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
COP 2010 Overview Narrative (Continuing from FY09)
The United States Department of Defense (USDOD) Cooperative Agreement with Population Services International/Society for Family Health (PSI/SFH) is a continuing mechanism from COP09 which provides a comprehensive HIV prevention services for the Ministry of Defense/Namibian Defense Force (MOD/NDF) to implements its workplace program, the Military Action and Prevention Program (MAPP). The program aims to reach over 13, 000 military personnel and civilians working at the 23 military bases and camps across Namibia with messages focusing on sexual prevention.
This mechanism has two comprehensive goals and objectives; 1) to decrease new HIV infections in the military through behavior change communication (BCC) using military and culture specific approaches with a focus on, abstinence and faithfulness, correct and consistent use of condoms; 2) key prevention strategies of this mechanisms include development and institutional capacity building of the military through the technical assistance and training of commanders, HIV/AIDS coordinators and peer educators, chaplains and gender focal persons at all the bases and camps through in-service training, mentoring and supervision to strengthen ownership, leadership, management and planning capacities and eventually to sustain the HIV/AIDS response in the Namibian military.
This mechanism is contributing to Namibian's five year National Strategic Framework (NSF) and the Partnership Framework Agreement (PFA) and addresses key policy and strategic issues related to sustainability and ownership of programs by Namibians, HIV/AIDS prevention, stigma and discrimination reduction, prevention of alcohol abuse, addressing gender based violence and negative male norms fueling the epidemic and increasing coordination between MOD/NDF, Ministry of Health and Social services (MOHSS) and other stakeholders working in this field.
Factors such as separation from families, mobility and age particularly make the military vulnerable to HIV infections. Specifically, SFH continue to assist the MOD/NDF a) to reach all military personnel with prevention education and information that is primarily focused on abstinence and /or being faithful, addressing multiple concurrent partnering and gender based violence, b) to reach military personnel with interventions that are primarily focused on increasing condom use, creating demand for uptake of voluntary counseling and testing (VCT) and provider initiated testing and counseling (PITC), creating demand for male circumcision, providing information on sexually transmitted infections (STI) diagnosis and treatment, promoting the practice of positive gender and cultural norms, and to increase knowledge about HIV prevention amongst people living with HIV/AIDS (PLWHA).
In order to strengthen the capacity of the MOD/NDF to take overall ownership and manage its HIV/AIDS prevention program, SFH will continue to implement the following activities:
1. Advocacy to and training of the Base Commanders and Chaplains.
2. Training and provision of technical support to the Steering Committees at the military bases to enable them to provide oversight for the HIV program at the bases while also creating the needed enabling environment.
3. Training and technical support to the HIV/AIDS Unit Coordinators (HUC) who are the focal points for HIV/AIDS prevention activities at the bases and camps.
4. Refresher training of Peer Educators in coordination with the HUC in areas such as management information systems to be able to monitor and evaluate the effectiveness of their programs at the bases, how to refer HIV positive and others to counseling and testing services.
5. Producing and distributing condoms to all military bases and camps, including the clinics and sick bays, counseling and testing centers, barracks and canteens, and promoting consistent and correct condom use at all trainings with peer educators.
Main cross cutting issues include gender, alcohol, stigma and discrimination and human resources for health (in-services training).
Key contributions to cost efficiencies over time include the training of critical MOD/NDF personnel, such as Commanding Officers, HIV/AIDS Unit Coordinators, Chaplains, Steering Committees, Gender Focal points and peer educators to be able to implement and manage the program on their own with limited technical assistance from SFH. In addition, SFH would continue to implement its transitional plan in close collaboration with MOD/NDF.
The monitoring and evaluation plan includes PEPFAR indicators and is fully integrated into the overall USDOD M&E plan for assistance to the MOD/NDF. In COP10 and COP11, as the country moves to a national M&E plan with aligned indicators also with the Partnership Framework Agreement, SFH will continue to provide technical assistance at the base level for the HIV/AIDS Unit Coordinators in the area of M&E.
This mechanism is implemented in close collaboration with MAPP and the International Training Centre for Health (I-TECH), in order to ensure synergies in implementing a comprehensive HIV/AIDS prevention, care and treatment program for the Namibian military. SFH and I-TECH will work together to provide technical assistance to the military to ensure linkages between the prevention services and the care and treatment services in the military.
SFH's contribution to the implementation of the Military Action and Prevention Program (MAPP) is to develop the capacity of the Ministry of Defense/Namibian Defense Force (MoD/NDF) to take full ownership in the entire implementation of MAPP at all the military facilities. As a result, SFH has trained various MOD/NDF military personnel and has, together with MoD/NDF, created Steering Committees at base levels to monitor and guide the implementation of HIV activities at that level. The activities are designed to also address issues related to gender and male norms and behaviors in the military and promote the participation of women in activities at the bases because the military is predominantly male and women often feel shy to participate actively.
1. SFH will continue to strengthen the capacity of MOD/NDF through provision of technical assistance, training and mentoring Base Commanders, HIV/AIDS Coordinator, Peer Educators, Gender Focal Points, Chaplains and their assistants to implement an effective and sustainable HIV/AIDS program in the military, through conducting advocacy activities and training:
Base Commanders on HIV program management; and on roles and responsibilities of the HIV Steering Committees
Military Chaplains and their assistants on HIV/AIDS and spiritual counseling
Gender focal points to address gender issues within the context of HIV/AIDS
HIV Unit Coordinators on program management and coordination , including monitoring and evaluation, and referral systems
An additional 92 new Peer Educators to promote HIV prevention programs through abstinence and / or being faithful.
Conduct advocacy activities with high ranking military officers at national and regional levels.
Continuing Activity
Estimated Budget = $ 120,000
2. Develop, pre-test and produce customized military specific IEC materials
Develop 1,000 posters and 2,000 IEC materials for military personnel preparing for peace keeping assignments. These materials are designed to fit specific conditions during peace keeping assignments, and are not necessarily generic BCC materials.
Develop, pre-test and produce IEC materials messages on prevention through abstinence and/or being faithful. Some of the materials will focus on important National and International events such as World AIDS Day, National Testing Day, TB days, etc.
Review, pre-test and produce 50 peer educators' training manual with modules on HIV/AIDS prevention through abstinence, being faithful, including reduction in concurrent sexual partnering.
Review, pre-test and produce 150 peer educators' facilitation guide with modules on HIV/AIDS prevention through abstinence, partner reduction including reduction in concurrent sexual partnering
Conduct Focus Group Discussions (FGDS) to pre-test IEC materials and new messages.
Estimated Budget = $ 57,737
3. Train 46 Peer Educators as master trainers on the use of Peer Education manuals to enable them to drive Peer Education programs at base levels.
Estimated Budget = $ 15,000
4. Facilitate 23 Interactive video presentations on prevention through abstinence and/or being faithful by the military Peer Educators at each of the 23 military bases.
Estimated Budget = $13,000
5. Reach 9,200 military personnel through community outreach and peer education activities that promote HIV/AIDS prevention through abstinence and/or being faithful. BCC themes will vary.
Estimated Budget = $ 17,000
6. Collaborate with DOD Care and Treatment partner to reproduce 200 DVDs of "Remember Eliphas" film series for distribution to 23 military bases and the training of peer educators on the use of these video presentations.
Estimated Budget = $ 2,000
7. Admin cost and Staff Salaries and benefits for program and support staff.
Estimated Budget = $ 74,913
This activity will continue to further strengthen the institutional capacity of the Namibian Ministry of Defense/Namibian Defense Force (MOD/NDF) to implement an integrated HIV/AIDS program in the military through:
1. Training of military personnel preparing for Peace Keeping on Basic HIV/AIDS knowledge and prevention skills prevention through condom use and other forms of prevention other than abstinence and being faithful, including addressing multiple and concurrent sexual partnerships and alcohol abuse.
Training of new recruits on basic HIV/AIDS knowledge and skills that teaches HIV prevention and the importance of consistent condom use.
Estimated Budget = $ 14,000
2. Training 23 HIV Unit coordinators and 92 military peer educators on use of referral cards for referring participants to counseling and testing centers at the military facilities where they are available and national facilities as well as how to use the Management Information System (MIS).
3. Conduct community outreach activities to mobilize the military to participate in the Namibian Annual National HIV Testing Day, World AIDS Day, National TB Day and collaborate with the DoD Treatment and care partner to assist MOD/NDF in the planning process for such events.
Train peer educators to be able to better address gender and HIV/AIDS related issue, coercion, alcohol abuse, and stigma and discrimination within military settings.
Estimated Budget = $ 10,000
4. Procure and distribute 2.5 million military packaged condoms through military logistic channels, SFH field officers, and peer educators.
Distribute military condoms through service outlets at the military bases
Peer Educators to distribute IEC leaflets with condom pouches to over 5000 military personnel and their partners.
Estimated Budget = $ 175,000
5. Production of demand creation items including 1,000 promotional pins, 100 T-shirts, and posters for Peer Educators, HIV Unit Coordinators, and other MOD personnel during national events such as World AIDS Day, National Testing Days, and TB Days.
Production and distribution of 3,000 Military Action and Prevention Program (MAPP) one-page calendars with advocacy and HIV/AIDS prevention messages.
Estimated Budget = $ 40,000
6. In collaboration with DOD Care and Treatment partner, develop, pre-test and re-produce 2,000 STI leaflets and translate in local languages, where feasible.
Review, pre-test and re-produce 700 Question & Answer handbooks as reference guide for answers to frequently asked questions for Peer Educators and HIV Unit Coordinators.
Review, pre-test and produce 50 peer educators' training manual with modules on HIV/AIDS prevention, including condom use, multiple and concurrent partnerships and promotion for uptake of Male Circumcision.
Estimated Budget = $40,000
7. In collaboration with the DOD Care and Treatment partner, conduct workshops for PLWHA Tusano Club Formation workshop. Funding for this activity is provided for under the care and support program.
Estimated Budget = $0
8. Conduct Peer Education sessions reaching 2,300 peers with messages that promote HIV/AIDS prevention through condom use, knowing own HIV status and other forms of HIV prevention.
Estimated Budget = $ 10,648
9. Admin cost and Staff Salaries and benefits for program and support staff
Estimated Budget = $ 122,650
