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: 2010 2011 2012 2013 2014 2015 2016
Context
In the past, DoD through PEPFAR funding has provided technical assistance and support to the Botswana Defense Force (BDF) military personnel, their families, housemaids, couples, and community projects to address HIV prevention including changing male norms, reducing violence, reducing the number of partners and concurrent partnerships.
Goals and Objectives
Addressing gender issues in all BDF program areas.
Major Activities
- DoD will work closely with PCI and PSI in supporting the BDF in Abstinence/Being Faithful.
- BDF wives' clubs, building on activities already started by the BDF, will be further supported with technical assistance and information, education and communication materials, and a curriculum they can use for their meetings. Wives' clubs will focus on providing HIV prevention, care and treatment education and a supportive environment for those seeking testing and coping with either their own or others' HIV seropositive status. Leaders of the wives support group will participate in the Healthy Living program and be trained to teach the curriculum. Inclusion of housemaids will be assessed and implemented if appropriate.
- The eight BDF Chaplains will receive ongoing training by other military chaplains to further their capacity on working with those with HIV, or encouraging others to know their status.
- Community outreach projects will continue. These have been initiated by the BDF as a part of the Men's sector and have provided education and testing opportunities to communities that are hard to reach. One of the foci for the outreach is to discuss reduction of the number of partners and reduction of multiple partners. They also promote changing male norms and encouraging men to support women's equality. The BDF conducts one outreach event each month, and reaches an average 18,000 men in the course of a year.
- Funds will also be used to support the annual BDF HIV awareness and testing campaign (OPERATION SURVIVE AND THRIVE). Past campaigns with DOD support and funding have been largely successful. Future efforts will support refinement of this campaign and reaching a larger supporting and neighboring civilian communities adjacent to BDF installations.
- Funds will be used to send a delegate from BDF to the 2nd Military HIV/AIDS Prevention Conference to be held in Tanzania.
Target Population
Military personnel, their families, household staff and neighboring affected local communities.
Geographic coverage
Military bases and adjacent communities throughout the country.
10.C.CT04: Botswana Defense Force - Counseling and testing - 450,000.00
PEPFAR will continue to support the Botswana Defense Force (BDF) in training counselors and peer educators at its various camps to promote competency and adherence to national standards. Funds will be used to empower leadership across all levels to create an environment conducive for HIV testing.
With women officers entering the BDF ranks for the first time, programs and messages will be reconstructed to ensure gender sensitivities and inclusivity of all military personnel. This will be evidenced during the annual Survive and Thrive voluntary counseling and testing (VCT) campaign, which will place a larger emphasis on media as the channel for attracting people to test.
In FY10, PEPFAR funds will be used to support the construction of a voluntary testing and counseling center in Francistown. Data indicate that northern Botswana is disproportionately impacted by the epidemic, which led to the decision to select Francistown as the location for this new site. The center will focus on military personnel, their partners and families yet will be available to the greater civilian community.
10.X.SI09: DOD - BDF - M&E support - 100,000.00
PEPFAR has supported the BDF with training in monitoring and evaluation, as well as with the procurement of computers to use in data storage and reporting. In FY10, the BDF intends to approach relevant stakeholders in order to assist the BDF in formulating a monitoring and evaluation mechanism, which will help the BDF have database that will ensure continuity of all programs offered in the military. A lot of HIV/AIDS activities are conducted by the BDF, but when reporting these activities, some are occasionally missed.
Further, the BDF intends to train coordinators and focal persons on data methodology, which is a course offered by the University of Pretoria, South Africa.
The BDF, with PEPFAR support, managed to carry out an HIV prevalence study in FY09 and in FY10, funds will be used to organize a data training workshop to improve the capacity of the BDF in the field of research, as well as look at the data from the survey.
10.X.SS05: DOD - BDF - Policy Support - 30,000.00
In FY 2009, PEPFAR supported the BDF in reviewing their HIV/AIDS policy as well as trained some officers in policy formulation and development.
In FY 2010, DoD will support the BDF to train 50 health care workers, particularly laboratory staff, to ensure that the laboratories in Francistown and Selibe-Phikwe can be accredited. Health systems governance, monitoring of policy reforms of the various programs will be promoted and protocols reviewed to determine compliance. Training of 30 program coordinators and implementers on policy issues will be emphasized.
Infection control will be a priority list in the BDF heath facilities. The training will help each facility to develop protocols for the infection control section.
10.P.MC06: DOD - BDF MC Activity - 575,000.00
In FY10, PEPFAR will support the Botswana Defense Force (BDF) to scale up its safe male circumcision (MC) program by training BDF medical personnel to perform MC as well as upgrading BDF facilities to WHO standards. The BDF will develop one pre-fabricated health facility in the northern part of the country and another in the south to expand access to MC services. PEPFAR will support the BDF in capacity building and infrastructure renovations in selected camps. There is a plan to use mobile operating rooms at various camps to enhance service provision. The goal is for these facilities to circumcise 500 BDF employees, their dependents, and near-by civilians.
MC services will be integrated within the existing health services, in particular with sexual and reproductive health (SRH), in an effort to get more men involved in SRH issues.
Funds will also be used to assist the BDF in the development of promotional materials as well as campaigns that educate and create demand for safe male circumcision procedures. Campaigns will cover all major BDF camps across the country.
Finally, a monitoring and evaluation (M&E) system for MC will be developed to enable for proper oversight of the program.
10.P.AB11: DOD - BDF - AB - 20,000.00
The US Department of Defense continues to support the Botswana Defense Force (BDF) HIV/AIDS Prevention Program to ensure healthy and productive military personnel and their families. In FY10, funds will be used to support the BDF in developing and implementing military specific HIV/AIDS prevention programs. This includes training Chaplains who are responsible for running the BDF abstinence/be faithful program. The BDF will also: (a) engage outside organizations to assist with life skills training; (b) combat HIV/AIDS through spiritual activities; (c) training additional peer educators; (d) develop BDF-specific IEC materials; and (e) address multiple concurrent partnerships through interpersonal communication activities such as road shows.
10.P.OP11: DOD - BDF - C/O Prevention - 125,000.00
DoD continues to support the Botswana Defence Force (BDF) in their HIV/AIDS response to ensure healthy and productive military personnel. The overall goal is to reduce the incidence of and impact of HIV/AIDS among the military personnel and their families through strengthening the BDF HIV/AIDS response.
In FY10, funding will be provided to the BDF to engage in training and capacity building aimed at promoting positive behavior change among its members of the BDF and their families.
Multiple concurrent partnerships (MCP) has been identified as one of the drivers of HIV infections in Botswana and the BDF has taken a deliberate step to disseminate information about the dangers of MCP through different forums, such as theater, television commercials and radio spots.
Through PCI, DoD will assist the BDF to implement behavior change strategies that address key drivers of the epidemic, and are integrated with other HIV/AIDS services, including strengthening and expanding the peer education program, refining behavior change communication materials, strengthening existing drama groups, and developing intensive interventions to encourage relationship building with monogamous partners. Prevention intervention topics will be prioritized through various needs assessments within the BDF.
Funding will also be used to assist the BDF to refine their peer education (PE) training strategies and materials as needed, train master trainers (MT) and PEs,, and provide technical assistance to the trained MTs and PEs. We will assist the BDF to develop new cadres of PEs, that include spouses and teenage children of BDF personnel, significant others of unmarried personnel, and civilian personnel working on BDF bases. With DoD support, the BDF will adapt and develop behavior change materials, and learn how to use these effectively. Existing drama groups will be trained in theatre-for-development skills to help them improve script development and use of drama for behavior change.
DoD will assist the BDF to develop or adapt tools and strategies that help young, unmarried personnel develop the skills and attitudes needed to form and maintain long-term, mature, and satisfying relationships, and to support each other in this decision; and to help married couples strengthen their relationships. PCI will help train PEs, social workers, Chaplains, and lay counselors in the implementation of these strategies.
10.T.LS04: DOD - BDF Laboratory Support - 450,000.00
In FY08, PEPFAR funds were requested to provide support to the BDF laboratories in Francistown and Selibe Phikwe, as well as the Sir Seretse Khama Base (SSKB) and the Thebephatswa Airbase (TAB) laboratories.
FY09 funds were used to improve the monitoring of patients on ARV treatment at three of these facilities, namely SSKB, TAB and the Francistown laboratory. A facility was build for the Maun Garrison to diagnose and provide basic investigations of patients. Training was organized for the laboratory staff at all of the BDF laboratories.
FY10 funds are requested to continue supporting the BDF laboratories at the TAB and SSKB, and in Fancistown, Selibe Phikwe, and Maun.
They will conduct training on quality management, TB testing, bacteriology, quality assurance, and safe laboratory practices, and the laboratories will be enrolled in the National Quality Assurance Scheme, as well as the External Quality Assurance program. Funding will also be used to finance the participation of laboratory staff in laboratory management training organized by the CDC/NICD training center in Johannesburg.
Additionally, the FY10 funds will be used to procure equipment and laboratory supplies to support the four BDF laboratories in the country and operational research that will be conducted by the army.
10.C.TB06: DOD - BDF - TB training - 15,000.00
In FY08 and FY09, PEPFAR supported the Botswana Defense Force (BDF) in training officers who deal directly with TB/HIV. This enabled the military to provide sound TB care to the military community (disseminating correct TB information to members of the BDF, as well as offering correct and recommended treatment for TB at all times).
In FY10, funding will be used to send six BDF medical personnel for training on the identification and treatment of TB. Training will ensure that the BDF personnel are prepared to take full advantage of the laboratory equipment provided by PEPFAR and are able to provide identification and care for TB patients without increasing the burden on the civilian health care system. Training will ensure that there is a TB trained professional at each of the four major BDF treatment locations.
Monitoring and evaluation will include monthly statistical returns, visits to the sites, and clients' log books from program managers, which are all in place and will continue to be re-visited.
