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: 2008 2009
ACTIVITY NARRATIVE HAS BEEN MODIFIED IN THE FOLLOWING WAYS
With 2008 funds NBTS has centralized its blood testing and expanded blood collection as well as
component production. RPSO is continuing to provide procurement of reagents and supplies, contractual
services for renovation, acquisition and installation of equipment for the NBTS through FY08 funds. RPSO
will procure equipment and supplies necessary for implementation of communication and information
technology for the NBTS to support the simple messaging system (SMS) initiatives outlined by phones for
health and the use of personal digital assistant (PDA).
In FY09 RPSO will procure the contractual services for the modification of the zonal centers to create
space for equipment for component production in six zonal centers and space for automated blood testing
systems in the Eastern Zone. RPSO will procure cold chain equipment for 25 new satellite sites in the and
for the hard to reach districts END OF MODIFICATION
TITLE: Renovation, equipment and back up reagent and supplies procurement
NEED and COMPARATIVE ADVANTAGE: Tanzania has established a centralized blood transfusion
system that navigates around seven zonal blood centers. In 2006 and 2007, the Regional Procurement and
Support Office (RPSO) played a major role in the renovation, procurement, and installation of the equipment
necessary for the blood banks to be successful. All seven of these centers have been inaugurated and are
operational.
ACCOMPLISHMENTS: RPSO has been instrumental in the contracting aspect of major renovation
initiatives, and for equipping the seven operational zonal blood centers in order to effectively procure, test,
and collect blood for nationwide emergencies. In Fy08 RPSO will continue to play the procurement role of
blood equipment for blood processing as well as storage and distribution. Also will procure a back up stock
of reagent and test kits and other supplies for NBTS to avoid stock out.
ACTIVITIES: These activities will be funded through bilateral mechanism to complement Track 1.0 funding.
RPSO will provide procurement and contractual services for the acquisition and installation of equipment for
the NBTS. The seven zonal centers serve up to five regions each in blood services. Some regions are very
remote and difficult to access for the purpose of collecting and distributing safe blood. In order to facilitate
availability of safe blood, the Ministry of Health and Social Welfare (MOHSW), with assistance from Abbott
Foundation, are currently renovating all regional laboratories which include regional blood banks. NBTS will
equip thirteen of these regional blood banks with equipment for storage and distribution of blood to make it
accessible to district hospitals and health centers while ensuring maintenance of the cold chain. This will
facilitate availability of safe blood to more communities in the far-reaching corners of Tanzania.
Another initiative being considered regarding provision of a continuous supply of safe blood in FY 2008 is to
procure a back up stock of HIV test kits, reagents, and other supplies to supplement the amount acquired
from government sources.
With a rising increase in blood collection, there is a need to increase the efficiency of blood screening for
transfusion transmissible infections (TTIs). Utilizing automated screening equipment can increase
efficiency, while decreasing the necessity for trained personnel in manual application and decreasing the
likelihood for a margin of error (both of which plagued previous blood screening methods). There is a
palpable need for increased mass mobilization, advocacy for blood donation, and sensitization to reduce
stigma. These initiatives call for additional audio/visual equipment for zonal mobile teams. With extensive
experience in contractual and procurement programs commissioned by the USG, RPSO will facilitate the
procurement process and negotiate contractual services to meet and exceed the NBTS requirements.
Remote areas will be served even more conveniently with an additional 13 regional blood banks spread
throughout the country and continous availability of necessary reagents and supplies.
SUSTAINAIBLITY: Renovating and equipping the regional facilities will lead to sustainable availability of
safe blood in all regions and district health facilities. By increasing the number of zonal centers and safe
blood collection points, and through successfully addressing stigma concerns, more and more Tanzanians
will give blood and get tested. This will lead to sustainable repeat donor relationships in addition to people
finding out their status.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13574
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13574 12388.08 Department of Regional 6553 2244.08 $666,224
State / African Procurement
Affairs Support
Office/Frankfurt
12388 12388.07 Department of Regional 4574 2244.07 $200,000
Table 3.3.04:
ACTIVITY UNCHANGED FROM FY 2008
NEED and COMPARATIVE ADVANTAGE:
Tanzania has established a centralized blood transfusion System that navigates around seven zonal blood
centers. In 2006 and 2007, the Regional Procurement and
Necessary for the blood banks to be successful. All seven of these centers have been inaugurated and are
Operational.
Initiatives, and for equipping the seven operational zonal blood centers in order to effectively procure, test,
And collect blood for nationwide emergencies. In Fy08 RPSO will continue to play the procurement role of
Blood equipment for blood processing as well as storage and distribution. Also will procure a back up stock
Another initiative being considered regarding provision of a continuous supply of safe blood in FY 2008, is
to procure a back up stock of HIV test kits, reagents, and other supplies to supplement the amount acquired
transfusion transmissible infections (TTIs). Utilizing automated screening equipment can increase efficiency,
while decreasing the necessity for trained personnel in manual application and decreasing the likelihood for
a margin of error (both of which plagued previous blood screening methods). There is a palpable need for
increased mass mobilization, advocacy for blood donation, and sensitization to reduce stigma. These
initiatives call for additional audio/visual equipment for zonal mobile teams. With extensive experience in
contractual and procurement programs commissioned by the USG, RPSO will facilitate the procurement
process and negotiate contractual services to meet and exceed the NBTS requirements.
throughout the country.
SUSTAINAIBLITY: Renovating and equipping the regional facilities will lead to sustainable availability Of
Continuing Activity: 17026
17026 17026.08 Department of Regional 7626 7626.08 Track 1.0 $500,000
ACTIVITY UNCHANGED FROM FY 2008.
TITLE: Infrastructure Improvements for Care and Treatment Clinics
USG is assisting the Government of Tanzania (GOT) to increase and improve available clinical space to
meet the growing need for HIV care and treatment activities including provision of ARV and private space
for patient counseling and testing. Existing care and treatment clinics (CTC) are crowded and need
additional space to meet the increased patient load. New sites need renovation and addition of consultation
rooms in order to provide quality ARV services.
The Regional Procurement Support Office/Frankfurt (RPSO) is providing Federal Agencies with contracting
resources for renovation and construction of health care facilities. RPSO is working in collaboration with
USG PEPFAR team, the Ministry of Health and several USG care and treatment partners. Proposed
physical infrastructure improvements include upgrades of existing building space and addition of buildings
in designated health facilities to provide patient examination areas, simple laboratory spaces, medical
dispensaries, counseling and consultation rooms, sanitary facilities, dispensing pharmacies, reception
offices and patient waiting rooms. These projects will improve patient flow, ensure confidentiality, improve
and expand counseling services, upgrade hygienic laboratory conditions to contribute to quality patient care
and enhance delivery of care and treatment services in the designated sites.
ACCOMPLISHMENTS:
Two IDIQs (Indefinite Delivery Indefinite Quantity) contracts have been written and competed, which is the
first step for funding and planning the projects under a standardized mechanism. Initial meetings between
RPSO staff and USG PEPFAR Staff began in February 2007 but the final awards were not made until May
2007 for Architectural and Engineering Services and until June 2007 for Construction Company Services.
These IDIQs are valid for three years. For FY07 funds, RPSO funds managed by USG staff have been
awarded to three A&E firms for 29 individual Care and Treatment Clinics for three partners. We are
awaiting plus up funds to begin the remaining five projects for the fourth partner. In all, FY07 funds are
being and will be used to renovate 34 designated medical facilities in the regions of Arusha, Mwanza,
Kigoma, Tabora, Kilimanjaro, Dar Es Salaam, Pwani, Mara, Kagera and Shinyanga. Post renovation
assessment of these initial projects and the process will help partners make good choices about their
selections for future projects based on cost per project and increased number of patients served.
ACTIVITIES:
While the RPSO mechanism is still under evaluation and is not yet used across all USG partners in
Tanzania, it has potential for a system that runs effectively and can legally serve USG partners to
substantially improve infrastructure of medical facilities.
Consolidating infrastructure improvements will greatly reduce administrative and management burden from
partners to allow a single country contact to oversee and coordinate the process for all RPSO activities
across program areas in Tanzania.
As soon as better criteria for accepting projects have been established and cost-effectiveness has been
evaluated, a more standardized approach across USG for renovation and construction should be feasible.
The USG PEPFAR staff along with the A&E and construction firms engaged will be able to provide technical
guidance to partners in outlining their projects. Articulating needs and planning accordingly has been
difficult for partners in the past. By engaging highly trained and established professional teams there will
be more accountability in terms of procurement and services. The companies that have been selected to
design, manage and complete these projects are trusted and admired professionals in this industry and are
accountable towards RPSO, which should lead to timely completion of planned projects.
There have been ample challenges in using the RPSO established IDIQ for infrastructure development
activities within the PEPFAR program in Tanzania.
Although RPSO has advantages over non-centralized mechanisms, there are a couple of draw-backs. So
far, none of the planned projects has started yet, mainly because of the need for intense communication
before approval on various levels. Start of the first projects is anticipated for the beginning of October 2007.
For FY 2008 a total of 91 projects are planned, including two projects for >$ 1 million.
Although no final figures are available for evaluation, it became obvious that the RPSO mechanism is
costly. The main reason is that only a few firms in Tanzania are well versed in US Government legal
documentation and language and these firms are expensive. Costs were initially underestimated and led to
a smaller number of projects that could be initiated. The budget for RPSO increased substantially in FY
2007 to meet the ongoing needs.
LINKAGES:
RPSO activities are closely coordinated with Ministry of Health at the national, regional, and district level.
From the beginning of each project, local representatives of the medical facilities are interviewed regarding
local need, care and treatment partners are required to analyze their priorities within their regions and
government representatives at the MOH are consulted to make sure the project is meeting an important
need and the planned project is within the average standard.
CHECK BOXES:
The area of emphasis will be on the extension, addition, renovation and upgrading of MOH designated
facilities for ARV services. Priorities for renovation and construction are mainly based on clinical needs for
expanding ARV services. This can range from upgrading and expanding an existing site in order to
accommodate more patients, or renovation of a lower level health center where ARV services are planned
but can not be started due to limited space. The Care and Treatment partners in collaboration with the
MOH make the decision on which medical facilities to target and then prioritize from that list depending on
the resources available.
M&E:
In COP 08 this mechanism will be closely monitored and continually evaluated to provide the USG with data
Activity Narrative: that will be used to ensure good choices in terms of level of effort, resources and time vis-à-vis the number
of patients served. USG realizes that the RPSO mechanism is relatively expensive and less flexible than
local construction firms. However, this central mechanism is less prone to fraud and should deliver more
standardized quality outcomes. For minor renovations below a budget of $15,000, partners are encouraged
to engage local construction firms to the extent possible. During this year USG PEPFAR staff will collect
data to come up with additional criteria for future renovations and new construction projects.
After FY 2008 enough experience should be available to decide whether RPSO should be used for all USG
partners in future.
SUSTAINABILITY:
The renovated care and treatment clinics will be handed over to the district authorities who will be charged
with maintenance of the buildings. Almost all of these facilities are being built according to local designs so
that maintenance required is minimal. USG partners will monitor the maintenance process. All of the
facilities are being outfitted with sufficient electrical outlets so in the event computers begin to reach these
more remote areas they can easily be used in these facilities.
Continuing Activity: 13578
13578 9234.08 Department of Regional 6553 2244.08 $6,228,000
9234 9234.07 Department of Regional 4574 2244.07 $3,898,898
Table 3.3.09:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
TITLE: Infrastructure improvements for TB/HIV at NTLP sites
With 2009 fund RPSO will continue with renovation of TB Clinics to be able to provide TB/HIV collaborative
activities including conducting provider initiated HIV testing and counseling (PITC), perform HIV rapid test
and provision of ART. With FY2009 fund RPSO will not procure additional MIGT liquid culture system.
NEED and COMPARATIVE ADVANTAGE: NTLP needs to increase and improve available clinical space to
meet the growing need for TB/HIV activities including provision of ARV and ensuring privacy, confidentiality
and quality TB/HIV collaborative services for the patients. Currently, most of the medical facilities that are
slated for this project have extremely limited TB clinical space and even less clinical space for HIV/AIDS
patients. Renovated and extended clinics will allow the health care workers to provide comprehensive care
to increased numbers of TB/HIV co infected patients, reduce patients time spent at health facility as the TB
and HIV/AIDS services will be provided at the same clinic. Provision of ART in TB/HIV clinics is part of the
TB infection control program as it reduces the risk of TB transmission to immunocompromised patients at
care and treatment clinics. Scale-up of TB/HIV services will be challenged with increased workload and
quality of the results. These challenges call for task shifting, human capacity building, strengthening system
quality and increasing capacity for acid-fast bacilli (AFB) microscopy, which should be supported by higher
volume equipment, Mycobacterium Growth Indicator Tubes (MGIT) and quality assurance. RPSO will assist
the NTLP program by procuring the MGIT equipment and its requisite reagents and supplies. The MGIT is a
high throughput short turn around mycobacterial liquid culture technology reducing the culture time from six
weeks to one week and breaking the dependence on the labor intensive microscopy as the only diagnostic
technology.
ACCOMPLISHMENTS: For FY 2007 funds, the Regional Procurement Support Office (RPSO) funds
managed by CDC staff are being used to renovate 10 designated clinics in the regions of Tanga, Iringa,
Morogoro and Shinyanga. Post renovation assessment of these initial projects will help NTLP make good
choices about their selections for future projects based on cost per project and increased number of
patients served.
ACTIVITIES: The Regional Procurement Support Office/Frankfurt (RPSO) is an arm of the Office of
Acquisitions Management - A/LM/AQM. RPSO's main objective is to provide Federal Agencies with
contracting resources and to support global initiatives such as the Global AIDS Program and PEPFAR.
RPSO will work in collaboration with CDC and the Ministry of Health in this activity. The activity will conform
to PEPFAR strategies of provision of comprehensive care for PLHA. Proposed physical infrastructure
improvements include upgrades of existing building space and addition of buildings in designated health
facilities to provide patient examination areas, simple laboratory spaces, medical dispensaries and
counseling and patient waiting rooms and the procurement of equipment. These projects will improve
patient flow, ensure confidentiality, improve and expand counseling services, upgrade hygienic laboratory
conditions to contribute to quality patient care and enhance delivery of TB/HIV services in the designated
sites.
Consolidating infrastructure improvements will take away administrative and management burden from
partners to allow a single country contact to oversee and coordinate the process for all RPSO procurements
across program areas in Tanzania. The added benefit will ensure quality and consistency of products and
services and ideally lead to cost efficiency with bulk purchasing. The in-country requisitioner will work with
identified technical leads to assist RPSO in their contracting responsibilities. Funding for the representative
is covered under the CDC management and staffing portion of the COP. RPSO has previously assisted
CDC Tanzania with laboratory improvements and equipment purchases. With 2008 funds RPSO will
renovate 10 TB Clinics within 10 Districts in 3 Regions. The clinics have been sected based on high burden
of TB and HIV. RPSO will also procure one MIGT liquid culture system to facilitate TB identification to cope
with increase in work load that will result from the scale up of TB/HIV activities.
LINKAGES: RPSO will work in close collaboration with Ministry of Health at the national level, regional,
district and health facility authorities
CHECK BOXES: The area of emphasis will be renovation and upgrading of Ministry of Health (MOH)
designated facilities to be able to provide integrated and quality TB/HIV collaborative services.
SUSTAINAIBLITY: The renovated TB clinics will be handled over to the district authorities who will be
charged with maintaining the buildings for sustainability.
Continuing Activity: 13575
13575 9731.08 Department of Regional 6553 2244.08 $900,000
9731 9731.07 Department of Regional 4574 2244.07 $550,000
Emphasis Areas
Health-related Wraparound Programs
* TB
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.12:
ACTIVITY UNCHANGED FROM FY 2008 COP.
TITLE: Renovation, Procurement of laboratory equipment reagents and supplies for the National HIV
Quality Assurance Laboratory and Training Center in support of HIV/ADS Care and treatment.
NEED and COMPARATIVE ADVANTAGE: The renovation of the National quality assurance and training
center is completed and will serve as the National coordination center for quality assurance in the country.
The Regional Procurement Support Office facilitated the renovation and procurement of reagents and
equipment for the center in FY 2007 and has the necessary infrastructure developed to continue this activity
in FY 2008.
ACCOMPLISHMENTS: Since 2004 RPSO has handled several key contractual and procurement contracts.
These have included the renovation of the National quality assurance and training center; procurement of
the high volume zonal laboratory equipment and procurement of reagents and other lab commodities for the
National quality assurance and training center. With the FY 20O6 funding USG through RPSO purchased
high volume throughput equipment for CD4, Chemistry and Haematology and bulk reagents purchased for
the zonal referral hospitals; equipment,supplies and commodities for blood transfusion centres and the
quality assurance and training centre. RPSO was able to negotiate sustainable maintenance contracts
purchase for laboratory services equipment for the laboratory services.
RPSO will procure equipment, reagents and supplies for the Quality Assurance and Training Laboratory
and facilitate contractual activities for the quality assurance and training laboratory.
To help support the establishment of Tanzania Field Epidemiology and Laboratory Training Program, funds
will go to purchase training supplies for participating laboratories, emergency response rapid response kits
and personal protective equipment
LINKAGES: This activity links to activities under lab (MOH, CLSI, APHL,AIHA, ASCP, BMC, ART - TRACK
1 PARTNERS,DoD, FHI, SCMS, Global Funds. RPSO activiyies link to the prevention, care and treatment
by procurering equipment, reagents and supplies commodities required by different HIV/AIDS interventions.
The PMTCT, CT, CTC TB/HIV and the zonal, regional, districts and HIV testing sites
Continuing Activity: 13579
13579 3478.08 Department of Regional 6553 2244.08 $921,287
7792 3478.07 Department of Regional 4574 2244.07 $1,485,746
3478 3478.06 HHS/Centers for Regional 2880 2244.06 $1,157,624
Disease Control & Procurement
Prevention Support
Table 3.3.16:
Funding for FY 2009 for this activity has been reduced. This is primarily due to one time purchase of
commodities during FY 2008. The remaining resources will be used to procure supplies and commodities
for surveillance activities as outlined below, and in the NACP and ZACP surveillance activities.
TITLE: Procurement of supplies for surveillance activities in Tanzania
National quality assurance and training center. With the FY 20O6 funding through (the Lab program) USG
through RPSO purchased high volume throughput equipment for CD4, Chemistry and Haematology and
bulk reagents purchased for health facilities; equipment,supplies and commodities for blood transfusion
centres and the quality assurance and training centre.
ACTIVITIES: RPSO will procure reagents and supplies for the ANC Surveillance, HIV Drug Resistance
threshold survey and HIV Drug Resistance monitoring activities.
LINKAGES: This activity links to activities under SI. The procurement supports activities to be carried out by
NACP
SUSTAINAIBLITY: HHS/CDC Tanzania advocates for strong collaboration between MOHSW and
implementation lab partners to strengthen laboratory supplies procurement. Developing technical
specifications and reagents projections and forecasting capacity building will be strengthened for the
MOHSW
Continuing Activity: 18288
18288 18288.08 Department of Regional 6553 2244.08 $600,000
Table 3.3.17:
TITLE: Procurement of Commodities for MOHSW Tanzanian Field and Epidemiology and Laboratory
Training Program (FELTP) through RPSO
Commodity requirements to support MOHSW are crucial to the success of the Tanzanian Field and
Epidemiology and Laboratory Training Program (FELTP). RPSO provides novel supply chain solutions for
these commodities.
ACTIVITIES: Specific activities in this area include the selection of commodities required for procurement.
This will be developed from the program work plan for the implementation of MOHSW activities under
FELTP. RPSO will utilize its central based procurement system to buy to undertake the procurement of
these commodities and deliver the requirements based on agreed plan. Procurement needed for equipment
and operations materials including 14 computers/laptops, office furniture and training supplies for fieldwork
for participating students.
Continuing Activity: 16543
16543 16543.08 Department of Regional 6553 2244.08 $56,600
Table 3.3.18:
