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 ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
Work with district- and ward-level groups will have a particular emphasis this year on using public
expenditure tracking tools, building on USAID/Tanzania's particular success under the Millennium
Challenge Account Threshold Program in using public expenditure tracking systems (PETS) to promote
local-level accountability in resource use. Support for the training and formation of public expenditure
tracking committees will encourage accountability and good governance in health spending by providing
grassroots oversight mechanisms. PETS committees will work with Council Multisectoral AIDS Committees
(CMACS) and establish liaison with District Management Health Teams to ensure proper accounting of
health revenues and expenditures. Such mechanisms also will be useful in local-level monitoring of the
implementation of Global Fund for HIV/AIDS, Tuberculosis and Malaria (GFATM) monies by GFATM
recipients and sub-grantees.
TITLE: Building an Enabling Environment for the Scale Up of Prevention, Care, and Treatment of HIV/AIDS
NEED and COMPARATIVE ADVANTAGE: The policy environment in Tanzania still presents many
challenges. The long-awaited AIDS Bill has not yet been signed into law. Many other policy barriers exist
providers, the need for a children's bill, stronger anti-stigma and anti-discrimination measures, provision of
nevirapine on first diagnosis, etc. As policy issues are identified, there is need for advocacy and direct
intervention to promote Government of Tanzania (GoT) policy change.
ACCOMPLISHMENTS: This activity will be competed for FY 2008.
Past efforts provided by POLICY II and HPI have catalyzed action among parliamentarians to generate
support for the omnibus AIDS Bill. With assistance from POLICY II, Ministry of Justice and Constitutional
Affairs (MOJCA) drafted a Bill presented in parliament this year. HPI trained policy champions, sharpened
NGOs' advocacy skills, and sensitized parliamentarians to provide input to AIDS Law processes.
Community groups were capacitated to provide input to the Bill through zonal meetings. HPI built capacity
of a range of national and community groups to fight stigma/discrimination. Through HPI activities, religious
leaders in the two regions have promoted public pronouncement of HIV status and formed post-test clubs.
HPI has also worked with media, faith-based organizations (FBOs), and networks of People Living with
HIV/AIDS (PLWHA) for advocacy and to reduce stigma and discrimination.
ACTIVITIES: With FY 2008 funding, the program will:
1) Identify key policy barriers for the scale up of prevention, care, and treatment activities, and develop
interventions to address those policy barriers: The partner will be proactive in identifying issues and well
considered approaches to address them. In addition, the partner will be involved in discussions with the
USG Strategic Results Units (Clinical Services, Community Services, Prevention/Testing) and the Cross
Cutting Strategic Unit encompassing Lab, Human Capacity Development, Strategic Information, Logistics,
etc.) to ensure that key policy barriers are identified. The partner will be integrally involved in discussions
with the technical teams charged with achieving scale-up results, as well as their key implementing
2) Work with influential groups: in serving in a potent advocacy role and as catalysts for change, the partner
will need to work closely with influential groups, such as parliamentarians, the press, organizations of
PLWHA, youth organizations, community organizations, religious organizations, and official bodies such as
the Council Multi-sectoral AIDS Committees (CMACS) and important government bodies. For example, to
move the HIV & AIDS Law passage/implementation along, the process has been arduous in terms of
necessary advocacy and technical assistance at every stop along the way from development to passage.
Parliament and other national authorities: This activity will involve coordination, networking, community
mobilization and planning with national authorities and, in particular, with Members of the Tanzanian
Parliament (MP). The goal of the working with the MPs will be to ensure they are positioned to advocate for
the meaningful involvement of PLWHA and affected communities in all aspects of the HIV/AIDS response.
MPs take an active role in advocating for the accountability of governments, private and public sector
agencies and others. They must also be accountable to the communities they are part of, work with,
represent, and serve, including those affected by or infected with HIV/AIDS.
Journalists and the Media: the partner will be expected to work closely with journalists to develop strong
relationships for advocacy and critical/factual coverage of HIV/AIDS issues. Since public opinion and public
education is so closely tied to the media, it provides an opportunity to ensure factual and complete reporting
of issues around health behaviors, and that will help to mobilize the public around HIV/AIDS, orphans and
vulnerable children, exposed pregnant women, etc. Responsible reporting of the news can be turned into
an educational opportunity for the public, and this should be a skill that journalists possess. In addition, the
partner will work with the Association of Journalists against HIV/AIDS in providing technical assistance to 20
media houses, predominantly in the private sector, in the implementation of workplace policies.
PLWHA: The activity will build capacity of PLWHA groups in selected districts to equip them with leadership
and advocacy skills to use evidence-based information for policy dialogue. For example, work with National
Council of People Living with HIV/AIDS (NACOPHA) to strengthen institutional capacity of PLWHA groups;
engage PLWHA groups in policy dialogue with district executives and councilors towards improving HIV
prevention, care, and support services, etc. Additional outcomes expected to result from this activity include
fostering meaningful involvement of PLWHA and affected communities, including the protection and
promotion of human rights in the workplace. The rights-based approach also presumes a gender
perspective, recognizing that both biological and socio-cultural factors play a significant role in influencing
the differential vulnerability to HIV infection and the impact of HIV/AIDS on men and women, boys and girls.
Activity Narrative: Stigma/Discrimination: The activity will take a new direction to strengthen the GoT's ability to provide
recourse in cases of discrimination in the workplace. This activity would build on the Millennium Challenge
Account (MCA) Threshold Program's rule of law initiative that focuses on curbing corruption, improving the
climate of human rights protection, and improving the efficiency and capacity of legal sector institutions
including the judiciary and the Department of Public Prosecution. A person with expertise in law and
litigations, human rights protection, investigations, and institutional capacity building will be seconded to the
Office of the Human Rights Commissioner, Commission on Human Rights and Good Governance
(CHRAGG) in order to build the capacity of the CHRAGG to respond more efficiently to human rights
complaints from PLWHA, especially women. The embedded advisor will assist the CHRAGG to conduct
investigations into, among other things, discrimination against PLWHA including illegal firings, illegal denial
of services, and inheritance claims. Where necessary, the advisor will also assist the CHRAGG to initiate
and conduct litigation against those engaging in discriminatory practices. The advisor will conduct training
of Commission investigators and also provide direct, day-to-day mentoring of the Commission's complaint
processing mechanisms, investigations into discrimination claims, court filings, and community outreach
activities. The mentoring of CHRAGG will focus on improving CHRAGG's outreach capacity and its legal
services for women living with HIV/AIDS who have been denied legal rights or have been discriminated
against in the workplace, within the health care system, accessing to community services, or in other
Youth organizations, community organizations, religious leaders and official bodies such as the Council
Multi-sectoral AIDS Committees (CMACS): The partner will provide technical assistance to mobilize
communities against stigma and discrimination. The activity will develop packages for religious leaders to
facilitate community mobilization on stigma and discrimination reduction. In addition, religious organizations
such as BAKWATA and Christian Council of Churches (CCT) will be funded to train mosque and church in
HIV/AIDS and counseling in each of the districts. Other activities will help to disseminate materials for the
training of Madrasas and Sunday school teachers, as well as techniques for organizing interfaith Children's
festivals in stigma and discrimination.
3) Other mobilization/advocacy: Work with the Women's Legal Aid Center/Tanzanian Gender Networking
Program, and the National Institute of Medical Research to build capacity of community groups to advocate
against gender-based violence (GBV), a major contributor to women's vulnerability to HIV/AIDS. The
partner will build capacity of identified champions in the districts, focusing on male norms exacerbating
sexual coercion and GBV. Special awareness events will be organized around GBV.
LINKAGES: The activity will be tied to GoT ministries (e.g., MOJCA) and will collaborate with TACAIDS in
implementing of the National Multi-sectoral Strategic Framework through CMACs. TBD will work closely
with Tanzania Parliamentary Associations on HIV/AIDS (TAPAC). The discrimination work will tie with both
the MCC and Stradcom (for public messages).
M&E: Approximately five percent of the budget for this newly competed activity will used for M&E purposes
including documentation of project successes and results.
SUSTAINAIBLITY: Capacity strengthening to improve policy and address gender, advocacy,
stigma/discrimination, and NGOs/CSOs will contribute to a sustainable enabling environment.
Apr 09 Reprogramming: Action re-names TBD to The Futures Group (ITT approved).
New/Continuing Activity: Continuing Activity
Continuing Activity: 13594
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13594 5087.08 U.S. Agency for The Futures 6561 3616.08 Health Policy $1,775,000
International Group Initiative (HPI)
7806 5087.07 U.S. Agency for The Futures 4581 3616.07 Health Policy $1,578,686
5087 5087.06 U.S. Agency for The Futures 3616 3616.06 Policy Project $1,000,000