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: 2009 2010 2011
Title: Strengthening Infection Prevention and Control (IPC) through Technical Assistance provided to the Ministry of Health and Social Welfare (MOHSW) in the United Republic of Tanzania Under the President's Emergency Plan for AIDS Relief (PEPFAR)
Goals and objectives:
The purpose of this program is to provide technical assistance to Tanzania's Ministry of Health and Social Welfare (MOHSW) in reviewing, updating, and institutionalizing standard procedures for infection prevention and control (IPC) and injection safety (IS) at all health facilities located on mainland Tanzania and Zanzibar. The program activities will include: a) Coordination with the National IPC-IS task force and working group that is chaired by the MOHSW with USG and other IPC stakeholders as members; b) Supporting the mission and goals of the MOHSW in IPC-IS and utilize lessons learned over the last five years (under PEPFAR I); c) Supporting the MOHSW's efforts to conduct baseline assessments on IPC-IS; d) Collaborate with other development and implementing partners to review, up-date, and make available relevant policies, guidelines and training materials on recommended IPC-IS practices, including guidance for safe phlebotomy measures in laboratories during the first year; e) Supporting the MOHSW in-service capacity building efforts and train-the-trainer activities, specifically, at sites where in-service training materials have been reviewed and new materials and/or new approaches may need to be piloted; g) Support the MOHSW with maintenance of quality standards, implementation and monitoring of quality improvements, identification of and support for local and sustainable solutions; h) Collaborate with MOHSW, Medical Stores Department (MSD), and Prime Ministers Office of Regional Administration and Local Government (PMO-RALG) to advocate with health facility managers to incorporate IPC-IS supply forecasts into their annual plans.
Contributions to health Systems Strengthening
This program will reinforce country ownership and strengthen the capacity and sustainability of partners to manage IPC-IS programs by strengthen quality assurance controls and improving the MOHSW coordination with stakeholders. The result will be significant improvements in the quality and safety of health services and a measurable reduction in the risk for transmission of infectious disease in healthcare settings. Special emphasis will be placed on developing safe practices for the phlebotomy program; assisting the MOHSW with roll-out and monitoring of Post-Exposure Prophylaxis (PEP); and establishing a comprehensive strategy for managing medical waste and sharps.
Cross-cutting programs and key issues
The program will collaborate with MOHSW, Medical Stores Department (MSD), and Prime Ministers Office of Regional Administration and Local Government (PMO-RALG) to advocate with health facility managers to incorporate IPC-IS supply forecasts into their annual plans and submit a budget to the district and municipal councils so that they can procure supplies from the local market. The program will link with the environmental health department of the MOHSW to sensitize the district and municipal councils to the hazards of health care waste and the need for resources to manage waste at health facilities. Disseminate relevant policies and guidelines regarding integration of IPC-IS into existing health services including HIV counseling and testing and clinical servises to members of the regional health management teams (RHMT) and officials from various health programs
Strategy to become more cost-efficient
The program will work with the local government authorities and Regional/District Health management teams (R/DHMTs) to include budgets for the IPC-IS activities into their Comprehensive Council health Plans. In collaboration with MOHSW using the existing health structures the program will conduct orientation workshops for R/DHMT, and hospital management teams (HMT) on supportive supervision and integrate IPC-IS into the supervision checklist and tools used by the teams.
Geographic coverage and target populations
The program will provide TA to MOHSW who will be covering the National, regional and district levels of the health infrastructure. The target populations will be health care workers (HCWs) in public, private and faith based health facilities. The community will be targeted through behavior change and educational information on IPC in general.
Links to PF goals
The project will contribute towards achievement of 1) service maintenance and scale up goals through the development of IPC quality improvement tools and strengthening systems for supportive supervision, 2) Prevention goals through provision of TA to the MOHSW for introduction of new post-exposure indicators and monitoring PEP availability and roll-out; 3) Human resources goals through contributions to In service training of HCWs and integration of IPC-IS training into pre-service training curricula; 4) evidence-based and strategic decision making through using the results for the Health care workers safety and restrictions record review studies for program improvements.
M&E plans
Provide technical assistance and collaborate with USG Tanzania and the MOHSW to jointly develop a performance evaluation tool to enable national, regional, district and health facility authorities to gather and manage IPC-IS and health care waste management data in a timely manner; thereby enhancing data analysis and decision-making at all levels. This will include the review and adaptation of existing tools, while also addressing the need for inclusion of PEPFAR II new generation indicators.
New mechanism to continue support for MOH IPC TA: Provision of TA to MOH IPC program for all aspects of quality IPC implementation and roll-out, including planning, guideline development/review & in-service training material up-dates when needed, training of trainers, standard setting, M&E. M&E support will include the introduction of new PEPFAR indicators and monitoring for PEP. Special attention will be paid to improved health care waste management. Joint MOHSW, USG and partner IPC program review conducted in Jan '09 also concluded that more TA to assist MOHSW to institutionalize and improve functioning of health facility IPC committees will be needed. New mechanism to continue support for MOH IPC TA: Provision of TA to MOH IPC program for all aspects of quality IPC implementation and roll-out, including planning, guideline development/review & in-service training material up-dates when needed, training of trainers, standard setting, M&E. M&E support will include the introduction of new PEPFAR indicators and monitoring for PEP. Special attention will be paid to improved health care waste management. Joint MOHSW, USG and partner IPC program review conducted in Jan '09 also concluded that more TA to assist MOHSW to institutionalize and improve functioning of health facility IPC committees will be needed.
