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.C0906 Child and Adolescent Counseling and Testing
In Botswana, counseling and testing for children and adolescents remains an area of critical gaps in legal,
policy and program issues. The legal age of consent for testing in Botswana remains at 21, although major
efforts are underway to reduce the age to 16. Policy and guidelines for C&T of children are unclear, if not
unavailable. There are no C&T protocols to guide service delivery to children and adolescents. In addition,
counselors lack the skills and the confidence to provide services to this group. A number of children are
infected, but their status is not known, yet they would benefit from pediatric treatment and other services to
improve their quality of life. Some children are on HIV treatment, without knowing their HIV status. This has
posed challenges in relation to adherence.
In 2007, the MOH is working to develop policy and guidelines for counseling and testing of children and
adolescents, as part of the process to review and update C&T guidelines in general. A review workshop is
scheduled to take place in September 2007. Technical assistance from WHO/AFRO region has been
obtained for this activity.
Funds will support technical expertise for the MOH and key partners in developing an HIV/AIDS counseling
protocol for children and adolescents. The contractor will be required to form a working group comprising of
key stakeholders in the development of protocols. These stakeholders will include MLG - OVC program,
MOH, Botswana-Baylor Children's Clinical Center of Excellence, UNICEF, and representatives of civil
The process will include the review of current practices and relevant policy and guidelines in counseling and
testing of children and adolescents. The review will also include existing guidance and protocols from
UNICEF, WHO, UNAIDS, CDC and other international organizations, including resources from the region. A
consultative and participatory process will be engaged, to draw from all the stakeholders to develop draft
protocols for pre-testing in relevant settings. It is expected that the protocol will address the needs of health
care workers in providing C&T services for children and adolescents, on-going psychosocial and preventive
support, support for disclosure and referrals, among other areas. A curriculum will be developed for the
training of health workers on the use of the protocols. PEPFAR funds will also support training of 75 trainers
(TOT) of health workers/counselors on child/adolescent counseling.
A number of PEPFAR-supported programs have been underway for several years now. Under this activity,
external process evaluations will be conducted on activities which have been supported for three or more
years and that are planned to continue in 2008. These activities include UMDNJ-FXBC Technical
Assistance to PMTCT, Pre-service Training and Health Worker Wellness, NASTAD Technical Assistance to
Community Planning and Community Capacity Enhancement Program (CCEP). Based on the scope of
work provided, URC will conduct site visits and interviews with key informants and beneficiaries of the
targeted partner activities in order to identify strengths and weaknesses of the program, and in turn, help
map the way forward. The focus of the evaluations will be on the technical content and management of the
activities, as well as the effectiveness of the interventions. Best practices and program challenges will be
documented and recommendations included.