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: 2010 2011 2012 2013
This TBD was named in August 09 reprogramming. the award was split between AED and Pathfinder
Context
In 2010, with PEPFAR support, Pathfinder will continue to contribute to the improvement of the health and well-being of pregnant women and new mothers, their partners and infants through increased access to comprehensive and integrated quality Prevention of Mother To Child Transmission of AIDS (PMTCT) services at facility and community levels.
Goals and Objectives
- Establish project sites that implement a comprehensive model of increased peer-mother and male involvement
- Improved men's positive and gender-equitable attitudes and behaviors toward HIV/AIDS prevention at family and community levels
- Strengthened community and facility based Peer counseling and psychosocial support for PMTCT mothers
- Improved knowledge, skills and attitudes towards adoption of healthy reproductive-health practices amongst HIV negative mothers
- Increased community awareness and engagement in HIV activities
- Increased technical and institutional capacity of local implementing partners
Major Activities
Consultation and advocacy meetings with stakeholders at National and District level (Ministry of Health (MOH), Ministry of Local Government (MLG), and Men Sector, District Health Teams (DHTs), District Multi Sectoral AIDS Committee (DMSAC), and Community leaders) to sensitize stakeholders about the project and advocate for its sustenance.
Identification, recruitment of peers (male peers for male component and peer mothers for the PMTCT component) and 2 weeks training of 12 new peers (5 peer mothers and 7 male peers) at sites where either peer mother or Male Involvement (MI)projects were not available in the previous phase of the project. At the sites that had been implementing the MI and PMTCT project, the old peers will be recruited. Pathfinder will use the developed training manual to train the new peers at local level.
Ongoing Capacity Building mentorship of project staff (site supervisors, site facilitators and peers) conducted during monitoring and support visits by project officers, covering: monitoring and evaluation concepts, and leadership and supervision. At the national level, Pathfinder will continue to build the organizational capacity of the implementing partners.
Collaboration with other stakeholders running national campaigns or commemoration days - (Mothers' Day; Fathers' Day; Valentines' Day Campaigns, World AIDS Day, Month of Youth, Month of Prayer, Women's Day).
Peer counseling/Service Provision for both PMTCT and Male Involvement (MI)
Recruitment and registration of clients
Peer mothers provide service to PMTCT mothers whilst male peers serve the men in the community, including the partners to the PMTCT mothers. The peers have a registration target of 3 new clients per week.
Peer counseling/education/family counseling
Peer counselors and site facilitators offer client-focused one-on-one counseling. This involves conducting a risk assessment profile for each client, and providing peer education and counseling, both at the health facilities and in the individuals' homes, within the first week of registration.
Each peer counselor will conduct at least two peer education/counseling sessions per day and refer clients to other service providers for other needs. Clients with issues and concerns beyond the peer counselors capability are referred to relevant service providers.
Group counseling sessions
Peer counselors will conduct group counseling sessions. These sessions will be conducted in the health facilities (health talks) as well as in the community (churches, workplaces, and drinking places).
Group and monthly meetings
Each facility will establish at least one support group and conduct one meeting per group fortnightly. These groups will provide a forum for experience sharing and mutual support for members.
Monitoring, supervision and Support
Site facilitators will supervise and provide support to the peers. They will monitor the peers' work on a daily basis and ensure that their records are in order. Through practical observation, they will assess their work on a monthly basis.
Monthly meetings for peers at local level
Site facilitators will conduct monthly meetings with their peers to assess the progress of the project, identify gaps and challenges, and map a way forward.
Monitoring and support visits
To ensure that work is of good quality, implementing partners' project officers will conduct monitoring and support visits quarterly.
Annual Review Meetings (ARM)
ARM will attended by all partners at the end of each year to review progress and map a way forward. All Implementing partners will be encouraged to hold semi-annual meetings to review progress and get inputs for the annual review meetings.
Quarterly Update Meetings
Pathfinder staff will attend quarterly update meetings by Pathfinder and national partners (BOTUSA, Men Sector, MOH, MLG).
Monitoring and Evaluation
Based on ARM results, Pathfinder will refine an M&E plan.
Tools will be and systems put in place as per the plan.
Target Population and Geographic Coverage
Pathfinder implements PMTCT and Male Involvement (MI) activities in 8 districts and 52 health facilities/sites in the next five (5) years.
The project targets both HIV Positive and Negative women.
MI targets men aged 15 and above at Francistown City, Chobe District, Serowe Administrative Authority, Palapye Administrative Authority, Boteti, Tonota, Good Hope and Kgalagadi North Sub Districts.
10.P.OP14: Pathfinder - Expansion of Counseling and Psy/Soc. Support - 300,000.00
Pathfinder International will continue to contribute to the improvement of the health and well-being of men through better access to facility- and community-level male involvement (MI) peer counseling and education services for the reduction of HIV incidence. Pathfinder works in partnership with local partners in implementing this project. FY10 Objectives
Increase the number of sites implementing a MI activity; Improve men's positive and gender-equitable attitudes and behaviors toward HIV prevention at family- and community-levels; Strengthen community- and facility-based peer counseling and psychosocial support; Increase community awareness and engagement in HIV activities; and Increase technical and institutional capacity of local implementing partners. Project geographic coverage and target population In FY10, Pathfinder will continue to implement MI activities in eight districts and 52 health facilities in an effort to support the Government of Botswana and the NGO community in building a sustainable model for the rapid scale up of peer counselor activities. The project targets men aged 15 and above. Major activities in FY10:
Consultation and advocacy meetings with stakeholders at national and district level. Such groups include Ministry of Health, Ministry of Local Government, District Health Teams, District Multi-Sectorial AIDS Committee, a male-focused NGO and community leaders) to sensitize stakeholders about the project and advocate for its sustenance; Identification and recruitment of male peers followed by a two-week training for seven male peers where male involvement activities were not available in the previous phase of the project; Ongoing mentoring of project staff (site supervisors, site facilitators and peers) conducted during monitoring and support visits by project officers; Organizational capacity building of the implementing partners; Collaboration with other stakeholders running national campaigns or commemoration days such as TB Day and World AIDS Day; and Peer education and counseling services to male clients.
10.P.PM09: Pathfinder - Expansion of Counseling and Psy/Soc. Support - 612,500.00
In FY09, Pathfinder International (PI) provided support for the implementation of PMTCT services in eight districts. The services included the: (a) establishment of mothers living with HIV/AIDS support groups who have benefited from PMTCT program services; (b) provision of counseling and support services to pregnant women and their male partners; (c) identification of HIV-exposed infants and referrals for early infant diagnosis; and (d) provision of referral linkages to ART clinics for continuum of care for the mother, infant and male partner. In FY10, PI will continue to contribute to the improvement of the health and well-being of pregnant women, new mothers, their partners and infants through increased access to quality PMTCT services at the facility- and community-level. These activities will include:
Partnership building and advocacy meetings to expand the project to new areas in existing districts; Training and updating skills of peer counselors and other service providers to provide quality services and improved program monitoring; Provision of community- and facility-based peer counseling and psychosocial support services for PMTCT mothers; Community outreach and mobilization activities aimed at increasing community awareness and engagement in HIV activities; Establishment of additional support groups to reduce stigma and denial; and Provision of technical assistance and capacity building with local implementing partners. Project geographic coverage and target population PI will implement PMTCT activities in eight districts and 52 health facilities/sites during FY10 in support of the Government of Botswana and NGO community to build a sustainable model for the rapid scale up of peer counselor activities. The project targets both HIV-positive and HIV-negative women. PI will implement a new "buddy" system among antenatal clients to increase the understanding of PMTCT interventions, feel supported, provide an avenue to express concerns and allow for the possibilty of home follow-up visits.
