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
The objective of the funding is to strengthen the health system in Tanzania through capacity building of the health care workforce by providing training and education on utilization of strategic information for guiding program design, planning and improvement and for targeting resources to areas of greatest need. The overarching strategy is to address existing gaps in health systems and HIV/AIDS control in Tanzania by increasing in-country human and institutional capacity in a sustainable and transferable way that allows for application of existing and new evidence-based knowledge.
Under the sixth goal in the partnership framework (Evidence-Based and Strategic Decision-Making), UCSF will strengthen the capacity of Government of Tanzania (GoT) in the following areas:
Assist in strengthening public sector (as part of multi-sectoral support) M&E systems to ensure quality vertical and horizontal flow and use of data through the HIV & AIDS, health, and social service sectors as appropriate;
Increase national capacity to implement key national and sub-national surveillance, surveys, studies, and evaluation activities with particular focus on behavioral sentinel surveillance and data synthesis;
Advise on improving measures of HIV incidence;
Adopt and build Tanzanian capacity on best practices in evidence-based and strategic decision-making.
The funding aims at improving surveillance and the knowledge of epidemiologic trends and burden of disease by assisting GoT and local partners to identify, quantify and conduct surveys for Most At Risk Populations (MARPS). The surveillance and surveys will investigate the behavior, population size estimates and potential prevention methods for MARPs. Technical assistance will be provided to National AAIDS Control Program (NACP) and Zanzibar AIDS Control Program (ZACP) in the design and implementation of behavioral surveillance and population size estimation among MARPs. The increased funding will cover other MARPs groups apart from Female Sex Workers (FSW) and plan a Behavioral Surveillance Surveys (BSS) for additional MARPS in mainland Tanzania in some areas out of Dar and in Zanzibar. This will be done by UCSF providing Technical Assistance (TA) and oversight in the protocol development, questionnaire development, standard operating procedures, data collection, training of data collectors and data analysis. Staff from NACP and ZACP will be trained on size estimation for MARPS and processes for planning Respondent Driven Sampling (RDS) and size estimation of FSW. UCSF will strengthen the capacity of NACP and ZACP on analysis and dissemination of the findings from FSW study.
UCSF will provide TA to Tanzania Commission for AIDS (TACAIDS) and NACP on supporting data synthesis activities nationally and in multiple regions aimed at identifying the drivers of the HIV epidemic and the impact of prevention responses.
UCSF will also provide TA for strengthening data quality among partners working in the public sector and in concert with national efforts. This will be done by joining CDC staff and partners in conducting intensive data quality assessments (DQA). With the vision of one national Monitoring and Evaluation (M&E) system and the introduction of the Next Generation Indicators has increased the need to ensure that accurate data are reported. The focus is to improve the USG/Partner reported data with increasing linkage to the GoT data flow to report on discrepancies for program areas that have consistency in indicators. UCSF will provide technical assistance on DQA through support for implementation of existing, and potentially modified, DQA instruments, which focus on ensuring the quality of routine program monitoring data for HIV/AIDS services. The ultimate aim is to build into existing systems, ongoing and routine mechanisms for DQA that can be implemented on a regular basis by partners.
UCSF will provide TA to develop M&E and costed plans for NACP and ZACP which will contribute to overall strengthening of national AIDS response in Tanzania under the principle of the "Three Ones". UCSF will conduct a workshop which will include participants from districts, regions, NACP, USG, Implementing partners, Global Fund, and UNAIDS. The workshop will focus on indicator prioritization for NACP and development of a national M&E plan for NACP. ZACP costed M&E plan will be developed at the same time providing capacity building to M&E staff and project coordinators. UCSF will provide technical and strategic planning support for harmonization of data collection and linkages among HIV treatment and care indicators across program areas and with surveillance data. UCSF will provide assistance and support for the evaluation of ART programs among a sample of sites. This will include data collection, analysis, writing of reports and dissemination.
UCSF will support the establishment of a sustainable M&E program at a Tanzanian university for health workers (HCWs) to address the challenges facing districts on M&E issues. The established certificate or masters program will sustain the country's ability to produce its own health care workers with M&E knowledge and skills; which are essential component of the fight against HIV/AIDS. These trained HCWs will be provided with a solid understanding of M&E and how it can be used to improve planning, budgeting and policy formulation. With this training HCWs will also be able to analyze data and the use it to improve service delivery.
?Tol provide technical assistance to TACAIDS/MOHSW on supporting data synthesis activity aimed at identifying the drivers of the HIV epidemic and the impact of prevention responses. Data synthesis will include both national and regional data triangulation exercises. UCSF will also provide technical support for the development of an M&E and costed M&E plan for NACP and ZACP. ?To support the creation of an M&E program for district health workers to address some of the challenges facing districs on M&E issues. This will provide access to a certificate or masters program that develops a solid understanding M&E and how it can be used to improve planning, budgeting and policy formulation processes. Also to ensure that data analysis and the use of data to improve service delivery is included in existing Pre-Service and/or In-Service programmes.
Currently in Tanzania, there is a huge gap of Tanzanians with strong M&E skills in all areas of health including HIV/AIDS; a challenge facing many districts implementing various programs. Therefore this funding will support the establishment of a sustainable M&E program at a Tanzanian university thus sustaining the country's ability to produce its own health care workers with health monitoring and evaluation (M&E) knowledge and skills; which are essential component of the fight against HIV/AIDS. The trained health workers (HCWs) will be capacitated with a solid understanding of health M&E and how it can be used to improve planning, budgeting and policy formulation which eventually help to improve service delivery.