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.
07-P0504: MLG - supporting prevention activities on the district and village level.
This activity has USG Team Botswana Internal Reference Number P0504. This activity links to the following: P0207 & P0213 & P0218 & P0219 & P0514 & X1402.
This activity is a continuation of a program proposed first in the FY05 COP, to make additional funds available at the district level, where there is often a chronic shortfall in funding for local activities for HIV prevention. These additional funds will continue to support 5 districts to implement HIV prevention activities outlined in their Annual Comprehensive District HIV/AIDS Plans.
FY05 funding in the pipeline for this activity will be available to districts in the near future. The FY06 funds for this program will be re-allocated, given the funding delay for FY05; therefore the districts will use the FY05 funds and then receive FY07 funds next.
FY07 funds will be used for the following activities: • Support to community theater groups to perform in schools and at community events • Sensitization workshops on HIV prevention and alcohol use for village leaders • Support for a village-based abstinence pageant • Workshops for traditional healers in HIV prevention • Support for peer education programs in local small businesses • Support for localized HIV testing campaigns, by the local Men, Sex, and AIDS group
Specific activities vary widely but all focus on HIV prevention, both AB or OP topics. The activities tend to be small scale and involve community-based organizations (CBOs) or district health team officials and are determined by local planning bodies and the District AIDS Coordinator (DAC).
The following five districts were selected by the Ministry of Local Government (MLG) for funding by HHS/CDC/BOTUSA and are expected to continue to be participants in this program: Boteti Sub-district in Central District Mahalapye Sub-district in Central District Letlhakeng Sub-district in Kweneng District Kanye-Moshupa Sub-district in Southern District Masunga Sub-district in Northeast District
Targets provided here are based on estimates provided in FY05.
07-C0811: Ministry of Local Government.
This activity has USG Team Botswana Internal Reference Number C0810. This activity links to the following: C0613 & C0615 & C0801 & C0802 & C0811 & C0812 & C0814 & T1101 & T1107 & T1115.
MLG's DSS will continue to build on its FY05/06 initiatives. In FY05/06 emphasis was placed on the following activities: • National Guidelines on the Care of OVC • Situational Analysis of OVC • Development of the National M&E Framework for OVC • Review and upgrading of the Registration System for OVC • Development of the Policy Framework for OVC • Printing of the National Training Manual on Psychosocial Support • Training of Social workers, teachers, community leaders and NGOs/CBOs/FBOs and other relevant stakeholders in Psychosocial Support During FY06, the DSS focused on addressing capacity-building issues at the Child Welfare Division at the national level. In FY07, DSS intends to strengthen its capacity at the district level to support, monitor and coordinate the implementation of OVC programs. In FY07, DSS will focus on training and disseminating national guidelines and frameworks formulated to improve the quality and type of services being provided to orphans and vulnerable children. DSS will develop a version for general use of the policy framework on orphans and vulnerable children. In addition, several workshops will be conducted at different levels targeting key stakeholders as follows: i. Two workshops for Parliamentarians (61 participants) ii. One workshop for the House of Chiefs (15 participants) iii Sixteen workshops for District Councils (800 participants) iv Three workshops for NGOs/CBOs/FBOs (150 participants) In addition to the above, FY07 funds will be used to decentralize the OVC registration system in 16 districts. This will involve training of staff in how to use the system and procurement of computers and computer supplies. The department will continue to coordinate provision of services to OVC and to mobilize NGOs/CBOs/FBOs to participate in issues that affect OVC. DSS will work closely with UNICEF to strengthen its coordinating structures both at the national and district level. This will include establishing and strengthening the following coordinating organs: The National Children's Council, District Child Welfare Committees and Village Child Welfare committees. These Committees will not only be responsible for coordination, but also ensure that OVC are identified and have access to basic services. The committees will also ensure effective utilization of resources and provision of quality of services to OVC. DSS will collaborate with UNICEF to hold National OVC forums. This will be an annual event bringing all NGOs/CBOs/FBOs and other relevant stakeholders together to share best practices and lessons learned in OVC programming. The DSS will take a lead role in ensuring that OVC programs are adequately monitored and evaluated using the National M&E Framework for OVC. The department will also facilitate and ensure that OVC-serving organizations provide at least three minimum essential services as defined by DSS. In M&E the OVC programs, DSS will collaborate with other OVC-serving organizations such as Marang, CRS, HWW, BOCAIP, UNICEF and other key players such as the National AIDS Coordinating Agency (NACA), MOE and MOH in trying to ensure proper tracking and documentation of the number of OVC benefiting from essential services by type of service, age and gender. DSS will solicit technical assistance from UNICEF in issues of child rights programming, advocacy on children's issues, dissemination and implementation of relevant legislation to OVC programming.
07-T1115: Ministry of Local Government.
This activity has USG Team Botswana Internal Reference Number T1115. This activity links to the following: C0609 & C0613 & C0801 & C0805 & C0806 & C0807 & C0808 & C0809 & C0810 & C0811 & C0814 & C0816 & T1001 & T1111.
In FY05, MOH requested strengethening of pharmacy security at thirteen clinics to ensure uninterrupted roll-out of ARV services at these facilities. FY06 activities include: 1) strengthening institutional capacity to deliver ARV services and 2) recruiting a public health specialist who will coordinate the roll-out of ARV therapy to the clinics. FY06 funds also will be used to strengthen the security of the pharmacies at 85 additional clinics. With the expectation that the security of these 85 clinics will have been strengthened, FY07 activities will include provision of other prerequisites for opening these clinics for ARV treatment rollout: (1) salary and benefits for the public health specialist; and (2) training for the clinic staff, particularly nurses, on comprehensive patient management. The Botswana ARV treatment program has adopted a decentralized approach to ARV therapy in order to improve access and bring treatment closer to those who need it. This requires more responsibility for prescribing and dispensing medication in individual clinics. In many clinics, responsibility for following up with patients at the clinics falls particularly to nurses. The role of the Primary Health Care Department in the MLG is to ensure that clinic staff have the capacity to carry out these responsibilities effectively. FY07 funds will support training for nurses to gain the skills needed to prescribe and dispense ARV, identify complications, and provide adherence management and appropriate referrals. This approach is consistent with a comprehensive community approach, as the nurses will link patients with PLWHA support groups, and provide necessary referrals to other services such as the palliative care program, community based prevention and care activities, and hospital-based services. To achieve these training objectives, the components of the activity include: •Developing an appropriate curriculum •Developing a training plan •Identifying trainers •Conducting training for 300 nurses This activity will help ensure the effective, secure dispensing of ARV therapy at the clinic level, as well as increasing access to ARV therapy and referral to appropriate care services.
07-X1403 Ministry of Local Government.
This activity has USG Team Botswana Internal Reference Number X1403. This activity links to the following: X1402 & X1405 & X1490.
MLG/AIDS Coordinating Unit, with technical support from UNDP, began implementation of the CCEP in five districts in 2004. This strategy seeks to build on the capacity of individuals and communities to facilitate local community responses to HIV/AIDS in the areas prevention, care, treatment and support, stigma reduction and addressing gender inequities. Specifically the program is designed to:
• Explore community perspectives concerning how to live with and respect PLWHAs and their involvement in community responses to the epidemic; • Strengthen the capacity of individuals and organizations to facilitate local community responses to HIV/AIDS that integrate care with prevention, keeping in mind other priority concerns such as coping strategies, orphans and vulnerable children, health and development, etc.; • Sustain local action by increasing the capacity to care, change and find hope within and among individuals, families and the community; • Strengthen individual and organizational reflection on their approach and ways of working with communities; and, • Facilitate the transfer of lessons learned and change among individuals, from organization to organization and from community to community.
Local United Nations Volunteers (UNV) are placed in villages to drive and facilitate the process using participatory methodologies and a team approach. Facilitators are identified from the community and trained on the CCEP methodology.
In 2005, USG funds were used to expand the program from 5 to 10 districts and to document best practices. With 2006 funds the program will expand to 5 additional districts and hire a dedicated program officer at the national office to oversee the program. In 2007, the program will continue to support the national program officer and expand to 8 additional districts and add a focus on stigma and discrimination.
A new stigma prevention initiative designed to enhance this program will be developed with technical assistance from NASTAD. This program uses trained facilitators to engage communities in a process to discuss and identify community-generated solutions to HIV-related issues (e.g., harmful traditional practices, gender inequality, and stigma). Community Conversations has been effective at raising awareness of community members, but has not provided them with a specific process or mechanism with which they can implement the solutions they generate. NASTAD will work with the MLG and a PLWHA organization to train trainers in a methodology to develop and implement community-initiated action plans to address stigma, and provide support to PLWHAs, particularly around treatment adherence. Trainers would then deliver the community planning training in conjunction with existing Community Conversations activities in a select number of districts, and provide ongoing technical assistance and support to those districts as they develop and implement their community-based stigma reduction action plans. 2007 activities will include: -Revision of training curriculum to include stigma and discrimination and community planning -Training 40 trainers in the new districts -Training of 80 CCEP local facilitators in new districts -Holding 1 community conversation per facilitator per month in selected villages in new districts
