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.
Context
Multiple concurrent partnerships (MCP) are one of the key drivers of HIV in Botswana. Botswana has developed a national campaign on MCP, called "O Icheke Break the Chain", which was launched in March 2009. PSI is the "Lead Technical Agency" supporting the National AIDS Coordinating Agency (NACA).
Goals and Objectives
The goal of "O Icheke" campaign is to reduce concurrent partnerships by 50% in the coming years in the ten districts.
Major Activities
PSI partners with local community- and faith-based organizations and community theater groups. These groups are trained by PSI in behavior-change communications and the basics of project management, including financial management and monitoring and evaluation. The groups conduct small-group and one-on-one interventions in settings such as bars and shebeens, churches, households, schools, and workplaces.
A small part of the project focuses on alcohol consumption and the risk behaviors associated with it. This part of the project focuses on educating youth about the connections between alcohol use and HIV/AIDS, with an aim of reducing unsafe sexual behaviors related to alcohol. To date the project, named "Celebrate Life", has focused on Gaborone.
Geographical Coverage
10 health districts across Botswana: (Chobe, Francistown, Gaborone, Ghanzi, Lobatse, Mabutsane, Mahalapye, Maun, Palapye, and Selebi Phikwe).
Target Population
Women aged 18-24 years old and men 25-35 years old.
Integration and Linkages
Implementation is done in close collaboration with district structures, particularly the District Multi-Sectoral HIV/AIDS Committees, as well as with the Multiple Concurrent Partnership Campaign Coordinating Unit at the National AIDS Coordinating Agency, to ensure that the project's activities contribute to the broader national campaign and to promote sustainability.
Monitoring and Evaluation
Monitoring is done with a set of tools developed by PSI for the project. These enable partner organizations to track the number of people reached, and PSI to assess the number of people trained. Additional tools assist with improving the quality of interventions.
Monitoring of changes in behavior and evaluation of impact are not financed under the project, but are included in the broader national effort on MCP. They will enable measurements to be made of exposure to project interventions, changes in the rates of concurrent partnerships, and the extent to which the national campaign is impacting HIV transmission in the country.
10.P.AB04: PSI - Be Faithful/Partner reduction - 450,000.00
This project is a five-year Cooperative Agreement that is entering its fifth and final year. Due to a phase out as well a reduction in funding, this PSI project will have a noticeably reduced scope of work and coverage. This activity is a comprehensive social marketing and behavior change intervention focused on promoting sexual partner reduction, particularly concurrent partner reduction, and faithfulness. Multiple concurrent partnerships (MCP) has been identified as a key driver of HIV transmission in Botswana. This led to the development of the national campaign on MCP, "O Icheke Break the Chain", to which the activities in this project contribute. Alcohol misuse and abuse is one of the key mitigating factors that the campaign emphasizes. Target Population This project targets young women aged 18-24 years old and men 25-35 years old. Geographic Coverage The project covers ten districts that were strategically selected due to their high prevalence rates of HIV. Project Description This project uses individual and small group interpersonal communication sessions and community theater performances to disseminate messages. PSI works with community- and faith-based organizations and community theater groups to implement the project. These groups are trained by PSI in behavior change communications as well as in some of the basics of project management, including financial management and monitoring and evaluation. The groups conduct a range of activities, including small group and one-on-one interventions in settings such as bars and shebeens, churches, households, schools, and workplaces. Implementation is done in close collaboration with district structures, particularly the District Multi-Sectoral HIV/AIDS Committees, as well as with the MCP Campaign Coordinating Unit at NACA, to ensure that the project's activities contribute to the broader national campaign and to promote sustainability.
Mechanisms for Quality Assurance Those implementing the intervention are trained on HIV/AIDS and behavior change communications. PSI creates standardized materials for the partners to use, such as a flipchart that explains MCP, interactive exercises that are used to explain sexual network, and a script of a play for community theater. PSI staff also conducts field sessions and provide feedback on how to improve the interventions. Integration and Linkages This project is closely linked to the broader national "O Icheke Break the Chain" campaign led by the Government of Botswana, specifically the National AIDS Coordinating Agency (NACA). At the national level, a coordination meeting with NACA happens regularly, while at the district level, implementing organizations participate in District Multi-sectoral HIV/AIDS Committees and interact regularly with the offices of the District AIDS Coordinators. Monitoring and Evaluation Plan Routine monitoring and data collection are handled primarily by the partners, using tools designed by PSI. PSI provides training and support for their use. This information will be complemented by other monitoring, evaluation, and research activities such as PSI's "TRaC" survey, which will provide information on behaviors and behavioral determinants.
10.P.OP04: PSI - Be Faithful/partner reduction & Condom Hotspot Distribution - 550,000.00
Alcohol fuels HIV transmission in Botswana by reducing inhibitions and increasing risk taking. Heavy drinkers are three times more likely to report having multiple partners and three times more likely to report having unprotected intercourse. PSI is working with the network of community- and faith-based organizations that are active in ten districts across Botswana. These groups have peer educators that visit bars and shebeens to conduct one-on-one and small group sessions. They build strong relationships with the bar owners/shebeen queens, enabling them to visit the alcohol establishments regularly. The project will support interventions under the "Celebrate Life" brand. This project will reach young people and promote alternatives to alcohol consumption. The project also aims to help youth practice safer sexual behaviors when drinking, such as encouraging them to know their limits, utilizing buddies, preparing for a night out by predetermining their drinking limit and carrying condoms. PSI builds organizational capacity and also conducts trainings and prepares standardized materials that are used with target audience members to ensure the quality and consistency of the interventions. Regular field visits by PSI staff support these tools and help maintain consistency.
