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.
09.P.MC01: TBD - Expansion of Safe Male Circumcision -- Services
This activity will support the Government of Botswana's (GOB) effort in scaling up male circumcision (MC)
services countrywide. The GOB recently adapted the UNAIDS/WHO recommendations to implement male
circumcision as an additional strategy to reduce HIV transmission without delay. In leading the scale up
process, the Ministry of Health (MOH) has developed a National Safe Male Circumcision Strategy with the
objective of strengthening the capacity of health services for scaling up safe male circumcision, offering a
comprehensive safe male circumcision service package to all men consenting to undergo MC,
strengthening behavior change communications on MC for all segments of the population, and
systematically monitoring and evaluating MC. The strategy establishes an ambitious goal of circumcising
80% of HIV negative men aged 0-49 by 2012, resulting in 470,000 circumcisions in 5 years.
Services
Male circumcision continues to be performed in public and private facilities in Botswana albeit at a fairly low
rate. In FY2008, United States Government (USG) supported the scale up of MC in Botswana by providing
US$1.3 million to the MOH to strengthen service delivery and improve MC standards by recruiting additional
health workers, developing a comprehensive training curriculum, training health workers on the new
curriculum and guidelines, establishing a safe MC base of Master Trainers and purchasing the basic MC
supplies and equipment. In addition, USG provided US$ 800,000 to develop a short term communication
strategy to improve the availability of information on MC at service delivery points, inform demand and
provide technical support to Botswana's communication efforts.
In FY2009, USG funding will be used to build upon FY2008 MC initiatives by further supporting the
government's efforts to: (1) increase the number of health providers trained to perform safe MC; (2)
increase the knowledge of health providers about risks and benefits of MC; (3) augment equipment and
supplies; (4) establish a referral system; (5) set standards and quality assurance for MC; and (6) establish a
monitoring and evaluation (M&E) process to monitor MC demand and use, and the rates of adverse events.
Referrals and linkages
All HIV negative male individuals from Voluntary Counseling and Testing sites (VCT), Reproductive and
Child Health Clinics, PMTCT (Early Infant Diagnosis) and health facilities after Routine HIV testing (RHT)
will be referred for safe MC. The President's Emergency Plan for AIDS Relief (PEPFAR) funding will
support the Department of AIDS Prevention and Care (DHAPC) in its role to continue to provide leadership
and coordination to the national MC program as well as performing stewardship, regulatory, supervisory and
quality assurance functions to ensure delivery of high quality MC services in accordance with the national
guidelines. The DHAPC will further guide the establishment of systems and mechanisms for stronger
linkages and coordination between MC, Sexual and Reproductive Health (SRH) and other HIV/AIDS
prevention and care programs, including counseling and testing and male involvement programs.
Policy
MC Technical Working Group already meets quarterly and is required to address policy guidelines and
curricula development. MC will be integrated within the existing health services, and in particular SRH.
Integrating safe MC with SRH services has the potential to get men more involved in reproductive health, in
general. In addition, there is a compelling and urgent need to disseminate accurate and balanced
information on MC. This is not to promote MC as conferring complete HIV prevention, but to make sure
accurate information gets out in an understandable package to avoid disinhibition.
Monitoring and evaluation
A monitoring and evaluation (M&E) system for MC will be developed in order to enable monitoring and
evaluation of the performance of MC program and the measurement the of impact of MC in reducing the
risk of acquisition of HIV in the population.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.07:
