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.X.SS26: Strengthening the Botswana Health Professions Council (BHPC) and the Nursing and Midwifery
Council of Botswana (NMCB)
Botswana has two professional councils that regulate the health professions: the Health Professions
Council and the Nursing and Midwifery Council of Botswana. The Health Professions Council is an
independent, regulatory body established in 2001 and responsible for "promoting the highest standards of
professional training, proficiency, conduct and etiquette of the 25 health professions that it regulates in order
to protect the wellbeing of all Batswana." The Nursing and Midwifery Council was established in 1964 as
the Nursing Examination Board of Botswana, Lesotho and Swaziland, but became the Nursing and
Midwifery Council of Botswana in 1995.
Both councils are heavily dependent on Government for funding and staff, and are housed at the Ministry of
Health. This activity would begin to strengthen the autonomy and functions of the Councils by providing
technical assistance to develop the following functions:
-Monitoring standards of health care practice and medical ethics, and offering advice thereon to the
practitioners of the various professions;
-Promoting high standards of professional training, proficiency, professional conduct and etiquette;
-Developing an evidence-base on their certification and testing programs to help support placement,
especially expatriate placement;
-Develop an evidence-base for task-shifting- document the task-shifting analysis
The outputs from this activity would be guidelines and procedures for monitoring advocacy, operations
research and promotion standards and the establishment of the examinations function of the Nursing and
Midwifery Council.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $100,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.18:
09.X.SS21: Technical Assistance Health Workforce Strategic Planning
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
The Southern Africa Human Capacity Development Coalition (SAHCD) will continue work started in 2008
with Capacity Project that is based on recommendations to the OGAC HCD Technical Working Group by a
technical team that visited Botswana in May 2008. In FY2008, technical assistance is being provided for
the development of a Human Information Management System (HRIS), health worker retention strategy,
strategic plan development for the new pre-service institution, the University of Botswana Faculty of Health
Sciences, implementation of the Management and Leadership Development Program, support on the
Ministry of Local Government Customer Focused Strategy for health facilities and their Model Clinic project.
SAHCD will provide quality improvement training and monitoring visits to the facilities. A central aim will be
to ensure developed local management capacity at both national and facility level. At the facility level, this
will be achieved by supporting the inter- and intra-departmental quality improvement teams as they facilitate
quality improvement activities and develop guidelines and procedures, while they work towards achieving
substantial compliance with standards. This would be led by a MOH/MLG team to do accreditation
assessments of all facilities in quality improvement program. In addition to activities continuing from 2008,
in FY2009, SAHCD will provide two advisors, one in MOH and one in MLG, to support project
implementation, and expand the pre-service training work to include the Institutes of Health Sciences. The
latter will address the supply constraints at the Institutes, including faculty retention.
SAHCD is made up of seven organizations; IntraHealth, Management Sciences for Health (MSH),
Foundation for Professional Development (FPD), Council of Health Service Accreditation of Southern Africa
(COHSASA), The Eastern, Central, and Southern African (ECSA) Health Community -HR, Training
Resource Group (TRG) and Institute of Development Management (IDM).
The outputs for this project will be training strategies for the University of Botswana (UB) and the Institutes
for Health Sciences (HIS).
From COP08:
The Government of Botswana has clearly recognized HIV/AIDS as a health and development crisis and has
mounted a comprehensive, multi-sectoral response to fight the HIV/AIDS epidemic and mitigate its impact.
While the governmental response to HIV/AIDS has been strong, effective implementation of programs and
services has been hampered by human capacity shortages at all levels. The capacity deficit is manifested
in both absolute numbers and in skills. With PEPFAR funding in 2005 and 2006, Government undertook an
assessment of the health workforce and put a new human resources for health (HRH) plan in place (2006 -
2016) to address both absolute shortages and inequities in health worker distribution. The assessment
report made numerous recommendations for further steps necessary to facilitate the smooth
implementation of the new plan in such areas as recruitment, training, monitoring and evaluation and policy.
In 2008, the Capacity Project will be engaged to assist the Department of Policy, Planning, Monitoring and
Evaluation (DPPME) in the Ministry of Health to identify the recommendations/activities that most urgently
need to be addressed in order to implement the new HRH plan and provide technical assistance in doing
so. Among those likely to be identified are: 1) Development and implementation of an Human Resource
Information System (HRIS) for health workers, 2) Development and implementation of a management
course for hospital superintendents and senior staff, 3) Development of short- and long-term recruitment
strategies for the health workforce, and 3) Development of short- and long-term training strategies. It is
anticipated that this initial work will develop into a longer-term technical support relationship in which the
Capacity Project or a similar technical assistance agency will assist the Government of Botswana with its
long-term strategy for addressing workforce deficits and human capacity development. Contributions to the
Program Area/Benchmarks or outcomes: This activity will strengthen the ability of the Government to
implement its new human resource plan by identifying and providing technical assistance to address critical
gaps. Outcomes for 2008 include: Identification of urgent issues; Provide technical assistance in the
development and implementation of one of the following: HRIS, Management Course, Recruitment
Strategy, Training Strategy.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19149
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19149 19149.08 U.S. Agency for IntraHealth 8754 8754.08 $300,700
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