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.AT09: TBD - Medical Knowledge Assessment
CONTINUING ACTIVITY UNDER PERFORMANCE PASS.
ONGOING ACTIVITY FOR WHICH NO ADDITIONAL F2009 FUNDS ARE REQUESTED
From COP08:
The Government of Botswana is committed in the fight against HIV/ AIDS and offers free ART to its citizen
through the national ART program MASA. Currently 32 sites are providing services and the roll out of the
program in satellite clinics to bring treatment closer to the population in under way. While the country
response is strong, one of the challenges facing the program is the availability of trained personnel. The
national program MASA with assistance from a variety of PEPFAR-funded and national stakeholders has
embarked in a capacity building effort through training of health care workers (doctors, nurses and
counsellors) in order to ensure delivery of quality services by well trained and qualified staff in both public
and private sectors. Since 2001, many partners have assisted in this training effort, including Harvard
University through the KITSO program, the University of Pennsylvania, the University of Washington/I-
TECH and the AFA, a Botswanan Health Insurance organization. In addition, the Botswana Ministry of
Health has an accreditation exam to test the knowledge required to obtain a License to Practise in
Botswana. However, until now there has been no monitoring or assessment of the successful
dissemination of a basic minimum standard of medical practice nationally in Botswana. We propose, in
collaboration with the Ministry of Health, the Botswana Examinations Council, and the Botswana Bureau of
Standards to measure the principal outcome of medical training by a nationwide assessment of medical
knowledge with particular emphasis on provision of quality HIV/AIDS care. The groundwork for this has
been laid with the collation and review of the content of the different training curricula currently offered in
Botswana by I-TECH. This establishes what may be reasonably expected of the knowledge of medical
practioners in Botswana. We propose to support the development of a multiple-choice type Medical
Knowledge Assessment Test similar to the USMLE used for the same purpose in the USA, but based on
the Botswana curricula, and administer the tests to health care workers nationwide, in both central and
district practice settings. The principal outcome of the testing will be scoring of knowledge, primarily about
delivery of quality HIV/AIDS services, for individual health care workers. Secondary outcomes will include
regional, district and facility level knowledge indicators and health care worker cadre indicators. These hard
outcomes may be used to target trainings, update curricula, and serve as a template for a more
comprehensive review of the quality of medical practice in Botswana as the country prepares to open its
first medical school.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19650
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19650 19650.08 HHS/Centers for To Be Determined 8744 8744.08
Disease Control &
Prevention
Table 3.3.09:
09.C.TB11: TBD - Regional TB/HIV Laboratory Training Center
ONGOING ACTIVITY FOR WHICH NO ADDITIONAL FY2009 FUNDS ARE REQUESTED
The International Laboratory Branch of CDC/Atlanta, CDC/South Africa and the National Institute for
Infectious Diseases (NICD)/National Health Laboratory Services (NHLS) in South Africa are planning to
collaboratively implement a regional training center for HIV/TB to serve the southern Africa region. This
center will provide PEPFAR focus countries and other countries in the region with a center of excellence for
training, procurement of specialized laboratory services and technical assistance related to TB and HIV
laboratory diagnostic services.
2008 Plans
FY2008 funds are requested to support the training of laboratory staff from district and primary hospital
laboratories and staff from the National TB Reference Laboratory TB is diagnosed in Botswana by sputum
smear microscopy in peripheral laboratories and by culture and DST using the Lowenstein Jensen (LJ)
media method in the NTRL. FY2008 funds will support the training of laboratory technicians in new
diagnostic methods, including liquid media methods using the MGIT method for the two laboratories with
culture and DST. Training will focus on TB smear microscopy (using both light and fluorescent microscopy),
external quality assurance (EQA) for TB smear microscopy, mycobacterial culture (using both manual and
automated methods), first-line DST, diagnosis of opportunistic infections and sexually transmitted infections,
and HIV diagnosis, monitoring and EQA.
Continuing Activity: 17740
17740 17740.08 HHS/Health University of 7713 1331.08 I-TECH $250,000
Resources Washington
Services
Administration
Emphasis Areas
Health-related Wraparound Programs
* TB
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.12:
