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: 2007 2008 2009
SUMMARY:
The proposed Global HIV and AIDS Nursing Capacity Building Program (CBP) will work in South Africa, Lesotho, and Zambia to contribute to the ongoing efforts to support the nursing response to the AIDS pandemic in these three countries. The CBP will enhance capacity to provide nursing leadership, clinical care, and education for HIV and AIDS. For nursing capacity improvements to be sustainable in the context of the AIDS pandemic, strategies must apply to various levels of nursing and be meaningful to the country's nursing community. Building capacity among nursing leaders can not be successful without developing the competencies to provide clinical care, integrating HIV and AIDS materials into the curricula with nursing educators, and acknowledging the trend towards task-shifting to non-professional caregivers and its impact upon the professional nursing role.
BACKGROUND:
To enhance the African nursing response to HIV and AIDS, faculty in the Georgetown University School of Nursing & Health Studies propose to conduct a three-year Capacity Building Program (CBP) to enhance leadership skills, networks, and resources for nurse participants. The CBP will focus on more than just individual nurses; the goal of the CBP is to develop a critical mass of nurse leaders who are linked in a regional support network of colleagues to foster ongoing mentoring from global expert HIV nursing professionals. A strong foundation of nursing leaders can bring voice to the profession and highlight their contributions to the African response to the AIDS pandemic. Nursing leaders provide a vision that is grounded in their cultural values. Leaders will have the necessary skills to gather, manage, analyze, and interpret data for the improvement of nursing in the context of their country. Leaders may develop competencies to be able to lobby for more resources; leaders will demonstrate persistence in achieving goals.
ACTIVITIES AND EXPECTED RESULTS:
This proposal has not yet been presented to the SAG for concurrence, so the activities below are subject to change if the SAG requests modifications. The CBP has tentatively chosen St. Mary's Hospital in KwaZulu-Natal as its local implementing partner.
Activity 1: Needs Assessment: Georgetown will develop a comprehensive assessment of the current capacity for the provision of HIV and AIDS nursing leadership, care, and education in South Africa. The ongoing assessment will provide country-specific and regional priorities for HIV and AIDS nursing capacity in relation to responsible leadership, expert clinical care and pre-service nursing education.
Activity 2: Capacity Development: HIV and AIDS nurses will be equipped to plan for, shape and evaluate health delivery systems to improve outcomes of care at the local, national, and regional levels. The CBP will mentor a cadre of HIV and AIDS nurses to implement and evaluate individualized strategic plans for their professional leadership development over the 3 years of the grant period; cultivate a network for in-depth clinical mentoring of HIV and AIDS nurses to improve delivery and outcomes of nursing care; and strengthen the capacity of nurses to engage communities and families in self-care. Georgetown, and its partner Association of Nurses in AIDS Care (ANAC), will use their years of experience in the support of nurses living with HIV and AIDS to assure appropriate access to CT and treatment to maintain a healthy nursing workforce.
Activity 3: Partnerships: The CBP will facilitate partnerships and collaborations yielding systems, networks, and resources to sustain a nursing workforce to meet the need for competent HIV and AIDS nursing care providers. It is crucial that the South African Nursing Council and DENOSA be partners in the identification of priorities and the implementation of activities. They will: foster and enhance efforts to integrate HIV and AIDS educational materials into the nursing curricula; develop a country-specific and/or regionally-based process to evaluate the acquisition of minimum nurse competencies in HIV and AIDS care; facilitate the formation of a regional, African network of nurses in AIDS care to foster on-going mentoring, professional development and collaboration; and facilitate the development of relationships between nurse leaders, clinicians and educators and HIV and AIDS nurse mentors in the U.S.-based Association of Nurses in AIDS Care
(ANAC).
Building human capacity is key to scaling up HIV and AIDS programs, especially at the facility level. This activity will therefore significantly contribute to PEPFAR's overall 2-7-10 goals.
