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.C.AC01: TBD - Botswana School of Nursing Twinning
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
The partners will organize clinical placements for a team of ten lecturers from the Institute of Health
Sciences-Gaborone (IHS-G) in established palliative care centers outside Botswana. The placement sites
selected will have extensive clinical expertise in the delivery of palliative care and in the provision of
effective clinical teaching experiences for students and lecturers.
The TBD organization will establish a palliative care resource center at the IHS-G library, where students
and lecturers will be able to access the latest information and resources on palliative care. The center will
provide computers and internet connections with subscriptions to medical research databases, so that users
can access the latest information available online. The center will house books, DVDs, CDs, CD-ROMs,
and other supplemental resources. AIHA will provide training in evidence-based practice for IHS staff who
will manage and use the resource center. The center will bolster and support the previously established
information access points.
The African Palliative Care Association (APCA) will provide training and mentoring in advocacy for
representatives from all IHS institutions. IHS-G will play the lead role in strengthening palliative care
components within the broader curricula and the other IHS institutions will become more aware of the
process of integrating palliative care into their own educational programs. Additional training and mentoring
will be available from the media partnership between the Media Institute for Southern Africa (MISA) and
Zambia Institute of Mass Communication (ZAMCOM).
APCA will follow up on the monitoring and evaluation training previously provided by working with IHS-G to
develop and implement a monitoring and evaluation system.
APCA will assist IHS-G in conducting an organizational assessment and developing a business plan at an
institutional level and in select departments, as appropriate. Based on this and other assessments, training
will be provided to address the specific capacity development needs that have been identified.
The TBD organization will place two or three experts, such as nurses or curriculum development specialists,
with appropriate experience and expertise at IHS-G for a minimum of a three-month assignment through the
Volunteer Healthcare Corps. Each placement will be vetted with IHS, the Ministry of Health (MOH),
BOTUSA, and other stakeholders as appropriate.
It is expected that the TBD organization will take gender concerns into account in all its policy, program,
administrative and financial activities, as well as in its organizational procedures, thus contributing to
organizational transformation. It will actively seek the involvement of the beneficiaries and government
counterparts in project formulation in order to include their perspectives in gender mainstreaming.
Furthermore, it is expected that they will believe that it is of critical importance to attain a keen sense of the
socio-economic and political contexts of the activity, as these will direct programming to address the gender
perspective of HIV in Botswana at all levels. The TBD organization, likewise, will strive to consult and
involve both women and men in the decision making processes, as well as assess the impact of its work on
both genders. They will work with IHS and APCA to ensure that the development of the educational
programs at IHS and palliative care services provided take gender issues into account.
From COP08:
The AIHA Twinning Center proposes the expansion of a partnership between the African Palliative Care
Association (APCA) in Uganda and the University of Botswana, Institute of Health Sciences (IHS), School of
Nursing in Botswana.
In July 2007, APCA visited IHS to conduct an initial assessment, met with local stakeholders, and identified
focus areas for the partnership. This was quickly followed by an AIHA facilitated workplan development
exchange in August. During this exchange the partners jointly developed the initial objectives,
corresponding activities and a partnership communication plan. The goal of this partnership is to strengthen
the institutional capacity of IHS to provide quality palliative care education and training for healthcare
workers in Botswana. The partners collaboratively identified the following objectives, which are currently be
vetted with stakeholders in Botswana to minimize duplication of efforts:
1.To strengthen the capacity of IHS faculty to provide palliative care training for students
2.To develop the organizational capacity of IHS in planning, monitoring and evaluation, and research
In an effort to fully coordinate activities with the MOH in Botswana, the partnership will discuss with the
MOH the possibility of including a representative(s) in a subsequent exchange to Uganda. In this
exchange, the representative(s) will be able to visit the APCA facilities, the Uganda Hospice, and learn
about the resources APCA brings to this partnership.
AIHA is requesting additional funding in 2008 to ensure the robust progress of this partnership. As the
partners transition out of their year 1, initiation phase, they will require increased funding levels to support a
greater level of activities and allow for an adequate number of professional exchanges, trainings, and
technical assistance to accomplish their goals and objectives. Robust funding for partnerships will ensure
rapid progress in reaching partnership and PEPFAR goals.
Further, in the first 3 years of the TC cooperative agreement, HRSA provided central funding (received from
PEPFAR/OGAC headquarters) to AIHA to subsidize the initiation of programs and cover in-country office
and headquarters operations. Now, HRSA is phasing out its central funding to its cooperative agreement
partners; therefore, these costs are now included in this country funding request. Beginning with COP 2008,
the Twinning Center will operate as a traditional US government partner, receiving all its programmatic
funding, including operations for the in-country office and headquarters, from the US government country
Activity Narrative: programs (through the Country Operational Plans) and will cease to receive central funding from HRSA.
The specific partnership activities will be determined jointly by the partners during the year two workplan
development exchange, however activities will likely include:
Establishment of a stakeholders committee to oversee the integration of palliative care in pre-service health
care worker training curricula
Quarterly meeting of the stakeholder committee
(1 quarterly meeting for 20 participants=$2,500)
4 meetings X $2,500=$10,000
Sensitization workshops on palliative care for faculty at health training institutions
(25 faculty participants from health care training departments per training=$35,000)
2 trainings X $35,000=$70,000
Partnership exchange trips between partner institutions for program planning, program management and
evaluation activities related to the implementation of the workplan.
(1partner to participate in exchange trip=$4,000)
2 participants X 4 exchanges=4 x $4,000=$16,000
Training on the implementation of monitoring and evaluation (M&E) data collection tools to improve access
to quality palliative care. This will be conducted during the partnership exchanges
The remaining partnership funds will cover the overall administrative costs for AIHA, APCA and the
Botswana partners.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17570
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17570 10278.08 HHS/Health American 7809 5325.08 U69HA04128: $150,000
Resources International Twinning
Services Health Alliance
Administration Twinning Center
10278 10278.07 HHS/Health American 5325 5325.07 AIHA $150,000
Resources International
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $90,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.08:
09.C.OV04: TBD - OVC Twinning
ONGOING ACTIVITY WITH NEW PARTNER FOR WHICH NO ADDITIONAL FY2009 FUNDS ARE
REQUESTED
This activity continues a twinning partnership between the Marang Childcare Network in Botswana and the
Children in Distress (CINDI) in South Africa. The mission of the Marang Childcare Network is to deliver
effective psychosocial support, community mobilization and life-skill programs for children. Their strategy is
to mobilize and build the capacity of community-based organizations for child rights-based response.
Interventions include advocacy, networking, community mobilization, child day care and government
partnerships. The Children in Distress Network (CINDI) founded in 1996, consists of over 150 NGOs,
CBOs, government agencies and individuals who collaborate in the interests of children affected by HIV and
AIDS in KwaZulu-Natal, South Africa. The CINDI Network operates a multi-sectoral network of civil society
and government agencies capable of implementing diverse programs for children affected by HIV/AIDS.
The main goal of this partnership is to strengthen the organizational response to address the needs of OVC
in Botswana. Twinning activities began with an assessment exchange to Botswana by CINDI in August
2007 to assess the Marang Childcare Network's current capacities and meet with local stakeholders. A visit
by key stakeholders from the Marang Childcare Network to South Africa to learn first-hand about the
services and resources of CINDI follows the initial Botswana visit. At this meeting, AIHA will facilitate the
development of a partnership work plan, timeline, and budget that identifies specific activities the partners
will undertake together. Partnership funds will support the exchange visits and pay for materials and
supplies for the activities the partners elect to undertake (e.g., training, joint materials development,
workshops, technical assistance, etc.). With FY 2008 funds, AIHA will assist partners to scale up and
increase the coverage of activities completed in FY 2007.
Initial areas in need of technical assistance include the following:
1. To strengthen the organizational capacity of the Marang Childcare Network to be a responsive and
resourceful network for both civil society and government;
2. To build the capacity of the Marang Childcare Network to be a funding conduit for other NGOs in
Botswana;
3. To strengthen advocacy efforts to develop responsive policies and sustainable integrated programs for
OVC; and
4. To increase the capacity of the Marang Childcare Network to mentor other CBOs and FBOs in OVC
programming.
While it is important that the partners themselves determine their joint activities, likely support activities
include: 1) strategic planning, 2) development or adaptation of organization development training materials,
3) funding conduit policy, 4) program and financial management technical assistance, 5) network
development and management, 6) M&E tools. A NGO/CBO/FBO workshop on OVC will draw-in civil society
organizations in Botswana with the aim of sharing information and advocating for a formal network and
mapping of OVC activities in Botswana.
Continuing Activity: 17571
17571 10210.08 HHS/Health American 7809 5325.08 U69HA04128: $462,000
10210 10210.07 HHS/Health American 5325 5325.07 AIHA $150,000
Health-related Wraparound Programs
* Child Survival Activities
Table 3.3.13:
09.C.CT08: TBD - Twinning Center
ACTIVITY UNCHANGED FROM FY2008
2007 accomplishments
Twinning activities began in April 2007 with the first exchange visit of Liverpool VCT (Kenya) and The AIDS
Support Organization (TASO-Uganda) to Botswana to meet with Tebelopele VCT and BOCAIP. The aim
was to introduce the partners and to conduct an organizational assessment. Partners also identified
potential areas of collaboration for partnership activities. A second exchange trip is planned for the 15th
October 2007, where Botswana partners from both Tebelopele and BOCAIP will visit Kenya and Uganda to
tour the facilities, learn first-hand about the services and resources of their selected counterpart VCT
organizations and to develop a joint partnership work plan and budget. Based on the needs identified during
the April 2007 assessment exchange, formal relationships are being established between Tebelopele and
Liverpool VCT, and TASO and BOCAIP, respectively, in order to provide more targeted technical
assistance. In addition, many of the partnership activities conducted by the lead partners will benefit both
local partners, e.g. training events conducted in Botswana for both local partners.
2008 plans
The partnership between Tebelopele and Liverpool VCT in Kenya will focus on meeting the following three
objectives: establishing post-test clubs and support systems, including counseling, for PLWHAs; developing
a marketing plan for VCT services for the private sector; and strengthening the capacity for VCT-counselor
supportive supervision and quality assurance systems.
TASO will also assist Tebelopele on building their capacity to mentor community-based organizations in
Botswana to provide VCT.
The partnership between BOCAIP and TASO will continue to focus on meeting the following three
objectives: strengthening the organizational development of BOCAIP by building capacity for: a) increasing
BOCAIP membership and networks; b) diversifying sources of funding; c) developing a human resource
management and development strategy and d) managing and integrating services; strengthening the
monitoring and evaluation systems for BOCAIP's services; and sharing best practices on home-VCT and
adherence counseling with relevant partners and stakeholders.
Liverpool VCT will also assist BOCAIP by sharing best practices in establishing post-test clubs and youth-
friendly services including the development of a Training-of-Trainers (TOT) manual for youth-friendly
services.
Funds will support the exchange visits and pay for materials and supplies for the activities the partners elect
to undertake - e.g. training, joint materials development, mentoring and documentation of best practices,
etc.). A small portion of the funds will be used to cover administrative costs incurred by partners to manage
the partnership, including fiscal and M&E reporting as required by AIHA and HHS/CDC/BOTUSA.
The expected outputs from the partnership activities include increased organizational development of both
local partner institutions, the establishment of new VCT services for different target groups and improved
quality of VCT services.
Continuing Activity: 17572
17572 9902.08 HHS/Health American 7809 5325.08 U69HA04128: $700,000
9902 9902.07 HHS/Health American 5325 5325.07 AIHA $150,000
Table 3.3.14:
09.X.SS11: TBD - Media Twinning
During FY2009, this activity with a new partner, in addition to continuing the activities from FY2008, will also
focus on the following activities:
1. Increase the knowledge and skills of Botswana NGO managers on effective media relations with respect
to HIV and AIDS programs and related issues through training.
2. Develop effective Monitoring and Evaluation (M&E) systems and strategies to ensure the continued good
quality of reporting on HIV and AIDS in Botswana by developing M&E tools and toolkit for journalists,
training MISA and journalists on M&E, and producing a TV documentary for presentation at the 2009
Highway Africa Conference in Grahamstown, South Africa.
3. Increase coverage, scope and depth of training for journalists, editors, media institutions, and NGO
representatives, particularly those in rural areas, with assistance from the University of Kentucky (UK).
Establish networks among journalists in Botswana, improve their capacity to report effectively and
accurately on HIV and AIDS and enhance the level and quality of interaction between the media and NGOs
that address HIV and AIDS issues.
4. Strengthen MISA's management, administrative and institutional capacities to organize and implement
training workshops of its own on HIV and AIDS reporting through direct mentoring and training by UK and
ZAMCOM.
5. Develop a website for MISA, which journalists, NGOs and other stakeholders can network and access
current information and toolkits, among other things.
6. Place Volunteer Healthcare Corps (VHC) volunteers to scale up existing and new projects for MISA staff,
journalists and NGO representatives.
This activity will continue to support a twinning partnership between the Media Institute of Southern Africa
(MISA) located in Botswana and the Zambia Institute of Mass Communication Educational Trust
(ZAMCOM) located in Zambia. ZAMCOM offers in-service training to journalists and non-media practitioners
involved in communication and is the only in-service training institution for media practitioners in Zambia
that has received the highest grading (Grade A).
MISA is a regional non-government organization operating in the Southern African Development
Community (SADC) region. MISA Botswana is one of the regional chapters that manage five media-
awareness and training programs including media- legislation strengthening; monitoring violations to media
legislation; diversifying broadcasting; creating a supporting media environment; and legal protection of
media.
The goal of the partnership is to raise the quality of HIV/AIDS reporting in Botswana. This goal is addressed
through the following specific objectives:
1. To increase the knowledge and skills of reporters on issue-based HIV and AIDS reporting;
2. To increase the number of inspired quality HIV and AIDS stories that reflect the extent of the epidemic in
society; and
3. To increase the dissemination of best practices in HIV and AIDS reporting.
During FY 2008, this partnership will continue to focus on the following activities based on the partnership
objectives:
1. Continue to conduct trainings for journalists and editors in Botswana on the production of quality HIV and
AIDS stories. The FY 2008 trainings will increase the coverage and scope of the FY 2007 trainings by
training 100 journalists and editors from 50 media houses in Botswana. Based on the experiences and
evaluations of the original trainings, partners will begin to target media institutions in more rural areas and
focus on establishing networks among journalists in Botswana. While FY 2007 trainings were only able to
support one editor from each institution for just two days, the FY 2008 trainings will be scaled up to include
a more-substantial focus on training editors from media houses and establishing contacts among editors
from various types of media houses (print, television, radio, etc.). Editors will spend an increased time in
formal trainings and be exposed to field-based practical experiences by partners.
Media House Training
2. Provide technical assistance to local Botswana media houses in the production and dissemination of
quality HIV stories by conducting two-week exchange visits by Zambian media professionals to Botswana
media houses. It was decided in FY 2007 that Zambian media professionals would be recruited by
ZAMCOM to participate in capacity-building exchanges with peer institutions in Botswana. The media
professionals will be journalists, editors, administrative officers, etc. with demonstrated expertise and
technical capacity and will be paired with similar institutions identified by MISA who require targeted
technical assistance in specific focus areas. ZAMCOM will provide each media professional with a small
orientation and Scope of Work for the two-week exchange. MISA will coordinate and facilitate the logistics
while in Botswana. Upon the return, the media professionals will produce small reports for dissemination
upon return to Zambia, with ZAMCOM's assistance. This program will be expanded in FY 2008 to facilitate
exchanges between 25 local media houses in Botswana.
3. Evaluate the effectiveness of FY 2007 activities by conducting content analysis of targeted media
organizations to measure any changes in the quality and quantity of HIV-related stories produced. In FY
2007, the partners will have conducted a comprehensive needs assessment and situational analysis of
media houses in both Zambia and Botswana to assess the quality of HIV and AIDS reporting at baseline in
both countries. In FY 2008, the partners will hire local consultants to conduct a follow-up assessment and
document review of all HIV/AIDS stories being produced by media houses in Botswana. The consultants will
conduct data analysis and present the findings to partners. This report will measure the change in quality of
Activity Narrative: HIV and AIDS stories being produced in Botswana as a result of the trainings being conducted to determine
if the practices and lessons learned during the trainings have been implemented in the field. Similar
analyses will be completed at the end of FY 2008 after the successful completion of journalist/editor
trainings and the technical assistance exchanges.
4. Publish a "Compilation of Best Practices/Experiences in Quality HIV and AIDS Reporting" based on the
stories produced during journalist and editor trainings. Based on the results of the follow-up assessment
and all of the stories produced by journalists during the trainings, the partners will publish a compilation of
best practices and model stories for dissemination. The publication will be made available to all media
houses and media professionals in Botswana to serve as a resource in the production of quality stories.
5. Disseminate publication at regional/national media conferences and other press events, including the
Highway Africa Conference. A delegation of partners will travel to the Highway Africa Conference in FY
2008 to disseminate the results of the FY 2007 partnership activities.
6. Conduct partnership exchange trips between partner institutions for program planning, program
management and evaluation activities related to the implementation of partnership activities.
Continuing Activity: 17573
17573 9898.08 HHS/Health American 7809 5325.08 U69HA04128: $400,000
9898 9898.07 HHS/Health American 5325 5325.07 AIHA $175,000
Estimated amount of funding that is planned for Human Capacity Development $500,000
Table 3.3.18:
