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
BLP is a comprehensive prevention intervention targeting youth (primary), key adults (secondary) and local organizations (tertiary). All interventions are designed to deliver comprehensive messages depending on the individual's needs.
Goals and Objectives
To reduce HIV infection among youth (ages 10-17) through a multi-component, community-based intervention. To accomplish this, BLP has three specific objectives:
- To help youth in target districts and communities gain necessary skills, attitudes, and social support to avoid infection or infecting others through abstinence and the application of related life skills.
- To improve the abilities of community leaders, parents, and guardians of youth to be more effective supporters of healthy choices for youth through improved knowledge, attitudes, communication, and parenting skills. To increase the capacities of national and local organizations and individuals in target communities to help prevent HIV infection among youth.
- Interventions focus on key drivers of the epidemic in Botswana, including intergenerational sex, transactional sex, alcohol use and abuse, and multiple concurrent partnerships.
Major Activities
The following interventions will be implemented for no more than six months:
Interpersonal communications
Using behavioral theory (social learning theory, health belief model, and theory of planned behavior), Family Health International's (FHI) designed Humana People to People's (HPP) one-on-one communications intervention. It is a two-visit, systematic process that entails information sharing, risk assessment, behavioral commitment setting, behavioral practice through role-play, and follow-up support.
Families Matter! Program
FHI adapted CDC's evidence-based parent-child communication program for Botswana. It entails six 2-3 hour small-group learning sessions with caregivers.
Christian Family Life Education
Botswana Christian AIDS Intervention Program (BOCAIP) uses FHI 24-hour comprehensive sexuality education curriculum with small groups of young people during 3 day camps conducted during school holidays.
Aunties and Uncles
FHI and Botswana Network of AIDS Service Organizations developed an Implementation Guide for Aunties and Uncles to use during household visits with vulnerable and HIV-infected and affected adolescents and their caregivers.
Radio Drama Listener Discussion Groups
HPP and BOCAIP conduct weekly sessions with small groups of youth and/or adults. The radio drama was developed using the Modeling and Reinforcement to Combat HIV approach and has an accompanying discussion guide used by facilitators.
Target Populations
Youth 10-17 years
Adults, including parents/guardians
Organizations with the ability to reach youth
Geographic Coverage
Goodhope sub-district and Northeast district.
Monitoring and Evaluation (M&E)
FHI developed an M&E plan for BLP, including monitoring tools with instructions for all interventions. Data are collected routinely, aggregated and reported monthly and entered into the project database for dissemination. Because 2010-2011 is the final year of FHI's agreement with CDC, the primary focus will be on conducting the final evaluation of the project. Once all IRB approvals are in place, FHI will conduct an intervention-non-intervention comparison study to assess differences in youth's HIV prevention-related knowledge, attitudes, and behaviors. This is to compensate for the lack of a baseline.
10.P.AB02: FHI - Youth Focused Community Intervention - 880,000.00
The Basha Lesedi Project (BLP) is a five-year Cooperative Agreement that is entering its fifth and final year. Due to a natural phase out as well a reduction in funding, this Family Health International (FHI) activity will have a noticeably reduced scope of work.
Geographic Coverage BLP will continue to focus in Goodhope sub-district and Northeast district.
Target Populations BLP targets three populations: (1) youth aged 10-17 years; (2) adults, including parents/guardians; and (3) organizations with the ability to reach youth. Partners In an effort to build local capacity, BLP works with five organizations: Botswana Network of AIDS Service Organizations (BONASO), the Botswana Network for People Living with HIV/AIDS (BONEPWA), the Botswana Christian AIDS Intervention Project (BOCAIP), Stepping Stones International, and Humana People to People (HPP). Project Description BLP reaches youth and key adults with a variety of interventions and activities. Interventions focus on key drivers of the epidemic in Botswana, including intergenerational sex, transactional sex, alcohol use and abuse, and multiple concurrent partnerships (MCP). The following interventions will be implemented for approximately six months of FY10: ? Interpersonal communications: Using behavioral theory (social learning theory, health belief model, and theory of planned behavior), FHI designed HPP's one-on-one communications intervention to promote behavior change.
? Families Matter! Program: FHI adapted CDC's evidence-based parent-child communication program for Botswana. It entails six 2-3 hour small-group learning sessions with caregivers. ? Christian Family Life Education: BOCAIP uses FHI's 24-hour comprehensive sexuality education curriculum with small groups of young people during three-day camps conducted during school holidays. ? Aunties and Uncles: FHI and BONASO developed an Implementation Guide for Aunties and Uncles to use during household visits with vulnerable and HIV-infected and -affected adolescents and their caregivers. ? Radio Drama Listener Discussion Groups: HPP and BOCAIP conduct weekly sessions with small groups of youth and/or adults. The radio drama was developed using the MARCH approach and has an accompanying discussion guide used by facilitators.
Quality assurance Interventions were all developed with accompanying materials to standardize implementation. FHI has also developed quality assurance tools to be used during monitoring to ensure fidelity to intervention designs.
Linkages Through its encounters with youth and adults, BLP interacts with a variety of people, many of whom are in need of additional services. BLP refers clients to health and social services in their respective communities. The project also works closely with the District Health Teams and Department of Social Services in project villages to support the achievement of project and government goals. Monitoring and Evaluation (M & E) Plans FHI developed an M & E plan for BLP, including monitoring tools with instructions for all interventions. Data are collected routinely, aggregated and reported monthly and entered into the project database for dissemination. During the final year of the agreement, the primary focus will be on conducting a final evaluation of the project. FHI plans to conduct an intervention vs. non-intervention comparison study to assess differences in youth's HIV prevention-related knowledge, attitudes, and behaviors. This design is to compensate for the lack of a baseline.
10.P.OP02: FHI - Youth Focused Community Intervention - 120,000.00
The Basha Lesedi Project (BLP) is a five-year Cooperative Agreement that is entering its fifth and final year. Due to a natural phase out as well a reduction in funding, this Family Health International (FHI) activity will have a noticeably reduced scope of work. Geographic Coverage BLP will continue to focus in Goodhope sub-district and Northeast district.
Target Populations BLP targets three populations: (1) youth aged 10-17 years; (2) adults, including parents/guardians; and (3) organizations with the ability to reach youth. Partners In an effort to build local capacity, BLP works with five organizations: Botswana Network of AIDS Service Organizations (BONASO), the Botswana Network for People Living with HIV/AIDS (BONEPWA+), the Botswana Christian AIDS Intervention Project (BOCAIP), Stepping Stones International, and Humana People to People (HPP). Project Description Basha Lesedi reaches youth and key adults with a variety of interventions and activities. Interventions focus on key drivers of the epidemic in Botswana. The following interventions will be implemented for approximately six months of FY10:
Interpersonal communications: Using behavioral theory (social learning theory, health belief model, and theory of planned behavior), FHI designed HPP's one-on-one communications intervention. It is a two-visit, systematic process that entails information sharing, risk assessment, behavioral commitment setting and behavioral practices. Families Matter! Program: FHI adapted CDC's evidence-based parent-child communication program for Botswana. It entails six two to three hour small-group learning sessions with caregivers of children 10-13 years. Christian Family Life Education: BOCAIP uses FHI's 24-hour comprehensive sexuality education curriculum with small groups of young people (clustered by 10-13 and 14-17 years) during three-day camps conducted during school holidays. Aunties and Uncles: FHI and BONASO developed an Implementation Guide for Aunties and Uncles to use during household visits with vulnerable and HIV-infected and -affected adolescents (10-17 years) and their caregivers. Radio Drama Listener Discussion Groups: HPP and BOCAIP conduct weekly sessions with small groups of youth (10-17 years) and/or adults. The radio drama was developed using the MARCH approach and has an accompanying discussion guide used by facilitators. Quality assurance Interventions were all developed with accompanying materials to standardize implementation. FHI has also developed quality assurance tools to be used during monitoring to ensure fidelity to intervention designs.
Linkages Through its encounters with youth and adults, BLP interacts with a variety of people, many of whom are in need of additional services. BLP refers clients to health and social services in their respective communities. The project also works closely with the District Health Teams and Department of Social Services in project villages to support the achievement of project and government goals. M & E Plans FHI developed an M & E plan and monitoring tools with instructions for all interventions. During the final year of the agreement, the primary focus will be on conducting a final evaluation of the project.
