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: 2012 2013 2014
The African Field Epidemiology Network (AFENET), created in 1975, is a non-profit organization and networking alliance dedicated to helping Ministries of Health (MOHs) in Africa build strong, effective, sustainable programs and capacity to improve public health systems on the African continent. The AFENET secretariat, which oversees the organization's day-to-day activities, is located in Kampala, Uganda. AFENET works with MOHs and other public health institutions to strengthen their countries epidemiology workforce through Field Epidemiology Training Programs (FETPs) and Field Epidemiology and Laboratory Training Programs (FELTPs), which are residency-based programs in applied epidemiology and laboratory practice. A combination of classroom-based instruction and mentored practical work allows residents to receive hands-on multi-disciplinary training in public health surveillance, outbreak investigation, laboratory management, program evaluation, and other aspects of epidemiology research and methods.
AFENETs objectives are: 1) to strengthen field epidemiology capacity in Africa, 2) Enhance public health laboratory capacity in Africa, 3) Strengthen surveillance systems for priority communicable and non-communicable diseases (including maternal and child health, HIV/AIDS, tuberculosis, malaria), and 4) Advance the sharing of regional expertise in field epidemiology and laboratories.
AFENET will help Botswana develop an FELTP by providing logistical and technical support.
The Botswana Ministry of Health (MOH) does not have a trained public health workforce or surveillance and response system that can respond to routine public health work or public health emergencies. While there are trained personnel in the country, they are not being used optimally in disease surveillance and response and the MOH has not developed a career path for this cadre within the health workforce. MOH is implementing a multi-disease surveillance and response strategy through the Integrated Disease Surveillance Report without a trained public health workforce in place at all levels of service delivery. Since 1975, CDC has collaborated with Ministries of Health around the world to enhance international public health capacity through FELTPs. The FETP was modeled after the Epidemic Intelligence Service (EIS) and has since evolved to include the laboratory component. FELTPs nurture a culture of evidence-based decision-making as program graduates investigate disease outbreaks, strengthen surveillance and laboratory systems, and serve as mentors for future public health officers in their country. FELTPs are tailored to strengthen public health capacity in accordance with each countrys culture, national priorities, established relationships, and existing public health infrastructure. AFENET is the CDC partner that implements FELTPs and provides technical assistance. There is considerable interest in starting an FELTP in Botswana, particularly in the joint training of field epidemiologists and public health laboratorians. The MOH and the U.S. Centers for Disease Control and Prevention (CDC) are collaborating to develop a public health laboratory which will need a trained workforce. There is a desire to match both the two-year and the short course FELTP training components to actual public health positions (existing and new) that will improve public health surveillance and response systems in Botswana. The University of Botswana (UB) and the MOH are developing a School of Public Health that could be a suitable venue for the two-year FELTP. There will need to be alignment between the FELTP and the existing postgraduate public health programs at UB. The UB School of Medicine is also a recipient of the Medical Education Partnership Initiative and will also have a role to play in FELTP. In addition, the diploma-level health training institutes have a rich history of training nurses, medical laboratory technologists, and other cadres that are currently providing public health service. These institutes could be involved in the short course component of the FELTP. A FELTP pre-assessment was conducted in Botswana in February 2011. This will be followed by a more rigorous assessment in February 2012. It the interim conducting short course trainings will help fill the gap by training health care professionals at the district level and providing some of the basics of field epidemiology until the FELTP is developed. In 2012, 30 health workers will be strategically selected to undergo the training. Short courses are generally two weeks in length followed by a three month project and covers: Outbreak Investigation, Surveillance Evaluation, Quality Laboratory Management, and Public Health Laboratory for Epidemiologists.
This is a focused HSS intervention with linkages to all other technical areas and will benefit PMTCT which is experiencing challenges with periodic diarrhea outbreaks and high infant morbidity and mortality.
