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-T1102: Associated Fund Administrators.
This activity has USG Team Botswana Internal Reference Number T1102. This activity links to the following: T1103 & T1111.
AFA is an administrator of two medical aid schemes/insurance organizations: Botswana Public Officers' Medical Aid Scheme and the Pula Medical Aid Fund. Through its managed care program, the AFA facilitates the provision of antiretroviral (ARV) therapy to insured patients, and provides CME to private practitioners (doctors, pharmacists, etc). In FY2005, AFA was awarded a tender to pilot the rolling out of ART services to the private sector through a 12-month public-private partnership project. We anticipate that about 3,778 patients were enrolled in ARV treatment by the end of August 2006, through the public-private partnership program.
The main objective of this project is to increase access to quality antiretroviral therapy and related services in the private sector in Botswana. In FY07, the project aims to build on and strengthen activities completed in FY06. The project activities in FY07 will include CME for private practitioners, funding the printing and distribution of leaflets for the promotion of information, education, and supporting communications (IEC) activities for members of administered medical aid schemes.
In FY06, AFA facilitated the provision of KITSO Training to 95 different private practitioners, and conducted 7 CME activities (in Francistown and Gaborone) which were attended by a total of 250 private and public-sector practitioners. In addition, more than 1,500 patients, excluding public-private partnership project patients, were reached indirectly through these trainings.
The project has faced several challenges, such as inadequate funds, scarcity of IEC specialists to assist in developing program-specific IEC materials, a limited capacity of the KITSO faculty to provide KITSO training, and a shortage of KITSO-accredited practitioners to provide continuing KITSO training for the private sector.
In FY07, AFA will develop the IEC materials in-house, with oversight from the MOH and/or IEC specialists in the private sector. An honorarium for private practitioners willing to accredit and provide KITSO training to private-sector practitioners will be established, and experts from abroad will be invited to provide CME in collaboration with the I-TECH at the-University of Washington), and other organizations.
In FY07, at least four CME sessions will be provided for private sector practitioners in the southern and northern parts of Botswana, and two GOBaccredited HIV/AIDS treatment trainings through KITSO. The goal is to ensure that treatment and/or antiretroviral services offered in the private sector meet national and international standards. This activity will provide CME and KITSO Training to about 300 private practitioners.
To strengthen and supplement Government IEC, program-specific IEC materials (about 5,000 leaflets) will be produced in FY07 to provide knowledge and information to increase the number of clients accessing the managed care program and therefore accessing antiretroviral therapy. These IEC materials will promote HIV prevention strategies such as abstinence, be faithful, and correct and consistent condom use (ABC). By distributing the IEC materials nationally to the various employer groups, we anticipate that this activity will increase current new patients' enrollment rates.
FY07 fund will also support the payment of honorariums to the resource persons who will be providing the continuous medical education and the KITSO Training, travel costs to the different training venues, venue and other related session costs, and production and distribution of IEC materials.
