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.
Goals and Objectives:
BORNUS exists to relieve the burden of care on individuals, families and communities and health facilities through provision of comprehensive quality health care and support for people living with HIV/AIDS, orphans and those with chronic and terminal illnesses.
Linkage to Partnership Framework goals:
The activities of the BORNUS program link very well with the Partnership Framework Goal 4.
Geographic coverage and target population:
Based in Tlokweng, BORNUS provides covers 10-16 areas within Tlokweng as well as implementing the relevant programs in Kanye and Mochudi villages.
Implementing mechanism's cross-cutting programs and key issues:
BORNUS focuses on two areas:
Adult palliative care
Orphans and Vulnerable Children
Activities Narrative (Adults)
BORNUS has expanded and up-scaled Home Based Care services to the villages of Kanye and Mochudi, which both have HIV prevalence rates above 24%. Two rapid assessments for Kanye and Mochudi villages began on the 3rd August 2009 simultaneously and data collection was completed on the 14th August 2009. It is hoped that the information generated from these assessments will enable BORNUS to provide relevant care and support services to PLWHA and their families based on the identified needs. The reports have been finalized and dissemination of results to community leadership and the relevant stakeholders will be done during the 3rd week of January 2010 in Kanye.
BORNUS continues to conduct community mobilization campaigns in the three villages through kgotla and community meetings, while on the other side volunteers intensify the door to door home visits, to identify and register individuals needing HIV adult care and support services. Despite not managing to expand Tlokweng operational areas to 5 farm areas as indicated in the 2009 financial work plan, the original six (6) areas were expanded to sixteen (16) areas given the number of CHBC volunteers that were recruited which raised their number from six volunteers to 10 volunteers. Kanye and Mochudi villages each have five (5) volunteers. The volunteers continue to work under the direct supervision of nurse counselors who assess the clients to determine their needs and eligibility for registration and treatment. Programme implementation derives its strength from experienced and qualified Nurse Counselors and Social Workers.
Kanye and Morwa each have two Nurse Counselors and a Social Worker. The Nurse Counselors conduct clinical assessment to determine the needs and refer to relevant programs e.g. Prevention of Mother to Child Transmission of HIV (PMTCT) and voluntary counseling and testing and others. On the other side the Social Workers conduct assessment to determine the psycho-social needs of clients and refer to the relevant programs for Psychosocial support. All the three villages have vehicles which enable field officers to conduct home visits.
The provision of integrated services through the Family Care Model remains the best practice that BORNUS prides itself with and it is an experience that will go a long way in promoting quality service delivery. The Family Care Model presents the practitioner with an opportunity to provide holistic care and support not only to the identified client but encompasses all members of the family addressing their physical, social, economic, spiritual and emotional needs of the affected and infected. The Family Care Model uses one client as an entry point into the family such that all family members will be assessed and their needs identified.
The identified PLWHA, who are found to be on ART, are counseled for adherence. This also includes pill count, education on the importance of keeping medical appointments, refills, CD4 counts and viral load analysis in accordance with doctors' prescriptions. Since most clients are single and cohabit with partners, their partners are counseled for Voluntary Counseling and Testing (VCT).
Activities Narrative (OVC)
In the 2nd year of the project (October 1st 2009- September 30th 2010) BORNUS plans to provide OVC care and support services to children aged between 21/2 to 18 years as follows:.
The Centre Based Children aged 2 œ - 6 years who are enrolled in the children's Developmental Stimulation. These children are collected from their homes to the centre and are provided with breakfast and lunch. They are taken through scheduled activities such as nursery rhymes, story telling, reading, writing, painting, colouring etc. Their growth and development is monitored through weighing, nutritional assessment including immunization coverage. Another category of children is based in the homes and are taken care of by their parents. These home based care children are supported through follow up visits, social, material and nutritional support by a team of volunteers, Nurse Counsellors and Social Workers to ensure continuity of care.
The school going children who may be on ART are counseled for adherence, keeping doctors appointment, positive living and prevention of stigma. Last but not least the After School Tutorial group, who are assisted with home work by retired teachers. Efforts are continuing to provide the adolescents with HIV prevention messages and life skills through "Journey of Life" tool which enables us to assess the needs of children including that of their families. It also facilitates involvement of family members and the community at large to solve children problems. The children's are also taken for retreats which give them the opportunity to express their feelings, learn facts on HIV/AIDS and to be accountable for their behaviours.
Training
I. CHBC Volunteers- The twenty (20) volunteers have already been trained on community Home Based Care and palliative care. The content covered included but were not limited to the volunteers role in home visiting, data collection, use of data collection tools, volunteerism, communication in palliative care, Code of conduct, succession plan, will writing, team work, conflict resolution. The training was facilitated by Nurse Counsellors, Social workers using BORNUS Curriculum and other national guidelines on HIV/AIDS. The two volunteers trainings took place on November 3rd 5th 2009, and December 17th 19th 2009 respectively.
ii. Care-givers;- Two workshops for caregivers are forthcoming and the content to be covered will include, care of the sick, environmental health, hygiene, infection control in the home, nutrition, exercise, stigma reduction, psycho-social and spiritual support. These workshops are facilitated by BORNUS staff.
iii. Professional staff will be trained by Academy for Educational Development, for example in Human Resource Management, strategic planning including financial management.
Monitoring and Evaluation
BORNUS has just had a technical visit on the 24th- 27th November 2009 by the AED Monitoring and Evaluation officer who provided assistance in developing a plan for M & E systems. In order to tract PEPFAR indicators BORNUS will continuously monitor and evaluate the activities based on the set objectives. The project officers track PEPFAR indicators against data collected by volunteers for improved service delivery and preparation of monthly and quarterly reports to stakeholders. Two support visits to Kanye and Mochudi villages respectively on monthly basis during the first 2 quarters of the 2nd year of the project. This will help them gain confidence in using the recently developed data collection tools.
