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: 2007 2008 2009
The activity supports the Namibian Ministry of Defense's HIV/AIDS Program called "Military Action Prevention Program" (MAPP) by providing basic elements of palliative care to military members living with HIV/AIDS and their families. This care program will encompass clinical, psychological, spiritual, social care, and prevention services. This program area supports the implementation of a basic HIV-related care component for HIV-positive personnel in the Namibian Defense Force.
The USG and Namibia supports the palliative care approach to HIV care, including development and implementation of evidence-based care and prevention interventions incorporated within the preventive care package for PLWHA. MAPP's palliative care program will develop, provide, and counsel and refer for components of this package in its 2 hospital sites and via outreach from these hospitals' trained staff to military members in a Home Based Care program. This program will include promotion of personal hygiene strategies to reduce diarrheal disease; medication adherence support for antiretroviral therapy (ART) and OIs; and nutritional counseling, assessment, monitoring and multivitamin supplementation. Minimal targeted and time-limited nutrition supplementation with a fortified nutritional supplement will be provided to severely malnourished HIV-positive solders that meet clear entry and exit nutrition assessment criteria. The MAPP program will also ensure appropriate training, technical support and prevention strategies for outreach workers and family members who provide home-based care services for terminally ill PLWHA. Psychosocial support for PLWHA is integrated throughout the program with referrals for other elements of psychological, spiritual and social support services for HIV-positive military members and their families. At all levels, attention will be given to increasing the gender equity in accessing HIV/AIDS programs and addressing stigma and discrimination.
This program will continue to deliver a treatment program for military members supported by the Ministry of Defense's Military Action and Prevention Program (MAPP). The goal is to ensure all HIV positive military members receive the health care they need while ensuring Namibia's national security. Up to 300 patients new to ART are expected with a total of 1200 on ART managed by the military health system at the end of the year. This program will be completely cooperative with the MoHSS' national treatment program as up to 400 military personnel will be be transitioned to public hospitals services when they are medically retired from the military or transitioned to distant areas the military hospitals cannot support.
A minimum of two full time doctors will be hired to directly support this ARV treatment program. One will work at the Grootfontein Army hospital and the other will work at the Suiderhof Military hospital in Windhoek. Approximately 32 NDF medical members will be trained to manage military members who receive ARVs. 40 MOD/NDF sickbay based peer educators will be trained to provide ARV information and adherence counseling. This program will be managed by the DAO PEPFAR Program Manager through an experienced HIV/AIDS contractor that will be selected through a competitive process. At all levels attention will be given to increasing the gender equity in accessing HIV/AIDS programs and addressing stigma and discrimination.
This program will continue to deliver a treatment program for the military members supported by the Ministry of Defense's Military Action and Prevention Program (MAPP). The goal is to ensure all HIV positive military members receive health care they need while ensuring Namibia's national security. Up to 300 patients new to ART are expected with a total of 1200 on ART managed by the military health system at the end of the year. This program will be completely cooperative with the MoHSS's national treatment program as up to 400 military personnel will be transitioned to public hospitals services when they are medically retired from the military or transitioned to distant areas which the military hospital cannot support. A minimum of two full time doctors, pharmacist, 2 clinic nurses and 2 community counselors will be hired to directly support this ARV treatment program. One medical will work at the Grootfontein Army hospital and the other will work at the Suiderhof Military hospital in Windhoek. Approximately 32 NDF medical members will be trained to manage military members who receive ARVs. 40 MOD/NDF sickbay based peer educators will be trained to provide ARV information and adherence counseling. This program will be managed by the DAO PEPFAR Program Manager through an experienced HIV/AIDS contractor that will be selected through a competitive process. At all levels, attention will be given to increasing the gender equity in accessing HIV/AIDS programs and addressing stigma and discrimination. Medical equipment will be procured to improve care provided in the clinics and decrease overall laboratory costs.
Five more Namibian Defense Force (NDF) individuals will be trained on how to capture Military Action Prevention Program (MAPP) prevention and counseling and testing (CT)statistics and how to monitor military members enrolled in the ARV program. In this way, defaulting in cases of both ARV and TB will decline and the capacity of the NDF to manage the epidemic will increase. Additional computer systems will be procured to interface with the Health Management Information System delivered to the NDF by the German Advisory Group. These computer systems will ensure important strategic HIV/AIDS health data is collected and archived. A seroprevalence testing program will be initiated for the first time, assuming Ministry of Defense (MoD) concurrence. The DAO PEPFAR program manager will manage this program and administer funding through an experienced HIV/AIDS contractor that will be selected through a competitive process.
Five more Namibian Defence Force (NDF) individuals will be trained on how to capture Military Action and Prevention Program (MAPP) prevention and counseling and testing (CT) statistics and how to monitor military members enrolled in the ARV program. In this way, defaulting in cases of both ARV and TB will decline and the capacity of the NDF to manage the epidemic will increase. Additional computer systems will be procured to interface with the Health Management Information System delivered to the NDF by the German Advisory Group. These computer systems will ensure important strategic HIV/AIDS health data is collected and archived. A sero-prevalence testing program will be initiated for the first time, assuming Ministry of Defense (MoD) concurrence. The DAO PEPFAR Program Manager will manage this program and administer funding through an experienced HIV/AIDS contractor that will be selected through a competitive process. Relevant software licenses and equipment for the ARV clinic data system will be procured. An additional 5 MoD personnel will be trained on managing data and ifnormation and M&E.
Targets
Target Target Value Not Applicable People reached through dissemination workshops Number of local organizations provided with technical assistance for strategic information activities Number of individuals trained in strategic information (includes 10 M&E, surveillance, and/or HMIS)
Target Populations: Military personnel
Key Legislative Issues Wrap Arounds Other
Coverage Areas Khomas
Otjozondjupa
Table 3.3.13:
The DoD will provide technical assistance to the Ministry of Defense to revise and implement a comprehensive HIV management policy. The increased activity under MAPP and requisite strengthened partnership between the MOD and the USG will mobilize the MOD towards policy development and aggressive management of HIV and AIDS. Up to 20 key NDF commanders and staff members will be trained on HIV stigma reduction and two commanders conferences will be held to explain the latest MoD HIV/AIDS policy and stigma reduction program. The DAO PEPFAR program manager will manage this program and administer funding through an experienced HIV/AIDS contractor that will be selected through a competitive process.
