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.
09.P.AB16: JHU CCP - Gender Initiative to Girls' Vulnerability to HIV
ACTIVITY UNCHANGED FROM FY2008
From COP08:
The PEPFAR Gender Initiative on Girls' Vulnerability to HIV is part of a set of PEPFAR special gender
initiatives. The program aims to prevent HIV infection among 13-19year-old girls, by 1) developing
innovative program interventions to successfully modify contextual factors associated with increased sexual
risk behavior and rates of HIV infection among these adolescents and 2) assessing the feasibility and
effectiveness of these interventions and their potential for sustainability, scale-up, and transferability to other
settings. Botswana, Malawi and Mozambique are the three countries selected for this Initiative.
Many PEPFAR programs reach adolescent girls through broad-reaching AB prevention activities that focus
on HIV education in church and school settings. However, these programs often do not reach those at
highest risk, who are commonly found outside of these settings. Those at highest risk often need a package
of comprehensive services, including economic strengthening activities, to meet their unique situations. In
addition, many OVC programs focus on younger children and overlook the needs of adolescent orphans,
although this latter group represents a significant proportion of all orphans. This Initiative seeks to address
these programming gaps by implementing and evaluating promising integrated models to reach highly
vulnerable adolescent girls with comprehensive services tailored to their particular needs.
The implementing agency will use a multi-component approach with a focus on the most vulnerable girls to
address the antecedents of risk. They will target the intervention according to the different types of risks
girls face, to both prevent girls from adopting risky behaviors and address the needs of girls already
engaged in risky behaviors. Program components may include the following: HIV prevention education
focused on the "ABC" approach; Non-material support for girls' continuation in, or return to, school;
Outreach and linkages with HIV-related health services as well as reproductive health services such as
pregnancy prevention; Wrap-around or direct support for training in sustainable livelihoods and/or improved
access to economic resources such as development of appropriate age- and gender-specific financial
literacy, development of savings products and related social support mechanisms, sustainable livelihoods
and/or improved access to economic resources, including government-provided entitlements and health
services; Parenting skills among parents and guardians of adolescents; for those adolescents without
parents, developing mentoring programs to ensure all adolescents have support on a continuing basis from
a caring mentor/community member; Empowerment and interpersonal skills to enable girls to adopt and/or
maintain healthy sexual behaviors, including promotion of decision-making power of young girls within
relationships, families and communities; Addressing peer influence by promoting positive group norms and
behaviors; and Addressing community social norms that help to reduce sexual coercion and exploitation
and other harmful practices contributing to girls' vulnerability.
Specific activities are TBD, pending selection of the Task Order contractor and development of the work
plan (anticipated to begin in early FY2008). Approximately 50% of the funding will come from the C/OP
program area, and 50% from the AB program area.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17465
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17465 17465.08 U.S. Agency for Johns Hopkins 8746 8746.08 $50,000
International University
Development
Table 3.3.02:
09.P.OP16: JHU CCP - Gender Initiative to Girls' Vulnerability to HIV
This activity was paid fully by central OGAC funds under a Gender Initiative. We have an opportunity to
provide field dollars as well, in order to increase the scope of the intervention(s) they will support under this
program.
Continuing Activity: 19629
19629 19629.08 U.S. Agency for Johns Hopkins 8746 8746.08 $50,000
Emphasis Areas
Gender
* Increasing women's access to income and productive resources
* Increasing women's legal rights
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.03:
09.X.SI01: TBD - Sexual Behavior among Alcohol Users
ONGOING ACTIVITY WITH NEW PARTNER FOR WHICH NO NEW FY2009 FUNDS ARE REQUESTED -
DELAYED IMPLEMENTATION
the team has changed the funding mechanism for this activity to be UTAP from New CoAg, and the prime
partner from TBD to UCSF. (April 08 reprogramming).
Surveillance of sexual behavior and HIV prevalence among who frequent drinking places in Botswana.
1.Title: Surveillance of sexual behavior and HIV prevalence among who frequent drinking places in
Botswana.
2.Expected cost and implementation period: this survey is expected to be implemented every other year
with FY2008 being the first. Cost is estimated at $500,000
3.Local investigators: Drs. Florindo de La Hoz Gomez, Marina Anderson (MOH); Drs Negussie Taffa,
Stephane Bodika, Marion Carter and Lydia Seeletso (BOTUSA)
4.Project description: Sexual behavior surveys in Botswana have so far been targeting the general
population or special group of individuals identified through household or institution-based sampling frames.
This is in line with the common practice to describe HIV/AIDS related risk determinants in generalized
epidemics. Risk of HIV transmission in such epidemics is assumed to occur at fairly comparable rate
among core transmitters such as commercial sex workers, STI patients, truck drivers, soldiers… and the
general public. That does not eliminate the need to conduct regular surveys among vulnerable social groups
such as young people and others involved in high sexual risk taking. In Botswana, people who frequently
visit drinking places are one such group as most sexual networking and risk-taking take place here. In
FY08, USG funds will be used to conduct the first round of sexual behavior and HIV prevalence surveillance
among people who frequently visit "shebeens, Spoto/Dispoto" (local alcohol drinking places) and bottle
stores in a sample of cities in Botswana.
5.Evaluation questions: 1) What are the knowledge gaps on factors that fuel sexual risk-taking among
people who frequently visit drinking places? 2) How is the prevalence of HIV and measurement of sexual
behavior variables different from those of similar socio-demographic groups captured through household
surveys in communities where these drinking places are located? 3) How do these risk factors and HIV
prevalence change overtime?
6.Programmatic importance/anticipated outcomes: This survey is part of the prevention program rekindling
initiative for a more focused approach in order to increase program effectiveness and efficiency. Shebeens
are believed to be among the commonest venues where sexual networking happens in Botswana. There is
high possibility for greater HIV transmission to occur among their customers. Sufficient epidemiological
data will assist in strong prevention program design that targets these customers. One will also be able to
identify new indicators that measure progress in certain HIV prevention areas such as reducing sex partner
and risk taking.
7.Methods: The PLACE (Priorities for Local AIDS Control Efforts) method will be used to map out drinking
venues in 4 conveniently selected cities namely Gaborone, Francistown, Gantsi, and Chobe. In each
district, 10 drinking spots will be conveniently selected and included in the survey and in each drinking spot,
50 people will be requested to participate freely in the study. Those willing to participate will be interviewed
about their socio-demographic background, sexual behavior, drinking behavior, frequency and quantity.
They will also be counseled for HIV testing on the spot. Post test counseling will be provided to them before
they receive their result. Those testing HIV positive will be referred to relevant prevention, care and support
services. This activity will be conducted alternate years to allow a trend analysis in the future.
8.Populations of interest: All people working in drinking places and those frequenting these venues.
9.Information dissemination: Data analysis will be conducted in June.2008 and the report will be
disseminated through a workshop in September 2008
Continuing Activity: 17900
17900 17900.08 U.S. Agency for Johns Hopkins 7760 7760.08 Project Search $500,000
Table 3.3.17:
