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 2012 2013 2014
American International Health Alliance (AIHA) provides coordination of the partnership between the Institute of Health Sciences (IHS) and African Palliative Care Association (APCA), whose overall goal is to strengthen the capacity of health training institutions to provide quality palliative care education and training for healthcare workers in Botswana in order to improve care for patients in end-of-life stages due to HIV/AIDS or other illnesses.
This palliative care partnership will contribute to the Partnership Framework initiative to increase access to quality end-of-life care for terminal AIDS patients, as well as PEPFARs goal of providing technical assistance to the Government of Botswana in the formulation of palliative care policy.
The target population of this program is allied health students and faculty at IHS locations in Gaborone, Ramotswa, Kanye, Molepolole, Serowe, Francistown, and Lobatse. The development of this curriculum is expected to end in two to three years by which time training of lecturers and implementation will be completed and activities carried forward by IHS itself. The Ministry of Health (MOH) Palliative Care unit is also involved in these activities, and it is expected that MOH will continue their support even after PEPFAR funding has ended.
An evaluation of the program will take place during this fiscal year. IHS faculty will receive training from APCA in Monitoring and Evaluation processes, and students will be evaluated on quality of care services provided and knowledge of palliative care principles. The evaluation will measure the progress and effectiveness of palliative care integration and implementation in the various IHS campuses.
This partnership supports the integration and scale up of palliative care curriculum in the Institute of Health Sciences (HIS) pre-service training programs in general nursing, family nursing, dentistry, and pharmacy. The palliative care curriculum has been integrated into four IHS campus locations. The final three locations will be integrated in FY 2012.
Though most of the partnership activities are directed towards curriculum improvement and faculty development, direct service provision takes place by means of a one-week rotation through cooperating hospices. Students get hands-on learning experiences around pain control, spiritual, and psychosocial end-of-life care.
AIHA will work with IHS to enhance the palliative care learning resources at IHS Gaborone and other campuses. This includes support for books, journals, and medical databases regarding palliative care, as well as support for internet capabilities so that students are more effectively able to conduct online research.
AIHA and APCA (African Palliative Care Association) will provide financial and technical support for a palliative care association to be developed in conjunction with the Ministry of Health Palliative Care unit. The association will be a sustainable body to carry forward palliative care advocacy and education throughout Botswana.
Two faculty members will participate in a masters-level distance-learning course in palliative care in order to obtain the high-level knowledge and expertise needed to contribute to policy development and continued curriculum inputs. Through these measures, it is hoped that palliative care programming will be sustainably institutionalized at IHS and that inputs and advocacy for palliative care will also take place at a national level.
A program evaluation will be implemented to monitor the quality of students skills and knowledge in the area of palliative care. A graduate-level student intern will be employed to assist with program evaluation data collection and research activities.
Funding will support the Institutes for Health Sciences (IHS) as it transitions from a nursing diploma to a nursing degree program. Key tasks are developing the revised curriculum for the degree course and re-orienting lecturers.
Funds will be used to provide training MOH Service Providers using National Toolkits and Protocols in twinning arrangement with Liverpool VCT. Funds will also be used for GBV training and dissemination of policies and procedures in clinical settings.
