (HPV),
and the development of cervical cancer when compared with HIV-negative women. Because HIV-positive
women suffer from weakened immune systems, their resistance to sexually transmitted diseases, including
HPV, is extremely low. The link of HPV to cervical cancer is undeniable; a recent study found an HPV
prevalence of 94% in women with cervical cancer. Prevention of HPV is critical to cervical cancer
prevention, and identification and treatment are necessary steps to protect all women, especially those
living with HIV.
To respond to this evidence, PEPFAR plans to incorporate screening and treatment of cervical cancer into
the area of responsibility for implementing partners. Thus, in the context of HIV infection, cervical cancer is
defined as an opportunistic infection for HIV-positive women and will be included in Adult Care and Support
objectives. Ensuring that capacity and systems are in place for HIV-positive women to be screened and
referred for treatment for cervical cancer (once the program moves to implementation) will ensure that
existing programs can enhance the continuum of care for HIV-positive women in Tanzania.
JHPIEGO has been at the vanguard of global efforts to prevent , identify, and treat cervical cancer since
1997, when it conducted early clinical trials in Zimbabwe and developed an approach to see and treat
cervical cancer in one visit. JHPIEGO has worked to pioneer this unique, medically safe, acceptable, and
cost-effective approach to cervical cancer prevention for low-resource settings. This approach is a low-cost
intervention to identify and treat precancerous cervical lesions. It is a simple and practical procedure that
can be scaled up nationally to significantly reduce rates of invasive cervical cancer. Currently, JHPIEGO is
translating these research results into practice by bringing the single visit approach into routine health
services. JHPIEGO works with ministries of health and national stakeholders to implement a sustainable
and comprehensive approach to cervical cancer prevention.
1) Assess current legislation, programs, epidemiology, and existing information relevant to HPV and cervical
cancer to determine best practices recommended for implementation of a nationwide screening and
treatment program for HIV-positive women in Tanzania.
JHPIEGO will review existing policies and efforts regarding screening for and treatment of cervical cancer
and current availability of treatment for cervical cancer and precancerous lesions. JHPIEGO will also collect
and monitor relevant epidemiological data as it relates to HPV, cervical cancer, and HIV/AIDS.
2) Develop linkages with the Government of Tanzania (GOT), treatment implementing partners, existing
facility-based care programs, and other key stakeholders to ensure sustainable and collaborative initiatives.
JHPIEGO will also meet with various stakeholders and implementing treatment partners who can help to
combat cervical cancer in HIV-positive women. In addition, JHPIEGO will assist the Ministry of Health and
Social Welfare (MOHSW) with the development of a forum for coordination of these efforts, as appropriate.
JHPIEGO will work with the MOHSW to design a pilot for the integration of cervical cancer screening with
low cost and practical methods (e.g., visual inspection) into service protocols, and establish appropriate
referral mechanisms and systems for treatment of cervical cancer.
Options for treatment would be shared with the GOT so that the appropriate options would be included in
national policy and practice. Presently, GOT has policies in place that require cytology-based screening of
all women for cervical cancer; however, current rates of compliance are unclear. JHPIEGO will review the
existing guidelines for cervical cancer screening and treatment systematically and explore current
implementation of these guidelines and other practical and available treatment options. These
assessments will determine capability and identify existing infrastructure for cytology-based screening, and
alternative methods of screening and treatment will be explored for areas lacking resources. In addition to
national considerations and input from implementing partners, successful programs from other African
countries (e.g., Zambia) will be considered for adaptation into the Tanzanian context. It is likely that a
simple, low-tech approach will be adopted, using visual inspection and acetic acid to detect HPV and
3) Expand the continuum of care to include cervical cancer screening and treatment for HIV-positive women
in Tanzania; services delivered by trained nurses, midwives, clinical officers, assistant medical officers, and
The USG/Tanzania Clinical Services team will work with the Cervical Cancer Taskforce to ensure that
proposed programs are compliant with PEPFAR guidance, as well as with existing and procedures.
Additionally, JHPIEGO will assist the MOHSW in updating guidance as appropriate, and develop plans for
the piloting and implementation of cervical cancer screening efforts among HIV-positive women, including
plans for funding, evaluation, and sustainability. Since this a new area of focus, major groundwork will take
place to assess and develop infrastructure to support future programs, which will be larger in scope in
subsequent years. If possible, the program will be piloted with USG treatment partners in a limited number
LINKAGES: In compliance and in conjunction with GOT (particularly the reproductive health unit at the
MOHSW), JHPIEGO will ensure linkages and coordination with existing implementing partners who already
provide facility-based HIV/AIDS care and support. These implementing partners include Harvard, Deloitte,
EGPAF, Mbeya Referral Hospital, Mbeya Regional Hospital, AIDSRelief, PharmAccess, Columbia, Selian,
and PASADA. The linkages will also include collaboration with other stakeholders, both US Government
(USG) and non-USG-funded activities currently supporting efforts relating to screening and treatment of
cervical cancer, other women's health issues, and HIV care and treatment.
TARGET POPULATION: Screening and treatment programs for HPV and cervical cancer will be directed
solely toward HIV-positive women, in compliance with Country Operation Plan (COP) guidance for these
Activity Narrative: M&E: JHPIEGO will collaborate with implementing partners to develop a Monitoring and Evaluation (M&E)
system to monitor feasibility, scalability, potential for impact, and cost-effectiveness of potential cervical
cancer programs. Evaluation data will ensure ongoing program improvements in addition to securing and
facilitating future replication, expansion, and national scale-up of programs. Evaluation components will
include qualitative and quantitative measures, and use cost data analysis to monitor program activities,
including monitoring the number of HIV-positive women screened and treated for HPV and cervical cancer.
JHPIEGO will work with implementing partners to develop appropriate tools and necessary systems to
collect and report relevant data. Data will be shared on a quarterly basis to ensure the effective partnership
between implementing agencies in meeting goals and objectives.
SUSTAINABILITY: In order to develop sustainable and effective programs, FY 2009 funds will be allocated
toward developing protocols, reviewing and refining standard guidelines for programs and procedures,
training for human resources, and creating job aids for screening and treatment of cervical cancer.
Sustainability will occur through knowledge and information sharing among partners and key stakeholders,
in addition to linking with already existing HIV care and treatment initiatives. By ensuring that implementing
partners collaborate within existing public and private mechanisms, using national guidelines, and
complementing an already existing continuum of care for HIV-positive women, sustainable services that
build upon existing systems will be ensured.
New/Continuing Activity: New Activity
Program Budget Code: 09 - HTXS Treatment: Adult Treatment
Total Planned Funding for Program Budget Code: $74,974,303
Total Planned Funding for Program Budget Code: $0
ACTIVITY NARRATIVE REMAINS UNCHANGED FROM FY 2008.
The funding for this activity has changed from clinical services (HTXS) to Health Systems Strengthening
(OHSS), as a result the targets have also changed to reflect their contribution to OHSS targets. In FY 2008
this activity did not contribute to HTXS targets.
TITLE: Strengthening Pre-service Education for Medical Institutions
NEED and COMPARATIVE ADVANTAGE:
National medical institutions and university teaching hospitals play a critical role in the training and
development of new health workers. Such sites are often used for clinical training aspects of many health
worker cadres, not just medical students. Furthermore, medical institutions and physicians hold a great deal
of influence in Tanzania. To this end, it is critical that such institutions and their personnel exhibit and
support quality care for HIV/AIDS according to evidence-based best practices as a model for the entire
JHPIEGO has a long history to working with pre-service educational institutions throughout the world. With
USAID funding, JHPIEGO/ACCESS has been working to improve teaching of PMTCT in pre-service
schools, both certificate and diploma levels. This work was building on previously-established
relationships with pre-service schools for integrating focused antenatal care (FANC) into their curricula. In
FY 2008, ACCESS plans to expand the FANC work to medical schools with funding from the Presidential
Malaria Initiative. This will enable ACCESS to develop a strong relationship with medical schools.
ACCESS will work with the MOHSW of Tanzania, the National AIDS Control Program (NACP), and the
Human Resources Development Directorate, to strengthen medical training institutions such as Muhimbili
University College of Health Sciences (MUHAS), Kilimanjaro Christian Medical College (KCMC), and
others. Specifically, ACCESS will supply equipment for state-of-the-art teaching. ACCESS will supply at
least five schools with educational equipment such as LCD projectors and laptop computers in order to aid
them in delivering high quality lectures and lessons. Representatives from recipient institutions will also be
trained on the use of such equipment.
JHPIEGO/ACCESS will collaborate closely with other organizations, local partners and health care
providers currently working with medical institutions and national teaching hospitals. JHPIEGO will also
ensure synergies between its own pre-service activities to avoid re-inventing the wheel.
The area of emphasis for this program is Human Capacity Development through pre-service training for
medical professionals and educators.
JHPIEGO will use the TIMS database to capture names and numbers of persons trained. M&E will account
for five percent of the total budget.
SUSTAINAIBLITY: The sustainability of all pre-service programs is long-term in that by ensuring that new
graduates have updated skills in evidence-based best practices, there is less need for in-service training.
Furthermore, this program will improve pre-service facilities and this will allow more students to enter to
training and will ensure that new providers graduate with the necessary skills to provide adequate care to
Continuing Activity: 16978
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16978 16978.08 U.S. Agency for JHPIEGO 6528 1171.08 $150,000
Estimated amount of funding that is planned for Human Capacity Development $150,000