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 2009
n/a
New/Continuing Activity: Continuing Activity
Continuing Activity: 18679
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18679 18679.08 Peace Corps US Peace Corps 8206 8206.08 VAST grants $56,800
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Estimated amount of funding that is planned for Economic Strengthening $3,102
Education
Estimated amount of funding that is planned for Education $6,204
Water
Program Budget Code: 03 - HVOP Sexual Prevention: Other sexual prevention
Total Planned Funding for Program Budget Code: $530,000
Total Planned Funding for Program Budget Code: $0
Table 3.3.03:
N/A
New/Continuing Activity: New Activity
Continuing Activity:
Continuing Activity: 19100
19100 19100.08 Peace Corps US Peace Corps 8206 8206.08 VAST grants $25,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $4,653
and Service Delivery
Estimated amount of funding that is planned for Economic Strengthening $6,204
Table 3.3.08:
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $3,102
Table 3.3.13:
Program Budget Code: 19 - HVMS Management and Staffing
Total Planned Funding for Program Budget Code: $1,595,425
Program Area Narrative:
In September 2008, with the arrival of the new PEPFAR Coordinator and permanent USAID Director, PEPFAR/Lesotho's
transition to a fully country-managed from program was nearly complete. Once the DOD Program Manager starts (anticipated in
December 2008), all agencies receiving FY 2009 funding will be on the ground.
PEPFAR/Lesotho's transition from a regionally-managed to a country-managed program has resulted in a strong interagency
team led by Ambassador Nolan. Staffing for Results, though difficult, has resulted in a fully staffed PEPFAR team, with USAID,
State, and CDC co-location at offices on the Embassy compound Co-location has facilitated interagency coordination and
cooperation, creating efficiencies and strengthening joint decision-making. While the new Peace Corps and DOD PEPFAR staff,
who will begin work in FY 2009, will not be co-located, PEPFAR/Lesotho is making every effort to facilitate cooperation with these
staff members, including weekly meetings and computer access.
The oversight and management body for the PEPFAR program remains the PEPFAR/Lesotho HIV/AIDS Task Force. While the
Ambassador is the head of the Task Force, meetings are generally convened and chaired by the Coordinator. Each Agency with
active programs in Lesotho is represented on the Task Force. Management of partners, PEPFAR program planning, and
management and provision of technical assistance is organized around four main technical areas: a) Prevention, b) Care and
Treatment, c) SI and d) Systems Strengthening. USAID leads the Prevention and Systems Strengthening technical areas, while
CDC leads the SI and Care and Treatment technical areas. While cross agency management had been difficult to achieve in the
past, it is anticipated that permanent USAID staff will provide administrative management, while CDC staff provide technical
guidance and support to current cross-managed partners URC and JSI. A document to formalize cross-agency management roles
and responsibilities has been developed and is nearly final.
PEPFAR/Lesotho, working in concert with RHAP support, conducted joint partner performance reviews in May-June 2008, and
anticipates strengthening this process in 2009. Partner performance reviews were integral to the COP planning process, and all
budgeting was done jointly by CDC, USAID, and State, with DOD and Peace Corps contributions. The COP and APR
development processes have been co-managed by the PEPFAR Coordinator and SI Liaison, with contributions by all PEPFAR
staff members.
While the PEPFAR/Lesotho team is very proud of the interagency team it has created and appreciates the support it receives from
the regional programs, additional support is needed, particularly for contracting and management at CDC. While
PEPFAR/Lesotho has received early compact funds to hire a CDC Deputy Director, it may take up to a year to recruit a suitable
candidate. During that time, CDC/Atlanta and Pretoria will need to provide significantly more support, particularly around contract
management for current partners and grant-making for the solicitations CDC will be issuing. DOD will also need to provide support
to the new Program Manager, and we anticipate DOD HQ staff will come out to Lesotho early in 2009. To increase contracting
assistance for USAID, PEPFAR/Lesotho has received early compact funds to hire a Program Assistant to sit at USAID/Southern
Africa and facilitate new procurements. USAID will continue to receive contracting, legal and financial support from
USAID/Southern Africa.
PEPFAR/Lesotho has a number of proposed and currently unfilled positions in the FY 2009 COP. In addition to the Deputy
Director mentioned above, CDC will be working to fill the Laboratory Advisor position included in the FY 2008 COP. Funding for
this position is captured under HLAB. CDC also has an incumbent CDC Chief of Party and SI Liaison, who will remain in FY 2009.
The SI Liaison is funded under HVSI.
In September 2008, USAID filled its permanent Country Director and Prevention Specialist positions. With early compact funding,
USAID will also hire a local hire Human Resource Specialist and a TCN Community Care and OVC specialist. These four
positions will be responsible for the planning, implementation, monitoring and evaluation of the USAID-supported portion of the
USG COP09 program. As noted above, USAID/Lesotho will also work with USAID/Southern Africa to recruit a Program Assistant
to help with contracting. The Prevention Specialist position is funded under HVAB and MTCT; the Human Resource Specialist will
be funded under OHSS, and the Community Care and OVC Specialist will be funded under HKID and HBHC.
The PEPFAR Coordinator's salary and benefits are paid by USAID, but all other costs associated with the position are the
responsibility of State/AF through Embassy Maseru. Other State-funded PEPFAR positions include the Administrative Assistant,
newly filled Program Assistant, and PEPFAR Driver positions. Given the increasing size of PEPFAR staff, PEPFAR anticipates
adding another Driver position under State.
The new DOD Program Manager, who will have primary responsibility for management and implementation of the HIV/AIDS
programs conducted with the Lesotho Defense Force (LDF), is anticipated to start in early December 2008. As noted above, the
Program Manager's office will be sited at the LDF Makoanyane Military Hospital, however s/he will work closely with
PEPFAR/Lesotho Task Force. The DOD Program Manager will receive support and guidance from the Office of Defense
Cooperation (ODC) in Pretoria and from the DOD HIV/AIDS Prevention Program in San Diego.
The Peace Corps is currently recruiting a full time PEPFAR Liaison to help manage the Peace Corps PEPFAR Portfolio. While
this staff person will be sited at the Peace Corps office, s/he will work closely with the PEPFAR/Lesotho Task Force.
In July 2008, PEPFAR/Lesotho moved into its current offices at the Embassy, co-located with the MCC program. At this date,
PEPFAR/Lesotho has completely maxed out all of its dedicated office space, and has spilled over into other Embassy space for
long and short-term TDY staff. In order to add the additional staff proposed, and to bring the DOD Program Manager into the co-
located offices, PEPFAR will need to fund additional renovation. PEPFAR/Lesotho is in discussions with the Embassy around
possibilities, but looks for additional guidance and support from HQ. While the PEPFAR team definitely benefits from co-location,
it should be noted that because of enhanced Embassy security, current offices are not ideal for managing the program, and
partners are reluctant to visit our offices. Office space off Embassy grounds is being discussed, either a stand-alone office or
space within the MOHSW is being considered in order to better facilitate program implementation.
The M & S budget was prepared with full participation of State, USAID, CDC, DOD, and Peace Corps.
Budget Justification
While PEPFAR/Lesotho does not yet meet the 7% management and staffing budgetary requirement, funding has decreased from
17% FY 2008 to 11.9% in FY 2009. Much of that decrease is a result of putting staffing and ICASS charges into program areas
other than HVMS. The high HVMS costs in the budget are simply a reflection of the "cost of doing business" in Lesotho, a post
with one of the highest ICASS costs per head in the world.
Table 3.3.19:
