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.MC02: TBD - Expansion of Safe Male Circumcision -- Communications
One of the most promising new approaches to prevent HIV transmission is safe male circumcision (MC),
which has been endorsed by UNAIDS and WHO, in light of studies demonstrating that it can reduce HIV
transmission by approximately 60%. The Government of Botswana (GOB) has recently begun moving
rapidly forward on scaling up safe male circumcision service delivery and communications and has
spearheaded the development of a draft national strategy on male circumcision. In support of the
government efforts, the President's Emergency Plan for AIDS Relief (PEPFAR) funds were reprogrammed
in FY2008 and CDC engaged Population Services International (PSI) to assist the GOB to develop and
implement a Short Term MC Behavior Change Information and Communications (BCIC) Strategy. Because
MC only offers partial protection from HIV infection in males and there is no immediate benefit to women, it
is important that the public is provided with accurate information on MC, including the benefits and
limitations of this intervention for HIV prevention. BCIC is, therefore, an important strategy in scaling up MC
and realizing its benefits. In addition, BCIC will assist in mobilizing the public for MC and increasing demand
for MC from the target groups, i.e infants, adolescents and adult males.
The short term strategy has set out the initial communication priorities to address the immediate public
information needs before the longer term strategy is developed. The immediate communication needs
include:
1. Improve availability of information about MC
2. Inform existing demand for services and
3. Counter myths and misconceptions about MC.
Using FY2008 reprogrammed funds, the following have been completed: 1. Take home brochures and
leaflets for clients at health facilities have been developed.
2, Other materials for print and electronic media have also been developed ready for the multimedia
campaign once they are printed.
3. The multimedia campaign is expected to be launched before the end of FY2008.
Major FY2009 Activities:
In 2009, a TBD partner will build on the activities started during the implementation of the short term
strategy, as well as implement the following:
1. Describe and implement a long term science based, culturally appropriate male circumcision strategy for
strengthening BCIC on MC for all segments of the population (circumcised and uncircumcised males,
women, parents, stakeholders, key high level decision makers, etc).
2. Disseminate information on benefits associated with safe male circumcision.
3. Stimulate informed demand by developing and disseminating evidence based messages that encourage
HIV negative men to seek circumcision.
4. Solicit broad based support for safe male circumcision by reaching out to and engaging traditional,
political, religious and youth leaders.
5. Ensure gender and human rights considerations are addressed as male circumcision is scaled up.
6. Conduct operational research on effects of safe male circumcision communication efforts.
Contribution to overall program area:
Male circumcision communications support will contribute significantly to PEPFAR goals for primary
prevention. This activity will also contribute to the Botswana 5 year national strategy, which focuses on
prevention as the overall strategy to realize the Botswana Vision 2016 of no new infections.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Addressing male norms and behaviors
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.07:
