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-C0621: Baylor.
The Botswana-Baylor COE was opened on June 20th, 2003. The COE is a collaborative public-private partnership between the Baylor College of Medicine and the GOB. The key objectives of the Baylor COE are to provide comprehensive care to HIV-infected children and their families, and to train health professionals in pediatric HIV care and treatment, and clinical research. The COE routinely hosts health professionals to broaden their clinical knowledge and experience in treating pediatric HIV.
In 2003, the COE assisted the MOH in reviewing the old KITSO training program, and in developing the current and more comprehensive expanded KITSO Training Plan. This activity was funded by HHS/CDC/BOTUSA. EP funds supported the position of an HIV/AIDS training coordinator at the COE. Under the direction of the COE training coordinator, the COE, the Department of Pediatrics at PMH, and the Botswana Network on Ethics, Law, and HIV/AIDS (BONELA), developed a pediatric training course to support the national rollout of ARVs in Botswana. Implementation of this KITSO-Baylor Pediatric HIV/AIDS training program is ongoing. The Pediatric HIV/ART training curriculum is updated regularly. In addition, EP-supported COE Staff are actively involved in the development of pediatric-focused curriculum for use in other national training courses, such as the Advanced KITSO Course, and the KITSO Adherence Counseling Training. All of these trainings are done in consultation with the MOH.
The KITSO-Baylor Advanced Pediatric HIV Training complements the Botswana-Harvard KITSO Clinical Fundamentals training, but with a focus on children. The modules are designed to help health care providers become more comfortable and competent in screening and diagnosing HIV-infected children, and initiating them on ARVs.
The trainings are being conducted at ARV rollout sites across Botswana, including the clinics and other health care facilities in close geographic proximity to the initial rollout sites. In some cases, both didactic and practical training are offered at the COE. The training targets doctors, nurses, pharmacists, social workers, nutritionists, and other health care workers. The training program is structured so COE doctors attend morning clinics at the site being trained, and provide hands-on practical experience in screening and initiating children on ARVs, thereby increasing skills and self-efficacy. In the afternoons, didactic sessions are held to increase knowledge regarding the treatment of pediatric HIV. The training course runs for five days. These trainings will strengthen the pediatric component of the Botswana national ARV treatment program by increasing efficacy and competence of health care providers across Botswana.
Since 2003, 1,550 patients have been treated, 130 health care providers trained, and 11 sites were reached by the Botswana-Baylor COE. In 2006, community training was held at one site, and plans are to expand community training to three other sites in 2007.
In FY07, USG funds will continue to support the Baylor COE to 1. strengthen the national KITSO program, 2. provide continued support for the position of an HIV/AIDS training coordinator at the COE 3. conduct trainings at the COE with visiting health care providers, and 4. employ nurses to support core operations at the COE.
The continued support for the position of the training coordinator is important for the COE to meet its mandate of training health personnel on pediatric ARV therapy. The nursing positions are essential to the continued, uninterrupted enrollment of HIV-infected children and their families into care and treatment at the center, as well as to the center's commitment to excellence in patient care and health professional training regionally and nationally.
It is expected that EP-supported staff, including the nurses, will play an increasingly important role in the KITSO Pediatric Training for health personnel at various ARV rollout sites. The EP-supported staff will liaise with members of the communities identified as important stakeholders in the care of HIV-infected children. In addition, the EP-supported staff will strengthen the COE collaboration with other GOB Training Partners; this should go a long way in building local capacity in pediatric HIV care and support.
FY 2007 Plus-Up funding will be used to provide IEC technical assistance to develop, pre-test and produce IEC material targeting parents of children with HIV/TB disease and adolescents at high risk for HIV and TB infection.
The current TB screening practice in pediatric HIV care settings will be enhanced by the development of screening algorithms for TB. The algorithms will be expanded to include screening of TB in family members. This will include increasing the capacity of selected hospitals to perform sputum induction in children to improve the diagnosis of pulmonary TB, and the develoment of an advocacy strategy for the phased implementaiton of IPT in pediatric clients.
07-T1101: Baylor.
This activity has USG Team Botswana Internal Reference Number T1101. This activity links to the following: C0613 & C0614 & C0615 & C0701 & C0802 & C0803 & C0811 & C0812 & C0815 & P0103 & P0104. Also linked to a number of ARV services programs or activities (T1107 to T1114).
The Botswana-Baylor Children's COE was opened on June 20th, 2003. The COE is a collaborative public-private partnership between the Baylor College of Medicine and the GOB. The key objectives of the Baylor COE are to provide comprehensive care to HIV-infected children and their families, and to train health professionals in pediatric HIV care and treatment, and clinical research. The COE routinely hosts health professionals to broaden their clinical knowledge and experience in treating pediatric HIV.
In 2003, funded by HHS/CDC/BOTUSA, the COE assisted the MOH in reviewing the old KITSO training program, and in developing the current and more comprehensive expanded KITSO Training Plan. EP funds supported the position of an HIV/AIDS training coordinator at the COE. Under the direction of the COE training coordinator, the COE, the Department of Pediatrics at Princess Marina Hospital, and the Botswana Network on Ethics, Law, and HIV/AIDS (BONELA), developed a pediatric training course to support the national rollout of ARVs in Botswana. Implementation of this KITSO-Baylor Pediatric HIV/AIDS training program is ongoing. The Pediatric HIV/ART training curriculum is updated regularly. In addition, EP-supported COE Staff are actively involved in the development of a pediatric-focused curriculum for use in other national training courses, such as the Advanced KITSO Course, and the KITSO Adherence Counseling Training. All of these trainings are done in consultation with the MOH.
The KITSO-Baylor Advanced Pediatric HIV Training complements the Botswana-Harvard KITSO Clinical Fundamentals training, but with a focus on children. The modules are designed to help health care providers become more comfortable screening and diagnosing HIV-infected children, and initiating them on ARVs.
In FY07, USG funds will continue to support the Baylor COE to do the following: 1. strengthen the national KITSO program, 2. provide continued support for the position of an HIV/AIDS training coordinator at the COE 3. conduct trainings at the COE with visiting health care providers, and 4. employ nurses to support core operations at the COE.
The continued support for the position of the training coordinator is important for the COE to meet its mandate of training health personnel on pediatric ART. The nursing positions are essential to the continued, uninterrupted enrollment of HIV-infected children and their families into care and treatment at the center, as well as to the center's commitment to excellence in patient care and health professional training regionally and nationally. In FY07 USG will work closely with the COE management and training coordinator to optimize the impact of USG contributions to MOH for pediatric care and treatment and the impact of the Baylor pediatric AIDS Corps physicians in national training and follow-up to trainings.
It is expected that EP-supported staff, including the nurses, will also play an increasingly important role in the KITSO Pediatric Training for health personnel at various ARV rollout
sites. The EP-supported staff will liaise with members of the communities identified as important stakeholders in the care of HIV-infected children. In addition, the EP-supported staff will strengthen the COE collaboration with other GOB Training Partners; this should go a long way in building local capacity in pediatric HIV care and support.
Since 2003, 1,550 patients have been started on treatment, 130 health care providers have been trained, and 11 sites have been reached by the Botswana-Baylor Clinical Children's COE. However, the total number of children on ARV is stimated at 5500 in the all country. In 2006, community training was held at one site, and plans are to expand community training to three other sites in 2007. Baylor will provide pediatric training targeting members of the community who are involved in the care of children e.g. teachers, care-givers in orphanage and different NGOs, CBOs anf FBOs.
