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
Context
Dukwe Refugee Camp (Dukwe) is situated within the Tutume Sub-District, in the northern part of Botswana. The district has an HIV prevalence rate of 30.2% among the 20-30 age group, 46.8% among the 25-49 age group (Botswana HIV/AIDS Impact Survey III Results, May 2009). These age groups are the most highly mobile among refugees. To date no other HIV surveillance has been conducted among refugees.
One hundred and eighty eight refugees in Dukwe are known to be living with HIV. 125 are on ARVs and 63 are under monitoring.
Goals and Objectives
To provide international protection and materials-assistance to refugees
To build the capacity of government and implementing-partners to assume full responsibility for management and delivery of assistance to refugees and asylum seekers
Specific goals
To prevent and reduce the spread of HIV infection at Dukwe by supporting behavior-change initiatives
To run a prevention of mother to child transmission of HIV (PMTCT) and ARV program at Dukwe while continuing to advocate for inclusion of refugees in the national ARV programs
Major Activities
All pregnant women eligible for ARV will be enrolled for treatment.
All HIV-positive pregnant women will be counseled on breast-feeding options. Formula will be provided for babies of mothers that opt for formula feeding. The home-based care (HBC) Nurse will educate families on safe infant feeding practices.
Due to the existing government policy on ARV provision to refugees, ARV services are outsourced from a private clinic in Francistown 130 kilometers from the camp. The clinic also provides necessary laboratory tests for monitoring ARV treatment.
To relieve the logistical constraints of transporting clients on a weekly basis to Francistown, possibilities will be explored to establish a camp-based ARV program.
Care and support activities include community HBC, nutritional support for people living with HIV/AIDS (PLWHA) starting ARVs, psychosocial support for orphans (OVC) and other vulnerable children, livelihoods/economic strengthening of PLWHA, and counseling activities.
The capacity of PLWHA to have a voice in planning, implementing and monitoring of HIV prevention and care activities will be strengthened through regular training of those in the support group for PLWHA.
The support group will be supported to assume more responsibility and operate independently.
Livelihood activities for PLWHA will continue, with more involvement of women.
Target populations
3,485 refugees
Geographic coverage
Dukwe Refugee camp
Making the Most of Other HIV Resources
In terms of HIV/AIDS prevention and care, the government of Botswana (GOB) will continue to provide treatment for opportunistic infections and HIV counseling and testing.
Interim ARV and HIV prevention and care will be provided by UNHCR through its implementing partner BRCS.
BRCS will identify opportunities for capacity-building for staff within the International Federation of Red Cross & Red Crescent (IFRC). Opportunities for psychosocial support for OVC in terms of tracing and family-reunification will be provided by BRCS with the support of the IFRC.
Until a longer-term program is set up, the Catholic Vicariate of Francistown will continue to support at least 13 refugees with ARVs.
UNHCR will continue to fund resources towards technical inputs into the HIV prevention and care activities.
Cross-Cutting Areas
The HIV prevention and care activities address education, food and nutrition commodities, human resources for health, renovation, gender and economic-strengthening for PLWHA.
New issues to be addressed include alcohol-abuse in the camp, denial of the existence of HIV/AIDS, use of traditional medicine, gender inequalities, multiple and concurrent partnerships, and stigma and discrimination
Prevention activities will focus on engaging men as equal partners in HIV prevention, promoting the positive aspects of masculinity, and encouraging men to participate fully in reproductive-health issues. This will be done through partnering with nongovernmental organizations in the Tutume Sub District and the Ministry of Health to conduct regular outreach activities in the camp.
2,500 refugees will be reached with prevention messages.
20,000 condoms will be distributed.
Enhancing sustainability
UNHCR has
- trained refugees as lay counselors, HBC facilitators, and peer educators
- engaged an HBC Nurse from the refugee community
- provided ARV and PMTCT services according to national protocol
- built the livelihood capacities of PLWHA to reduce dependency on humanitarian aid
UNHCR advocates with GOB to utilize existing health infrastructure at Dukwe to provide PMTCT and ARV services, as well as to include refugees in such programs.
Monitoring and Evaluation
Monitoring will be done continuously through data collection, with reporting according to set PEPFAR indicators and standards.
10.C.AC05: UNHCR - HIV/AIDS support to refugees - 250,000.00
Care and support services will be provided to a total of 300 refugees in FY 2010. Refugee participate less in care for their terminally ill relatives. BRCS will continue care and support activities by providing 1. HBC to the terminally ill through HBC facilitators, lead by the HBC nurse. HBC services will be provided in liaison with Dukwi clinic. The number of HBC patients is likely to decrease due to provision of ARV services. 2. Nutritional support of PLWHIV for the fist six (6) months of starting ARV, and those on HBC. Clients will be released from the food basket after determination of their health status through ongoing assessments. Long-term and sustainable food security will be determined through allocating PLWHIV and other vulnerable groups such as OVC vegetable plots and seeds to grow their own vegetables in the garden that was developed in FY 2009. 3. Counseling through one on one sessions and the support group for PLWHIV. PLWHIV will be given more autonomy to run the support group with the support of the office in facilitation of group counseling sessions, and trainings for members. Emphasis will be placed on ARV adherence counseling and referrals for other health care services 4. Improving livelihoods initiatives for PLWHIV by upgrading the skills of some PLWHIV that were trained in FY 2009 in leather works and fabric printing. They will make products for sale through organized flea markets, shows in neighboring villages. 60% of the produce sold will be taken by individuals that make it whilst 40% will be saved in a separate bank account that would be opened for the group. The savings will be used to buy materials for them to continue their production. 5. Capacity building training of the HBC Nurse and counselors on palliative care through the Ministry of Health.
