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: 2010 2011 2012 2013
Mehanism developed in August reprogramming. Tanzania is among the top ten countries affected by HIV in the world. Overall national prevalence is 6% (2007 THMIS) with large regional variations. With the increasing realization of the inadequacy of institutional management of HIV and AIDS, the government has long recognized the important role of home-based care for PLHIV. In response to the scope of need for expanded HBC services in Tanzania. Africare will holistically work and link households with community care networks through Community Home Based Care providers, local Civil Society Organizations, and health unit extension staff. This Implementing Mechanism (IM) seeks Africare to continue providing and scale up home based care (HBC) services to PLHIV in two regions while strengthening the links between communities, Community Health Management Teams (CHMTs) and health service outlets in the regions of operations.
The main objectives for this project will include: (i) Strengthen coordination by District Councils for HIV continuum of care; (ii) Increase capacity of district authorities to implement HBC and HBCT activities in coordination with District Health Management Teams (iii) Scale-up family centered HBC programs to support PLHIV in nursing care and psychosocial support; and (iv) strengthen dual referral networks between households and health units and decrease barriers to accessing antiretroviral therapy for PLHIV.
During the second year (FY2010) the project will continue providing support to HBC beneficiaries served in the two regions of Manyara and Mara simultaneously, undertake a needs assessment and strategically scale up services in high prevalence districts with low HBC coverage. Services will be scaled-up to Kagera region with phased approach of home based ART services linked to static Care and Treatment Centers (CTC). The direct beneficiaries include the population living in rural and urban communities of the three regions. Indirect beneficiaries are health care workers from local NGOs, home based organizations (HBOs) and community based organizations (CBOs) who are the target group for capacity building.
This program contributes to PF goals because it addresses the gap in involvement of non health care workers by building the capacity of communities, CHMTs, CHBCPs, HBC Supervisors, NGOs and CBOs and thus ensure PLHIV are provided with quality community based HBC. Africare will provide sub grants to key stakeholders to strengthen community and family structures to enhance networking and referral systems. PLHIV will be linked to ART services; screened for TB and linked to TB services, linked to support groups or peer-led interventions; provided with prevention services including a package for positive prevention and positive living.
Africare will identify, select and perform capacity assessment of local organizations (CSO/FBO/CBO) for partnership; strengthen their capacity to manage, implement, and supervise HBC programs including assisting them to develop monitoring and reporting systems.
Africare will facilitate the formation of PLHIV support groups and link households to microfinance credit services and livelihood support (community savings and loans) provided by NGOs. PLHIV support groups will be the focal point for engendering stigma reduction within the community using innovative inputs such as music, art, and Community Theater.
Partners will be facilitated with essential management information systems requirements such as software, computers; and will provide technical skills to relevant staff (including districts) in M&E to ensure that the management information systems are fully functioning to produce key required programmatic and financial reports at all levels.
Africare will assess the M&E capacity of each sub-grantee and address knowledge gaps through training and fixing other systems gaps as part of the systems strengthening package. Critical program indicators will be measured and collected.
Maintain and strengthen provision of integrated, high-quality care and support for PLWHA in two existing regions. This will be accomplished through building the capacity of local government and civil society for sustainable delivery of services for PLWHA, training of health care, community providers and empowering PLHIV, supportive supervision, procurement of supplies and effective referral and linkages between communities and health facilities. Strengthen coordination and collaboration mechanisms.The services will be provided in seven districts with in two regions of Mara and Manyara. With these additional FY2010 resources, Africare will strengthern quality of the programs in all three regions (Mara, Manyara and Kagera), and strengtherning linkages with other services and building capacity of the local governments to coordinate care and support programs.
