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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
Jhpiego's Siyazi project will continue to support workplace integrated HIV counseling and testing (CT) and
wellness screening services for workers, their partners and their families at 15 companies or work
associations. Jhpiego will provide counseling and testing services to 16,500 workers, their partners and
families by September 30, by 2010. Jhpiego will continue to provide technical assistance to 16 fixed road
site clinics and provide mobile testing outreach at additional workplaces. The primary geographic area of
work is Gauteng-based companies, their work associations and their provincial branches throughout South
Africa. The overarching goal of the project is to increase counseling and testing for hard-to-reach
populations and link them to prevention, care and support services. Jhpiego will continue to provide
technical assistance for policy development, review, dissemination and implementation through work with
management and peer educators. With the correct policy environment in place, Jhpiego will support
counseling and testing within an overall wellness screening package designed to decrease stigma related to
HIV testing. In addition, motivational speaking by people living with HIV will remain a key strategy to
encourage people to get tested and eliminate stigma. Jhpiego will initiate and implement GIPA (Greater
Involvement of People Living with HIV/AIDS) principles as a means to involve people living with HIV and
AIDS (PLWHA) in HIV/AIDS workplace related issues, address stigma, encourage disclosure of HIV status,
disseminate information on positive living and human rights for individuals and their families.
The Jhpiego Siyazi project will train 500 peer educators to provide group education for prevention
messages and condom distribution. To encourage behavior change Jhpiego will utilize audio visual, other
educational materials and facilitate formal and informal workshops to disseminate prevention messages for
specific groups. Prevention messages will be developed to suit each target group. In collaboration with
other PEPFAR partners, Jhpiego will support the development of a national logo to assist in the
identification on quality CT services.
Jhpiego, in collaboration with EngenderHealth's Men as Partners project, will address gender related issues
including gender-based violence (GBV) through the training of workplace management as well as peer
educators in FY 2009. Peer educators will play a vital role in sensitizing and empowering employees on
gender equity and reducing GBV. The Siyazi project will increase counseling and testing access
predominately for employed men, their partners, families and female sex workers at the truck stops where
the road site clinics are based.
A team of nurses and lay counselors will provide pre-test counseling, tuberculosis (TB) screening using the
five TB screening questions, and other wellness and health risk assessments including diabetes,
cholesterol, and body mass index. Counselors and nurses will provide 1) pre-test counseling, 2) rapid HIV
testing using the parallel algorithm, 3) post test counseling including disclosure counseling, and (4) referral
to prevention and care and support services. For individuals testing positive for HIV, nurses will refer
employees to in house and to local clinics for on-going care. In FY 2009, the Jhpiego Siyazi project will
explore the feasibility of on-site clinical staging and/or CD4 count testing.
Based on approval of workplace partners, Jhpiego will extend couple counseling services to employees and
their partners in the workplace by using the national and international HIV/AIDS couple counseling training
materials and systems. Jhpiego will pilot a variety of approaches to expand couples CT including issuing
invitations to couples and families for CT and wellness services. Jhpiego will also promote couples and
family CT during health calendar days such as sexually transmitted infection (STI) week, TB week, World
AIDS Day and other CT campaigns throughout the year as well as at the road site clinics for sex workers
and truck drivers.
While CT services are widely available in South Africa, a need was identified for the development of a
quantifiable system to measure adherence to quality standards for counseling and testing service delivery.
In FY 2009, Jhpiego will assist in establishing quality assurance systems that use Standardized-Based
Management and Recognition and performance improvement methods for CT in five sites in Gauteng.
Jhpiego will also facilitate the incorporation of existing CT materials into an e-learning format to increase the
access of partners' staff to self-based individualized learning.
Jhpiego will work with the National Institute for Communicable Diseases (NICD) to ensure quality for testing
in the workplace. The programme officer with a nursing background will work directly with the NICD on
quality assurance related matters at the testing sites. This will include proficiency testing using panels from
NICD and on-site monitoring. NICD will provide training and ongoing support including site visits for testing
The Siyazi project is aligned with the HIV & AIDS and STI National Strategic Plan, 2007-2011 (NSP) Priority
Area 2, Objective 5.1- Increase access to VCT services that recognize diversity needs. Jhpiego will institute
confidential counseling and testing services in the workforce in both private and public institutions. Jhpiego
will design workplace HIV/AIDS programs that respond to individual companies' needs and fulfill the goals
of this project thereby addressing the NSP goal for 2008 of 40%. Management, union members, individual
employees, and family members will be targeted. Jhpiego will work to ensure that confidential counseling
and rapid testing services focusing on risk reduction, will be accessible to all workers and their partners in
Jhpiego drafted and reviewed a memorandum of understanding (MOU) for approval with the Gauteng
Department of Health Employee Wellness programme. As the workplace program is predominantly with
companies rather than the government, Jhpiego does not have MOUs with the South African Government
(SAG) at the moment. However, MOUs have been fully executed with the National Bargaining Council for
the Road Freight Industry and Ford Motor Company of Southern Africa. For the remaining partners
[National Prosecution Authority, Department of Justice and & Constitutional Development, State Information
Technology Agency, Judicial Officers Association of South Africa], MOUs have been drafted and are being
reviewed and/or routed for approval among the leadership of each organization. Jhpiego has re-established
the relationship with the City of Johannesburg and will be drafting and MOU for review and approval by the
Activity Narrative: City of Johannesburg.
The focus of this project is the implementation of confidential counseling and testing (CT) in the workplace
and will link CT with other interventions such as prevention, treatment and support systems. Emphasis
areas will be CT service delivery, development of HIV policies in the workplace, training, prevention
messages, quality assurance and supportive supervision, and capacity building, Target groups will include
women and men of reproductive age, management and trade union members in the work environment.
Under this project JHPIEGO will assist individual companies to create a conducive environment for
confidentialand voluntary counseling and testing. JHPIEGO will do this by addressing management, unions
and employees though the provision of basic but thourough HIV and AIDS information; providing assistance
in the reduction of stigma and discrimination and the impact of HIV and AIDS in the workplace; and
supporting VCT services.
ACTIVITIES AND EXPECTED RESULTS:
JHPIEGO will institute confidential counseling and testing services in the workforce in both private and
public institutions. JHPIEGO will design workplace HIV and AIDS programs that respond to individual
companies' needs and fulfill the goals of this project. Management, union members, individual employees,
and family members will be targeted. JHPIEGO will work to ensure that confidential counseling and rapid
testing services focusing on risk reduction, will be accessible to all workers and their partners in selected
sites. JHPIEGO will also incorporate stigma reduction strategies and issues of sexual violence and
prevention for positives. The expected results under this objective are: 1) Workplace HIV and AIDS policies
developed and disseminated; 2) Counseling and testing sites established and running; 3) Stigma
surrounding HIV and AIDS reduced in and out of the workplace; 4) Prevention message dissemination
strategies developed and sustained; 5) Peer education programs developed and sustained and;6) Establish
linkages to care, treatment and other interventions.
Throughout the life of this project, JHPIEGO will implement the GIPA( Greater Involvement of People living
with HIV and AIDS) principles as appropriate; the GIPA principle supports the substantive involvement and
inclusion of people living with HIV and AIDS in all aspects of project design, implementation and monitoring.
These activities will directly support PEPFAR 2-7-10 goals.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19511
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19511 19511.08 HHS/Centers for JHPIEGO SA 8708 8708.08 $722,000
Disease Control &
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $29,155
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities