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
The US State Department is an active participant of the PEPFAR Team in addressing the HIV/AIDS epidemic in Botswana. Through small grants to small-scale community projects, Self Help funds are used to encourage self-reliance within local communities and to demonstrate the U.S. Embassy's interest in the welfare and social development of Botswana.
The Zebras for Life Test for Life is an activity that focuses on certain populations that are less commonly tested for HIV and creates an environment where HIV/AIDS can be discussed freely.
Context
Zebras for Life Test for Life (Z4L) is an ongoing initiative that uses soccer players to motivate men and youth to undergo HIV testing.
The campaign seeks to reduce HIV transmission, eliminate AIDS-related stigma, and foster a supportive environment for behavior change. It has proved very popular and has created a momentum on issues of counseling and testing.
Goals and Objectives
Working with the Ministry of Youth, Sports and Culture (MSYC), Ministry of Health (MOH), National AIDS Council (NAC), Botswana Defense Force (BDF) the campaign aims to build capacity of community sports clubs to provide ongoing support through prevention education and linkages to care and treatment.
Major Activities
Z4L will continue to build capacity to enhance referral of men for HIV testing.
Z4L will expand its focus to include educating pregnant women about HIV
In line with the Government of Botswana National Plan for MC, Z4L will provide referrals for pre- and post-male circumcision (MC).
The community sporting clubs will be used as a vehicle to encourage men and youth to access counseling and testing facilities. It will also work within its existing networks to identify pregnant women expecting boys to refer them to the pre and post male circumcision. In total 120,000 men with 8,000 under 15 years will be reached with prevention messages, total number of 100 health workers Volunteers will successfully complete an in-service training, 15000 individuals will receive testing and counseling services for HIV and receive their test results; 700 individuals will participate in community wide events and 750 HIV positive clients will be referred and reach referral site.
Target population
Men and youth.
Geographic coverage
Countrywide, covering a wide range of sites to include very remote villages and hard-to-reach populations
Leveraging HIV Resources
The collaboration with Men Sector and the armed forces (in particular BDF) will continue, with a focus on encouraging young men to know their HIV status and adapt safer behaviors for HIV prevention. This will be done in partnership with Youth Against AIDS (YAA) and administered through Tebelopele.
The Zebras Post-Test Clubs' capacity will be built to educate couples on HIV prevention, and will focus on the reduction of multiple concurrent partnerships (MCP). Youth couple-education through men-to-men approach will be key in driving the reduction of MCP.
Cost efficiencies will result from alliances with YAA as well as better leveraging relationships with community based organizations and the Peace Corp Volunteers placed throughout the country.
Support from government, as well as the use of volunteers as Zebras Post-Test Club peer educators, will assist in cost efficiencies and longer term sustainability.
Cross-Cutting areas
Z4L supports the cross-cutting areas of gender, prevention and human resources for health.
Z4L is expert in expanding male and youth involvement in health programs such as male circumcision and referrals to existing networks in care and treatment.
Z4L's training program will train approximately 100 volunteers across the country. Its goal is to train a critical health care workers cadre as part of the PEPFAR strategy.
Z4L PEPFAR funds will address many of this year's priority issues including increasing the number of men and youth accessing counseling and testing services as well as the number of men circumcised.
Enhancing Sustainability
The partnership with MSYC, Men Sector and MOH service network enhances both the program's sustainability and Botswana's capacity to provide high-quality health care. Z4L strategies for creating sustainable program, rooted in Botswana ownership are:
- Strengthening the partnership with the National AIDs Council and MSYC to strengthen the Zebras Post-Test Clubs and build capacity to educate couples on HIV prevention and multiple concurrent partnerships, and youth-couple education through men-to-men and MC.
- Collaborating with existing structures to ensure that the men and youth agenda in the fight against HI/AIDS is realized. This will take place through quarterly meetings where topics of mutual interest are discussed and strategies harmonized.
- Training volunteer health workers to add to Botswana's cadre of trained local healthcare staff
Monitoring and Evaluation
Z4L will ensure proper monitoring and evaluation of PEPFAR existing and next-generation indicators for prevention, testing and counseling.
Z4L routinely collects data on people reached and accessed with prevention information.
This activity aims to increase the number of males tested especially young men throughout the country. The Zebras for Life campaign aims to promote messages that inspire hope, life and behavior change. It is conducted throughout the country to reach even the most rural places using the national football team. The players will continue to make appearances at different sporting, district activities and schools throughout the country. The Zebras for Life--Test for Life campaign will continue to work closely with different stakeholders to encourage men aged 15- 35 years to test for HIV.
The project is youth driven and involves stakeholders such as the private sector, Botswana Football Association and DMSACs. Edutainment and sporting events is used to mobilize people in the communities to participate in the campaign. Further consultation meetings to discuss strategies and develop campaign schedules are conducted with the service providers such as Tebelopele, BOCAIP, BDF, Men Sector, Zebras supporter clubs, Botswana National Youth Council (BNYC), Youth Health Organization (YOHO) and Musicians Against AIDS so that they all can align their plans with the Zebras for Life, Test for Life initiative.
In addition to the goal of increasing numbers of males tested, and behavior change, the campaign links with other programs such as PMTCT, palliative care, prevention and OVC to leverage resources and ensure that the people are mobilized to test and access services provided. It therefore promotes increased access to and use of services, including HIV counseling and testing, male participation in PMTCT, IPT and ART.
10.X.SS27: State/AF - Self Help Fund - 125,000.00
The Small Grants Program provides grants to assist small-scale community development projects. The objective of the program is to encourage self-reliance within local communities and to demonstrate the U.S. Embassy's interest in the welfare and social development of Botswana.
Funding priority is given to projects that include a significant community contribution and/or involvement, plan to generate income or employment opportunities, or address community social concerns. The purpose of this assistance is to lead to ongoing, self-sustaining activities. With funds from the President's Emergency Plan for AIDS Relief (PEPFAR), the Self-Help Fund Coordinator will be able to increase the
number of communities and people supported by their office through the Small Grants Program. The US Embassy Grants Officer will be authorized to sign these Small Grant agreements and thereby, obligate these PEPFAR funds. These $5,000 to $25,000 grants will assist HIV/AIDS home-based care centers as well as orphanages, pre-schools, and day-care centers which support HIV/AIDS orphans and children with HIV/AIDS.
Potential projects include construction of classrooms and kitchen facilities for schools and orphanages, purchase and installation of water tanks, drip-line irrigation systems, and shade netting to assist home-based care organizations in the growing of fresh fruits and vegetables with which to feed HIV/AIDS patients.
It is estimated that with these funds we will reach an additional five to ten communities serving 5000 to 20,000 people.
