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: 2008 2009
09.T.AT06: MLG - ARV Support
CONTINUING ACTIVITY UNDER PERFORMANCE PASS
From COP08:
To improve access to ARVs in line with the goal of "Universal Access" the MASA program focuses on
improving access to ARVs by expanding all the components of ART services to the satellite clinics, having
in the operation linkages between treatment and prevention and optimizing workload distribution and
service provision as key strategy. A critical element of this will include developing a full ART service
provision to the clinic level. In so doing, not only will access to the program be improved, but also other
critical related programs will be linked to MASA program and hence ensure the much needed service to
clients and patients. These programs are; Maternal and Child Health (MCH), Prevention of Mother to Child
Transmission (PMTCT) of HIV, TB, Sexually Transmitted Infections (STI), Palliative Care and Home Based
Care (HBC).
MLG has already rolled out ARVs to 30 facilities and is planning to rollout ARV to 50 facilities this year
2007/2008 to a cumulative of 80 facilities and to 128 in financial year 2008/2009. The national projection of
patients who will be on ART by the end of 2008, 2009 and 2010 is 92,500, 110,000 and 125,000
respectively.
Currently there are 14 facilities that are dispensing drugs on site and 19 on outreach.
To date, Eleven (11) drug storerooms were strengthened and or upgraded to be able to store ARV drugs.
Nine (9) of these facilities are dispensing on site and one on outreach.
In COP 6 the post of a public health specialist was filled and drug storerooms for 33 more facilities were
upgraded. 300 nurses were trained in drug management and dispensing to provide these services at the
sites. 34 facilities were targeted for strengthening of the drugs storerooms and increasing the working
space.
2008 plans
MLG will continue training nurses on dispensing ARVs to increase capacity. To ensure that facilities always
have nurses who can dispense, this training will increase the number of nurses who have been trained on
dispensing to 500. There will be 3 sessions of trainings for nurses on drugs dispensing.
The MLG will use funds to renovate one old building and convert it into district/regional ARV drugs
warehouse where drugs from Central Medical Stores will be stored before being distributed to the facilities.
Having district drug warehouses in all districts will improve the supply chain management to ensure that
drugs are always in stock, there is proper drugs management system in place, proper accounting of drugs
in the districts, there is safety of the drugs and ultimately their distribution resulting in improved access.
Pharmacists will manage these district/regional warehouses. Support and training for the pharmacists will
come from SCMS.
MLG's Department of Primary Health Care has the responsibility of coordinating the ARV rollout to the
clinics. MLG will hire 2 Regional ARV Coordinators for the northern and southern parts of the country
funded by PEPFAR. The 2 Regional ARV Coordinators will be responsible for monitoring the projects
implementation through frequent visits to the districts facilities where rollout will be implemented. They will
closely supervise the strengthening of the infrastructure, monitoring of the funds in the districts by making
sure that accounts are in order and payments are made speedily. With the increase in number of health
facilities that are dispensing from 30 to 80 to 128 in 2006/2007, 2007/2008 and 2008/2009 respectively, the
two coordinators will closely oversee the whole process of the rollout, give necessary assistance to the
districts and through the national coordinator make provisions for the needs that might arise. The two (2)
regional coordinators will work hand in hand with the District HIV/AIDS Coordinators (DAC) to increases the
uptake of MASA program in the health facilities. The 2 coordinators will be hired as project posts and will be
taken over by GOB after 3 years.
The Public Health Specialist, who is in place, will direct the overall coordination of the rollout of ARV to the
clinics in collaboration with the Ministry of Health. He will also provide guidance to the District Health Teams
on issues of rollout of ARV to the clinics; where applicable facilitate training to personnel of Local Authorities
on ARV rollout and provide technical support to DHTs on ARV program.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17818
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17818 4541.08 HHS/Centers for Ministry of Local 7749 1337.08 U62/CCU02509 $50,000
Disease Control & Government, 5-
Prevention Botswana Strengthening
Prevention,
Care &
Treatment
through Support
to Programs
Managed by the
Government of
Botswana
9867 4541.07 HHS/Centers for Ministry of Local 5298 1337.07 CoAg # $318,000
Disease Control & Government, U62/CCU02509
Prevention Botswana 5
4541 4541.06 HHS/Centers for Ministry of Local 3372 1337.06 Technical $1,517,054
Disease Control & Government, Assistance
Prevention Botswana
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $301,200
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.09:
09.C.OV06: MLG - OVC Support
The Ministry of Local Government (MLG) through the Department of Social Services (DSS) will continue to
build on its FY2007 and FY2008 initiatives. In FY2007 and FY2008, emphasis was placed on the
completion and dissemination of the following national documents:
-National Guidelines on the Care of OVC
-Situational Analysis of OVC
-National M&E Framework for OVC
-Review and Upgrading of the Registration System for OVC
-Development of the Policy Framework for OVC
-National Training Manual on Psychosocial Support
In addition to the completion of the above national OVC document, DSS was able to train social workers,
teachers, community leaders, NGOs/CBOs/FBOs staff and other relevant stakeholders in Psychosocial
Support (PSS). The PSS training will be scaled-up in FY2009.
In FY2009, DSS intends to strengthen its capacity at the district level to support, monitor and coordinate the
implementation of OVC programs. DSS will focus on training and disseminating national guidelines and
frameworks formulated to improve the quality and type of services being provided to orphans and
vulnerable children. They will work with Marang and The Futures Group to disseminate relevant legislation
affecting orphans and vulnerable children to different stakeholders. DSS will work closely with other relevant
stakeholders in advocating for implementation of guidelines and other policy frameworks on OVC and will
solicit technical assistance from UNICEF on issues of child rights programming, advocacy on children's
issues, and dissemination and implementation of legislation relevant to OVC programming.
DSS will continue to coordinate the provision of services to OVC and to mobilize non-governmental
organizations (NGO), community-based organizations (CBO) and faith-based organizations (FBO) to
participate in issues that affect OVC. DSS will work closely with Marang and other key stakeholders to
strengthen their coordinating structures both at the national and district level through the in-service training
of its employees and by enhancing the linkages and partnerships with the NGO/CBO/FBO providing care
and support to OVC. Most importantly, DSS will build a partnership with the private sector, which will play a
vital role in supporting the service delivery to OVC.
The following coordinating bodies will be strengthened: The National Children's Council, District Child
Welfare Committees and Village Child Welfare committees. These Committees will not only be responsible
for coordination, but will also ensure that OVC are identified and have access to basic services. The
committees will facilitate effective utilization of resources and provision of quality of services to OVC. In
addition to these structures, DSS will identify and train community care givers.
The 2007 Situational Analysis on OVC in Botswana revealed that there are a significant number of OVC
who are cared for by the elderly, female headed households who have little or no income and young people
who are unemployed and unable to provide the basic needs to the OVC. To address the situation, DSS will
use the Community Carers Model (CCM) and Family Care Model (FCM). The main objective of the CCM is
to ensure that the community gives support to the families who do not or cannot support the OVC
effectively. Currently, the government provides the basic needs to OVC; however, some of the services do
not reach the intended children and families due to mismanagement, especially the food baskets. DSS and
the Department of Social and Community Development (S&CD) at district level, together with the CCM, will
identify community carers through the existing community structures, such as Village Development
Committees, Parent Teachers Association and kgotla meetings, who will be used to monitor the service
delivery to identified families. The selected community members will be trained on issues, such parenting
skills and hygiene. Within the carers' network, there will be supervisors who work directly with the social
workers and provide monthly reports. The FCM will be used to ensure that all the members of the family
with OVC are catered for and their capacity to manage is strengthened by addressing their needs. Marang
Child Care network through its members will assist DSS in the monitoring of the project and in the
documentation of all the processes for the betterment of the project in preparation for replication and
mainstreaming into the DSS mandate. Botswana Christian AIDS Intervention Program (BOCAIP) will be
engaged in providing skills to identified community carers.
DSS will take a lead role in ensuring that OVC programs are adequately monitored and evaluated using the
National M&E Framework for OVC. The Department will also facilitate and ensure that OVC-serving
organizations provide at least three minimum essential services as defined by DSS. DSS will collaborate
with OVC-serving organizations to ensure provision of quality OVC services, monitor program results and
document best practices and lessons learned. Additionally, they will collaborate with other OVC-serving
organizations, such as Marang, Catholic Relief Services (CRS), HWW, BOCAIP, Project Concern
International (PCI), UNICEF and other key players such as the National AIDS Coordinating Agency (NACA),
Ministry of Education (MOE) and Ministry of Health (MOH) in trying to ensure proper tracking and
documentation of the number of OVC benefiting from essential services by type of service, age and gender.
In FY2009, DSS will strengthen the OVC registration system in 16 districts, which will involve training staff
on the use of the updated registration system.
Further, in FY2009, in addition to government funds, DSS will utilize PEPFAR resources to continue
building the capacity of the NGO/CBO/FBO that it has been supporting. The support will include giving
these community organizations grants for OVC services, including support for the organizations to provide
psychosocial support and other basic needs.
2007 accomplishments
MLG's DSS continues to build on its work to date. Through 2007 emphasis was placed on the development
Activity Narrative: of guidelines, policy, M&E framework, training manuals, upgrading the OVC registration and data
management systems. DSS focused on addressing capacity building issues at the Child Welfare Division at
the national level.
DSS intends scale up interventions and will continue strengthen capacity at the national and district level to
effectively support, monitor and coordinate the implementation of OVC programs. DSS will specifically focus
on strengthening linkages with key implementing partners such as BOCAIP and Marang Child Care
Network, addressing issues of quality and service delivery to OVC.
Through BOCAIP, DSS will strengthen and monitor the quality of services provided to OVC and promote
referrals among partners and improved reporting of results. BOCAIP will work closely with CBO/NGO/FBOs
to support comprehensive care to OVC for both protection and welfare of children affected and infected by
HIV and AIDS. Training on guidelines and regulations related to services delivery as well as tracking the
use of existing tools is integral to this support. DSS working closely with BOCAIP will ensure that at
community level there is monitoring in the delivery of the food basket to OVC. To further enhance the
quality of service at family level BOCAIP will provide guidance to service providers on child participation and
involvement.
With Marang, DSS will work in training, advocacy and coordination of NGO/CBO/ FBO's and Social
Workers at national and district level. Under advocacy, Marang will disseminate relevant legislation affecting
orphans and vulnerable children to different stakeholders. Emphasis will be placed on issues of vigilance to
child abuse, incest, detrimental cultural practices, inheritance and will writing to protect children's rights as
well as working with the media on reporting issues of OVC.
DSS will continue to strengthen its coordinating structures both at the national and district level to ensure
comprehensive and effective delivery of services for orphans and vulnerable children. Marang, as the only
OVC umbrella network in the country with a coordination mandate, will collaborate with DSS and other
relevant government departments to ensure effective coordination and quality of services to OVC. Marang
will collaborate with DSS and other stakeholders in promoting and strengthening coordination committees
such as the District Child Welfare Committees and Village Child welfare committees. Marang will
collaborate with government in establishing CCCFs among its partner organizations. The CCCF will serve
as the "watch dogs" for OVC services at the community level. DSS will also collaborate with Marang in
holding National OVC forums. This will be an annual event bringing all NGOs/CBOs/FBOs and other
relevant stakeholders to share best practices and lessons learned in OVC programming.
Marang will facilitate improved monitoring of OVC services by supporting DSS in disseminating the OVC
data collection tools for reporting. Marang will take a lead role in coordinating and monitoring the activities
of community based organizations to ensure application of these tools.
By strengthening the policy implementation environment, Botswana can achieve greater impact in terms of
averting new infections, care for OVC, and meeting the treatment and care needs of people living with or
affected by HIV. OVC advocacy initiatives will be a key concern in the regions, such as child participation,
birth registration, education, inheritance, access to services and child abuse. Marang will contribute to the
reduction of stigma through advocacy. Outreach at key community events and special venues. These
activities will be done in conjunction with the Department of Social Services, UNICEF and Marang
members.
The DSS will continue to take a lead role in ensuring that there is capacity to implement OVC programs and
that they are adequately monitored and evaluated using the National M&E Framework for orphans and
vulnerable children. DSS will facilitate and ensure that there is documentation of best practices and lessons
learned from the overall PEPFAR supported OVC program.
Continuing Activity: 17412
17412 4540.08 HHS/Centers for Ministry of Local 7749 1337.08 U62/CCU02509 $50,000
9866 4540.07 HHS/Centers for Ministry of Local 5298 1337.07 CoAg # $600,000
4540 4540.06 HHS/Centers for Ministry of Local 3372 1337.06 Technical $645,946
Health-related Wraparound Programs
* Child Survival Activities
Estimated amount of funding that is planned for Human Capacity Development $470,000
Estimated amount of funding that is planned for Economic Strengthening $150,000
Table 3.3.13:
09.X.SI07: MLG - Support for Monitoring and Evaluation in Districts
ACTIVITY UNCHANGED FROM FY2008
In an effort to continue building its capacity to provide strategic information on HIV prevention and care and
to improve HIV/AIDS and other health data quality MLG's Department of Public Health Care and Services,
formerly the AIDS Coordination Unit, requests financial support for the salary of two Senior M&E officers at
headquarters in Gaborone and for 44 Information Management officers (IMOs) placed in the districts (DHT
and DAC).
The overall objective of these activities is to increase MLG's M&E capacity to monitor the HIV response at
the district and central levels. This will be translated into improving the national level M&E coordination,
district reporting, strengthening and streamlining of data flow systems, and supporting overall efforts to
improve the quality of HIV care.
IMOs.
Twenty of these positions will be at the DAC Offices working with NACA and 24 positions will be with the
DHTs. The recruitment process is about to complete and these officers are expected to be on board by
September 2008. Technical assistance in mentoring these officers will be provided by I-TECH. The later will
work closely with MLG in providing job orientation, mentoring and supervision, technical assistance and
administrative support as well as developing the plan to integrate these new staff members into government
service over time.
Senior M&E officers.
The staff has been hired and is currently posted at the MLG headquarters. Together with the head of the
head M&E Unit in the Department of Public Health Care and Services, they will supervise and support the
IMOs placed at the DHTs and DACs. These officers will work hand in hand with the I-TECH mentors to
acquire necessary skills in supporting the IMOs at both DACs and DHTs. They will ensure the quality of
data from the districts and the timeliness of reports to the central level.
Continuing Activity: 17905
17905 17905.08 HHS/Centers for Ministry of Local 7749 1337.08 U62/CCU02509 $746,000
Program Budget Code: 18 - OHSS Health Systems Strengthening
Total Planned Funding for Program Budget Code: $7,249,764
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
In response to the challenges that HIV and AIDS present to Botswana, efforts continue to be made to diversify approaches, fine
tune technical support, and plan for future program sustainability with the support of the Presidents' Emergency Plan for AIDS
Relief (PEPFAR). The national HIV prevalence rate is 23.9% among adults ages 15 to 49, according to recent UNAIDS data, and
an estimated 300,000 are living with HIV/AIDS. About 53.2% of Batswana know their HIV status up from 25% in 2004, 95% of
pregnant mothers gaining that information through the Prevention of Mother to Child Transmission program. The Botswana 2007
Sentinel Survey indicated that HIV prevalence among pregnant women (15-49 years) is 33.7%, though the overall trend appears
to be decreasing from 37.4% in 2003 and estimated true MTCT rate is 7%. The Department of HIV/AIDS Prevention and Care
reports that, as of the end of July 2008, a total of 109,991 patients were receiving HAART, 97% of the 113,000 patients estimated
to require treatment. Challenges remain, however, with prevention, particularly the issue of multiple concurrent partnerships,
alcohol abuse, nascent civil society, and human capacity development.
Health system strengthening is an important foundation for ensuring the sustainability of HIV/AIDS programs and other health
services and interventions developed and rolled out under the President's Emergency Plan for AIDS Relief (PEPFAR). In
Botswana, PEPFAR's strategy has been to contribute to system strengthening within specific HIV/AIDS programs, as well as to
support directly various critical planning and support units within the Government of Botswana (GOB), for example, the Ministry of
Health (MOH) Department of Policy, Planning and Monitoring and Evaluation (DPPME), Central Medical Stores (CMS), and
Laboratory Services, and key civil society leadership groups including national networks of AIDS service organizations, People
Living with HIV and AIDS (PLWHA) organizations and OVC support organizations, to address underlying deficiencies in human
resources (see Human Capacity Development Program Area Narrative in the supporting documents section), policy and
guidelines, infrastructure, procurement and logistics systems, management, leadership, organizational capacity and gender (see
Gender Program Area Narrative in the supporting documents section).
Health Service Planning
With PEPFAR support, the MOH is undertaking the development of an integrated health service plan to correct inequities in the
distribution of health services and increase access to basic services, including HIV/AIDS prevention, care and treatment
programs. The overall purpose of the plan is to strengthen strategic health planning to ensure optimal utilization of health
resources, including human resources, and improve implementation of the Botswana National Health Policy. An Essential Health
Services Package will be developed, along with supporting human resource, procurement, financial, monitoring and evaluation
components.
Procurement and Logistics Systems
Substantial investments have been made by PEPFAR Botswana in procurement and logistics systems for anti-retroviral (ARV)
drugs, infant formula for PMTCT and laboratory equipment and supplies. SCMS was engaged to work with Central Medical
Stores to improve the procurement and distribution processes. Among the many achievements to date are improvements in the
Drug Regulatory Unit (DRU) registration of generic ARV, which is lowering the costs of drugs. SCMS also provides technical
assistance for quality testing of generic ARVs; strengthening supply chain management for ARVs and laboratory supplies;
supporting the CMS Quality Management System (QMS) methodology; establishment of drug logistics management information
system and a Laboratory Information Management System (LIMS); and a comprehensive system for specimen management and
results tracking and support to the National Health Laboratory (NHL) and the National Blood Transfusion Services (NBTS) for
procurement. A LMIS for infant formula supply was developed for the PMTCT program. SCMS assisted the National
Tuberculosis Reference Laboratory (NTRL) in the procurement of reagents and equipment to improve the capacity to conduct TB
culture and drug susceptibility testing. The laboratory quality assurance program has been strengthened over the past years by
providing a fully equipped National Quality Assurance Laboratory (NQAL) at the National Health Laboratory. TB training material
and External Quality Assurance (EQA) program were also developed.
In FY2009, work will continue with CMS which is under the overall management of the new MOH contractor to: develop a
Monitoring and Evaluation (M&E) system for sustainability of ARV supply; support the merger between the National Drug Quality
Control Laboratory (NDQCL) and DRU into Medicines Regulatory Authority; develop QMS and post-marketing surveillance
systems to assure the quality of imported drugs; develop tools for managing inventory and tracking transactions to strengthen the
warehousing and distribution systems; support management of male circumcision supplies and ARVs at new ARV sites; design,
implement and monitor the proposed infant formula voucher system; and continue to expand assistance to NHL - LMIS, and
maintain and standardize equipment ..
Management and Leadership
PEPFAR Botswana supported the development of the Botswana Sustainable Management Development Program (SMDP) to
train HIV managers in the public sector and civil society in management, leadership and process improvement. This training is
now being adopted as part of the Government's overall public sector work improvement initiative and critical health managers and
HIV/AIDS service providers are being targeted for training. In 2007, all district matrons were trained, while in 2008, central TB
personnel were trained.
The Capacity Project will also assist the Government of Botswana (GOB) to establish a management development program for
the public sector that will complement the SMDP program and address additional aspects of management and leadership.
Infrastructure
PEPFAR Botswana has supported many improvements in health infrastructure through the purchase of portable buildings,
renovation and construction. These include: purchase of space for counseling and testing at all health facilities; renovations of
offices for PMTCT staff at headquarters; renovation of a TB isolation ward; renovation of the HIV Reference Lab in northern
Botswana, the blood transfusion center, and nutrition centers; construction of free-standing VCT centers and a pediatric training
center; support to the MLG laboratory services by providing prefab laboratories; and building a second TB culture facility in the
north.
Civil society capacity building and organizational development
Since the beginning PEPFAR Botswana has supported, and will continue to support, capacity building for civil society partners.
Among the accomplishments of this support, are the development of the Tebelopele VCT network and Makgabaneng Radio
Show, both now independent programs who continue to receive funding and technical assistance from PEPFAR. Civil society will
receive increased attention in FY2009 to complement the GOB's renewed focus on civil society and the new civil society
strengthening strategy that will be developed under the National Strategic Framework II (NSF II). PEPFAR will support over 30
small to medium NGOs, CBO and FBOs with technical assistance from various partners, including the Academy for Educational
Development (AED), Project Concern International (PCI), National Association of State and Territorial AIDS Directors (NASTAD),
Family Health International (FHI), Population Services International (PSI), Research Triangle Institute (RTI), and American
International Health Alliance (AIHA). Peace Corps continues to field volunteers who work country-wide with local NGOs. The
National AIDS Coordinating Agency (NACA) has established a Donor Coordinating group on Civil Society Capacity Building to
which PEPFAR belongs and is undertaking a mapping exercise.
Building capacity for evidence-based planning at the national, district and village levels
Technical assistance from NASTAD, which began in 2005, will continue to build capacity in the Ministry of Local Government
(MLG) and train district managers to use an evidence-based approach to develop and implement district HIV plans. The
improvement in HIV program planning as a result of this methodology was recognized during the recent mid-term review of the
Botswana National HIV/AIDS Strategic Framework.
Community mobilization
PEPFAR has supported MLG since 2005 to implement the Community Capacity Enhancement Program (CCEP) for community
mobilization. This strategy uses participatory methodologies to empower communities to address HIV/AIDS at the village level.
The program is currently being evaluated, a process intended to improve implementation and assist government to determine
whether or not this strategy will be adopted as the national community mobilization during NSF II.
Policy development and legal reform
PEPFAR has supported the development and distribution of various guidelines and protocols for HIV/AIDS programs and
supporting units, including PMTCT, OVC, Care and Support, ARV, HIV Counseling and Testing (HCT) aimed at children and
couples, TB and laboratory. The U.S. Department of Defense is also assisting the Botswana Defense Force in the development of
an HIV/AIDS policy.
PEPFAR also supports policy and legal reform advocacy undertaken by the Botswana Network on HIV/AIDS. Issues currently
being addressed include promoting sustainable HIV/AIDS medications, advocating for the right to health, developing policies and
programs targeted to address the sexual reproductive health needs of HIV positive persons, particularly women, and harmonizing
the provisions of the constitution relating to the protection of women. Other activities will include promoting the enactment of the
Domestic Violence Act and monitoring the implementation of national HIV testing guidelines relating to informed consent and
confidentiality.
Stigma
PEPFAR is supporting the National Wellness Program for Health Workers that includes a large component on HIV/AIDS, namely
education, counseling, testing, and treatment and the establishment of support groups. A key focus of these activities will be
aimed at reducing HIV stigma from health workers to each other and from health workers to clients. The CCEP Program
described above also includes training for facilitators to enable them to incorporate stigma reduction activities in the community
response.
Table 3.3.18:
09.X.SS03: MLG - Community Capacity Enhancement Program
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
The activity will remain the same, but different districts and villages, including Gantsi, Lobatse, Selibe
Phikwe, Sua Town, Bobonong and Mabutsane, will be targeted for local facilitator training. Additionally, a
skills refinement workshop will be held for participants from all over the country.
Additionally, more equipment will be purchased, including a video camera, laptop and projector, for
headquarter staff for documentation and training purposes.
This activity will result in the following outputs: 50 villages will have HIV/AIDS action plans as an output of
conversations and representative sample of conversations will be documented.
As part of the multi-sectoral response to HIV in Botswana, Government seeks to empower Batswana to
actively participate in HIV prevention and care in their own lives and their communities. To address this
objective, MLG with technical support from the United Nations Development Program (UNDP), has adopted
a participatory methodology for engaging communities in the fight against HIV/AIDS that has shown to be
effective in the African context. In 2004, five districts were selected to begin implementation of the
Community Capacity Enhancement Program (CCEP) using the "community conversations" method. This
methodology seeks to build on the capacity of individuals and communities to facilitate local responses to
HIV/AIDS in the areas prevention, care, treatment and support, stigma reduction and addressing gender
inequities. Specifically, the program is designed to explore community perspectives concerning how to live
with, and respect, PLWHAs and their involvement in community responses to the epidemic; strengthen the
capacity of individuals and organizations to facilitate local community responses to HIV/AIDS that integrate
care with prevention, keeping in mind other priority concerns such as coping strategies, orphans and
vulnerable children, health and development, etc.; sustain local action by increasing the capacity to care,
change and find hope within and among individuals, families and the community; strengthen individual and
organizational reflection on their approach and ways of working with communities and; facilitate the transfer
of lessons learned and change among individuals, from organization to organization and from community to
community.
This program uses trained volunteer facilitators to engage their own communities in a process to discuss
and identify local HIV-related issues and community solutions. Fifteen (15) national United Nations
Volunteers (UNVs) are in place in the districts to lead and facilitate this program. A program officer, housed
at MLG and supported by PEPFAR, is responsible for overall implementation.
In 2007, the stigma reduction component of the program is being intensified with technical assistance from
NASTAD. This element will specifically address HIV/AIDS stigma, support to PLWHAs and treatment
adherence in conversations and community-initiated action plans.
To date, the UNDP CCEP Facilitator Training Manual has been adapted to the Botswana context, trainers
have been trained in 24 of the 27 districts, community facilitators have been trained in 11 districts and
community conversations are ongoing in 11 communities.
2007 Achievements:
Trained 28 trainers in 8 districts; trained 39 facilitators in 2 districts; hired CCEP project officer/manager for
headquarters.
2008 Plans:
Achieve national coverage by training 20 trainers from four remaining target districts; train 24 facilitators in
four remaining districts; train 95 additional facilitators in other districts.
Continuing Activity: 17413
17413 4553.08 HHS/Centers for Ministry of Local 7749 1337.08 U62/CCU02509 $120,000
9869 4553.07 HHS/Centers for Ministry of Local 5298 1337.07 CoAg # $120,000
4553 4553.06 HHS/Centers for Ministry of Local 3372 1337.06 Technical $100,000
Gender
* Addressing male norms and behaviors
Estimated amount of funding that is planned for Human Capacity Development $115,000
