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
NO FY 2009 FUNDING IS REQUESTED FOR THIS ACTIVITY:
This activity was approved in the FY 2008 COP, is funded with FY 2008 PEPFAR funds, and is included
here to provide complete information for reviewers. No FY 2009 funding is requested for this activity. The
National Department of Correctional Services is in its fourth year of funding with a very high carryover
amount. All the proposed FY 2009 activities will be supported using carryover funds. Therefore there is no
need to continue funding this activity with FY 2009 COP funds.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14035
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14035 3029.08 HHS/Centers for National 6691 486.08 $436,500
Disease Control & Department of
Prevention Correctional
Services, South
Africa
7373 3029.07 HHS/Centers for National 4396 486.07 $450,000
3029 3029.06 HHS/Centers for National 2677 486.06 $400,000
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* TB
Refugees/Internally Displaced Persons
Workplace Programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.03:
_____________________________
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
SUMMARY
The National Department of Correctional Services (DCS) has decided to enhance its activites under Care
Services by conducting training of offenders in Correctional Center-Based Care (CCBC). Training of
Professionals in CCBC will include: training of personnel as support group facilitators (including the
workplace program) to assist in the establishment and maintenance of support groups for offenders who
are either infected or affected by HIV and AIDS in Correctional Centres; training of healthcare personnel in
the Comprehensive Management of HIV and AIDS including other related diseases (opportunistic
infections); training of professionals in spiritual counseling; and training of healthcare professionals as
Antiretroviral (ARV) Project Managers. This training will increase access to care and support services for
offenders and personnel living with HIV and AIDS and also reduce morbidity and mortality as well as other
impacts of HIV and AIDS. Training of offenders and personnel will be conducted continuously, due to the
high turnover of nurses and movement of inmates. This applies for all trainings.
Training of offenders / personnel in support groups never occurred due to lengthy tender processes in order
to procure training services. However, a need does exist as personnel were never trained in this regard and
DCS will aim to address this with FY 2009 funding.
CCBC: 150 nursing personnel were trained and due to the fact that this was the first training, a need still
exists. Policy and policy procedures are in place outlining the procedure on how to utilize offenders in
rendering correctional center-based care. Following training, the Regional HIV and AIDS Coordinator will be
responsible for the actual implementation, monitoring and evaluation of CCBC.
Comprehensive HIV and AIDS Care, Management and Treatment (CCMT): CCMT was not part of core
curriculum for nurses and since DCS is using the Primary Health Care approach where a nurse deals with
the inmates holistically. Subsequent to training, a portfolio of evidence must be completed and assessed by
external service provider. Implementation at correctional center-level and implementation forms part on the
day-to-day functions of the nurse depending on the patient's diagnosis
Religious Care Workers: 20 religious care workers will be trained in spiritual counseling. They will play an
important part in the post test - and terminal phase counseling.
SUMMARY:
PEPFAR funds will be used by the National Department of Correctional Services (DCS) to provide basic
HIV and AIDS care and support to offenders and staff in DCS Correctional Centers in all nine provinces.
The major emphasis area for this program will be the training of personnel as facilitators on the
establishment and maintenance of support groups for infected and affected HIV and AIDS offenders in
Correctional Centers. Special emphasis will be placed on integrated preventions services, including
prevention with positives and behavior change as well as the management of psychosocial challenges.
Minor emphasis will be given to community mobilization and participation; development of
network/linkage/referral systems; information, education and communication; linkages with other sectors
and initiatives; and local organization capacity development. The target population will include men and
women offenders, people living with HIV (PLHIV), their caregivers and several most at-risk populations
(e.g., men who have sex with men, injection drug users and tattooing with contaminated instruments).
BACKGROUND:
The training will be provided by an identified service provider registered and accredited according to the
South African laws and contracted through the DCS procurement process. However, the actual services will
be carried out by both offenders and DCS members who have been trained. This activity is also one of the
National Department of Health's strategies aimed at promoting positive living among people who have
tested HIV-infected and integrate prevention services with those who seek to support one another and to
cope with their status. The activity will contribute to the core objective of the Department of Correctional
Services which is rehabilitation by enhancing a rational thinking among offenders and allowing them to take
charge of their own behavior and future.
Although the DCS is encouraging the establishment of care support groups in Correctional Centers, no
formal training was conducted to ensure that facilitators (personnel) are equipped with the necessary skills
and knowledge to establish and maintain these care support groups. Challenges have been previously
experienced whereby the support groups were without a skilled coordinator, and the concept of support
groups lost its meaning in terms of its objectives and core business. The establishment of support groups
for infected and / or affected members will also contribute positively towards creating an enabling and
conducive environment and will promote the Department's intentions to care and support members who
have to deal with the psychosocial impact of this epidemic. DCS will also encourage family members, where
possible, to be part of the support activities for PLHIV.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Training
Activity Narrative: FY 2008 funds will continue to support personnel that are aimed at strengthening the HIV and AIDS
Workplace Program. It is envisaged to train 180 members (at least 5 from each Centre of Excellence).
The activity will ensure gender balance by training both males and females as HIV and AIDS Support Group
Facilitators to establish and maintain support groups. Coverage will include the 36 Correctional Centers
identified as Centers of Excellence by the DCS in all six of its Regions which correspond with the nine
provinces of South Africa. The support group facilitators will consist of custodial officials, administrative
staff, professionals, etc to become comfortable with basic facts of HIV and AIDS and the support and care
of infected and / or affected members.
ACTIVITY 2: Provision of Care
The training of offenders in basic palliative care and support will continue. Trained offenders will provide
basic palliative care and support to other HIV-infected offenders. The basic palliative care activities will stem
from those provided by the DOH as adapted for prison use. Nutritional referral, personal care, counseling
(both pastoral and basic support), recognition of worsening condition such as increased pain or wasting,
knowledge of when to refer to clinical providers in the prison, treatment adherence, prevention (including
prevention with positives) and other holistic care activities as allowed (bathing, wound care). Screening for
TB, STI, and OIs with appropriate referral and follow-up will be emphasized. This will be done in
collaboration with the nurses at the prison since treatment for pain can only be done with a physician's
orders and under strict supervision. A two-day workshop will be conducted with care specialist to look at the
basic care package for offenders.
ACTIVITY 3: Care for Family Members
DCS will introduce a care and support package of family members of PLHIV to assist the individuals who
are about to be released. This will assist in the transition from incarceration to civil society while continuing
to be supportive of positive living behaviors. The training will include, promotion of family member CT,
coping mechanisms, referral and follow up to public sector facilities for the continuation of palliative care
services.
In all of the above activities, PLHIV will receive at least one clinical and one other category of palliative care
service. Palliative care to family members of PLHIV or OVC will be provided in at least two or the five
categories of palliative care services.
The Department of Correctional Services activities contribute to the PEPFAR objective of 2-7-10 by
increasing the number of people in care as well as preventing new infections.
Continuing Activity: 14036
14036 3030.08 HHS/Centers for National 6691 486.08 $135,800
7374 3030.07 HHS/Centers for National 4396 486.07 $140,000
3030 3030.06 HHS/Centers for National 2677 486.06 $160,000
* Increasing women's legal rights
* Safe Motherhood
Table 3.3.08:
The National Department of Correctional Services has decided to enhance its activities under Treatment
Services by conducting training of offenders in Correctional Centre-Based Care. This will increase access
to care, support and treatment services for offenders and personnel living with HIV and AIDS and also
reduce morbidity and mortality as well as other impacts of HIV and AIDS.
Training includes:
-Training of personnel as support group facilitators (including workplace programs) to assist in the
establishment and maintenance of support groups for offenders who are either infected or affected by HIV
and AIDS in Correctional Centers;
-Training of healthcare personnel in the Comprehensive Management of HIV and AIDS, including other
related diseases (opportunistic infections);
-Training of professionals in spiritual counseling;
- Training of healthcare professionals as ARV Project Managers.
Training of offenders and personnel will be conducted continuously, due to the high turnover of nurses and
movement of inmates. This applies for all trainings.
Training of offenders and personnel in support groups never occurred due to lengthy tender processes in
order to procure training services.
Correctional Centre Based Care (CCBC): Nursing personnel will be trained on how to utilize offenders in
rendering correctional centre-based care. Following training, the Regional HIV and AIDS Coordinator is
Correctional Services is using the Primary Health Care approach, in which a nurse deals with the inmates
holistically. Subsequent to training, a portfolio of evidence must be completed and assessed by an external
service provider. Implementation at the correctional center-level forms part of the day-to-day functions of the
nurse depending on the patient's diagnosis.
Correctional Services will train 120 healthcare professionals as ARV Project Managers. All managers will
be trained to be equipped with relevant skills to mange ARV wellness clinics effectively. This is to ensure a
holistic approach in the management of the inmate.
----------------------------
FY 2008 PEPFAR funds will be used by the Department of Correctional Services (DCS) to establish and
accredit six more antiretroviral (ARV) treatment sites which will facilitate the comprehensive management of
HIV and AIDS. These six new sites, in addition to the nine already accredited, will ensure that there is one
accredited ARV treatment site per province. The major emphasis area for this program will be human
capacity development. The target population will include men and women offenders, people living with HIV
(PLHIV) and their caregivers, and several most at-risk populations (e.g., men who have sex with men,
injection drug users and tattooing with contaminated instruments).
DCS currently has nine correctional centers that have been accredited as antiretroviral treatment (ART)
sites (Grootvlei Correctional Center in the Free State/Northern Cape Region, Pietermaritzburg Correctional
Centre and Qalakabusha Correctional Centre in KwaZulu-Natal Region, Kimberley, Groenpunt and
Kroonstad Correctional Centres in Free State/Northern Cape Region, St. Albans Correctional Centre in
Eastern Cape Region and Johannesburg Correctional Centre in Gauteng Region). Other than the nine
accredited ART centers, the DCS refers offenders to Department of Health public health facilities to access
ART. This program will encourage the establishment and accreditation to improve access for incarcerated
populations.
ACTIVITY 1: Training of Personnel as ARV Project Managers
FY 2008 PEPFAR funds will be utilized to train DCS personnel as ART project managers. Training will
include management of ART services, plan development, budget planning, information and other
management systems. The trained personnel will ensure adequate facility and resource management of
ART service, in accordance with South African ART guidelines. At this point in time staff members are just
being trained to provide services to offenders.
ACTIVITY 2: Procurement of Information, Education and Communication Material
Activity Narrative: DCS will procure ART educational material that will be utilized during treatment literacy campaigns. The
educational material will be distributed to all correctional centers and the utilization thereof will be monitored
and recorded by the management area and correctional center coordinators. In addition to the distribution of
pamphlets, there will be treatment literacy education to enhance the understanding of adherence to the
offenders.
This activity contributes to the PEPFAR objective 2-7-10 by providing information on treatment to offenders,
and thereby increasing capacity to effectively provide HIV care and treatment services. These activities are
not at the site level but are more system strengthening activities and constitute what is considered 'indirect'
support within the Correctional Services facilities. Therefore there are no direct targets for numbers of
people reached.
Continuing Activity: 14039
14039 4526.08 HHS/Centers for National 6691 486.08 $203,700
7378 4526.07 HHS/Centers for National 4396 486.07 $210,000
4526 4526.06 HHS/Centers for National 2677 486.06 $200,000
* Reducing violence and coercion
Table 3.3.09:
----------------------
The Department of Correctional Services' FY 2008 COP will be expanded to include:
- Development and implementation of TB strategies and policies;
- Training for all health professionals in the management of TB with specific reference to the correctional
environment; and
- Implementation of an electronic TB register.
--------------------------------------
PEPFAR funds will be used by the National Department of Correctional Services (DCS) to train professional
nurses in the management of tuberculosis (TB) and patients who are on the antiretroviral treatment (ART)
program. The major emphasis of this activity will be training, with minor emphasis on community
mobilization and participation; development of network/linkage/referral systems; information, education and
communication; linkages with other sectors and initiatives; and local organization capacity development.
The populations will include men and women of productive age, people living with HIV (PLHIV) and their
caregivers.
This is an initial project. Currently there are about 635 professional nurses in the DCS. This project will train
about half of them to provide on-site primary healthcare services in the management of TB and for patients
who are on ART. South Africa has a fairly extensive and mobile correctional center population.
Overcrowding in Correctional Centers creates ideal conditions for the transmission of communicable
diseases such as TB.
ACTIVITY 1: Training of the Professional Nurses in the Management of TB
This is a continuation of the activity as indicated in COP FY 2007. A number of nurses have been trained in
the Management of TB. This has improved patient care in the Correctional Centers. Nurses that have not
been trained will be included in this training initiative. It is envisaged that the training will lay a firm
foundation for improved service delivery and the effective management of tuberculosis in Correctional
Centers.
ACTIVITY 2: Appointment of Communicable Disease Control Management Area Coordinators
A need has been identified to appoint 12 Communicable Disease Control Management Area Coordinators
on contract. The appointment of the above-mentioned officials will ensure improved Communicable Disease
Control. The Communicable Disease Control Coordinator will be responsible for the planning,
implementation, monitoring and evaluation of communicable diseases programs and services at a
Management Area level. They will also ensure program analysis, formulation and evaluation as well as
budgetary management for the program. They will further more liaise with relevant stakeholders at a
national, provincial, district and local level. These positions will be absorbed in the DCS establishment to
ensure continuation of services and programs.
ACTIVITY 3: TB/HIV Campaigns in Correctional Centers
TB/HIV campaigns will be held in all the 36 Centers of Excellence to raise awareness on the impact that this
epidemic has as well as to equip offenders and members with the necessary knowledge. This will add value
to the prevention and management of TB and HIV among offenders and members. It is envisaged that the
raising of awareness on TB will decrease the level of stigmatization and discrimination as well as to
encourage offenders who are on TB treatment to continue and finish their treatment. If offenders can be
made aware that having TB does not necessarily means you have HIV as well. Should the offender have
TB and HIV he must be made aware that TB is curable although HIV is not. The DOT support program will
also be encouraged and offenders will be motivated to have a DOT supporter.
Continuing Activity: 14037
14037 6544.08 HHS/Centers for National 6691 486.08 $388,000
7379 6544.07 HHS/Centers for National 4396 486.07 $400,000
6544 6544.06 HHS/Centers for National 2677 486.06 $500,000
Table 3.3.12:
The National Department of Correctional Services (NDCS) will procure counseling and testing (CT) services
in six regions (one drive per region).
The plan is to outsource CT services for employees and inmates to external service providers. The CT
drives are planned to take place in the six regions, namely one per region, and to test at least 3,000 inmates
and personnel. Sexual activity in prisons is rated as high risk due to the issue of men having sex with men
(MSM), anal intercourse and coercive intercourse wich may exarcbate sexually transmitted infections (STIs)
including HIV.
One important aspect of HIV prevention and HIV/AIDS management is knowledge of ones HIV status which
can be promoted through CT drives.
For those who test negative, the counseling is aimed at helping them ensure that they maintain this status.
For those who test positive, it is intended to assist them to cope with the disease in the best way possible,
to ensure that the effect on their quality of life is minimised and to discuss the available treatment and
management options.
-----------------------------
PEPFAR funds will be used by the Department of Correctional Services (DCS) to increase the uptake of
members in HIV counseling and testing (CT) services in correctional centers as well as in other places of
work. The major emphasis area for this program will be awareness raising and accessing CT services, with
minor emphasis placed on mobilizing the incarcerated community and encouraging their participation;
information, education and communication; logistics; and strategic information. Target
populations will include offenders and DCS members (men and women of reproductive age, including
people living with HIV (PLHIV)), and most at-risk populations (e.g., men who have sex with men, injecting
drug users). To increase capacity, DCS will train nurses, social workers, psychologists, and spiritual care
workers in counseling and testing.
This is an ongoing activity intended to initiate the establishment of voluntary counseling and testing (VCT) in
correctional centers. According to the National Department of Health protocols, only nurses can be trained
to give the rapid test. Social workers, psychologists, spiritual care workers and nurses, will be
trained in pre- and post-test counseling. Other professionals will play a role in the delivery of pre-, post-, and
ongoing counseling, which nursing personnel will be unable to do because of time constraints.
ACTIVITY 1: Counseling and Testing DCS members
Voluntary counseling and testing services will be made accessible to all DCS staff members at each
correctional center and where possible at other places of work (e.g., offices, etc). Employee Assistance
Practitioners (EAPs) will run campaigns in correctional facilities focusing on staff members and encouraging
them to be tested for HIV. In facilities where the correctional center clinics are not suitable to offer the
testing service, the EAP will collaborate with local NGOs to provide the CT services. Couple counseling will
also be strongly encouraged and the service will be made available to all DCS staff.
In order to ensure that CT services are enhanced and encouraged among members, a number of 24
regional CT roll-out campaigns will be held (at least four per region). The number of members who have
undergone CT is not known at this point in time as members are making use of external healthcare
providers (private doctors or health facilities) if they want to test for HIV.
ACTIVITY 2: CT Services for Offenders
With FY 2006 funds, nurses, social workers and psychologists working in prisons were trained in CT. Each
correctional facility will have confidential CT services. Peer educators will be used to encourage offenders to
use CT, as well as conduct other health campaigns in prisons. One-hundred and twenty CT roll-out
campaigns will be held in 120 correctional centers, especially targeting those centers where CT sites have
not yet been established.
These activities will contribute to both 7 million infections averted and 10 million people in care by promoting
and providing testing and counseling as an entry point for prevention, care, support and management of
HIV and AIDS.
Continuing Activity: 14038
14038 3032.08 HHS/Centers for National 6691 486.08 $630,500
7376 3032.07 HHS/Centers for National 4396 486.07 $650,000
3032 3032.06 HHS/Centers for National 2677 486.06 $500,000
Table 3.3.14:
Continuing Activity: 14040
14040 3031.08 HHS/Centers for National 6691 486.08 $145,500
7375 3031.07 HHS/Centers for National 4396 486.07 $150,000
3031 3031.06 HHS/Centers for National 2677 486.06 $110,000
Table 3.3.17:
