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
This TBD was named in August 09 reprogramming.
Goals and Objectives
To support the Government of Botswana in preventing the medical transmission of HIV and bloodborne infections by strengthening the injection safety (IS), infection prevention and control (IPC), and healthcare waste-management (HCWM) structures and systems.
Specific Goals
- To build capacity of healthcare workers on safe and rational use of medical injections and effective HCWM (including sharps waste) through training, onsite technical assistance and harmonization of stakeholder activities
- To reduce demand for unnecessary injections through advocacy and behavior-change communication targeting healthcare workers, patients, and the community; and by ensuring that injections are necessary and safe and do not harm the patient, the provider, or the community
- To build capacity of the healthcare systems in IPC by supporting development of the national IPC policy and training of IPC focal persons for the public hospitals and lower-level facilities
- To strengthen monitoring and evaluation (M&E) in the above areas in order to provide data for tracking and benchmarking project performance, reporting, and informed decision-making
Major Activities
Implementing strategic IS, IPC and HCWM interventions to reduce the risk of occupational exposures to HIV and other bloodborne pathogens. This will contribute to improving the quality of health services as stipulated in the partnership framework goals and benchmarks.
The project will work with the Ministry of Health in the Clinical Services Department to train IPC focal persons in district hospitals and district health teams.
Target Population
Healthcare workers in targeted areas
IPC focal persons in district hospitals and district health teams
Geographic coverage
As of April 2010, 10 health districts and 224 public-health facilities
As of September 2010, 16 health districts ( Kgalagadi North (Hukuntsi), Ghanzi, South East, Kweneng West, Tutume and Boteti will be added) and 374 public-health facilities
Supporting Health Goals and Systems Strengthening
Increased knowledge and skills through training and other capacity-building efforts are fundamental to creating an environment where patient and healthcare worker safety is a professional and social norm.
Enhancing Sustainability
The project will enhance the sustainability of all IS/HCWM/IPC interventions by working with government departments and partners in the integration and harmonization of IS, IPC and HCWM activities into the existing health systems, and by assisting in planning for the resource allocations (financial and human) to support these activities.
The project will work with the Institutes of Health Science in supporting development of a comprehensive teaching manual in which IS/IPC/HCWM are an integral part of pre-service education for healthcare providers in Botswana.
The project's training of trainers-of-trainers is aimed at creating the capacity of Botswana's healthcare personnel. In turn, the trainers-of-trainers will conduct IS/IPC/HCWM trainings in their respective districts, thereby cutting cost and improving implementation efficiency.
The project will coordinate with local partner organizations, including PEPFAR partners in undertaking activities to maximize resources and avoid duplication of costs.
Monitoring and Evaluation
The project is committed to promoting evidence-based decision-making as a benchmark for its implementation of the project interventions.
The output indicators (see M&E plan) will be reported quarterly as a measure of progress through continuous supervisory monitoring of project interventions. Monitoring will be combined with technical assistance aimed at improving quality assurance and quality of services.
Outcome indicators will be measured through health-facility assessments, which will be conducted at baseline (prior to expansion to new districts) and at follow-up.
Baseline outcome indicators will be used as a basis upon which to measure project impact. This will be assessed by comparing with project outcome during the fourth year of the project.
The project will conduct a midterm review halfway through the 5-year life of the project to assess achievements, challenges and lessons learned so that recommendations can be used to improve effectiveness during the second half of the project.
one time central funding for 2010 going into this mechanism.
10.P.IS02: JSI - Technical assistance on Injection Safety
Goal and Objectives
(1) Build capacity of healthcare workers on safe and rational use of medical injections and effective healthcare waste management (HCWM);
(2) Promote reduction and demand for unnecessary injections targeting;
(3) Build capacity of the healthcare systems in infection prevention and control (IPC); and
(4) Strengthen monitoring and evaluation (M & E) of project activities.
Coverage and Scope of Activities
During FY10, the project will scale-up to six additional health districts (totaling 16) and will target 150 public facilities.
Capacity Building, Support and Training
Capacity building is aimed at increasing health care worker competency, knowledge and skills of healthcare workers in injection safety (IS), IPC, HCWM and health commodity management. The project will target training of doctors, nurses, allied health professionals, and non-professionals.
Logistics and Commodity Management
Logistics will focus on improving the availability of adequate health commodities and establishing systems for sustained health commodity security.
Behavior Change and Communication
Behavior change will aim at reducing unnecessary use of medical injections by ensuring that therapeutic injections are prescribed judiciously. Efforts to reduce demand for injections will target patients and the community.
Healthcare Waste Management
HCWM will promote effective management waste from the source of generation to the final disposal using sustainable and affordable approaches. The project will ensure safe environment for healthcare workers, patients and the community.
Health Worker Safety
The project will advocate for improved IPC interventions, increased access to PEP, and provision of Hepatitis B vaccination to health care workers.
Ownership and Sustainability for Injection Safety
The project will focus on building necessary capacities of institutions and personnel in IS, IPC and HCWM to ensure continuation of activities beyond 2013.
Monitoring & Evaluation
Health facility assessment will be used to benchmark for outputs and outcomes during project implementation. Monitoring will be on-going to monitor progress and identify implementation gaps.
