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
The Strengthening HIV Counselor Training Project (SCOT) is a collaboration among organizations with a
stake in HIV counselor training in Uganda. It aims at improving the quality of HIV counselor training through
standardizing curricula, building the capacity of institutions to utilize standardized curricula, supporting the
development of accreditation and certification criteria for HIV counselor training institutions, supporting
advocacy for the counseling profession and developing a standardized monitoring and evaluation system
for HIV counselor training. SCOT has continued to work very closely with the Ministry of Health (MOH),
Uganda AIDS Commission (UAC), Uganda Counseling Association (UCA), other line ministries, Forum for
People Living with HIV/AIDS (NAFOPHANU), HIV counselor training institutions and development partners
to improve the quality of HIV counselor training and practice in the country.
In FY 2008, 5 counseling curricula and accompanying training materials were launched and printed for
National use. These are the HIV Counseling and Testing (HCT), Home-based HCT (HBHCT), Provider
Initiated HCT in the Healthcare setting (PICT), Positive Prevention (PP) Counseling, and HIV Counseling
Supervision (HCS). The Child and Adolescent counseling, HIV Discordant couples counseling and the
Positive Prevention Peer Counseling & Community Education curricula have been developed and shall be
launched while the counseling for ART curriculum has been updated and is being utilized to train 200
service providers for MOH and other implementers. Twenty three national level trainers from MJAP and
TASO were oriented in the use of PICT curriculum and these have trained 474 health workers from Masaka
and Mbale Regional Referral Hospitals. Sixteen trainers for HIV counseling supervision were trained and
are rolling out the training through out the country where 7 Regional Referral Hospitals have so far
benefited. 90 service providers have been trained in counseling for ART and 20 national trainers and
additional 110 counselors are yet to be trained. 247 scholarships were given to individuals from stakeholder
organizations to attend accredited HIV counseling courses; with an additional 410 to be distributed to
partner institutions. Discussions for SCOT to partner with TASO Training centre are ongoing to train 20
trainers who shall then train 100 people with disabilities.
In FY 2009, SCOT will continue to improve the quality of HIV counseling training so as to improve the
quality of HCT service delivery and access in Uganda.. The following targets shall be reached:
- 300 health workers trained in PICT in collaboration with MOH and other partners for 2 district hospitals.
- 200 scholarships will be given to individuals from stakeholder organizations to attend accredited HIV
counseling courses provided by SCOT partners.
- 20 trainers and 200 service providers will be trained for each new curriculum developed in FY 2008
- 1,000 manuals per curriculum will be printed for ART counseling, HIV discordant couples counseling and
PP Peer counseling and Education curricula will be disseminated to the certified HIV Counselor training
institutions.
SCOT shall also review and update the HCT, HBHCT and PICT curricula and accompanying IEC materials
for counselors and community mobilizers to address emerging counseling issues. The review shall focus on
developing key counseling and behavioral messages for the delivery of safe medical male circumcision
services, and other priority areas as per MOH policy guidelines. Twenty (20) trainers and 200 service
providers from key implementing programs shall be oriented on the updated curricula through refresher
trainings. Two other new curricula arising from service provider needs identified in the mid-term review of
the project shall also be developed. These include Nutritional counseling and supporting the integration of
HIV counseling into pre-service training for health workers. SCOT shall also partner with MOH and key
implementing partners like University Research Council (URC)-Nulife project to develop the national
Nutritional counseling curriculum. This will contribute to the nutritional wellbeing of PHA and national targets
on nutrition.
In FY 2010, SCOT shall continue to review and update HCS, PP curricula and accompanying IEC materials
to include emerging issues in HIV prevention, care and treatment. The targets in this period are based on
the 6 months period available to implement activities and these shall be as follows;
- 100 service providers shall be trained in Refresher courses for each of the updated curricula (HBHCT,
PP, PICT, HCS and HCT).
- 200 health workers shall be trained for one district level Hospital identified by MOH.
- 1,000 manuals per updated curricula (HBHCT, PP, PICT, HCS and HCT) will be printed and disseminated
to the certified HIV Counselor training institutions.
FY 2010 marks the end of the SCOT project life, so most of the activities shall be related to winding up the
project activities but ensuring continuity of services. The activities shall include conducting an end-of-
project evaluation, documenting best practices and conducting dissemination workshops.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13318
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13318 8363.08 HHS/Centers for The AIDS Support 6441 693.08 Strengthening $600,000
Disease Control & Organization HIV Counselor
Prevention Training
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $321,592
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.14:
to improve the quality of HIV counselor training in the country.
In FY 2008, SCOT together with Engender health, ACQUIRE project supported MOH, AIDS service
organizations (ASO's) and People Living with and or Affected by HIV/AIDS (PHA) networks to scale up HIV
prevention in the country through implementing the Positive Prevention (PP) program. 37 trainers were
oriented in the use of the PP Peer counseling & Education curriculum. These have been able to train 189
PHA from 8 Support groups to enhance HIV prevention activities within the communities. 216 service
providers including counselors, nurses, and clinical officers have been trained to incorporate positive
prevention counseling into existing prevention, care and treatment programmes. The HIV discordant
couples curriculum has been developed, pre-tested and undergoing final reviews; thereafter, 20 trainers will
be trained to train 200 service providers. To ensure quality of counseling training and service delivery,
SCOT in collaboration with Ministry of Health (MOH) is developing a joint accreditation system and a
common certification framework for HIV counseling courses (HBHCT, RCT, ART, HIV counselor
supervision, HCT, and PP curricula). This shall strengthen the capacity of accredited Training institutions to
roll out training courses in accordance to national standards in HBHCT, RCT, ART, HIV Counselor
supervision, Positive Prevention and HCT trainings and other SCOT accredited courses in the country. The
SCOT M&E system has been enhanced to provide information necessary for programming and reporting
purposes. This has been shared with SCOT partners to appreciate and ensure proper and accurate
documentation of training activities. A mid-term joint program review for the SCOT project has been
completed to help to re-align the project activities. An information booklet on Ethics and Code of Conduct
for counseling practice in Uganda is being reviewed in collaboration with UCA and shall be printed and
disseminated to all counselors including HIV counseling providers. In addition, SCOT supported UCA to
convene an annual counselors' conference that was attended by over 250 delegates.
In FY 2009, SCOT shall scale up HIV prevention in communities through supporting 08 ASOs and 08 PHA
networks to implement Positive Prevention. 200 PHA peer counselors and 200 service providers shall be
trained. In order to ensure quality HIV counseling service delivery, SCOT together with MOH shall
strengthen the support supervision and follow up component by conducting visits to ASOs and PHA
networks trained using SCOT developed curricula. SCOT shall partner with MOH and other key partners to
ensure utilization of the developed curricula through certifying HIV Counselor training institutions as per the
common certification framework developed. SCOT will continue to contribute to the professional growth of
counseling in Uganda, by supporting institutional growth of Uganda Counseling Association (UCA) and
work with other partners to advocate for the establishment of the counseling cadre in the Public
service. This shall entail supporting UCA to develop counseling levels and certification criteria for the
already trained HIV counselors and thereby facilitate their continuing education. SCOT shall also support
HIV counselor training Institutions to monitor and evaluate their training and consequently upgrade the
SCOT M&E system into a National M&E system for HIV counselor training in Uganda. SCOT shall also
strengthen partnerships in HIV Counseling training and service delivery through establishing a National
training reference group/think-tank and rejuvenating efforts to establish a coordinating mechanism for HIV
counselors in Uganda. These shall enhance the quality of training materials developed and services
provided. SCOT shall work with MOH and Ministry of Education and Sports (MOES) to develop an HIV
counseling module that shall be incorporated into the different curricula for Pre-service training of
paramedical workers.
In FY 2010, SCOT shall focus on winding up project activities and building mechanisms to ensure
sustainability of SCOT programs in the country. Hence key activities shall include building capacity for
certified HIV Training Institutions to evaluate and update their own training curricula through skills building
workshops; writing end of project reports, and planning for the transition to the second phase of the SCOT
project. However, 100 PHA shall be trained in PP Peer counseling and community education for 04 Peer
support groups.
Continuing Activity: 13319
13319 4426.08 HHS/Centers for The AIDS Support 6441 693.08 Strengthening $700,000
8365 4426.07 HHS/Centers for The AIDS Support 4814 693.07 TASO CDC $600,000
Disease Control & Organization
Prevention
4426 4426.06 HHS/Centers for The AIDS Support 3188 693.06 TASO CDC $537,501
Estimated amount of funding that is planned for Human Capacity Development $391,777
Table 3.3.18:
