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: 2008 2009
INTEGRATED ACTIVITY FLAG:
Activities are linked to others described in ARV Drugs, ARV Services, and Other Prevention. This is a
follow-on activity to the American Center for International Labor Solidarity.
BACKGROUND:
the FY 2007 PEPFAR funding corporative agreement has enabled the Tshepang Trust to start testing
workplace employees together with their immediate dependents. In the FY 2007 period and going into the
FY 2008, the Trust is focusing on utilizing general practitioners (GPs) to do routine counseling and testing in
their consulting rooms. The Trust although it had a slow start for the FY 2007 period, is gaining momentum
with testing both in GPs rooms and in workplaces through partnerships with other VCT entities, is currently
testing on average 500 individuals per month and the number is rising as the program becomes known with
the assistance of the SA Medical Association in alerting its members on the program.
The emphasis area for this workplace activity is testing for early detection. The target population for this
initiative is men and women of reproductive age working in SMEs, the healthcare and education sector
including their partners and dependents. This includes managers, worker representatives and workers,
educators and other individuals working in the education sector and healthcare workers working in the
public healthcare sector particularly in areas where Tshepang currently has public private partnerships with
some of Gauteng's public ARV sites.
With funding from PEPFAR, these workplace programs will conduct HIV awareness and testing sessions for
both employers and employees on the basic facts of HIV transmission, prevention, and impact of HIV and
AIDS on the industry.
This activity will directly contribute to PEPFAR's goal of preventing 7 million new infections and treating
more than 10 million infected persons. These activities support the USG Five-Year Strategy for South Africa
by expanding and improving quality workplace HIV and AIDS prevention programs and are also in line with
the SA National Strategic Plan.
ACTIVITIES AND EXPECTED RESULTS:
This activity will provide access to VCT services for employees, their partners and their dependents through
referrals to general practitioner (GP) sites and aso workplace wellness facilities. These GPs will provide
counseling and testing and initiation into treatment.
These accomplishments will directly contribute to the realization of PEPFAR's goal to prevent 7 million new
infections and provide care for 10 million people infected with HIV. These accomplishments also support
the prevention, care and treatment goals laid out in the USG Five-Year Strategy for South Africa.
Activities are linked to others described in Counseling and Testing, and ARV Services. This is a follow-on
activity to the American Center for International Labor Solidarity.
SUMMARY:
This activity is a follow-on to the partnership with the American Center for International Labor Solidarity to
treat South African educators and their spouses and dependents through the Prevention, Care and
Treatment Access Program. This activity as part of the COP between PEPFAR and Tshepang has been
expanded to include individuals in the SMME and Healthcare Sector. With FY 2007 PEPFAR funding, the
USG issued an Annual Program Statement to solicit partners to provide comprehensive testing, care and
treatment services in a workplace setting. The HIV and AIDS TREATMENT activity includes, doctor
consultations, ARVs, related medications e.g. for minor opportunistic infections for a 1,000 patients.
Whilst business has become somewhat more responsive to the needs of its employees to encourage
testing for early detection and treatment of its employees to encourage testing for early detection and
treatment of its employees in larger corporations, the reality is that there are still very low levels of
counseling and testing in the workplace. Employees still do not trust that by enrolling in workplace HIV
programs, they will not be discriminated against. The situation is worse in the small medium enterprises
(SMEs) because unlike big corporations, SMEs are failing to follow the lead of their counterparts in
providing counseling and testing services to their work force. As a result, SMEs need assistance in
providing and developing a workplace response to HIV and AIDS.
The Tshepang Trust (also known as Tshepang) is the South African Medical Association (SAMA)'s
HIV/AIDS program initiated to bridge the gap in medical resources using private general practitioners (GPs)
in the public private partnership model in order to assist the South African government fight against
HIV/AIDS. SAMA has more than 5000 private medical practitioners in the private practice trained in HIV
clinical management. Tshepang has been in existence since June 2003 and is a registered local non
governmental organization (ngo) operating as a trust under Section 21 of the South African Companies Act.
This is a workplace program targeting small medium enterprises (SMMEs) employees, their partners and
dependents using general practitioners and their consulting rooms as sites. For this initiative Tshepang
trust is in the process of forming collaborative relationships with two South African corporate companies to
establish a HIV and AIDS workplace program. In addition to this initiative, Tshepang will work with the
healthcare sector, targeting personnel in hospitals and clinics within the Gauteng area. Lastly, Tshepang
will continue to provide services to educators who received services under the Solidarity Center program
which is ending in December 2007. Tshepang Trust currently has strong evidence of leadership support
from the South African Government through a public private partnership with the Gauteng provincial
department of health to enhance the scale up of HIV counseling and testing (CT) and treatment in
Gauteng's ARV sites. Tshepang currently serves under serviced rural areas in South Africa utilizing general
practitioners who are located mostly in rural areas. Using this model, Tshepang has developed a public-
private partnership between SMEs where employees and their dependents can access private general
practitioners in areas close to where they are employed without fear of discrimination of being absent from
work. In addition all of the general practitioners are within reach of the targeted audiences and are local
and indigenous and therefore able to relate to the target population according to their culture and in local
languages. The geographical coverage area for this project is national. The emphasis area for this
workplace activity is development of networks, linkages, referral systems. The target population for this
initiative is men and women of reproductive age working in SMEs, healthcare and education sectors, their
partners and dependents. This includes factory workers, teachers working in the education sector and
healthcare workers working in the public healthcare sector. The major emphasis area for this activity will be
commodity procurement as is ARVs and medication for minor opportunistic infections and side effects, with
minor emphasis placed on development of network/linkages/referral systems.
Through a public-private partnership among workplaces, NGOs and government, participating workplace
programs will employ the services of doctors to provide antiretroviral therapy (ART) to workers who qualify
for treatment. The doctors will be trained in HIV and AIDS clinical management and will have experience in
drug purchasing, ART and PMTCT treatment and surveillance. The doctors will perform a clinical
examination and staging, including taking blood for CD4 testing. A viral load test will be done before the
start of treatment. An adherence counselor will be assigned to each patient and will be responsible for the
continued home-based support and monitoring of the patient's condition. The counselor will also liaise with
the doctor. The treatment services will utilize South African Department of Health standards and guidelines.
All patients will receive their drugs from the doctors' offices. The doctor will ensure that the delivery system
keeps stock of and is able to deliver antiretroviral therapy medications to any physical address. Special
care will be taken to ensure that patient confidentiality is not compromised.
By providing comprehensive ARV services, including patient eligibility testing and drug procurement,
workplace HIV prevention programs will provide HIV-infected workers in small and medium enterprises in
the health and education sector with care and treatment.
These activities will directly contribute to the PEPFAR goal of providing comprehensive HIV and AIDS care
to ten million people and ARV treatment to two million people. These activities will also support the care
and treatment objectives laid out in the USG Five-Year Plan for South Africa.
This activity is on services rended in order to make the provision and access to ARVS possible for the 1,000
individuals targeted for FY 2007. This activity includes doctor consultations for existing and new patients on
ARVs, patient on a wellness program and laboratory services.
This activity is a follow-on to the partnership with the American Center for International Labor Solidarity.
With FY 2007 PEPFAR funding, the USG issued an Annual Program Statement to solicit partners to provide
comprehensive prevention, care and treatment services in a workplace setting. Tshepang Trust was
selected as one of the partners to continue implementing HIV and AIDS workplace intervention. Treatment
will continue to be provided to workers and their dependents living with HIV in selected small to medium
enterprises (SMEs) in the health and education sector. Care and support for HIV-infected workers will be
provided through wellness programs in workplaces and through referrals to community-based
organizations.
This is a workplace program targeting small medium enterprises (SMEs) employees, their partners and
healthcare sector, targeting personnel in hospitals and clinics within the Gauteng area. Tshepang Trust
currently has strong evidence of leadership support from the South African Government through a public
private partnership with the Gauteng provincial department of health to enhance the scale up of HIV
counseling and testing (CT) and treatment in Gauteng's ARV sites. Tshepang currently serves under
serviced rural areas in South Africa utilizing general practitioners who are located mostly in rural areas.
Using this model, Tshepang has developed a public-private partnership between SMEs where employees
and their dependents can access private GPs in areas close to where they are employed without fear of
discrimination of being absent from work. In addition all of the general practitioners are within reach of the
targeted audiences and are local and indigenous and therefore able to relate to the target population
according to their culture and in local languages. The geographical coverage area for this project is
KwaZulu-Natal, Mpumalanga, and Eastern Cape Province. The emphasis area for this workplace activity is
development of networks, linkages, referral systems. The target population for this initiative is men and
women of reproductive age working in SMEs, their partners and dependents. This includes factory workers,
teachers working in the education sector and healthcare workers working in the public healthcare sector.
The emphasis areas for this activity will be information, education, communication and development of
network/linkages/referral systems.
ACTIVITY 1: GP Network Model
for treatment. The doctors will continue with refresher course training in HIV and AIDS clinical management
and will have experience in drug purchasing, ART and PMTCT treatment and surveillance. The doctors will
perform a clinical examination and staging, including taking blood for CD4 testing of patients. A viral load
test will be done before the start of treatment. The treatment services will utilize South African Department
of Health standards and guidelines. All patients will receive their drugs from the doctors' rooms. The
Tshepang Trust will through its contracted dispensing and delivery service provider ensure that the delivery
system keeps stock of and is able to deliver antiretroviral therapy medications to any physical address.
Special care will be taken to ensure that patient confidentiality is not compromised.
ACTIVITY 2: Treatment advocacy campaign
FY 2007 funding will be utilised to provide treatment literacy materials and information on treatment services
available in the respective targeted areas. This may include links for patients to a toll free support line.
Information on how to access testing and treatment services will be disseminated through SMEs, hospitals
and the teachers' and healthcare workers' unions.
ACTIVITY 3: Providing ART services
Workers who are HIV-infected and require ART will be able to access these services through the Tshepang
Activity Narrative: Trust. All workers will receive a unique identifier which will be used for tracking and monitoring the treatment
services and protect the identity of the patient. The Tshepang Trust contracted GPs will provide the range of
ART initiation services, including all relevant laboratory testing, and adherence counseling. The identified
treatment partners will use South African Government treatment guidelines and protocols. About 150
individuals who are not working from the Orange Farm community will be included as part of the 500
existing patients on treatment.
ACTIVITY 4: Monitoring and reporting
The treatment partner will track all relevant patient data for monitoring and reporting purposes.
Providing comprehensive treatment services in a workplace setting will contribute to the PEPFAR 2-7-10
goals. These activities will also support the care and treatment objectives laid out in the USG Five-Year
Plan for South Africa.
