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
New/Continuing Activity: Continuing Activity
Continuing Activity: 18577
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18577 18577.08 U.S. Agency for IntraHealth 7962 5897.08 Human Capacity $70,000
International International, Inc Develoipment
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $70,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Continuing Activity: 18125
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
18125 11744.08 U.S. Agency for IntraHealth 7962 5897.08 Human Capacity $604,200
11744 11744.07 U.S. Agency for IntraHealth 5897 5897.07 HCD Coalition $421,235
International International, Inc
Estimated amount of funding that is planned for Human Capacity Development $604,200
Program Budget Code: 19 - HVMS Management and Staffing
Total Planned Funding for Program Budget Code: $1,751,000
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
The general oversight and management body for the entire PEPFAR Swaziland program is the PEPFAR Advisory Council (PAC) ,
consisting of a representative from each agency participating in the program. The Ambassador is the head of the PAC, but
meetings are generally convened and chaired by the PEPFAR Coordinator. The PAC provides leadership and guidance for
strategy and compact development, public diplomacy/public relations, and sharing of information regarding operational challenges
and opportunities. PAC meetings focus on high-level issues and decisions related to the PEPFAR program, to relations with
Washington, and to relations with the Swazi Government. The Ambassador has final authority on major planning and reporting
decisions, and on relations with the Government and major national organizations. The PEPFAR Steering Committee meets
more frequently and is responsible for ongoing PEPFAR program planning, oversight, and management. Lastly, the PEPFAR
Office or core team is responsible for day-to-day program implementation and communication.
PEPFAR Swaziland includes the Department of Defense (DOD), Department of Labor (DOL), Department of State (DOS),
Department of Health and Human Services (HHS) - Centers for Disease Control and Prevention (CDC) and Health Resources
and Services Administration (HRSA), Peace Corps (PC) and the U.S. Agency for International Development (USAID). The DOS,
HHS/CDC, USAID and PC are represented by staff resident in Swaziland, while DOD and DOL currently manage their program
from Pretoria and Washington, DC respectively. The installation of a DOD program representative is expected by end 2008.
Following the October 2006 recommendations of the PEPFAR Under-Principal's management and staffing team, the PEPFAR
program began the process of transitioning to an 8-person in-country PEPFAR Team to be based in the Embassy. In anticipation
of further program expansion under a National Scale-up Partnership Compact, beginning in FY09, a larger 13-person
management team will be needed. This includes:
•PEPFAR Coordinator (PSC, USAID-supported);
•USAID Program Manager (PSC), and three additional program specialists (1 PSC; 2 FSNs),
•CDC Country Director (USDH), and three additional program specialists (1 USDH, 2 FSNs),
•DOD HIV/AIDS Program Manager (FSN),
•PEPFAR Program Assistant (FSN),
•PEPFAR Administrative Assistant (FSN), and
•Management Officer (CDC-supported, USDH) to handle local cross-agency procurement issues.
Peace Corps, while not officed at the Embassy compound, participates fully in PEPFAR team meetings and plays an important
role in implementation and coordination of the program. DOL will continue to liaise with the PAC and Steering Committee
through its US-based staff.
The PEPFAR team believes these changes will ultimately translate to a more responsive, better managed and more cohesive
program to respond to high-priority needs that are within the USG's strategic advantage.
The administrative staffing actions to realize this unique ‘1 USG' model for PEPFAR management are still in process. With the
arrival of the PEPFAR Coordinator and USAID Program Manager in September 2008 and imminent installation of DOD and CDC
FSN positions, 5 of the 13 proposed positions will remain vacant as of first quarter 2009 and are being requested in this FY09
•2 USAID FSNs (administered by DOS),
•1 USAID PSC (administered by USAID Pretoria),
•1 CDC FSN (administered by DOS), and
•1 CDC USDH (administered by CDC Atlanta).
The core team is currently situated in the library of the Ryan House (Public Affairs Office) at the Kent Rock Embassy compound.
Growth in team composition necessitates urgent identification of new office accommodations for PEPFAR. Renovation of a
building ("corner house") at the same Kent Rock compound has been in planning process since 2007. Funds to accomplish this
renovation were included in FY07 and FY08 COP requests. Further funds to satisfy increased costs associated with OBO-
specified physical security and building safety requirements are included in this COP request.
PEPFAR Swaziland program planning and management will be organized around five technical management areas: Prevention,
OVC , Human Capacity Development, Care and Treatment, and Strategic Information. The first three of these are led by a USAID
person and the last two by a CDC person. Technical area leads are members of the Steering Committee.
The PEPFAR Coordinator and other administrative/management support staff form the operational backbone of PEPFAR
Swaziland Office. Co-location of USG agencies, co-location of implementing partners (where feasible), standardization of all work
plans and reporting tools across agencies, and regular technical meetings with implementing partners and stakeholders will all
help to unify and strengthen this unique model of PEPFAR program implementation.
Local support and procurement services for the PEPFAR offices and USDH/PSC housing will be administered by Embassy staff
through full ICASS subscription. Funding for services not covered by ICASS will be split three ways: (1) DOS will fund office-
related costs for all PEPFAR staff, and all costs for DOS-funded and administered FSN/LES staff (program assistant,
administrative assistant, prevention specialist, and HCD specialist); (2) CDC will fund salaries/benefits, all travel, and all non-office
-related costs for its USDH, PSC, and FSN employees; and (3) USAID will fund salaries/benefits, all travel, and all non-office-
related costs for its PSC employees and the PEPFAR Coordinator who is detailed to the Embassy.
The CDC Regional Office/SARAP has ceased operation as of end FY07, although CDC Atlanta and CDC Pretoria will continue to
provide limited administrative support to CDC Mbabane until the PEPFAR management officer assumes post late in FY09.
USAID/RHAP (Pretoria) will provide limited management support to the Swazi programs in FY09, and this support will be
evaluated over time as the team grows and duties are transferred over to USAID/Swaziland staff.
All sections of the Embassy are dedicated to fighting against HIV/AIDS. The Embassy's Public Diplomacy section takes the lead
on engaging the Swazi public on all issues related to HIV/AIDS. The Embassy's health officer divides her time equally between
her role as the Embassy nurse and as a PEPFAR care and treatment program specialist. The Embassy's self-help coordinator
manages small grants programs, some which strengthen community-level responses to HIV/AIDS. The Political/Economic
section works to ensure the success of economic development programs, including heightening HIV/AIDS awareness and
protection. The General Services Office provides significant logistical support to the USG PEPFAR Team. And, as mentioned
above, the PEPFAR Coordinator position is detailed to DOS with supervision and management continuing under the Ambassador.
DOD has primary responsibility for a wide range of HIV/AIDS activities conducted with the Swaziland Defense Force (SDF) and
other uniformed services. Swaziland has received assistance from the USDOL/ILO International HIV/AIDS Workplace Education
Program. The program contributes to the prevention of new HIV infections by promoting "Abstinence, Be faithful; Correct and
Consistent Condom Use" (ABC) workforce policies.
The Peace Corps Swaziland program began in 2003 and currently has 35 Peace Corps Volunteers (PCVs). At the request of the
Swaziland government, the Peace Corps program is devoted entirely to HIV/AIDS prevention, mitigation and care and support.
This year, PEPFAR Swaziland is requesting 7 PEPFAR PCVs, who will be funded (2 years) by the PEPFAR Swaziland program
budget under the OVC program area. Other PCV support and activity costs fall under prevention. All PCVs are involved in
community-based HIV prevention and OVC-related interventions.
During FY08, HHS/CDC has transitioned from its previous regional base in Pretoria to an entirely Swazi-based and managed
program. Areas of CDC program and technical support have included: innovative client- and provider-initiated approaches to HIV
counseling and testing, TB/HIV program strengthening, laboratory systems strengthening, and strategic information support (M&E,
HMIS, and surveillance). In this COP, CDC proposes to increase its involvement in broader assistance efforts in Care and
Treatment and a limited role to increase the supply of safe blood. CDC in-country staff will be responsible for management of
program partners and technical assistance in two of the five main technical management areas: Strategic Information and Care
and Treatment. In addition, the CDC Country Director and CDC program manager provide overall support to the M&E and
Tuberculosis components of sizable Global Fund planning and oversight activities. The CDC Management Officer, while
assuming some CDC-specific tasks around program procurement and human resource management, will serve the entire
PEPFAR core team in PEPFAR budget tracking and local procurement in collaboration with Financial and Budget Office and GSO
of the Embassy. A FSN laboratory program specialist and a FSN epidemiologist, as part of the Care and Treatment and SI
teams of PEPFAR Swaziland, will work closely with the MOHSW and NGO partners on local capacity-building activities.
USAID/RHAP (Pretoria) continues to provide valuable support to PEPFAR Swaziland in the area of program procurement and
technical assistance. In addition, key services will be furnished from USAID/Southern Africa's Contracting Office, Executive Office
and Financial Management Office. Areas of USAID program and technical support within PEPFAR Swaziland include: scale-up of
prevention/behavior change programs; male circumcision activities; high quality PMTCT service delivery; workforce development
including human resources for health and capacity building in public, NGO, and private sectors; pharmaceutical supply-chain
management; and community-based HIV/AIDS care and support. In this COP is proposed increased emphasis on OVC program.
The USAID Program Manager will be responsible for management of program partners and technical assistance related to HIV
Prevention. Three USAID-supervised program specialists will manage activities in the areas of OVC, HCD, and HIV prevention.