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
Continuing from FY09
The United States Department of Defense (USDOD) Cooperative Agreement with Population Services International/Social Marketing Association (PSI/SMA) is a continuing mechanism from COP09 which provides a comprehensive HIV prevention services for the Ministry of Defense/Namibian Defense Force (MOD/NDF) to implements its workplace program, the Military Action and Prevention Program (MAPP). The program aims to reach over 13, 000 military personnel and civilians working at the 23 military bases and camps across Namibia with messages focusing on sexual prevention.
This mechanism has two comprehensive goals and objectives; 1) to decrease new HIV infections in the military through behavior change communication (BCC) using military and culture specific approaches with a focus on, abstinence and faithfulness, correct and consistent use of condoms; 2) key prevention strategies of this mechanisms include development and institutional capacity building of the military through the technical assistance and training of commanders, HIV/AIDS coordinators and peer educators, chaplains and gender focal persons at all the bases and camps through in-service training, mentoring and supervision to strengthen ownership, leadership, management and planning capacities and eventually to sustain the HIV/AIDS response in the Namibian military.
This mechanism is contributing to Namibian's five year National Strategic Framework (NSF) and the Partnership Framework Agreement (PFA) and addresses key policy and strategic issues related to sustainability and ownership of programs by Namibians, HIV/AIDS prevention, stigma and discrimination reduction, prevention of alcohol abuse, addressing gender based violence and negative male norms fueling the epidemic and increasing coordination between MOD/NDF, Ministry of Health and Social
services (MOHSS) and other stakeholders working in this field.
Factors such as separation from families, mobility and age particularly make the military vulnerable to HIV infections. Specifically, SMA continue to assist the MOD/NDF a) to reach all military personnel with prevention education and information that is primarily focused on abstinence and /or being faithful, addressing multiple concurrent partnering and gender based violence, b) to reach military personnel with interventions that are primarily focused on increasing condom use, creating demand for uptake of voluntary counseling and testing (VCT) and provider initiated testing and counseling (PITC), creating demand for male circumcision, providing information on sexually transmitted infections (STI) diagnosis and treatment, promoting the practice of positive gender and cultural norms, and to increase knowledge about HIV prevention amongst people living with HIV/AIDS (PLWHA).
In order to strengthen the capacity of the MOD/NDF to take overall ownership and manage its HIV/AIDS prevention program, SMA will continue to implement the following activities: 1. Advocacy to and training of the Base Commanders and Chaplains. 2. Training and provision of technical support to the Steering Committees at the military bases to enable them to provide oversight for the HIV program at the bases while also creating the needed enabling environment. 3. Training and technical support to the HIV/AIDS Unit Coordinators (HUC) who are the focal points for HIV/AIDS prevention activities at the bases and camps. 4. Refresher training of Peer Educators in coordination with the HUC in areas such as management information systems to be able to monitor and evaluate the effectiveness of their programs at the bases, how to refer HIV positive and others to counseling and testing services. 5. Producing and distributing condoms to all military bases and camps, including the clinics and sick bays, counseling and testing centers, barracks and canteens, and promoting consistent and correct condom use at all trainings with peer educators.
Main cross cutting issues include gender, alcohol, stigma and discrimination and human resources for health (in-services training).
Key contributions to cost efficiencies over time include the training of critical MOD/NDF personnel, such as Commanding Officers, HIV/AIDS Unit Coordinators, Chaplains, Steering Committees, Gender Focal points and peer educators to be able to implement and manage the program on their own with limited technical assistance from SMA. In addition, SMA would continue to implement its transitional plan in close collaboration with MOD/NDF.
The monitoring and evaluation plan includes PEPFAR indicators and is fully integrated into the overall
USDOD M&E plan for assistance to the MOD/NDF. In COP10, as the country moves to a national M&E plan with aligned indicators also with the Partnership Framework Agreement, SMA will modify the M&E plan accordingly.
This mechanism is implemented in close collaboration with MAPP and the International Training Centre on HIV (I-TECH), in order to ensure synergies in implementing a comprehensive HIV/AIDS prevention, care and treatment program for the Namibian military. SMA and I-TECH will work together to provide technical assistance to the military to ensure linkages between the prevention services and the care and treatment services in the military.
THIS IS A CONTINUING BUDGET CODE NARRATIVE AND HAS BEEN MODIFIED AS FOLLOWS:
This is an ongoing activity from COP09. The narrative has been substantially modified to reflect the new
PEPFAR guidance and linkages to the Partnership Framework Agreement (PFA) and the Namibian National Strategic Framework (NSF). This program will continue to deliver prevention activities for the high risk military community in support of the Namibian Ministry of Defense/Namibian Defense Force (MOD/NDF) Military Action and Prevention Program (MAPP).
The overall objective of this budget code is to 1) decrease HIV infection in the military through behavior change communication. While some soldiers may be practicing abstinence and fidelity, separation from families, mobility and age make them vulnerable to HIV infection, messages will continue to strongly focus on abstinence before marriage/seasonal abstinence and faithfulness while away from one's partner. 2) The budget code will continue to reinforce prevention messages focusing on addressing abstinence and faithfulness or delaying sex amongst over 13,000 MOD/NDF members, in particular the youth. In order to ensure ownership, top leadership of the MOD/NDF will be consulted and involved in the planning, implementation monitoring and evaluation of the program.
Key prevention activities include: 1) Strengthen the capacity and advocating for leadership commitment of senior NDF personnel to support HIV/AIDS prevention activities through AB. Senior NDF personnel will be trained on addressing HIV/AIDS as a command function, and managing HIV/AIDS in the workplace. 2) Build capacity of HIV Unit Coordinators (HUC) and peer educators within the NDF community to take on more responsibility for direct implementation of prevention activities and to promote messages on seasonal abstinence and faithfulness. 3) Develop and disseminate military specific HIV/AIDS prevention and awareness raising education and information materials to all military bases and camps. In particular, material will focus on the negative impacts of multiple and concurrent sexual partnerships (MCP), counseling and testing, the dangers of alcohol abuse and gender based violence and HIV/AIDS. 4) Train and sensitize chaplains on how best to address issues of abstinence and faithfulness, suicide prevention, counseling and testing, partner reduction, alcohol and drug abuse, gender based violence, couple counseling and marriage counseling, stigma and discrimination and psycho-social support in the military. Chaplains will be encouraged to continue to sessions to promote the sexual rights of women, church sermons to promote the AB messages. 5) Support HUC to provide training to new military recruits, the majority who are youthful on HIV/AIDS prevention messages, in particular, focusing on delaying sex and being faithful. 6) Provide technical assistance to the Gender Desk in the MOD/NDF to implement the Namibia Strategic Plan on gender activities with the aim of scaling up interventions to change negative male norms and behaviors fuelling HIV/AIDS. 7) Train peer educators and HUC to use the popular military films Remember Eliphas 1 and 2 produced during COP05 and COP06 and Remember Eliphas 3 developed under COP09, to motivate soldiers to
change their behaviors, access counseling and testing, partner reduction and access care and treatment services in the military settings. 8) Conduct informal and focus group discussions on a quarterly basis with military personnel, in particular, unit commanders, HUCs and peer educators to assess the impact on behavior change, pre- test information, education and communication (IEC) materials and test new HIV prevention concepts. 9) Provide technical assistance to the MOD/NDF to hold quarterly meetings with the MAPP partners in order to ensure effective planning, coordination and implementation of the program. 10) Train HUC and peer educators to continue using the monitoring and evaluation tools (checklist) developed in FY08 to assess and monitor the impact of activities in the military. 11) Develop a tracking system to monitor referrals from prevention to other services.
SMA will continue to provide technical and supportive supervision services to the relevant MOD/NDF personnel in order to insure the provision of quality prevention messages as well as to adequately prepare military personnel to ultimately manage the program by themselves over time.
Key program indicators for COP10 will include: a) Number of MARP reached with individual and/or small group level interventions that are based on evidence and/or meet the minimum standards. b) Number of individuals from target audience who participated in community-wide event c) Number of enterprises implementing an HIV/AIDS workplace program, providing at least one of the 4 critical components d) Estimated number of people reached through work place programs.
Optional indicators such as number of targeted condom service outlets, number of individuals trained to promote HIV/AIDS prevention programs through abstinence and/or being faithful and individuals trained in HIV-related institutional capacity building will also be tracked under this budget code.
This program will be implemented in close collaboration with the DOD PEPFAR funded care and treatment partner in order to ensure synergies and provide a comprehensive integrated prevention, care and treatment program for the Namibian military.
This is an ongoing activity from COP09. The narrative has been substantially modified to reflect the new PEPFAR guidance and linkages to the Partnership Framework Agreement (PFA) and the Namibian National Strategic Framework (NSF). This program will continue to deliver prevention activities for the high risk military community in support of the Namibian Ministry of Defense/Namibian Defense Force (MOD/NDF) Military Action and Prevention Program (MAPP).
The overall goal of this budget code is to decrease new HIV infections in the military through increased coverage and quality of behavior change communication (BCC) messages with HIV prevention messages beyond abstinence and faithfulness to reach over 13,000 MOD/NDF members.
Key prevention strategies are 1) capacity building of Commanding officers, HIV/AIDS Coordinators, peer educators, gender focal points, chaplains and counselors, 2) peer education and interpersonal communication (IPC) sessions, 3) promotion of counseling and testing services as well as male circumcision, 4) production and dissemination of information, education and communication (IEC) materials focusing on HIV/AIDS prevention, consistent and correct condom use.
Key prevention activities include: 1) Enhance the capacities of the 92 peer educators through in-service training and technical assistance approaches to convey prevention messages to ensure the maximum involvement of all soldiers. New recruits will be trained to increase the pool of peer educators in the military. 2) Review the roles and responsibilities of peer educators and coordinators and the peer education curriculum developed in COP09 to improve program implementation. 3) Provide technical assistance to the 23 HIV/AIDS Unit Coordinators to take over the role of supervising the peer education program at the bases and camps. 4) Procure and disseminate approximately 1,000,000, military packaged condoms to all the 23 military service outlets which include the voluntary counseling and testing centers (VCT), military health facilities, canteens and barracks as well as to Namibian peacekeeping contingents. 5) Strengthen linkages with the DOD PEPFAR MAPP treatment partner, to assist MOD/NDF to establish support group of people living with HIV/AIDS at the bases where they are non-existent. 6) The popular military film Remember Eliphas 1 and 2 produced under COP05 and COP06 and Remember Eliphas 3 developed in COP09 will continue to be used to motivate soldiers to change their behavior and to promote counseling and testing and accessing care and treatment services in the military settings. 7) Develop military specific prevention information, education and communication materials on issues such as alcohol abuse, male circumcision, stigma reduction, gender, condoms and STIs. Such information will also be made available during national and international days such as World AIDS Day, TB Day, National Testing Day and Military Days.
8) Collaborate with the MOD/NDF HIV/AIDS Coordination Unit to procure DVD machines for the bases/camps where they do not exists, so that they can be used for watching HIV/AIDS prevention films. 9) Further training on gender and HIV/AIDS and male norms initiatives will be conducted for MOD/NDF personnel. 10) Strengthen linkages with the MC Task Force and partners to ensure that MC messages are integrated in BCC activities. 11) Support the MOD/NDF in participating on international events such as annual HIV Implementers meeting, regional military HIV/AIDS conference as well as seminar and workshops on specific HIV prevention topics. 12) To ensure sustainability of the MAPP program, assist MOD/NDF in building the capacity of established HIV/AIDS Steering Committees at all bases and MOD headquarters. 13) Top leadership of the MOD/NDF will be consulted and involved in planning, implementation and monitoring and evaluation of the program. Periodic partnership meetings will be conducted to review the progress of the program. These activities mentioned will enable MOD to take full ownership of the program.
Optional indicators such as number of targeted condom service outlets, number of individuals trained to promote HIV/AIDS prevention programs through other behavior change beyond abstinence and/or being faithful and individuals trained in HIV-related institutional capacity building will also be tracked under this budget code.
