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
This project promotes a mix of community-based and clinical counseling and testing (CT) models. The
Society for Family Health and the Population Services International (SFH/PSI) will manage a franchise
network (under the brand name, New Start) of 12 stand-alone CT sites, each with a mobile CT program.
From these CT sites, SFH will provide training and support to at least six healthcare facilities to increase the
number of tuberculosis (TB) patients who receive HIV CT in clinical settings, and to private healthcare
workers to enable them to make CT a routine part of medical care. Emphasis areas include community
mobilization/participation, development of network/linkages/referral systems, local organization capacity
development, quality assurance/quality improvement/supportive supervision and training. Primary target
populations include men and couples for CT in non-medical settings, and TB patients for CT in medical
settings. Higher risk populations such as prisoners, sex workers, and men who have sex with men are
targeted when possible.
Activities are ongoing. New Start opened in December 2004. At this time, 83% of FY 2006 has elapsed and
New Start has achieved 76% of its FY 2006 client flow goal and exceeded its training target. The program
addresses gender issues primarily by targeting men and couples for CT. To date, 52% of clients are male
and 11% are couples. Although funding for the TB/HIV project only arrived in July 2006, one medical facility
in Durban was able to begin working with New Start in August, 2006. SFH works closely with and has
strong support from the South African government at national and provincial levels. The program started off
with PEPFAR funding and today is co-funded by the South African government.
ACTIVITIES AND EXPECTED RESULTS:
SFH will manage a network of 12 stand-alone CT sites, each operating a mobile and workplace CT
program. SFH will manage three sites, and partner NGOs will manage the remaining nine sites. SFH will
provide technical, financial, management, marketing, and quality assurance support to the nine sites. The
nine partner-managed "franchise" New Start sites will open in late 2006 and early 2007. Non-profit CT
franchising has proven effective at building the capacity of local NGOs to provide CT services and increase
client flow. New Start franchising is based on standardized systems for management, training, supervision,
quality assurance and referrals and linkages to other services. SFH, the South African government and the
National Institute for Communicable Diseases (NICD) will train New Start counselors and testing staff. SFH
and NICD will carry out quality assurance. Marketing activities will use radio, public relations, print media
and community mobilization to reach men and couples. Beginning in late 2006, Levi's will promote New
Start services through Levi's stores, Levi's sponsored mobile CT and Levi's media activities. Mobile CT and
below-the-line marketing will continue to target prisoners, men who have sex with men, and commercial sex
workers when possible. Mobile CT activities will expand and work with a variety of hosts -- including
workplaces, NGOs, communities, churches, and government agencies such as the prison system and the
commuter rail system. New Start has an agreement with the Anglican church to provide CT services
through its parishes. New Start CT protocols include non-medical TB and STI screening. Each New Start
site has a site-specific referral guide to allow counselors to refer clients to an array of post-test care and
support services. Each New Start site also has a Referral Coordinator to maintain linkages with referral
points. From New Start sites, SFH will provide training and support to NGOs not part of the New Start
network in CT service provision and to private doctors in routine offer CT using rapid test kits. These
training and quality assurance activities will be carried out in partnership with NICD and the FPD, the
training arm of the South African Medical Association.
SFH will increase the number of TB patients who are tested and referred for HIV treatment. The project will
partner with and mentor NGO, private sector and/or government facilities, strengthen already existing
systems and work to fill important gaps where the testing and referral of TB patients can be improved. The
support provided to these TB healthcare providers will depend on the needs of the facilities. Support will
include some or all elements of the following assistance models: (a) SFH will provide training and support to
partner organizations in routine provider-initiated CT, so that partner organizations can introduce routine
testing for TB patients. (b) SFH will provide training and support to partner organizations in client-initiated
CT, so that partner organizations can introduce and manage their own CT operations in TB facilities. (c)
SFH will create New Start satellite operations at TB facilities. Partner organizations will provide space and
support to New Start to provide CT from TB facilities on a daily basis. (d) SFH will provide training and
support to partner organizations who wish to open New Start franchises within TB facilities.
Franchise partners will be fully integrated into the New Start network. Gender issues will be addressed
through targeting men and couples for CT services, including testing targeting male construction workers.
Testing rates among men are low. Encouraging couple CT allows women a structured environment to
address HIV issues with their male partners. Diminishing HIV stigma is best achieved by increasing the
number of people who learn their HIV status and disclose to family and friends. The proposed activities
encourage sustainability by focusing on human capacity and organizational development. Franchising
develops the capacity of a network of NGOs to provide high quality services, including the development of
workplace programs that bring in revenue to partner NGOs. The proposed activities also encourage a
sustainable response to the need to test large numbers by providing training and support to private doctors
to make CT a routine part of medical care. Mobile CT activities bring together non-health sectors of society
such as churches or workplaces in the fight against HIV.
PSI/SFH will develop and carry out a mass media campaign to encourage HIV counseling and testing.
PSI/SFH will work in partnership with at least one private sector partner. The campaign will be national and
will culminate in a one week testing drive. This testing week will bring together PSI/SFH's New Start static
site and mobile testing services, the testing services of other service providers, including other NGO and
Government of South Africa testing services. The campaign's private sector partner will associate its brand
Activity Narrative: with the campaign and spend its own funds on the campaign. Media used will include television or radio and
public relations. The campaign and one-week testing drive will take place in late 2007 or early 2008. SFH is
developing the campaign, selecting campaign target groups, determining private sector partners and
developing testing targets. SFH will work closely with the government of South Africa to ensure that the
campaign has government support and buy-in at all levels.
SFH will partner with Careworks, a private organization which provides healthcare services. Careworks will
provide mobile CT services to men in construction works and in mining throughout the country. This activity
is aimed at reaching men who would otherwise not access testing services at public healthcare facilities.