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: 2007 2008 2009
The national TB program has had a lot of difficulties to improve the treatment of TB patients because of the long turn-around time of laboratory testing; culture and drug susceptibility testing (DST) take on average about four months. The National TB Reference Laboratory has limited capacity to deliver results to clinics within a reasonable time for culture and DST because the laboratory receives specimens from all over the country and volume is too high.
The plus-up funds will be used to expand TB testing at the Francistown Referral Laboratory by including culture and DST. By providing a laboratory with adequate safety and culture capacity, the Francistown Referral Laboratory will then have the capacity to perform TB culture and DST for the northern region of the country. It will improve the TB program and patient treatment.
The National TB Reference Laboratory was built ten years ago and has the capacity of a Level 3 laboratory. The negative pressure in the isolation room however is not working properly and the installed system does not meet the minimum safety requirements. The requested funds will be used to improve the overall ventilation system in the building and replace the negative pressure system in the isolation room to bring that system up to current safety requirements.
07-C0803: RPSO- Nutrition Rehab. Construction.
This activity has USG Team Botswana Internal Reference Number C0803. This activity links to the following: C0802 & C0811 & C0812 & C0814 & T1101 & T1107 & T1108 & This activity has USG Team Botswana Internal Reference Number C0802. This activity links to the following: & C0810 & C0811 & C0813 & T1101 & T1107 & T1108 & T1109 & T1114.
The USG funds will support the construction of two rehabilitation units for malnourished children infected and affected by HIV/AIDS in Princess Marina Hospital and NRH in Francistown. This activity was initially scheduled to start in FY05. Due to insufficient funds, initiation of the renovation was deferred to FY07 and implementation will be shifted to USG's Regional Procurement Service Office in Frankfurt, Germany.
The rehabilitation unit will serve several purposes: 1. Affected children will be served at the Units 2. The units will serve as a training center for care givers in the care of malnourished children 3. NGOs/ CBOs/FBOs working with OVC will refer needy cases to the Units 4. The Units will provide office space for the Program staff
07-T1108 RPSO-Pediatrics Infectious Disease Clinic.
This activity has USG Team Botswana Internal Reference Number T1108. This activity links to the following: C0615 & C0803 & P0101 & T1101 & T1113.
Pediatrics services within the MOH have faced many challenges in caring for children with HIV/AIDS who are in need of ARV treatment. One major challenge is a lack of adequate space.
In FY07, USG will engage US Department of State's Regional Procurement and Service Organization (RPSO) in Frankfurt, Germany to support the renovation of a building at Nyangabgwe Hospital in Francistown to house the pediatric infectious disease clinic at this referral hospital.
This activity will give access to treatment to approximately 200 newly diagnosed HIV-infected children.
07-T1202: RPSO-Ministry of Health Laboratory Infrastructure.
This activity has USG Team Botswana Internal Reference Number T1202. This activity links to the following: T1111 & T1112.
Laboratory services within the MOH have been faced with many challenges. District and primary hospital laboratories were built to perform small volumes of laboratory testing samples. With the addition of HIV-related laboratory tests, (i.e., CD4, VL, infant diagnostic, HIV serology, and rapid HIV test) and the high volume of samples for other laboratory tests (hematology, chemistry, and TB) due to HIV/AIDS has overwhelmed the capacity of the laboratories since the introduction of ARV therapy in the country. There is need for the MOH to take the lead in providing quality laboratory services by improving the laboratory space and the safety of the laboratory staff.
In FY07, the US Department of State's Regional Procurement Support Office (RPSO) will support the renovation of buildings at 3 district hospital laboratories to perform viral load, bringing the total number of laboratories with the capacity to perform the test to 7. In addition, a warehouse for the NHL in Gaborone will be renovated in order to improve the laboratory supply chain.
07-X1507 RPSO-Renovation/Expansion of BOTUSA.
In May 2007 a Staffing for Results (SFR) visit to Botswana took place. One of the recommendations of the SFR team was that the USG PEPFAR team should be consolidated into one office. Another new development in April 2007 was the announcement of the closure of RCSA USAID operations in Botswana. The latter are currently occupying a large Government of Botswana office complex space but are planning to vacate this space by August 2007. The US Ambassador is currently negotiating with Botswana Government to use the vacant building for the USG PEPFAR team. Another recommendation of the SFR team is to hire more locally employed staff (LES) for the USG PEPFAR team. If these negotiations succeed, we anticipate only needing USD $200,000 for construction/renovation to modify existing large offices into smaller ones and to make additional changes (e.g. a second entry/exit at the back, constructing a warehouse and creating extra conference rooms).
Table 5: Planned Data Collection
Is an AIDS indicator Survey(AIS) planned for fiscal year 2007? Yes No If yes, Will HIV testing be included? Yes No When will preliminary data be available? Is an Demographic and Health Survey(DHS) planned for fiscal year 2007? Yes No If yes, Will HIV testing be included? Yes No When will preliminary data be available? Is a Health Facility Survey planned for fiscal year 2007? Yes No When will preliminary data be available? Is an Anc Surveillance Study planned for fiscal year 2007? Yes No if yes, approximately how many service delivery sites will it cover? 150 When will preliminary data be available? 12/31/2007
Is an analysis or updating of information about the health care workforce or the Yes No workforce requirements corresponding to EP goals for your country planned for fiscal year 2007?
Other significant data collection activities
Name: Safe household water for infant formula Brief description of the data collection activity: A sample of 2000 pregnant, HIV infected women intending to formula feed their infants will be recruited from antenatal clinics (ANC). They will be randomized into 2 groups of 1000 women each. The first group will receive detailed education and counseling from study staff about standard safe formula feeding and hygiene practises. The second group will receive the same education,,and supplies and instruction for a point-of-use water decontamination system and safe water storage system (a "safe water system", or SWS) will be provided. .Data will be collected about formula feeding practises and episodes of severe diarrhea and death during the infant's first year as children attend immunization clinics. Preliminary data available: December 31, 2007
Name: Counseling and Testing Outreach Brief description of the data collection activity: BOTUSA and its partners at the Ministry of Health, NACA, and the Ministry of Local Government are planning an intervention to offer Counseling and Testing Outreach for all households in two neighborhoods within Selibe-Phikwe and Bobirwa districts. n nDuring Phase I of the intervention (the pilot phase), operational aspects, acceptability, and potential adverse effects will be closely monitored through systematic collection of input from counseling-testing teams, clients, local authorities, clinical providers and non-governmental organizations. n nDuring Phase II of the intervention, teams will continue to gather operational information as in Phase I of the intervention, but will also conduct two surveys, one before Phase II of the intervention begins, and one conducted several months after it has ended. The surveys will assess the intervention's effects in toward achieving its goals and objectives. n
Preliminary data available: December 31, 2007
Name: Use of PMTCT data for suveillance Brief description of the data collection activity: The study will assess the utility of PMTCT data for HIV surveillance and describe PMTCT-related selection biases. Specifically, it will compare HIV prevalence estimates from PMTCT program data with that of ANC surveillance data. It will describe the operational characteristics of PMTCT clinics and assess the utility of ANC surveillance data for PMTCT monitoring and evaluation. Preliminary data available: December 31, 2007
Name: Youth behavior survey Brief description of the data collection activity: Therefore the main research question is: did the youth exposed to the comprehensive HIV prevention program for youth (P0203) intervention delay sexual debut, reduce partners, adopt secondary abstinence, and exhibit better life skills, compared to youth not exposed to the intervention? The information will inform plans for project expansion and continuation. The outcomes of interest include measures of knowledge, attitudes, and behaviors, including those related to parental communication. Preliminary data available: December 31, 2007
Name: Needs Assessment of PLWHA Brief description of the data collection activity: This survey will evaluate the community based home care program of the Ministry of Health and provide a needs assessment of gaps in care and support delivery for people living with HIV/AIDS in the country. Botswana has about 260,000 PLWHA who are eligible for one or more of the components of continuum of care services. Approximately 65,000 PLWHA are currently receiving ARV therapy under the MASA program; close to 35% of households with orphans receive psychosocial and food basket support services; and about 12,000 PLWHA have been registered under community home-based care (CHBC) program run by the MOH to receive palliative care in the home environment. Nonetheless, no systematic data exists on the coverage, utilization, or effectiveness of the overall HIV/AIDS care and support in the country. Preliminary data available: December 31, 2007
