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 2015 2016 2017 2018
In FY2011, DOD/PEPFAR activities supporting the Lesotho Defence Force will continue the successful collaboration that has been ongoing since 2002, which now supports LDF and Lesotho goals as outlined in the Lesotho Partnership Framework. Over the years, especially with the introduction of the PEPFAR program to Lesotho, the LDF has seen tremendous scale up of their HIV/AIDS program. This has included training of LDF nurses for ART, pharmacy training, renovation and equipping of laboratory facilities, provision of a mobile clinic for outreach to remote bases and surrounding communities, building of the Wellness Center which supports integrated care, conducting the first study of HIV prevalence and risk factors in the LDF, and implementation of an innovative electronic health record with portability for mobile services. PEPFAR funding has also supported education and sensitization of all ranks and family members on HIV prevention and care and a peer education program. DOD directly implements programs with the LDF through direct procurements and technical assistance. In FY2011, DOD/PEPFAR will support the continuation of the existing programs with an increased emphasis on long term capacity development and retention in the LDF.
Utilizing FY2011 funding PEPFAR will support continued PMTCT training and provide alternative feeding supplements and training for mothers who choose not to breastfeed. PEPFAR/DOD will assist the LDF to strengthen their ability to prevent infections through peer-led prevention programs in all of the units, and increased testing at all of the bases; and the use of data collected in the first LDF bio-behavioral survey. Nurses from San Marcos University, California will work with LDF and MOH nurses to train PwP trainers, work with local nurses to provide care and support, and provide clinical training to the nurses.
PEPFAR/DOD supports LDF basic care activities including training to target reduction of stigma and discrimination, palliative care training, provision of home based care kits, and supplies for the new Wellness clinic and Mobile Clinic that may not be available through the Ministry of Health. TB/HIV activities will include training and technical assistance for the laboratory, training for healthcare workers, and for the peer educators. In the area of Counseling and Testing, PEPFAR/DOD will continue to support training and supervision of C/T with an emphasis on capacity-building so that the LDF may be able to do their own program management.
The LDF has identified several key areas for long term training to ensure appropriate clinical staffing. FY2011 PEPFAR funding will support the first year of a five-year plan for human resource development. DOD will support building of a TB clinic for infection control.
FY2010 funds will support preventive therapy, such as nutritional supplements, cotrimoxozole, and pain relievers. Other care includes treatment of opportunistic infections, and support to those who are on PTB medications and ARVs. Patients will also be supported spiritually and psychologically. Nutritional support will be provided for adults meeting clinical guidelines, equipment as needed for clinical facilities and support for capacity development through California State University, San Marcos School of Nursing and other appropriate training opportunities. The program aligns with PEPFAR in Lesotho in an effort to assist with the "Care and Support" work in the country and to provide assistance with the critical shortage of nurses. Students will be placed at the military hospital and wellness clinic, and will visit patients in the rural areas with the Mobile Clinic and provide care to those in need. Depending on the number of students, 1-2 faculty will accompany students to provide supervision. Faculty will also provide educational programs, training and services to the military and civilian medical/nursing professional and counselors as requested. LDF family support groups and networks. LDF will organize regular meetings for PLWHA and their families which will include training and guest speakers regarding HIV treatment literacy, adherence, PwP, and general prevention. Community events will provide a venue for generating interest and disseminating information about these groups. Addressing stigma and discrimination at both the home and community levels. Community health workers and people living positively with HIV/AIDS will be trained to address issues of stigma and discrimination at the community level. Health care workers will address stigma and discrimination at the home level as part of overall home-based care.
DOD will provide technical assistance to work with the LDF on an assessment of OVC needs in the LDF and development of referrals to civilian programs for service delivery.
Prevention with positives/healthy living training will be conducted through the unit peer educators.
The PEPFAR PWP program will be rolled out.
LDF family support groups/ LDF will organise regular meetings for PLWA and their families which will include training on adherence and positive living.
Care will also include nutritional supplements for malnourished HIV positive individuals
1) Surveillance and surveys: The LDF will build upon the data collection of the 2010 seroprevalence and behavioral epidemiology risk survey (SABERS) with data analysis, report writing, conduct of a data workshop and study dissemination. LDF will participate in Conferences with other militaries to discuss SABERS and long term surveillance systems.
2) HMIS: LDF has recently begun use of an electronic medical record system. Utilizing FY2011 funding LDF will evaluate the rollout of the HMIS with respect to use of the computers and electronic records. 20K
3) M&E. PEPFAR will support the hiring of a Strategic Information officer who will work from within the LDF to review all HIV programs for the existence of embedded monitoring and establishment of monitoring systems where they are not currently in place, support the newly initiated HMIS system, and support the use of from the 2010 LDF HIV SABERS. The SI officer will also importantly have primary responsibility for LDF indicator targets and reporting
Summary:
The Makoanyane Military Hospital has held workshops for senior officers to introduce the military HIV/AIDS policy and to get their support in implementing the policy and HIV/AIDS guidelines.
HIV project coordinators have also had training to build their capacity in planning, monitoring and evaluation of the general HIV/AIDS program in Lesotho Defence Force.
Background:
The program aims at training military policy makers, HIV project coordinators and members of the HIV/AIDS team that all facilitate in HIV/AIDS program development.
Activity:
1. MMH will continue training senior officers to introduce the military HIV/AIDS policy.
It will also continue the training of HIV coordinators on the strategic objectives of the program. This will help them to monitor and be able to evaluate all HIV/AIDS program and make plans to strengthen the program and plan activities for the programs.
2. Training of program coordinators on new monitoring and evaluation activities guidelines given by PEPFAR.
Human capacity building and training of military health personnel. Nurses, pharmacists, laboratory technicians, and doctors will be trained on HIV treatment/ART and the provision of counseling to terminally-ill clients. The hospital provides training for chaplains on HIV and home-based care. Nurses and physicians and pharmacists will have the opportunity to attend future IDI trainings at Makere University in Uganda. Considering the crisis of trained technical manpower at Makoanyane Military Hospital of the Lesotho Defence Force (of Nurses, Pharmacists, Radiographers, Lab Technicians, etc), LDF has proposed that they implement a Five Year plan under which suitable candidates from MMH/LDF will be sent for various Nursing and other technical medical courses within Lesotho/South Africa every year, so that the vacancies can be filled up in a time bound program. The LDF plans to send 10 candidates each year (7 Nursing, 1 Lab Tech, 1 Radiographer & 1 Pharmacist), beginning 2011, to various Nursing Colleges in Lesotho for the said training program.
3. TB clinic renovation
LDF provides care at the Makoanyane Military Hospital and at its Wellness Center. It provides health services including HIV/AIDS services through preventive, promotive, curative and rehabilitative care for its clients. It provides these services to military personnel and their families and to personnel from other uniformed services and government officials. The catchment population is estimated at 10,000. The hospital has been providing PMTCT services since May 2006. The PMTCT program serves as an entry point for husbands through the use of WHO standardized country protocols. Particular attention will be paid to the referral of women identified at PMTCT who are HIV+ and need care follow-up and their babies, and the male family members for HIV C/T and referrals to care.
Prevention of mother to child transmission (PMTCT) program aims at training military health workers on the WHO standardized country protocols and national guidelines to equip them with skills to care for HIV infected mothers, their babies and fathers.
Health workers will be trained on counseling and testing of mothers in the Ante natal clinics
Provision of Antiretroviral treatment for PMTCT to mothers.
Management of infants at delivery and after birth.
Follow up of both the mothers and t
PEPFAR Lesotho laboratory activities with the LDF will include training for LDF personnel and provision of commodities not readily available through Ministry of Health Central Stores. Technical assistance will be provided as needed. Additional furnishings for the new facility will be provided as needed.
Background: DOD has support LDF laboratory activities since 2002. In addition to PEPFAR funding, DOD has secured $50,000 in FY06 Foreign Military Financing (FMF) assistance to be used for laboratory training, equipment and supplies. The FMF will be used during 2008 2009 to provide technical assistance, support long-term training for 2 technicians, and to provide furniture and equipment needed in the move from the MMH main hospital facility to the new MMH Hospital site.
Planned activities for FY11 include the following continuing:
1) Training for laboratory technicians. This will be accomplished through a combination of targeted technical assistance and enrollment in a local laboratory technical school program. Both in-service and pre-service trainings will be supported.
2) Provision of commodities that are not provided nationally.
3-Support the newly renovated LAB
4) Support the implementation of QA program including TB and HIV testing
