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.
SUMMARY: This activity is a component of a comprehensive prevention education, care and treatment program for small to medium enterprises (SMEs) with 20-200 employees and other workplaces in South Africa. It includes activities in CT, ARV Drugs, ARV Services, Policy Analysis and Systems Strengthening, and Condoms and Other Prevention.
Background:
PEPFAR funds will be used to support a follow on cooperative agreement for implementation of a peer education prevention program for South African workers and managers in SMEs. This is a replacement activity for public-private partnerships since the cooperative agreement with the American Center for International Labor Solidarity will soon expire. The South African Business Coalition (SABCOHA) will implement these activities through the Vender Chain Management and BizAids sub-partnerships. The major emphasis for this program will be the development of a workplace program, with minor emphasis given to community mobilization and participation; training and linkages with other sectors and initiatives and development of information, education and communication materials. The target population will include adults (men and women of reproductive age), truck drivers, factory workers, the business community and HIV/AIDS affected families. The project will focus on gender by addressing male norms and behaviors, issues associated with violence and coercion and stigma and discrimination (all key US legislative issues).
ACTIVITIES AND EXPECTED RESULTS: Activity 1: Vendor Chain Vendor Chain Management will make use of the SABCOHA HIV/AIDS Toolkit methodology which has a component on workplace prevention programs. During the capacity building of companies, there will be training of managers, steering committees and HIV Coordinators on prevention. It will be one of the major components of the program as it will cut across at all levels of the company. The approach used will include the education in terms of workshops, information in terms of materials which will be provided during the various sessions as well as various communication channels include audio-visuals. In addition, an assessment to determine needs and risk profile of company(gender, age, socio-cultural aspects) will be conducted. This will assist in determining how prevention programs can be tailored to meet companies' needs. Companies will also be linked to external service agencies for continuous support after the direct capacity building intervention. A particular focus of the company workshops will be on the be faithful component of the abstinence and be faithful messaging.
Activity 2: Project Promote Through Project Promote the current private sector partners in the cleaning and hygiene sectors will receive information, educations and communication (IEC) material and program messages to be included in in-house HIV/AIDS company training. This focuses on issues such as the be faithful messages highlighting the significant risk of having concurrent partners as well as issues of stigma and discrimination within the workplace. The contract cleaning industry is almost 60% female and as such gender issues will also be covered in the materials provided to companies for dissemination. Current private sector partners of Project Promote combined employ over 30,000 cleaners. Through internal company trainers and as part of the partners ongoing workplace programs, Project Promote aims that its private partners will reach at least half of these employees over a five year period.
Activity 3: BizAids The Micro Enterprise sector in South Africa is enormous. Developed by the International Executive Services Corps (IESC) BizAIDS mainstreams HIV and AIDS issues within broader operational and strategic issues for micro enterprises. BizAIDS is a tested strategy in mitigating the economic impact of HIV and AIDS and other unplanned risks on micro-enterprises. In a 15 hour program, at minimal cost to the business owner, they will acquire business management; health (HIV) and legal knowledge in managing their business better. The aim of the SABCOHA response will be to expand on the BizAIDS Project as a core strategic initiative and to include HIV counseling and testing as well as treatment and care to the core projects and through the BizAIDSs project to train 250
people over the next five years. As the BizAIDS progam links with the vendor chain program, the same treatment and care model will be used. While numbers are based on an average of 50 micro-enterprises per year to be serviced each year over five years, it is possible that the treatment and care components can be extended to include spouses and dependents should funds allow. The BizAIDS program will have access to 50 micro-enterprises. On Average these enterprises have approximately five employees each with an additional five family members being influenced by the enterprise itself.
This activity will directly contribute to PEPFAR's goal of preventing 7 million new infections. These activities support the USG Five-Year Strategy for South Africa by expanding and improving quality AB prevention programs.
Summary: This activity is a component of a comprehensive prevention education, care and treatment program for small to medium enterprises (SMEs) with 20-200 employees and within other workplaces in South Africa. It includes activities in AB, CT, ARV Drugs, ARV Services, Policy Analysis and Systems Strengthening.
PEPFAR funds will be used to support a follow on cooperative agreement for implementation of a peer education prevention program for South African workers and managers in SMEs. This is a replacement activity for public-private partnerships since the cooperative agreement with the American Center for International Labor Solidarity will soon expire. The South African Business Coalition (SABCOHA) will implement through the Vender Chain Management and BizAids sub-partnerships. The major emphasis for this program will be the development of a workplace program, with minor emphasis given to community mobilization and participation; training and linkages with other sectors and initiatives and development of information, education and communication materials. The target population will include adults (men and women of reproductive age), truck drivers, factory workers, the business community and HIV/AIDS affected families. The project will focus on gender by addressing male norms and behaviors, issues associated with violence and coercion and stigma and discrimination (all key US legislative issues).
Activities and Expected Results:
Activity 1: Project Promote
Project Promote is a public-private partnership established in 2006, between the National Department of Health (NDOH), SABCOHA and the cleaning industry through Prestige Group, Fidelity Supercare, Steiner Group and BidAIR to as part of broader prevention programs to provide an efficient and effective mechanism for condom distribution. Project Promote directly supports the South African Government (SAG) in terms of extending condom distribution services through non-traditional outlets. There is a national task team made up of representatives from each of the partners managed by SABCOHA, through a consulting organization Genlem projects that has worked in HIV and AIDS programs within the cleaning industry for over three years. Currently private sector infrastructure including personnel (trainers, supervisors and cleaners) are provided at no cost to the project, where SABCOHA funds the program management and the NDOH procures, quality assures and delivers the condoms to the primary distribution sites free of charge. Primary distribution sites are actual private sector regional offices of each of the partners. Project Promote reports directly into the provincial and national departments of health using approved M&E systems based largely on the Logistics Information System supported by USAID. The interest in Project Promote shown by the SAG and private sector partners has lead to a far greater demand than originally envisaged and Project Promote plans to have 43 operational primary distribution sites in year one. Distribution mechanisms varying according to private sector partner infrastructure, but the broad range of models enable project promote to access SMEs otherwise difficult to reach over large geographical regions.
This project has also begun supporting a community distribution program whereby cleaners themselves are used as community distributors. Operationally over five years, Project Promote needs to be maintained and grow by at least ten new primary distribution sites per year from year two. Currently eight of the nine provinces are fully operational with Limpopo to be brought on in the first year as part of the SABCOHA SME program. This component of the program will feed directly into the supply chain strategy and micro-enterprise strategy encouraging condom distribution through those mechanisms as well. It is anticipated that the SME's reached through the Vendor Chain Program and the BizAIDS Program will also be serviced by Project Promote. In addition, Project Promote will streamline its operations through the development of and investment in greater information technology and systems which will allow the program to more effectively monitor the 43 sites in year one. On average the 43 sites are expected to distribute a total of 600,000 male condoms per month.
Activity 2: Vendor Chain
Managers will be trained on Stigma and Discrimination as part of the Management training. One of the components will include the discussions on the HIV/AIDS Workplace policy, procedures and human resources issues specifically relating to performance management, compensation, industrial relations and the management of incapacity and disability in accordance with the Code of Good Practice, ensuring a non-discriminatory work environment . This will also include managing misconceptions and prejudice and the development of supportive relationships amongst employees.
Activity 3: BizAids
BizAIDS through a network of small business associations and training providers will facilitate the transfer of skills to the informal sector. Skilled facilitators lead workshops of 18 - 20 business owners through topics ranging from: 1) understanding and identifying risks of HIV and other health risks; 2) protecting employees who are both HIV positive and negative; 3) providing HIV/AIDS legal/community resource directory; 4) increasing HIV/AIDS awareness through messages of abstinence, being faithful and using a condom; 5) using tools to help mitigate the risk posed by unforeseen events.
By providing education on key strategies for preventing HIV infection and promoting healthy behavior change among workforce populations, including appropriate use of condoms, and by distributing condoms to a large population of workers the SABCOHA workplace program will directly contribute to PEPFAR's goal of preventing seven million new infections. Through education on prevention messages and the distribution of male and female condoms, this program will also support the prevention goals outlined in the USG Five-Year Strategy for South Africa.
SUMMARY:
This activity is a component of a comprehensive prevention education, care and treatment program for small to medium enterprises (SMEs) with 20-200 employees and other workplaces in South Africa. It includes activities in AB, Condoms and Other Prevention, CT, ARV Services, Policy Analysis and Systems Strengthening..
BACKGROUND:
SABCOHA, in discussion with the South African PEPFAR Treatment working group, will identify treatment partners to assist in the implementation of the treatment component of the program. SABCOHA will initially be working closely with the PEPFAR-funded Right To Care (RTC) program and eventually other partners. The treatment component of this SABCOHA initiative will initially be implemented in two provinces namely: Gauteng and Mpumalanga. The SABCOHA Vendor Chain and BizAIDS counseling and testing (CT) programs will identify HIV-infected individuals will be referred into ARV treatment (ART) services. The major area of emphasis is commodity procurement. The minor areas of emphasis include Development of Network/Linkages/Referral Systems and Training. The primary target group for these activities are men and women of reproductive age who are employed in small, medium enterprises, truck drivers, factory workers.
The Vendor Chain and BizAIDS components of the existing SABCOHA program will begin a CT component that will identify HIV-positive individuals. These individuals will have access to Treatment/ARV Drug network.
ACTIVITIES AND EXPECTED RESULTS:
Activity 1: Procuring and Supplying ARV Drugs
SABCOHA will be responsible for establishing systems to procure and supply ARV Drugs for its treatment sites and ensure that there are no drug stock-outs on any drugs despite global shortages in stavudine and lamivudine. PEPFAR funds will be used for the procurement and distribution of ARV drugs to HIV positive individuals who are unable to access government facilities by ensuring that they are provided via a network of trained general practitioners. A system will be set up where the ARV prescriptions are forwarded to a pharmacy, which handles all the procurement, logistical and pharmaceutical management, dispensing and distribution of ARVs for this project. The drugs will then be delivered to the treatment sites via an independent courier company on a weekly basis. Treatment sites receive batches of drugs for multiple patients with drugs labeled and dispensed on a patient-named basis. Drugs are then securely stored at the side and dispensed to the patient on a monthly basis. Where sites are able to harness the capacity of a pharmacist, direct procurement will be facilitated.
SABCOHA's activities in this program area directly contributing to the 2-7-10 goal of ensuring access to treatment for two million people. SABCOHA will support the PEPFAR vision outlined in the Five-Year Strategy for South Africa by expanding access to ART services for this program's target audience, building capacity for ART service delivery and increasing the demand for an acceptance of ARV treatment.
Summary: This activity is a component of a comprehensive prevention education, care and treatment program for small to medium enterprises (SMEs) with 20-200 employees and other workplaces in South Africa. It includes activities in AB, Condoms and Other Prevention, CT, ARV Drugs, Policy Analysis and Systems Strengthening.
SABCOHA, in discussion with the South African PEPFAR Treatment working group, will identify treatment partners to assist in the implementation of the treatment component of the program. SABCOHA will initially be working closely with the PEPFAR-funded Right To Care (RTC) program and eventually other partners. The treatment component of this SABCOHA initiative will initially be implemented in two provinces namely: Gauteng and Mpumalanga. The SABCOHA Vendor Chain and BizAIDS counseling and testing (CT) programs will identify HIV-infected individuals will be referred into ARV treatment (ART) services.
This activity is a component of a comprehensive prevention education, care and treatment program for small to medium enterprises (SMEs) with 20-200 employees and other workplaces in South Africa. It includes activities in AB, Condoms and Other Prevention, CT, ARV Drugs, and ARV Services.
Activity 1: Vendor Chain
In the Vendor chain program, during the capacity building of companies, there will be discussions on the HIV and AIDS workplace policy, procedures and human resources (HR) issues. This will result in drafting of policies with the participating companies and in ensuring that the HIV and AIDS programs can be linked to the existing company systems without unnecessary duplication of work and/or roles.
Activity 2: Peer Education
In offering HIV-related education, counseling and support in the workplace, peer educators are in many respects at the coalface of the epidemic. SABCOHA will also strengthen the existing Peer Education forums in the five provinces where they exist. Using FY 2007 PEPFAR funding, the trained HIV coordinators and peer educators in the Vendor Chain program will be linked to the strengthened and fully functional peer education forums. As the Vendor Chain Program unfolds in other provinces, SABCOHA will develop more Peer Education forums.
A personal participant handbook forms the basis personal plans of action to mitigate against the risk of HIV/AIDS and its potential for disruption of small business. BizAIDS training materials have been developed in English. Research has found that small businesses owners prefer to have the training delivered in English as they believe the language of business is English. Trainers switch to the vernacular when translating areas of uncertainty. Training handouts include information on HIV/AIDS prevention, abstinence/be faithful, VCT & Treatment options and guidance on how to link into local business, treatment and legal assistance services. These materials come from strategic partners such as the Khomonani campaign (the communication campaign implemented by the South African Department of Health, The AIDS Law Project and Metropolitan Health. Linking the business owner, their employees and family to VCT and treatment is the next necessary link.
Providing effective prevention messages and leadership education to employer associations, business, worker representatives and union members in a cross-section of South African industry will contribute to PEPFAR's goal of preventing 7 million new infections. The activities described here will also support the prevention objectives identified in the USG Five-Year Strategy for South Africa.
Targets
Target Target Value Not Applicable Indirect number of HIV service outlets/programs provided with technical assistance for implementing programs related to policy and/or capacity building, including stigma and discrimination reduction programs Indirect number of individuals trained in implementing programs related to policy and/or capacity building, including stigma and discrimination reduction programs Number of local organizations provided with technical assistance for 100 HIV-related policy development Number of local organizations provided with technical assistance for 100 HIV-related institutional capacity building Number of individuals trained in HIV-related policy development 100 Number of individuals trained in HIV-related institutional capacity 100 building Number of individuals trained in HIV-related stigma and discrimination reduction Number of individuals trained in HIV-related community mobilization for prevention, care and/or treatment
Target Populations: Adults Business community/private sector Factory workers Truck drivers Men (including men of reproductive age) Women (including women of reproductive age)
Coverage Areas: National
Table 3.3.14:
