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
The United States Department of Defense HIV/AIDS Prevention Program, utilizing PEPFAR funding continues to support the Botswana Defence Force' s (BDF) efforts to prevent new HIV infections and mitigate the impact of HIV and AIDS among the BDF, their dependents, and civillian personnel. In 2009 DHAPP supported the BDF in conducting their first Seroprevalence and Behavioral Epidemiology Risk Survey(SABERS). Dissemination meetings were held and a final report was presented in early 2010.The current planning, interventions and programming are aligned with the recommendations resulting from the analysis of the survey findings. In addition to the SABERS, the BDF also undertook an in-depth study of their peer education program. In COP 12, DOD will continue to support execution of of the Botswana Defence Force's new Five-year Plan to combat HIV/AIDS within the military and will build upon the existing bilateral relationship. Programs to be supported include scaling up Safe Male Circumcision (SMC),support for training in TB Case Management and infection control, strenghthening of the laboratory capacity including laboratory accreditation. The BDF will pilot an Information System to enhance monitoring and reporting and support outpatient clinical care.
DOD/PEPFAR support for TB activities in the Botswana Defence Force has in the past been limited to support for training activities. The BDF did an assessment of their TB needs and identified several gaps causing limitations to their ability to provide effective care and treatment for those infected with TB. These include: 1) infrastructure, 2) equipment, 3) transportation, 4) human resources, and 5) training. While the needs may be great, due to limited funding, the scope of the support is reduced. To address infrastructure needs, small changes in clinic space will be made to improve infection control. DOD support will provide computers for improved monitoring of TB cases. Case management has not been as good as it might be due to a lack of transportation for monitoring of active TB cases. Funds will be used to improve staff access to TB patients including home visits. BDF will address personnel needs for TB cases. DoD will continue to support training for TB case management addressing case management, documentation, infection control, contact tracing, monitoring and evaluation, management support, and community level TB programs.
COP FY2012 funding will support the BDF TB program to procure seven (7) motorcycles that will be used by service providers when conducting home visits to ensure that clients are adhering to medication. The funding will also be used to further train health care providers, especially middle and high level managers, in areas such as TB/HIV case management, documentation, infection control, contact tracing, monitoring and evaluation. The training will be conducted in collaboration with the national TB and HIV programs and will be embedded into the national training plan for TB/HIV. Each motorcycle will cost 30,000 BWP, which is approximately $4615 per motorcycle.
In the past years PEPFAR supported the 4 BDF laboratories to train in Strenthening of Laboratory Management Towards Accreditation and to start implementing their Quality Management Systems (QMS). In FY13 PEPFAR will support the following activities; 1. accreditation process of two of the 4 BDF laboratories by engaging a local consultant who will help the laboratories to develop and implement their QMS. 2. Upgrading of two laboratory officers from diploma to degree level at the University of Botswana. 3. To strengthen equipment maintenance and calibration capacity to the BDF laboratories. 4. To strengthen in-service, and continuing medical education (CME) for TB, bacteriology, HIV rapid test, method validation and ISO standard 5. To provide technical assistance to develop and strengthen the Sir Seretse Khama Barrack (SSKB) laboratory to carry the essential testing of disease surveillance for HIV, TB, and STI.
DOD/PEPFAR support for SI activities in the BDF has provided tangible results for the BDF including their first HIV Seroprevalence and Behavioral Epidemiology Risk Survey (SABERS), an evaluation of the effect of camouflage graphics packaging on condom use, and a review of their prevention program monitoring. The BDF is requesting support to conduct a follow-up survey to the 2009 SABERS that will also be the baseline for a BDF cohort study. The cohort study will also support the the 2012 BAIS IV survey through the serial collection of blood samples for incidence calibration and provide data to evaluate the impact of the BDF prevention program including MC. HMIS will be supported through the electronic MC monitoring tools. DOD will partner with the BDF to build off of the MC electronic tools platform and adapt and existing electronic medical record system to provide electronic medical records for the outpatient clinics.
Botswana Defence Force has embraced the national initiative to roll out the safe male circumcision campaign in all BDF camps. This force wide campaign is aimed at providing the services to uniformed members of the BDF, civilian employees, spouses, and dependents. The services will also be extended to member organizations of the National Men Sector Committee such as the Police Service and Department of Prisons and Rehabilitation Services. Targeting members of the BDF is therefore, ideal for reaching large numbers of HIV negative sexually active men as part of the broader intergration into existing military HIV prevention program. Safe Male Circumcision education will also be offered to recruits in their training settings so they might be circumcised upon completion of their training.The goal is to provide Male Circumcision services to members of the BDF and member organisations of the National Men Sector aged 15-49 eligible men. This goal will be met through careful planning with the BDF Male Circumcision Coordinator, Commanding Officers, and Coordinator of the National Men Sector Committee. An outreach calender will be scheduled to address operational units through drama groups, SMC peer educators, and nurses providing Male Circumcision specific education and HIV counselors/testers. Clients in need of the circumcision will be actively scheduled to acccomplish this important goal. HIV Counselor/Testers will be trained to provide Safe Male Circumcision counseling and they will also conduct outreach for mobilisation campaigns. Funds will be used to provide technical assistance from US DOD personnel and procure commodities and equipment as needed.
