Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015

Details for Mechanism ID: 9924
Country/Region: Botswana
Year: 2014
Main Partner: Baylor College of Medicine
Main Partner Program: International Pediatric AIDS Initiative
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $0 Additional Pipeline Funding: $123,908

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

Through the funding provided by this project, the Botswana-Baylor Children’s Clinical Centre of Excellence (COE) is able to help drive the scale-up and assurance of quality pediatric and adolescent HIV care across 21 health facilities in16 districts in the north and western part of the country. Training health care providers on pediatric and adolescent treatment guidelines is a key focus of this project. With time, Baylor’s reach through trained health care workers will make the mechanism cost effective. The COE’s activities remain important to insure universal access to comprehensive, high-quality HIV treatment services for pediatric and adolescent populations in Botswana. Refinement of direct clinical approaches, complicated case management, task-shifting, training and dissemination of best practices to local implementers are all key components of COE’s program. The TB/HIV component of the COE’s activity stems from challenges facing children and adolescents with respect to access to effective diagnosis, treatment and cures for TB. Currently only a small proportion of pediatric TB patients are diagnosed, and many health care workers lack the expertise and the experience to diagnose TB in children. The best practices developed by the COE, including its failure management clinics and Teen Club programs, under-going scale-up throughout Botswana - a key focus of the COE’s ongoing efforts. In concert with the MOH, COE continues to train nurses in advanced HIV management, which is an important part of the COE’s FY 2012 approach. All of the COE’s programs are in the process of stepwise transition to the MOH, the National AIDS Coordinating Agency, the University of Botswana or other national entities, as appropriate and agreed between partners.

Mechanism Allocation by Budget Code for Selected Year
Care: TB/HIV (HVTB) $0
Care: Pediatric Care and Support (PDCS) $0
Treatment: Pediatric Treatment (PDTX) $0
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

This mechanism has no published performance targets or indicators.

Key Issues Identified in Mechanism
Child Survival Activities
Mobile Populations
Tuberculosis
Family Planning