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
The original plan was to offer testing at each home by a pair of outreach workers using the same methods as in the fixed Voluntary Counseling and Testing (VCT) centers. Following the results of Phase I ("the pilot") and discussions with the Ministry of Health, we plan to continue with mobilization at the household level, but will bring testing to the communities via tents, a common practice with Tebelopele's operations.
Goals and Objectives
Overall goals
To improve knowledge of HIV status and services by offering voluntary HIV testing, counseling and referral;
To improve HIV-related attitudes and beliefs;
To reduce the prevalence of risky sexual behaviors; and
To accomplish the above with the collaboration of the community.
Specific goals
To offer counseling, testing and referral to some 20,000 people, or about 10,000 each in Selebi-Phikwe and Bobirwa districts.
Testing will be voluntary and designed to complement the existing ongoing HIV prevention and treatment activities. Counselors will be fully trained and certified to Botswana Government standards. The HIV rapid testing algorithm will employ a dual-test strategy with tie-breaker as necessary, as already has been validated, approved and used in Botswana.
Target Populations
All those who are legal age or older and consent to HIV testing (presently 21 years), pregnant women and mothers of any age, and minors with written consent from parents or guardians.
Geographic Coverage
Two districts in Botswana with high HIV prevalence: Selebi-Phikwe, and Bobirwa.
Making the Most of Other HIV Resources
The research project will support broader health goals by including an educational component on alcohol abuse, and the link between alcohol and HIV. With alcohol abuse highlighted as a current public health priority of the government of Botswana, PEPFAR will make a useful contribution to this priority.
The research project will contribute to overall health systems strengthening through the training counselors and other field workers receive, and through the model consultation processes involving representatives from the Ministry of Health (MOH), the Ministry of Local Government, National AIDS Coordinating Agency, the U.N. Family and other organizations.
Cross-Cutting Areas
In this project the Academy for Educational Development supports the cross-cutting areas of gender and human resources for health. Ensuring greater male participation in counseling and testing is an explicit aim of the main research phase, together with improving the ability of counselors and community mobilizers to deliver HIV prevention communication effectively.
Enhancing Sustainability
The project will help guide the MOH on the selection of cost-effective models for delivering counseling and testing services, thereby helping maximize the use of scarce resources for planning and programming.
Monitoring and Evaluation
All data collection will be conducted according to protocols approved by CDC's Institutional Review Board. Additional data collection will pertain to individuals trained to deliver services. Mechanisms will be in place to ensure that only good quality data, with no duplication, is reported and analyzed.
