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
WHO-Tanzania receives PEPFAR support through WHO Headquarters under the CDC-PEPFAR-Multi-Center Program called Support Services for the HIV Pandemic. It is a five year program which extends from October 2008 to September 2013. WHO has used this support to provide technical assistance to MOHSW and partners in the area of scaling up HIV/AIDS care and treatment services to primary health care facilities using the Integrated Management of Adolescent and Adulthood Illness (IMAI) approach. WHO has also provided technical support for improving ART patient monitoring systems.
During the initial first three years of the project, the foundation for introducing IMAI in Tanzania has been laid. Development of IMAI guidelines and training materials has been created. The operations manual to support implementation of IMAI at primary health care (PHC) facilities has been developed and printed. In addition, through partnership with other agencies, quality improvement and clinical mentoring guidelines and training materials for HIV prevention, care, and treatment have also been finalized. Tools for ART monitoring have been revised to enable cohort monitoring, analysis, and reporting. The main objective for the fourth year will be to ensure quality of services in care and treatment centers and to build sustainability mechanisms for inclusion of IMAI into the countrys health care systems and pre-service training.
WHO will provide technical support to MOHSW in both Tanzania Mainland and Zanzibar to do a country adaptation of standardized minimum data set and illustrative tools for the three interlinked patient monitoring systems for HIV care, ART, MCH, PMTCT (including malaria prevention during pregnancy), and TB/HIV. External support will be available to train national and zonal trainers. Zonal trainers will in turn train and do follow-up supervision of health facility staff in their respective zone. WHO will also support the M&E Units of NACP and ZACP in using the EPP-Spectrum model for estimations and projections for national HIV/AIDS epidemic key indicators and their use for future planning. In collaboration with UNAIDS and UNICEF, WHO will coordinate data collection and preparation of the annual country universal access report. EPP Spectrum Estimations will be done through the training of a critical mass of staff at national and zonal levels in using the model. The MOH will process national data and provide national projected indicators by producing a national booklet. An annual country Universal Access report will be developed through meetings with MOH programme staff and national partners supporting HIV/AIDS in the country who contribute data for the HIV/AIDS response in the country.
Out of the 1,100 health facilities offering HIV/AIDS care and treatment services in Tanzania, over 800 are primary health facilities where health workers were trained using the IMAI approach.
In FY 2012, the main objective for WHO in Tanzania will be to ensure the quality of HIV/AIDS care and treatment services and build sustainability mechanisms for the integration of IMAI into the countrys health care delivery systems and pre-service training. To strengthen quality improvement of HIV/AIDS prevention, care and treatment services, technical assistance to the National AIDS Control Program (NACP) to conduct rapid assessment of quality of HIV/AIDS services, including client satisfaction levels, will be provided. The assessment will be conducted in HIV/AIDS care and treatment centers (CTCs) that are based at both hospitals and primary health care facilities. Support will be given to MOHSW to develop the format and tools for regional and district health management teams to include QI activities into the regular annual plans and budgets.
To build sustainability mechanisms for IMAI in existing pre-service training and service delivery systems of the country, inclusion of IMAI in pre-service training programs for clinicians and nurses will be consolidated while orientation for tutors on how to use the IMAI training materials will be conducted.
