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
08.P0190-Local Technical Expertise and Support PMTCT
This activity links with all activities under PMTCT. It covers the salaries and travel for the technical
HHS/CDC/BOTUSA staff in-country supporting PMTCT. Eight HHS/CDC/BOTUSA staff work in the PMTCT
section. Six of them are based in Francistown where they carry out operational research, while two are at
the BOTUSA headquarters in Gaborone. An example of the operational research is the successful pilot of
EID of HIV in infants using DBS and DNA PCR. The result of the pilot has led to the roll out of EID by the
MOH countrywide.
In 2008, USG funds will be used to hire additional dedicated staff (2 nurses) to visit each district, provide
detailed feedback on ART initiation rates in pregnant women and infants, organize troubleshooting
meetings, and provide ongoing feedback to every district. In addition, a medical officer will be hired to
provide ongoing technical support to the PMTCT program in the MOH and other related programs (SRH,
Family Planning Unit, and the Food & Nutrition Unit) on PMTCT related issues.
Support for printing technical materials and other costs related to working with the GOB are included. Costs
related to workshops and participation by the technical staff in domestic, regional, and occasional
international meetings are supported.
The PMTCT team in Francistown will conduct a demonstration project on Prevention with Positives (PwP),
by supporting the promotion of family planning and unintended pregnancy prevention among HIV positive
women and their partners. Activities will include community mobilization through local dramas and related
discussion forums, in addition to supporting implementation of the existing PMTCT protocols by health care
workers within clinical settings, which include active promotion of family planning to clients.
08.P0290-Local Technical expertise and support (AB)
This activity covers the salaries and other administrative costs for the technical staff in-country that support
the AB and C/OP program areas. These staff include 2 full-time CDC direct hire, 2 senior FSN, and 1 mid-
level FSN. The funds also support USG-sponsored meetings of prevention implementing partners,
professional development and training for staff persons, conference attendance, and travel for site visits and
other meetings in and out of Botswana that USG prevention officers may attend as part of their regular
duties.
All staff work across the AB and C/OP program areas, so the costs associated with these staff and activities
above are distributed proportionately (66%-33%, respectively).
08.P0390- Local Technical Expertise & Support for Blood Safety
This activity covers the salaries and travel for the technical staff in-country. The funds also support the
printing of technical materials and other costs associated with providing support for the programs and
projects, including work with the GOB. Also included are costs related to workshops and participation by
the technical staff in domestic, regional, and occasionally international meetings deemed necessary for their
work.
08.P0590 Technical expertise and support (C/OP)
the AB and C/OP program areas. The staff includes one full time CDC direct hire, part time of a senior CDC
prevention lead, 2 senior FSN, and 1 mid-level FSN. The funds also support USG-sponsored meetings of
prevention implementing partners, professional development and training for staff persons, conference
attendance, and travel for site visits and other meetings in and out of Botswana that USG prevention
officers may attend as part of their regular duties.
08.C0690-Local: Technical Support for Palliative Care Basic
projects, including work with the Government of Botswana. Also included are costs related to workshops
and participation by the technical staff in domestic, regional, and occasionally international meetings
deemed necessary for their work.
08.C0790-Post: Technical expertise and support (Palliative Care/TB)
This activity covers the salaries and travel for the technical staff in-country and TDY visits by colleagues
based in the US at HHS/CDC headquarters to provide support for the programs and activities, including
work with the Government of Botswana, at a total cost of $466,767. The cost of providing administrative
support (telephone, consumables, supplies and equipment) will be $5,000.
PEPFAR funds will be used to contract out the organization of a consensus workshop to finalize a national
medium-long term strategic plan for TB and TB/HIV control and of an annual conference of the BNTP, at a
combined cost of 30,000.
FY08 funds are requested to support contractual services to maintain and upgrade the electronic TB
register (ETR) and to develop a database for routine monitoring of anti-TB drug resistance, at a cost of
$90,000.
08.C0707-Post
This activity will provide care, preventive therapy and appropriate service referrals for 2,000 adult PLWHA
as part of an ongoing HHS/CDC/BOTUSA project. These individuals will be seen on at least a monthly
basis and they will receive regular checkups by registered nurses. Each will be provided 6 months of IPT;
eligible patients will be linked to services providing ARV treatment and CPT. Patients will be regularly
screened for adverse effects of medications and symptoms of opportunistic infections. Referrals to HIV
support groups, alcohol dependence counseling, psychiatric support, and PMTCT services will be made as
appropriate. Health education will be provided to all patients about living with HIV-infection, and about HIV
services available to them.
Referrals for ARV treatment and CPT will be provided to approximately 1,000 PLWHA. Quality care
through at least monthly check ups will be provided to reduce morbidity and mortality. Data from these
services will also be used to inform the ongoing National Comprehensive HIV Program.
08.C0891-Local Technical expertise and support HHS/CDC (OVC)
This activity covers technical assistance, travel, and printing of technical materials to provide support for the
OVC activities including work with the Government of Botswana. Costs related to workshops are included
in this activity.
08.C0990-Local: Technical Support to Counseling and Testing
activities, including work with the GOB. Also included are costs related to workshops and participation by
An additional staff member (locally employed) will be hired to provide technical and management support
for the counseling and testing program area. This position was approved in FY2007, but was has not yet
been filled. Position description is now being developed, and will be caged by the US Embassy Gaborone,
before advertising the position.
08.T1090-Post: Technical Support for ARV Drugs
08.T1190-Post: Technical Support ARV Services
08.T1290-Local: Technical Support to Laboratory Infrastructure
08.X1390-Post: Technical Expertise and Support SI
This activity covers the salary of four experts including two additional staff members that will join the existing
team. One of the new staff will be an direct hire Full Time Equivalent and the other is a Locally employed
staff member. Costs cover salary, travel, and printing of technical materials to provide support for the
strategic information/ monitoring and evaluation activities including work with the GOB. Funding also covers
participation by staff in domestic and international conferences related to their work, contractual costs, and
TDY visits experts outside the USG agency.
08-X1490-Post: Technical Support - policy analysis and system strengthening
08.X1501-Local: HHS/CDC management and support
CDC Management and administration (Headquarters)
In FY 2008 the Botswana estimates for administrative costs from Base Headquarters are $1,322,615.
These include salaries, benefits, travel, training and support for the Director, Deputy Director, Associate
Director for Global AIDS Program (GAP), GAP Senior Administrator, Associate Director for Science,
Informatics Specialist, the Informatics Section Chief, and communication officers. It also covers 30 days of
support to backstop the country Deputy Director during home leave/R & R by a staff person from CDC
headquarters and dollars for a Building and Design Contractor.
Support costs for the CDC Information Technology Services Office (ITSO) will be covered for 42
workstations in Botswana. ITSO has established a support cost of $3,250 per workstation and laptop for FY
2008 to cover the cost of information technology infrastructure services and support provided by ITSO. This
includes the funding to provide base level of connectivity for Gaborone and Francistown, connectivity to the
CDC global network, keeping the IT equipment refreshed and updated on a regular cycle, expanding the
ITSO Global Activities team in Atlanta and fully implementing the Regional Technology Services Executives
in the field. This is a structured cost model that represents what is considered as the "cost of doing
business" for this location. Also included are consumable IT supplies, equipment, maintenance and
repairs, telecommunications, international travel and training of IT staff not covered by ITSO.
CDC Management and administration (Post)
These funds support local management and staffing costs including local salaries, travel costs, training;
utilities and telecommunications for sites in Gaborone and Francistown; space, leases and warehousing;
security services; XTS500 handheld radios for Emergency Action Committee members; motor pool and
supplies, local printing, supplies and associated operational costs.
Local salaries this year will be higher than last year due to the anticipated transition to a pension plan. This
will require payout for employees formerly on the severance plan as well as a 15% employee annual
contribution to the pension plan.
Salaries are included for the requested new CDC FSN positions.
