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 goal of Program for Appropriate Technology in Health (PATH) is to improve access to quality TB/HIV services, including TB diagnosis and treatment in Tanzania. The program works in close collaboration with MOHSW through the NTLP, NACP, and Association of Private Health Facilities in Tanzania, including LGAs.
The program is aligned with the Partnership Framework strategy under Goal One (Services). The main program activity is HIV screening of TB patients, which aims to have the HIV status of 95% of all TB patients recorded in TB registers; 95% of TB/HIV co-infected patients started on cotrimoxazole preventive therapy; and 60% of infected patients initiated on ART during TB treatment.
Cost efficiency strategies will include decentralization of trainings at district headquarters. Supportive supervision and mentorship will also be used.
Transitional strategies include negotiation with LGAs for possibility of gradual inclusion to the LGA payroll of PATH staff currently seconded to districts.
Programs will continue work in the six regions of Arusha, Dar es Salaam, Kilimanjaro, Mwanza, Pwani, Zanzibar, and scale up in two new regions of Geita and Simiyu. Continued TA to the NTLP will help maintain quality TB/HIV collaborative services. Program will continue to promote sustainability by working with Council Health Medical Teams to ensure that TB/HIV activities are included in Comprehensive Council Health Plan.
M&E is incorporated into the the NTLP M&E plan 2011 2016.
With the support of COP 2011 funding, PATH collaborated with the MOHSW through the National TB/Leprosy program (NTLP) and National AIDS control program (NACP) to implement TB/HIV interventions in 955 health facilities in six regions of Tanzania Mainland and Zanzibar. Main activities included HIV screening of TB patients and implementation of Intensified TB screening, Infection Control and Isoniazid Preventive Therapy (the three I's). With COP 2012 funding, PATH will continue to work in collaboration with ART implementing partners to ensure effective implementation of the "three I's". Through use of the national TB screening tool, the program will orient staff in different sections to perform intensified TB case finding among clients attending Reproductive and Maternal Child Health clinics, general and specialized clinics (i.e. CTC, Diabetic Clinic) in Out Patient Departments, and In-Patient Departments for admitted patients. This program targets screening for HIV of all TB patients and will strive to ensure that 95% of TB-registered patients have their HIV status recorded in the TB register.
In collaboration with NTLP, PATH will also develop, print and distribute specific IEC material TB infection in children to enhance diagnosis of pediatric tuberculosis. The development of curriculum for TB management among children, currently in its final stage, began with funding from COP 2011.
To increase the proportion of TB/HIV co-infected patients starting on ART from 32% to 60%, the program will support the training of TB clinic staff on HIV/AIDS clinical management. Health care workers who have no knowledge of TB/HIV will be trained on TB/HIV interventions using the National TB/HIV curriculum endorsed by MOHSW. This will result into easier access to HIV care at "Under One Roof" TB clinics. Through support for the formation and maintenance TB/HIV regional and district committees, the program will continue to advocate to RHMTs and CHMTs to incorporate and fund TB/HIV activities through their Comprehensive Council Health Plans (CCHP).
In order to ensure quality interventions, the program staff comprises of TB/HIV officers and District TB/Leprosy Coordinators who will conduct supportive supervision visits and provide mentorship to peripheral facility staff on service delivery and program monitoring.