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
08.P0103 Pathfinder International - Psychosocial PMTCT support
The Pathfinder PMTCT activity provides: 1) peer counseling for women attending antenatal clinics and 2)
peer counseling by people living with HIV/AIDS (PLWHAs), including HIV-infected women from the PMTCT
program, for ART adherence. A mid-term review illustrated the programs' positive results in reaching
women and men in both clinic-based and community-based settings. To date the peer mothers counseling
project works at 14 antenatal clinics in four districts. The program increased counseling coverage in
targeted areas and the quality of services improved against standards. During the mid-term review both the
clients as well as the public sector providers indicated that the counseling services are valued by the sites.
To ensure linkages between different health facilities in the provision of ART, Botswana uses a site model,
which consists of a hospital (Infectious Disease Care Centers or IDCC) with 2 to 4 satellite clinics. The
adherence counseling program works currently in 8 IDCCs and 19 satellite clinics. 48 counselors and health
care workers (2 new adherence counselors, 20 lay counselors and 2 nurses) completed a 7-day adherence
counseling workshop. This brought totals to 73 adherence counselors and 22 master trainers receiving this
training to date.
Minor changes based on the 2007 mid-term evaluation include expansion of the program into three new
sites (Serowe, Palapye and Maun. Refresher and new training courses for peer mothers will emphasize
program needs: 1) Encouraging peer mothers to take a greater role in helping women to get CD4 counts
done, attend ART evaluation clinics and enroll in ART in a timely manner; and 2) Providing information
about the choice between breastfeeding and formula feeding in accordance with the WHO IYCF curriculum
in use nationwide to retrain health workers in infant feeding. Pathfinder senior staff will attend the IYCF
course and produce training materials appropriate for peer mothers in consultation with MOH. Peer mothers
will continue to conduct home visits to follow-up clients after on-site counseling at the centre. The home
visits target infected mothers, their partners and families to discuss any issues of concern including stigma
reduction and PMTCT services. The need for HIV testing, CD4 testing and ARV clinic attendance for all
family members is part of these visits. Peer counselors in both programs will continue to establish support
groups and conduct community mobilization activities.
Capacity building in financial management, monitoring & evaluation, strategic planning and management
will continue at all sites. Site facilitators, counselor supervisors, peer mothers/ adherence counselors and
Ministry of Local Government (MLG) staff will receive in-service education. All previously graduated
mothers are eligible to attend a two week long entrepreneurial skills workshops in collaboration with MLG's
department of social services to equip the women with livelihood skills.
Weaknesses identified during the interim evaluation, including quality of recordkeeping at site level, will be
rectified. The US Centers for Disease Control and Prevention (CDC) field operation (BOTUSA) and MOH
will collaborate to examine PMTCT key indicators in program sites and compare them to non-program sites,
and to compare PMTCT indicators in new sites before and after implementation to estimate the impact of
the program. A final program evaluation is planned.
08.P0207 Pathfinder - Male focused interventions
This activity targets adult men (over age 25) for one-to-one peer education, based on a personal risk
assessment. Three local implementing partners carry out this activity through visits to households,
employment sites, and recreational clubs such as local football teams. The intervention is focused on
promoting partner reduction, correct and consistent condom use, and more equitable gender attitudes.
In 2007, Pathfinder selected implementing partners through a competitive process, worked with those
partners to develop work plans and contracts, liaised with relevant GOB partners in the target districts and
nationally to lay a stronger base of support for the project, developed project monitoring tools, held 3 work
shops with the implementing partners, and developed a comprehensive outreach manual that will guide the
intervention. The implementing partners selected additional staff and peer educators and participated in a
training of trainers (TOT) in the manual. As of September 2007, Pathfinder and its implementing partners
will have trained a large cadre of male peer educators, who will begin conducting outreach in the target
The risk assessments cover a range of critical issues including number of sexual partners, consistent and
correct use of condoms, alcohol misuse and risks associated with it, gender relations, HIV-related drug
adherence (ART, isoniazide preventive therapy [IPT]), and counseling and testing. We expect each
individual reached to have about 2 or more visits by a peer educator, for one-on-one discussion on the
above listed issues with emphasis on those raised in the personal assessment. The materials will include
specific information and support for men who are HIV positive. Referrals will be made to available services
such as HIV counseling and testing, Alcoholics Anonymous, and PMTCT. Clients who have been exposed
to key topics identified in their personal risk assessment will graduate and be invited to join a male support
group for continued education and motivation. These groups will be formed by Pathfinder implementing
partners in areas where they operate. The groups will have regular meetings at which members will give
each other support to maintain whatever positive change they will have achieved. Occasionally, presenters
will be invited to give talks on topics of interest to the groups. Opinion leaders like politicians, traditional
leaders and PLWHA who have gone public with their HIV status will also be invited occasionally to motivate
Humana will continue to implement the intervention by going door-to-door in select communities. Humana
will conduct group sessions focused on gender equity and will train men who hold influential positions like
corporate leaders, traditional leaders and politicians as advocates for male involvement in HIV prevention
programmes. The above activities will be implemented in eight villages in the two districts where Humana
True Men will continue to work in the Francistown area to target this intervention to miners from the two
area gold mines as well as social soccer teams and their supporters. The programme will expand to two
new sites in 2008.
Botswana Council of Churches (BCC) will implement the program in three districts, targeting male staff in 4
mission schools run by churches which are BCC members. The programme extends beyond schools to
communities around the schools.
In support of these activities and partners, Pathfinder will continue to support training in peer education and
outreach, including refresher trainings, to all relevant field officers. Pathfinder also will continue to
strengthen local implementing partners' operational systems and structures and will provide technical
support for their programme activities.
New for 2008, the program will forge stronger partnerships with health and other facilities that offer
counseling and testing for HIV so that people who test HIV positive at these facilities and other PLWHAs
who access services at these facilities are referred to the program for peer support in one-on-one and group
settings. This will entail sensitizing service providers about the program and its activities and establishment
of a referral network either from the program to the facilities or the reverse. The outreach and peer
materials will be adapted to better meet the needs of HIV positive men.
This activity is funded about 66% from the AB area, and 33% from the C/OP program area. The content of
the intervention is comprehensive in scope to meet the needs of sexually active adult men, including a
strong emphasis on multiple partnerships and fidelity, as well as gender equity, and important components
on alcohol abuse and condom use.
08.P0507 Pathfinder - Male focused prevention
True Men will continue to work in the Francistown area to target this intervention to miners from the two gold
mines as well as social soccer teams and their supporters. The programme will expand to two new sites in
support for their program activities.
counseling and testing for HIV so that people who test HIV positive at these facilities and other PLWHA who
access services at these facilities are referred to the program for peer support in one-on-one and group
This activity is funded about 66% from the AB program area, and 33% from the C/OP program area. The
content of the intervention is comprehensive in scope to meet the needs of sexually active adult men,
including a strong emphasis on multiple partnerships and fidelity, as well as gender equity, and important
components on alcohol abuse and condom use.