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.
Result :increased effectiveness of prevention messages and improved linkages between prevention, care
and treatment activities; promoted and integrated abstinence and partner reduction in BCC programs and
messages
Community-based (door-to-door) prevention
NACA and HHS/CDC/BOTUSA provide financial support and technical assistance to Humana People to
People to run the Total Community Mobilization Program (TCM), a nationwide door-to-door community HIV
education program, which has reached 65% of Botswana households. TCM activities include training a
cadre of field officers to inform, educate and mobilize the community through a variety of means and on a
variety of topics, including abstinence, faithfulness, partner reduction, condom use, VCT, PMTCT, stigma
reduction, and related life skills. TCM complements and supplements work of other organizations working
with HIV/AIDS in Botswana and supports the technical strategies of HIV Counseling and Testing, Youth-
focused activities, Behavior Change Communication and PMTCT. The program seems successful, based
on numerous anecdotes, support from communities involved, program monitoring data, and a recent
analysis of survey data from 2003. That analysis showed that individuals with exposure to TCM were more
likely than their counterparts without such exposure to, for example, show less stigmatizing attitudes, better
knowledge of PMTCT, and be more likely to have tested for HIV (reference is available). Additional
evaluation of TCM is planned for early 2005. This funding will cover that part of TCM's activities that are
related to abstinence, faithfulness, partner reduction, and healthy relationships; the other part of the
program is listed under the "Prevention: Other." This section here, related to AB is estimated to be 50% of
the program.
Input: The USG will provide funding and technical assistance.
Activities/Outputs: TCM will continue its varied, community-based HIV prevention work by rolling out its
program in areas. In FY 2005 TCM is to begin work with BOTUSA and other partners to help develop, pilot,
and implement home-based HIV testing in the Selibe-Phikwe region.
Outcome: Community members will be more aware of HIV/AIDS issues and services; communities will
increase service utilization; more people will adopt healthy behaviors, including abstinence, faithfulness,
and partner reduction.
and treatment activities.
not related to abstinence, faithfulness, partner reduction, and healthy relationships; that part is listed under
the "Prevention: A/B section." This section here, related to promotion of VCT, PMTCT, stigma reduction,
and ARVs is estimated to be 50% of the program.
increase service utilization; more people will adopt healthy behaviors; and, HIV testing will increase.
Result: increased understanding of the importance of HIV counseling and testing by training of community
leaders through grassroots structures
Input: The USG will develop a cooperative agreement with Humana People to People for the
training/sensitization of community leaders in HCT (VCT, RHT, supportive counseling) through grassroots
structures. Because of its wide experience with community mobilization and training in Botswana, Humana
People to People will be better placed to conduct a two-day HCT awareness courses for members of Village
Development Committees (VDC), Youth and Health Committees, and traditional healers. Community-
based support groups of PLWHAs will also be trained.
Activities/Outputs: The USG will provide technical assistance to Humana People to People in the
development of a two-day HCT awareness course including curriculum and piloting it through training of at
least one VDC. Training will be extended to the media so as to increase their understanding of HCT
services. A referral directory of treatment, care and support services will be developed per geographical
area to facilitate linkages of people with HIV/AIDS to these services.
Outcome: Training of grassroots structures in HCT will increase the awareness of community leaders about
the importance of counseling and testing, promote referral of people needing counseling and testing to
appropriate services, and eventually reduce stigma associated with HIV/AIDS. These community leaders
will be advocates for HCT and, in turn, sensitize their own community members, refer people for HCT and
increase demand and utilization of HCT services.
Result: enhance the Botswana HIV/AIDS Response Information Management System (BHRIMS)
Developing national HIV/AIDS response information database
Inputs: The USG will provide financial assistance to NACA.
Activities/Outputs: NACA will hire a consulting firm to develop a national HIV/AIDS response information
management database and provide user training. NACA will be responsible for awarding and managing the
contract. It will purchase the necessary hardware and software required to support the development and
implementation of the database system. Based on existing user requirements, a database and associated
data entry screens will be designed, coded, tested, and implemented on an appropriate platform. Samples
of districts will be chosen to pilot the operation of the database. User training will be provided upon
deployment. Upon completion of deployment, there will be a national BHRIMS database consisting of
national and global indicators, data entry screens, and trained users on the system.
Outcomes: The national BHRIMS database system will provide a more efficient means of managing the
national response to HIV/AIDS by collecting, analyzing, and disseminating information on the progress
made in HIV/AIDS programs using national indicators to inform decision making and policy. In addition, the
national database will lay the foundation for expansion to the districts in FY 2006.
