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:
Health Science Academy (HSA) will increase access and the availability of safe and effective drug treatment through human resource development, with a specific emphasis of pharmacists and pharmacist assistants. HSA aims to substantially increase the number of South African healthcare workers with the appropriate knowledge, skills and attitudes to support substantial rollout of antiretroviral treatment (ART). The major emphasis area is training in conjunction with local capacity development and information, education and communication. The primary target population for this project is healthcare professionals, such as doctors, nurses, pharmacists and pharmacist assistants, as well as community-based healthcare workers and caregivers.
BACKGROUND:
HSA is a South African training institution, accredited with the South African Pharmacy Council, providing training in the pharmaceutical sector. HSA is a training provider to the National Department of Health (NDOH), provincial Departments of Health and the pharmacy profession in the private sector. PEPFAR funding will be utilized to scale up the existing HSA training activities. The project will be implemented on a national and provincial level, and will expand on the already existing relationship between HSA and the National Department of Health and respective provincial human resource departments. The proposed training programs have already been developed and this, in conjunction with the existing NDOH contracts, will allow the proposed training to be fast tracked. In line with HSA's past practice, learners will be recruited with an emphasis on gender and racial representation and will give preference to women wanting to register for the national qualification, providing increased access to income for this group.
ACTIVITIES AND EXPECTED RESULTS:
The project will deal predominantly with the training of healthcare professionals in the public sector in order to increase capacity, enhance the skills of existing staff and increase the number of skilled staff available. In addition the project will also attempt to leverage existing private sector pharmacists in the provision of adherence counseling for patients on ART and expand the role of community workers. The overall goals of these training activities are: 1) increased ability in the public sector to dispense antiretroviral drugs (ARV); 2) increased access to HIV care and treatment; 3) increased capacity in the public sector to adequately manage the supply chain; and 4) improved adherence support in the provision of adherence counseling, monitoring and evaluation. The following training courses will be offered:
ACTIVITY 1: Adherence Counseling
This activity will increase the role of the pharmacist and pharmacist assistant in both the public and private sector with respect to counseling and monitoring of adherence to treatment regimens. The training is offered as a competency-based training course facilitated by a two day workshop. Workshops will be offered in each province and will be available to both the public and private sector (e.g. NGOs, FBOs, private clinics, etc.) providing HIV care and treatment services.
ACTIVITY 2: Supply Chain Management
This activity deals specifically with drug supply management and will improve the capacity of the public sector in providing access to safe and effective drug treatment through good distribution practices. The program will enhance the skill of existing staff in the public sector, such as nurses, pharmacists and other personnel involved in the procurement and supply of medicines. The course is offered as a competency-based training course facilitated by a two day workshop. Workshops will be offered in each province along with the option to do cascade training at a provincial level.
ACTIVITY 3: Dispensing
This activity deals with the provision of dispensing training for all authorized prescribers in the public sector as specified by the Medicines and Related Substances Control Act 101 of
1965. This is a distance learning program that will provide healthcare providers in under-serviced areas access to the training, specifically clinic nurses who require a dispensing license in order to dispense in ARV clinics. A half day orientation workshop is offered to nurses and doctors in the public sector who are registered in this course.
ACTIVITY 4: Pharmacist Assistants
This activity will train pharmacist assistants on a national qualification accredited by the South African Pharmacy Council, based on unit standards in line with the regulated scope of practice of a pharmacist's assistant. This activity will increase the pool of pharmacist assistants available to the public sector ART programs by training people living with HIV and other school leavers as pharmacist assistants. This activity requires that learners be employed in a pharmacy for on-the-job skills training and includes modular assessment of the learner. Workshops will be made available for groups requiring additional training or tutoring.
ACTIVITY 5: Community-Based Care for People Living with HIV
This activity will train a core group of community health workers as ancillary health workers offering community-based care for people living with HIV. Particular emphasis will be placed on extending the role of the community-based health worker with regard to pharmacological aspects of ART such as monitoring adverse effects and compliance. The training program provides a national certificate and comprises practical onsite skills training facilitated by workshops.
Study material for all the activities has been developed by leading experts in relevant specialties and the course content is continually updated and refined to meet the needs of the individuals being trained.
The above activities address the 2-7-10 PEPFAR goals by developing capacity with regard to supply chain logistics and pharmaceutical management to improve the quality of ART services.
