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
NARRATIVE
Project Title: Supporting safe waste management at HIV Care and Treatment clinics (CTC) and other HIV/AIDS Services.
Project has five technical program areas:
Training and capacity building, logistics and supply management, healthcare waste management systems, appropriate disposal of injection equipment and other related equipment and supplies, and monitoring &evaluation.
Goals and objectives: 1) The Health Care Waste Management (HCWM) Improvement Program's goal is to support Tanzania's Ministry of Health and Social Welfare (MOHSW) in improving HCWM systems in high output HIV CTCs and other HIV services. Program objectives are: a) Strengthen the capacity of MOHSW and private facilities to provide sustainable, quality HCWM systems in selected health facilities; b) Create an enabling policy and physical environment to support sustainable, quality HCWM systems at all levels of the health delivery infrastructure; c) Strengthen supervision and ensure compliance with HCWM standards and procedures; d) Advocate for the adoption of guidelines or policy supporting HCWM and operationalization at all levels; e) Support integration of HCWM into HIV prevention, care and treatment services; f) Ensure availability of commodities, supplies and personal protective equipment (PPEs) for HCWM; g) Strengthen the capacity of the National Steering Committee to spearhead all HCWM activities; h) Improve HCWM safety practices through training and capacity building; i) Conduct Monitoring & Evaluation of the HCWM activities.
Contributions to Health Systems Strengthening: The health infrastructure for safe disposal of medical waste will be improved and strengthened, including operationalization of existing guidelines. The program will procure, repair and maintain incinerators, equipment and supplies for HCWM. In collaboration with the MOHSW, the program will train in-service health workers in selected hospitals on appropriate management of health care waste, including: segregation, collection, transport, storage and final disposal using incinerators and other appropriate HCWM systems.
Crosscutting programs and key issues: Health facilities In collaboration with MOHSW, the program will support HCWM systems at selected health facilities with high volume of HIV infected patients enrolled in HIV care and treatment services. The program will integrate HCWM services into prevention, care and treatment services at the supported sites.
Capacity building and strategies to become more cost efficient:
Training on proper medical waste management and disposal for health workers and support staff will be supported, including HCWM hospital supervisors and incinerator operators. The Regional, District and Hospital Management Teams (R/DHMT) in the supported regions/sites will be required to make healthcare waste management a priority: A budget for management and maintenance will have to be included in the Comprehensive Council Health Plans. Through collaboration with Local Government Authorities all sites selected for HCWM systems support will be required to set aside budgets for future maintenance of these systems.
Geographic coverage
Selected CTCs in 3 regions to be determined.
Links to PF goals
The project will contribute towards the achievement of 1) Service maintenance and scale-up goals through the development and strengthening of quality assurance for HCWM; 2) Prevention goals through scaling up infection prevention and control injection safety activities;, 3) Human resources goals through in-service trainings: 4) Evidence-based and strategic decision-making through introduction of appropriate technologies including non incineration methods of managing health care waste.
M&E plans
The project will use MOHSW health services inspectorate unit data collection and reporting tools for HCWM across HIV services. The project will provide technical assistance to MOHSW for effective supervision of HCWM at facility level.
The funding will cover implementation of safe health care waste management activities in 3 regions to be determined at a later stage, the activities will include: 1) The Health Care Waste Management (HCWM) Improvement Program's goal is to support Tanzania's Ministry of Health and Social Welfare (MOHSW) in improving HCWM systems in high output HIV CTCs and other HIV services. Program objectives are: a) Strengthen the capacity of MOHSW and private facilities to provide sustainable, quality HCWM systems in selected health facilities; b) Create an enabling policy and physical environment to support sustainable, quality HCWM systems at all levels of the health delivery infrastructure; c) Strengthen supervision and ensure compliance with HCWM standards and procedures; d) Advocate for the adoption of guidelines or policy supporting HCWM and operationalization at all levels; e) Support integration of HCWM into HIV prevention, care and treatment services; f) Ensure availability of commodities, supplies and personal protective equipment (PPEs) for HCWM; g) Strengthen the capacity of the National Steering Committee to spearhead all HCWM activities; h) Improve HCWM safety practices through training and capacity building; i) Conduct Monitoring & Evaluation of the HCWM activities.
