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.
INTEGRATED ACTIVITY FLAG:
Activities are linked to others described in Counseling and Testing, ARV Drugs, and ARV Services. This is a follow-on activity to the American Center for International Labor Solidarity.
SUMMARY:
This activity is a follow-on to the partnership with the American Center for International Labor Solidarity. With FY 2007 PEPFAR funding, the USG issued an Annual Program Statement to solicit partners to provide comprehensive prevention, care and treatment services in a workplace setting. The Cooperative Agreement with the American Center for International Labor Solidarity will end in December 2007. Tshepang Trust was selected as one of the partners to continue implementing HIV and AIDS workplace intervention.
BACKGROUND:
Whilst business has become somewhat more responsive to the needs of its employees to encourage testing for early detection and treatment of its employees to encourage testing for early detection and treatment of its employees in larger corporations, the reality is that there are still very low levels of counseling and testing in the workplace. Employees still do not trust that by enrolling in workplace HIV programs, they will not be discriminated against. The situation is worse in the small medium enterprises (SMEs) because unlike big corporations, SMEs are failing to follow the lead of their counterparts in providing counseling and testing services to their work force. As a result, SMEs need assistance in providing and developing a workplace response to HIV and AIDS.
The Tshepang Trust (also known as Tshepang) is the South African Medical Association (SAMA)'s HIV/AIDS program initiated to bridge the gap in medical resources using private general practitioners (GPs) in the public private partnership model in order to assist the South African government fight against HIV/AIDS. SAMA has more than 5000 private medical practitioners in the private practice trained in HIV clinical management. Tshepang has been in existence since June 2003 and is a registered local non governmental organization (ngo) operating as a trust under Section 21 of the South African Companies Act. This is a workplace program targeting small medium enterprises (SMEs) employees, their partners and dependents using general practitioners and their consulting rooms as sites. For this initiative Tshepang trust is in the process of forming collaborative relationships with two South African corporate companies to establish a HIV and AIDS workplace program. In addition to this initiative, Tshepang will work with the healthcare sector, targeting personnel in hospitals and clinics within the Gauteng area. Lastly, Tshepang will continue to provide services to educators who received services under the Solidarity Center program which is ending in December 2007. Tshepang Trust currently has strong evidence of leadership support from the South African Government through a public private partnership with the Gauteng provincial department of health to enhance the scale up of HIV counseling and testing (CT) and treatment in Gauteng's ARV sites. Tshepang currently serves under serviced rural areas in South Africa utilizing general practitioners who are located mostly in rural areas. Using this model, Tshepang has developed a public-private partnership between SMEs where employees and their dependents can access private general practitioners in areas close to where they are employed without fear of discrimination of being absent from work. In addition all of the general practitioners are within reach of the targeted audiences and are local and indigenous and therefore able to relate to the target population according to their culture and in local languages. The geographical coverage area for this project is KwaZulu Natal, Mpumalanga, and Eastern Cape Province. The emphasis area for this workplace activity is development of networks, linkages, referral systems and information, education and communication. The target population for this initiative is men and women of reproductive age working in SMEs, their partners and dependents. This includes factory workers, teachers working in the education sector and healthcare workers working in the public healthcare sector.
ACTIVITIES AND EXPECTED RESULTS
PEPFAR funds will be used to support the development of a comprehensive workplace
prevention education program targeting managers, worker representatives and workers in 50 SMEs in South Africa through public-private partnerships involving business, NGOs and government. Funds will also be used to support workplace prevention education programs targeting the health and education sector. With funding from PEPFAR, these workplace programs will conduct training sessions for employers, senior management, senior union leadership and employees on the basic facts of HIV transmission, prevention, and impact of HIV and AIDS on the industry. Peer educators in SMEs and the health and education sector will receive ongoing training on prevention (especially abstinence and being faithful), PMTCT, stigma and discrimination, counseling and testing, palliative care, and access to treatment. The goal of the peer education is to increase workers' knowledge about HIV and AIDS prevention, care and treatment with the purpose of changing their attitudes and practices and modifying behavior to prevent HIV infections and reduce violence and coercion (key legislative issue). HIV and AIDS prevention education activities will be conducted in SMEs in South Africa and among workplaces in the health and education sectors. Male and female condoms will be distributed. Awareness campaigns on prevention messages, partner reduction, stigma and discrimination in the workplace will be conducted by trained peer educators. The program will mobilize male workers and solicit their involvement in prevention care and support and also address male norms and behavior which contribute to the transmission of HIV. Female workers will be encouraged to use PMTCT.
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 workplace HIV and AIDS prevention programs.
Activities are linked to others described in ARV Drugs, ARV Services, and Other Prevention. This is a follow-on activity to the American Center for International Labor Solidarity.
The Tshepang Trust (also known as Tshepang) is the South African Medical Association (SAMA)'s HIV/AIDS program initiated to bridge the gap in medical resources using private general practitioners (GPs) in the public private partnership model in order to assist the South African government fight against HIV/AIDS. SAMA has more than 5000 private medical practitioners in the private practice trained in HIV clinical management. Tshepang has been in existence since June 2003 and is a registered local non governmental organization (ngo) operating as a trust under Section 21 of the South African Companies Act. This is a workplace program targeting small medium enterprises (SMEs) employees, their partners and dependents using general practitioners and their consulting rooms as sites. For this initiative Tshepang trust is in the process of forming collaborative relationships with two South African corporate companies to establish a HIV and AIDS workplace program. In addition to this initiative, Tshepang will work with the healthcare sector, targeting personnel in hospitals and clinics within the Gauteng area. Lastly, Tshepang will continue to provide services to educators who received services under the Solidarity Center program which is ending in December 2007. Tshepang Trust currently has strong evidence of leadership support from the South African Government through a public private partnership with the Gauteng provincial department of health to enhance the scale up of HIV counseling and testing (CT) and treatment in Gauteng's ARV sites. Tshepang currently serves under serviced rural areas in South Africa utilizing general practitioners who are located mostly in rural areas. Using this model, Tshepang has developed a public-private partnership between SMEs where employees and their dependents can access private general practitioners in areas close to where they are employed without fear of discrimination of being absent from work. In addition all of the general practitioners are within reach of the targeted audiences and are local and indigenous and therefore able to relate to the target population according to their culture and in local languages. The geographical coverage area for this project is KwaZulu Natal, Mpumalanga, and Eastern Cape Province. The emphasis area for this workplace activity is development of networks, linkages, referral systems. The target population for this initiative is men and women of reproductive age working in SMEs, their partners and dependents. This includes factory workers, teachers working in the education sector and healthcare workers working in the public healthcare sector.
ACTIVITIES AND EXPECTED RESULTS:
This activity will provide access to VCT services for workers, their partners and their dependents through referrals to community-based VCT sites; and development of linkages with general practitioners in surrounding areas. These general practitioners will provide
counseling and testing and initiation into treatment. Peer educators within the workplace will promote HIV counseling and testing as a strategy to prevent HIV and AIDS. The peer educator will also raise awareness about local community VCT Centers to increase the uptake and accessibility of counseling and testing. For those who test positive, trained lay counselors will offer counseling on how to live with HIV, as well as strategies to mitigate stigma and discrimination in the workplace and healthcare and education sector.
These accomplishments will directly contribute to the realization of PEPFAR's goal to prevent 7 million new infections and provide care for 10 million people infected with HIV. These accomplishments also support the prevention, care and treatment goals laid out in the USG Five-Year Strategy for South Africa.
Activities are linked to others described in Counseling and Testing, ARV Services, and Other Prevention. This is a follow-on activity to the American Center for International Labor Solidarity.
The Tshepang Trust (also known as Tshepang) is the South African Medical Association (SAMA)'s HIV/AIDS program initiated to bridge the gap in medical resources using private general practitioners (GPs) in the public private partnership model in order to assist the South African government fight against HIV/AIDS. SAMA has more than 5000 private medical practitioners in the private practice trained in HIV clinical management. Tshepang has been in existence since June 2003 and is a registered local non governmental organization (ngo) operating as a trust under Section 21 of the South African Companies Act. This is a workplace program targeting small medium enterprises (SMEs) employees, their partners and dependents using general practitioners and their consulting rooms as sites. For this initiative Tshepang trust is in the process of forming collaborative relationships with two South African corporate companies to establish a HIV and AIDS workplace program. In addition to this initiative, Tshepang will work with the healthcare sector, targeting personnel in hospitals and clinics within the Gauteng area. Lastly, Tshepang will continue to provide services to educators who received services under the Solidarity Center program which is ending in December 2007. Tshepang Trust currently has strong evidence of leadership support from the South African Government through a public private partnership with the Gauteng provincial department of health to enhance the scale up of HIV counseling and testing (CT) and treatment in Gauteng's ARV sites. Tshepang currently serves under serviced rural areas in South Africa utilizing general practitioners who are located mostly in rural areas. Using this model, Tshepang has developed a public-private partnership between SMEs where employees and their dependents can access private general practitioners in areas close to where they are employed without fear of discrimination of being absent from work. In addition all of the general practitioners are within reach of the targeted audiences and are local and indigenous and therefore able to relate to the target population according to their culture and in local languages. The geographical coverage area for this project is KwaZulu Natal, Mpumalanga, and Eastern Cape Province. The emphasis area for this workplace activity is development of networks, linkages, referral systems. The target population for this initiative is men and women of reproductive age working in SMEs, their partners and dependents. This includes factory workers, teachers working in the education sector and healthcare workers working in the public healthcare sector. The major emphasis area for this activity will be commodity procurement, with minor emphasis placed on development of network/linkages/referral systems.
Through a public-private partnership among workplaces, NGOs and government, participating workplace programs will employ the services of doctors to provide antiretroviral therapy (ART) to workers who qualify for treatment. The doctors will be trained in HIV and AIDS clinical management and will have experience in drug purchasing, ART and PMTCT treatment and surveillance. The doctors will perform a clinical examination and staging, including taking blood for CD4 testing. A viral load test will be done before the start of treatment. An adherence counselor will be assigned to each patient and will be responsible for the continued home-based support and monitoring of the patient's condition. The counselor will also liaise with the doctor. The treatment services will utilize South African Department of Health standards and guidelines. All patients will receive their drugs from the doctors' offices. The doctor will ensure that the delivery system keeps stock of and is able to deliver antiretroviral therapy medications to any physical address. Special care will be taken to ensure that patient confidentiality is not compromised.
By providing comprehensive ARV services, including patient eligibility testing and drug procurement, workplace HIV prevention programs will provide HIV-infected workers in small and medium enterprises in the health and education sector with care and treatment.
These activities will directly contribute to the PEPFAR goal of providing comprehensive HIV and AIDS care to ten million people and ARV treatment to two million people. These activities will also support the care and treatment objectives laid out in the USG Five-Year Plan for South Africa.
Activities are linked to others described in Counseling and Testing, ARV Drugs, and Other Prevention. This is a follow-on activity to the American Center for International Labor Solidarity.
This activity is a follow-on to the partnership with the American Center for International Labor Solidarity. With FY 2007 PEPFAR funding, the USG issued an Annual Program Statement to solicit partners to provide comprehensive prevention, care and treatment services in a workplace setting. The Cooperative Agreement with the American Center for International Labor Solidarity will end in December 2007. Tshepang Trust was selected as one of the partners to continue implementing HIV and AIDS workplace intervention. Treatment will be provided to workers and their dependents living with HIV in selected small to medium enterprises (SMEs) in the health and education sector. Care and support for HIV-infected workers will be provided through wellness programs in workplaces and through referrals to community-based organizations.
The Tshepang Trust (also known as Tshepang) is the South African Medical Association (SAMA)'s HIV/AIDS program initiated to bridge the gap in medical resources using private general practitioners (GPs) in the public private partnership model in order to assist the South African government fight against HIV/AIDS. SAMA has more than 5000 private medical practitioners in the private practice trained in HIV clinical management. Tshepang has been in existence since June 2003 and is a registered local non governmental organization (ngo) operating as a trust under Section 21 of the South African Companies Act. This is a workplace program targeting small medium enterprises (SMEs) employees, their partners and dependents using general practitioners and their consulting rooms as sites. For this initiative Tshepang trust is in the process of forming collaborative relationships with two South African corporate companies to establish a HIV and AIDS workplace program. In addition to this initiative, Tshepang will work with the healthcare sector, targeting personnel in hospitals and clinics within the Gauteng area. Lastly, Tshepang will continue to provide services to educators who received services under the Solidarity Center program which is ending in December 2007. Tshepang Trust currently has strong evidence of leadership support from the South African Government through a public private partnership with the Gauteng provincial department of health to enhance the scale up of HIV counseling and testing (CT) and treatment in Gauteng's ARV sites. Tshepang currently serves under serviced rural areas in South Africa utilizing general practitioners who are located mostly in rural areas. Using this model, Tshepang has developed a public-private partnership between SMEs where employees and their dependents can access private general practitioners in areas close to where they are employed without fear of discrimination of being absent from work. In addition all of the general practitioners are within reach of the targeted audiences and are local and indigenous and therefore able to relate to the target population according to their culture and in local languages. The geographical coverage area for this project is KwaZulu Natal, Mpumalanga, and Eastern Cape Province. The emphasis area for this workplace activity is development of networks, linkages, referral systems. The target population for this initiative is men and women of reproductive age working in SMEs, their partners and dependents. This includes factory workers, teachers working in the education sector and healthcare workers working in the public healthcare sector. The emphasis areas for this
activity will be information, education, communication and development of network/linkages/referral systems.
ACTIVITY 1: GP Network Model
ACTIVITY 2: Treatment advocacy campaign
FY 2007 funding will support peer educators and peer counselors in the workplace to provide treatment literacy materials and information on treatment services available in their respective communities. This may include links for patients to a toll free support line. Information on how to access testing and treatment services will be disseminated through SMEs, hospitals and the teachers' and healthcare workers' unions.
ACTIVITY 3: Providing ART services
Workers who are HIV-infected and require ART will be able to access these services through the identified treatment partner. All workers will receive a unique identifier which will be used for tracking and monitoring the treatment services and protect the identity of the patient. The treatment partner healthcare staff will provide the range of ART initiation services, including all relevant laboratory testing, and adherence counseling, To support the clinical care, adherence councilors will conduct home visits. The identified treatment partners will use South African Government treatment guidelines and protocols.
ACTIVITY 4: Monitoring and reporting
The treatment partner will track all relevant patient data for monitoring and reporting purposes.
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.
