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:
SUMMARY:
Using FY 2009 funding, the Medical University of South Africa (Medunsa) will develop a training curriculum
for home-based carers based on the information gathered in the program evaluation and the new national
guidelines on minimum skills units for community care workers. Medunsa will develop the training manuals
(participant manual and trainers guide) using adult learning principles, and will conduct training of trainer
workshops for PEPFAR partners involved in home-based and community care.
ACTIVITIES AND EXPECTED RESULTS:
Medunsa will carry out two separate activities in this program area.
ACTIVITY 1:
Medunsa will either newly develop or modify existing national training program materials for home-based
carers, based on information gathered from the evaluation of the home-based care program and the new
recommendations from the National Department of Health for training of home-based carers. These new
training modules will reflect the key competences for home-based care and the national requirements for
minimum skills for these categories of health care providers. The training units will incorporate home-based
clinic care, HIV/AIDS counseling, TB/HIV (including infection control in the home), water and sanitation, and
psychosocial support (including bereavement counseling and other aspects of the program from the
evaluation and South African government requirements. Medunsa will then seek accreditation for these
training materials from the South Africa Qualifications Authority.
ACTIVITY 2:
Medunsa will train PEPFAR partners implementing home-based care services using the new training
materials. The focus will be on both training trainers and training home-based carers where organizations
do not have access to qualified trainers.
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MEDUNSA will work in collaboration with CDC to conduct a training needs assessment and take stock of
training and skills transfer that have been implemented to date under the USG South Africa PEPFAR
program.
BACKGROUND:
USING FY 2007 funding, MENDUSA will work with CDC, South Africa to conduct a training assessment.
The objectives of the assessment include auditing the training programs funded by CDC, assessing the
extent to which the training has impacted on service delivery, and assessing the extent to which task-
shifting has occurred from higher to lower levels of workers because of training. The assessment will be
conducted in all nine provinces of South Africa. The target population for this activity is USG staff and USG
staff in country, as the finding of the assessment will be used to provide input into training programs being
implemented by partners and will help direct future funding in the area of human capacity building. The
primary emphasis are for this activity is local organization capacity building, strategic information and a
minor emphasis area is training with a focus on task shifting.
ACTIVITIES AND EXPECTED RESULTS
ACTIVITY 1: Auditing training
Using FY 2007 funding, MEDUNSA will conduct an audit of all PEPAR funded training. The assessment
will be initiated with organizations implementing training for community health care workers and lay
counselors. MEDUNSA will contact PEPFAR partners to solicit information on their training programs and
will develop a catalogue of training being offered through the PEPFAR program. This catalogue will enable
USG to identify gaps in training activities for community health care workers and lay counselors as well as
duplication of efforts. The catalogue will be used to strengthen the PEPFAR programs in the area of
training for this cadre of health care workers.
ACTIVITY 2: Assessing the extent to which training has impacted service delivery
Based on the finding of the training audit, MEDUNSA will conduct formative work looking at the impact of
training on service delivery. To do this, they will work with health facilities to determine what the training
needs are and assess whether the training being implemented by partner organizations addresses this
need. This will be done by examining training curriculum and comparing what is in the training to the
training needs of the health facilities for community health care workers and lay counselors.
ACTIVITY 3: Basic program evaluation
Medunsa will conduct a Basic Program Evaluation of the Home-based Care programs support by CDC with
PEPFAR funds in South Africa. The aims of the program evaluation are as follows evaluate the training
received by home-based carers supported by our partners in terms of quality of training, methods of
training, training curriculum used, mentoring of carers to implement the skills they have learnt. Evaluate to
what extent task shifting has taken place from nurses at primary health care clinics to home based carers.
Evaluation of the tasks carried out by home based carers supported by our partners.
New/Continuing Activity: Continuing Activity
Continuing Activity: 21634
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
21634 21634.08 HHS/Centers for Medunsa 9382 9382.08 $250,000
Disease Control & University
Prevention
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Reducing violence and coercion
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $250,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.18:
