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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
The targets for FY 2008 have not been modified or enhanced. As has been noted, the South African
Business Coalition (SABCOHA) started the program a few months late due to CDC requests to change the
service provider that was initially proposed. This has had a significant impact on targets to date. However,
SABCOHA now has the necessary infrastructure to roll out the program and the organization has begun to
implement the capacity building component.
-------------------------
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:
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: Vendor Chain
Vendor Chain Management will make use of the SABCOHA HIV/AIDS Toolkit methodology which has a
component on workplace prevention programmes. 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 B component of
the AB messaging.
Activity 2: Project Promote
Through Project Promote the current private sector partners in the cleaning and hygiene sectors will receive
support on IEC material and programme messages to be included in in-house HIV/ AIDS company training
that 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 5 year
period. During FY 2008 Project Promote aims to facilitate the training of 3800 cleaners.
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 programme, at minimal cost to the business owner, they will acquire business management;
health (HIV) and legal knowledge in managing their business better, thereby reducing risk and to ensure
that to continue to operate in the face of risk and to generate income. The aim of the SABCOHA response
will be to expand on BizAIDS Project as a core strategic initiative and to include VCT as well as treatment
and care to the core projects and through the BizAIDS project, the aim is to train 2500 people over the next
5 years. As the BizAIDS progamme links to with the vendor chain programme the same treatment and care
model will be used. While numbers are based on an average of 500 micro-enterprises per year to be
serviced each year over 5 years, it is possible that the treatment and care components can be extended to
include spouses and dependents should funds allow. The BizAIDS programme will have access to 500
Microenterprises per annum. On Average these enterprises have approximately 5 employees each with an
additional 5 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.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19443
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19443 19443.08 HHS/Centers for South African 8683 8683.08 $275,000
Disease Control & Business Coalition
Prevention on HIV and AIDS
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's legal rights
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 3.3.02:
ACTIVITY UNCHANGED FROM FY 2008
small to medium enterprises (SMEs) with 20-200 employees and other workplaces in South Africa.
ACTIVITY 1: Project Promote
Project Promote is a public private partnership established in 2006, between the South African Department
of Health (NDOH), SABCOHA and the cleaning industry through Prestige Group, Fidelity Supercare, Steiner
Group and BidAIR to as part of broader prevention programmes to provide an efficient and effective
mechanism for condom distribution. Project Promote directly supports the NDOH 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 programmes within the cleaning industry for over 3
years. Currently Private sector infrastructure including personnel (trainers, supervisors and cleaners) are
provided at no cost to the project, where SABCOHA funds the progamme management and the department
of health 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 department of health approved
M&E systems based largely on the Logistics Information System supported by USAID including LMIS
sheets and Bin card. The interest in Project Promote shown by government 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 SME's
otherwise difficult to reach over large geographical regions. In addition to this the project has begun
supporting a community distribution programme whereby cleaners themselves are used as community
distributors. Operationally over 5 years, Project Promote needs to be maintained and grow by at least 10
new primary distribution sites per year from year 2. Currently 8 of the 9 provinces are fully operational with
Limpopo to be brought on in year 1 as part of the SABCOHA SME programme. This component of the
programme 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 SMME's reached through
the Vendor-Chain Programme and the BizAIDS Programme will also be serviced by Project Promote. In
addition to this as part of year one Project Promote will, based on systems currently used by the
Department of Health streamline its operations through the development of and investment in greater IT
technology and systems which will allow the programme to more effectively monitor the 43 sites in year one.
On average the 43 sites are expected to distribute an accumulated total of 600 000 male condoms per
month. These additional 10 sites for year 2 will bring the total number of sites to 53, with an additional 600
000 condoms distributed per month.
ACTIVITY 2: 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-infected 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 such as a SWOT (Strengths, Weaknesses, Opportunities, Threats in mitigating 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.
Continuing Activity: 19445
19445 19445.08 HHS/Centers for South African 8683 8683.08 $215,000
* Increasing women's access to income and productive resources
* Reducing violence and coercion
Table 3.3.03:
BACKGROUND:
SABCOHA program PEPFAR funds will be used to identify HIV-infected individuals as noted in the Vendor
Chain and BizAIDS programs below. The major area of emphasis is Workplace Programs. Minor areas of
emphasis include Community Mobilization/Participation, and Information, Education and communication.
Specific target populations include Male and Female adults, Truckers, and the Business Community. The
care component of this SABCOHA initiative will initially be implemented in at least three provinces namely:
Gauteng, Mpumalanga and KwaZulu Natal. The SABCOHA Vendor Chain and BizAIDS counseling and
testing (CT) programs will identify HIV-infected individuals will be referred into pre- ARV treatment (ART)
services.
The Vendor Chain and BizAIDS components of the existing SABCOHA program will begin a CT and CARE
component that will identify HIV-positive individuals and ensure that they are enrolled in care services until
eligible for treatment. Through its program, SABCOHA will work with the existing infrastructure, and ensure
that newly identified HIV-positive individuals will take advantage of the holistic education, testing, and
treatment program for the employed sector.
Once an HIV-infected individual has been identified, it is the aim of the Vendor chain program to ensure
adequate transition to care. Most of the HIV-positive individuals will be referred to one of the 440
established South African Department of Health (DOH) comprehensive care management and treatment
sites as well as any other sites identified throughout the country. It is critical however that adequate referral
is undertaken. To enable the referral, a specific referral path to a treatment site, adequate and close to the
testing site is identified before testing. Patients tested HIV-positive are referred with the DoH or any other
identified site's accepted referral information. In additional the CD4 count performed at the time of testing is
referred to the treatment site. By referring most patients to government sites this program will leverage the
available funding, infrastructure, personnel, ART and laboratory testing from Government. SABCOHA
estimates that it will provide Pre-HAART services to approximately 2,100 people in the first year.
ACTIVITY 1: Identification of HIV-infected individuals who are not treatment eligible and ensuring that they
receive the appropriate care
After undergoing VCT, The Vender Chain and Biz AIDS components of the existing SABCOHA program will
refer HIV positive individuals to general practitioners within the established GP Network. The general
practitioners will provide treatment for opportunistic infections, a minimum of 3 visits during the course of the
year to monitor disease progression, laboratory services; prophylaxis or treatment for TB and Health Risk
Management services to each patient. Health care providers will provide patients with pamphlets on signs
and symptoms of disease progression. This will ensure patient awareness of disease progression.
SABCOHA's care activities will contribute to the PEPFAR 2-7-10 goals by identifying HIV-infected
individuals for care, and ensuring they get the appropriate care until they are treatment eligible. This will
contribute to the PEPFAR vision outlined in the Five-Year Strategy for South Africa by expanding access to,
and availability and quality of care services.
Continuing Activity: 22491
22491 22491.08 HHS/Centers for South African 8683 8683.08 $200,000
Table 3.3.08:
The Vendor Chain and BizAIDS components of the existing SABCOHA program will begin a CT component
that will identify HIV-infected individuals. Through its counseling and testing program, SABCOHA will work
with the existing infrastructure, and ensure that newly identified HIV-infected individuals will take advantage
of the holistic education, testing, and treatment program for the employed sector.
adequate transition to care. Most of the HIV-infected individuals will be referred to one of the 440
testing site is identified before testing. Patients tested HIV-positive are referred with the DOH or any other
For SABCOHA-identified HIV-infected individuals who do not live or work near one of the established DOH
sites, SABCOHA will establish a network of private general practitioners who can provide treatment, care
and support services to the employed population with no access to health care insurance. SABCOHA
estimates that (in the first year) of this initiative approximately 190 patients will use the general practitioner
network.
ACTIVITY 1: Expansion of treatment services
SABCOHA will use FY 2008 PEPFAR funds to accelerate the implementation of the national rollout plan at
government sites in partnership with the National Department of Health (NDOH).
All of the HIV-infected patients will be maintained through a model that enables primary healthcare
providers to communicate directly with HIV experts.
SABCOHA will ensure that each ART patient at a SABCOHA supported facilities receives a minimum
package of ART services, including clinical and pathology monitoring, and adherence counseling. There will
be follow-up of all defaulting patients. Adherence activities will include a focus on reducing stigma and
encouraging disclosure in order to enhance drug compliance and to improve patient retention.
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.
Continuing Activity: 19525
19525 19525.08 HHS/Centers for South African 8683 8683.08 $395,000
Table 3.3.09:
Chain and BizAIDS programs below. VCT is used as a prevention mechanism to promote abstinence, be
faithful and to use condoms, as well as an entry-point in to ARV treatment. It is also an essential tool for
fighting stigma and discrimination. The major area of emphasis is Workplace Programs. Minor areas of
emphasis include Community Mobilization/Participation, and Information, Education and communication..
Specific target populations include Male and Female adults, Truckers, and the Business Community.
Vendor Chain Management - the businesses that have been offered capacity building though the
development of a workplace - will be offered VCT during the second phase of the programme. VCT will be
offered to all employees of participating businesses.
Activity 2: BizAIDS
BizAIDS activities will ensure that VCT is provided in a training workshop setting.
Activity 3: SABCOHA will use the contracted Disease Management service provider for the provision of
counseling and testing.
Linkages with other services providers and public hospitals will be explored to maximize the manner in
which the intervention can reach the target group effectively and efficiently, as need arises.
The counseling and testing interventions will be conducted by a sub-partner and that will facilitate the
implementation of VCT services to communities that would not otherwise be able to access testing. The.
FY 2008 funding will ensure that employed populations have access to counseling and testing services in
the workplace. SABCOHA will primarily use On-site VCT and provide counseling and testing at the site of
the SME. All sites will be inspected for suitability for testing: e.g. privacy for employees, accessibility,
hygiene. A communication campaign informing employees about the testing date is undertaken before the
testing dates. Such communication is linked into the prevention ABC education. Prior and on the date of
testing, the eligible individuals undergo an education session which includes motivational messaging on the
benefits and procedures of HIV testing.
Information on organizations which provide support will be given to the employees. Referrals for HIV-
infected individuals will be done for PreHAART and treatment related services, which will be offered by an
contracted Treatment service provider.
SABCOHA's VCT activities will contribute to the PEPFAR 2-7-10 goals by identifying HIV-infected
individuals for care, treatment and preventing infection in those who are HIV-negative. This will contribute
to the PEPFAR vision outlined in the Five-Year Strategy for South Africa by expanding access to, and
availability and quality of VCT services.
Continuing Activity: 19514
19514 19514.08 HHS/Centers for South African 8683 8683.08 $368,000
Table 3.3.14:
SABCOHA, will have identified a treatment partner to assist in the implementation of the treatment
component of the program.
The treatment component of this SABCOHA initiative will initially be implemented in at least three provinces
namely: Gauteng, Mpumalanga and KwaZulu-Natal. 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.
that will identify HIV-infected individuals. These individuals will have access to Treatment/ARV Drug
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-infected
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 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.
Continuing Activity: 19519
19519 19519.08 HHS/Centers for South African 8683 8683.08 $565,000
Table 3.3.15:
and BizAIDS sub-partnerships. The major emphasis for this program will be the development of a workplace
other sectors and initiatives; and the 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; and tackling issues associated with violence, coercion, stigma and
discrimination.
SABCOHA will carry out three separate activities in this program area.
ACTIVITY 1: Vendor Chain Management
In the Vendor Chain Management program, during the capacity building of companies, there will be
discussions on the HIV/AIDS workplace policies, procedures and human resources (HR) issues. This will
result in drafting of policies with the participating companies and in ensuring that the HIV/AIDS programs
can be linked to the existing company systems without unnecessary duplication of work and/or roles.
Managers will be trained on stigma and discrimination as part of the management training. One of the
components will include the discussions on HIV/AIDS workplace policies, procedures and HR issues
specifically relating to performance management, compensation, industrial relations and the management of
incapacity and disability in accordance with the Code of Good Practice, which aims to ensure a non-
discriminatory work environment. The program will also include managing misconceptions and prejudice
and the development of supportive relationships amongst employees.
ACTIVITY 2: Peer Education
In offering HIV-related education, counseling and support in the workplace, peer educators are in many
respects at the front line of the epidemic. SABCOHA will strengthen the existing peer education forums in
the five provinces where they exist. Using FY 2008 PEPFAR funding, the trained HIV coordinators and peer
educators in the Vendor Chain Management program will be linked to the strengthened and fully functional
peer education forums. As the Vendor Chain Management program unfolds in other provinces, SABCOHA
will develop more peer education forums.
ACTIVITY 3: BizAIDS
A personal participant handbook forms the basis for participants to develop 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, as research has found that small businesses owners prefer to
have the training delivered in English as they believe English is the language of business. When translating
areas of uncertainty, translators generally switch to the vernacular. Training handouts include information on
HIV/AIDS prevention, abstinence, being faithful, voluntary counseling and testing (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 services is the next necessary link.
Providing effective prevention messages and leadership education to employer associations, businesses,
worker representatives and union members in a cross-section of South African industry will contribute to
PEPFAR's goal of preventing seven million new infections. The activities described here will also support
the prevention objectives identified in the United States government's Five-Year Strategy for South Africa.
Continuing Activity: 19527
19527 19527.08 HHS/Centers for South African 8683 8683.08 $332,000
Table 3.3.18:
