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
TBD was named in August 09 reprogramming. Split between JHU and U of Washington
Overall Goals and HIV-Specific Objectives
The International Training and Education Center for Health (I-TECH) was founded in 2002 by the Health Resources and Services Administration (HRSA) in collaboration with the Centers for Disease Control and Prevention. I-TECH is a global network that supports the development of a skilled health work force and well-organized national health delivery systems in order to provide effective prevention, care, and treatment of infectious disease in the developing world. I-TECH works primarily on activities that contribute to the achievement of PEPFAR.
Overall Goals:
Since 2004, I-TECH's overall goal in Botswana is to provide technical assistance to strengthen government health systems and to ensure that health care providers across the public and private sectors deliver high-quality care for HIV/AIDS patients in Botswana. I-TECH also enhances health care worker skills development through in-service training and mentoring and pre-service training.
SMC HIV-Specific Objectives:
To reach its overall goals, I-TECH's work in Botswana is focused on reaching the following objectives:
o To directly reduce risk in HIV-negative males and, indirectly, reduce HIV in females through building capacity to scale up SMC services; set standards and quality systems for long-term HIV prevention; and systematically monitor and evaluate acceptance, performance, coverage, safety and impact of SMC services (Prevention Safe Male Circumcision)
o To improve HIV/AIDS training programs and build the capacity of physicians
o To build the capacity of national HIV training and coordinating unit at Ministry of Health to ensure standardized and coordinated health care worker training
o To increase access to laboratory tests
o To build the capacity of health care professionals in SMC
o To improve quality of data relating to SMC through building human resources and organizational capacity to collect data
o To improve use of data for HIV policy decision-making through mentoring of 44 Information Management Officers (IMOs), providing technical assistance for two (2) IMO supervisors and supporting two (2) government-seconded staff (Strategic Information)
Geographic coverage
I-TECH supports all 28 districts throughout Botswana and provides key contributions to health systems strengthening.
Target Populations
I-TECH Botswana's target population are health care workers, both at the national and district levels.
Leveraging HIV Resources
I-TECH works leverages resources and expertise by working in partnership with other organizations to effectively support Ministry of Health. For instance, in consortium with Supply Chain Management Systems, I-TECH supports Ministry of Health in the rollout of safe male circumcision. I-TECH has embarked upon a strategic plan to diversify funding through identification and securing additional funding from new donors. Key to I-TECH Botswana's success will be to establish legal and operational capacity for diversification by completing its registration as a local non-governmental organization. This is in keeping with plans to become an indigenous organization and to continue to localize its staffing for sustainability of its programs.
Cross-cutting Areas & Priority Areas
Human Resources for Health: In collaboration with the Centers for Disease Control and Prevention Global AIDS Program in Botswana, Ministry of Health, the Ministry of Local Government, and the University of Botswana, I-TECH builds human and institutional capacity in training, strategic information, quality improvement, and program evaluation.
Enhancing Sustainability
I-TECH's approach to partnership with Ministry of Health, Ministry of Local Government, and University of Botswana serves to enhance the Government of Botswana's capacity to provide high quality HIV/AIDS services to the people of Botswana. I-TECH's approach to sustainable programs is as follows:
I-TECH supports health systems strengthening in Botswana through development and strengthening of data collection and training systems and the provision of technical assistance in operations research.
I-TECH will continue develop capacity of MOH staff to deliver national health programs through 13 seconded staff members to the Department of Policy, Planning, Monitoring & Evaluation; the KITSO Training and Coordinating Unit; National Quality Assurance Laboratory; and Botswana Harvard HIV Reference Laboratory.
I-TECH Botswana recognizes the need to strengthen HIV prevention efforts in Botswana in order to mount a sustainable response to the HIV epidemic. I-TECH will utilize its strengths in curriculum development, training, systems strengthening, quality improvement, and monitoring and evaluation to meet Botswana's HIV prevention strategy through rollout of safe male circumcision.
M&E
I-TECH Botswana will ensure appropriate monitoring of activities in each program area through quarterly reports documenting targets achieved, progress toward objectives, lessons learned, and best practices. Reporting on activities conducted will be through existing reporting mechanisms, and will be submitted to BOTUSA. Progress and other requested reports will be provided as needed to BOTUSA.
10.P.MC01: I-Tech - Expansion of Safe MC - services - 1,200,000.00
This is a continuing activity that aims to build the capacity of the Ministry of Health (MOH) to effectively implement its safe male circumcision (SMC) add-on strategy. Since the beginning of the epidemic, the Government of Botswana has responded proactively and rapidly to the HIV/AIDS epidemic. Despite this, the number of new HIV cases remains largely unchanged. For these reasons, WHO, PEPFAR and international partners have placed increasing emphasis on male circumcision. Three recent clinical trials found male circumcision to be an effective intervention for decreasing the risk of HIV acquisition in adult males. Following the recommendations of WHO, the Government of Botswana has begun to roll out SMC as an add-on strategy to the comprehensive HIV prevention package. In FY10, I-TECH will continue to work closely with MOH to support rollout of safe male circumcision through: (1) training of health care workers; (2) providing technical assistance for quality assurance/quality control; (3) monitoring and evaluation (M & E); and (4) partnering with Supply Chain Management Systems (SCMS) to provide effective logistics management. In FY10, I-TECH will: 1) Support three seconded staff and two additional (four total) Master Trainers to assist MOH in rolling out the five-day training for health care workers, based on the 2009 revised and updated national SMC training materials; 2) Enhance quality control through the provision of mentoring support for trained health care workers and advise on adverse events; 3) Assist MOH to systematically monitor and evaluate acceptance, performance, coverage, safety and impact of SMC services through assistance with the implementation of the SMC M & E Framework. This will include site training and data audits; and 4) Collaboarate with SCMS to provide effective supply chain management for SMC commodities.
