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.
None provided.
Table 3.3.08: Program Planning Overview Program Area: Orphans and Vulnerable Children Budget Code: HKID Program Area Code: 08 Total Planned Funding for Program Area: $ 21,428,010.00
Program Area Context:
OVC Program Goal: Efficiently meet priority needs of children made vulnerable by HIV/AIDS, partnering with the Government of Ethiopia, civil society and other partners.
Fifty % of infant deaths in Ethiopia occur in the first month of life and one in eight children do not survive to age five (EDHS, 2005). Ethiopia has over 5 million orphans, fifteen % (744,088) of whom are due to HIV/AIDS. The remaining are orphaned due to food insecurity, conflict, natural disasters, malaria, and infectious diseases. Most orphans due to HIV/AIDS are in Amhara, Oromia, Addis Ababa, SNNPR and Tigray. The 2003 Rapid Assessment Analysis and Action Process (RAAAP) data showed that 56 % of orphans were under ten and 44 % were between ten and eighteen. As children require age-appropriate services, PEPFAR Ethiopia OVC partners will provide age-specific programming across the spectrum, from infancy to adolescence. With 1.5 million PLWHA, over 35,000 people on ART and an average household of five children, millions of children are currently or potentially vulnerable due to HIV/AIDS.
PEPFAR Ethiopia participates in bi-monthly National OVC Task Force meetings, which are chaired by the Government of Ethiopia and include representation from several ministries, other donors, UNICEF and civil society. The task force oversees implementation of the national plan of action. PEPFAR Ethiopia will strengthen Government of Ethiopia leadership, especially at district and village levels, to improve coordination and consistency of efforts across OVC implementing partners. OGAC' OVC guidance will reinforce these efforts.
Since 2004, through the National OVC Task Force, PEPFAR Ethiopia has partnered with UNICEF to support an advocacy campaign to increase awareness of OVC rights. Other partnerships, including private sector, Coca-Cola specifically, have enhanced livelihood options and increased household resources. In 2007, intensified efforts will leverage more private sector partnerships to reach greater numbers of older OVC with livelihood training and jobs.
As the largest OVC donor in Ethiopia, USG seeks to leverage resources and coordinate with other donor-supported activities, across multiple sectors such as food security and child protection. GTZ, WFP, and World Bank are food for OVC partners. USG's leadership in the Ethiopian Donor Working Group facilitates on-going linkages.
Achievement of FY 2006 targets is on track, through nine primary OVC programs and over 600 community partnerships (e.g., CBO, FBO, PTA, development and AIDS committees, Girls' Advisory Committees, and local government administrations). The number of OVC served has increased by 46,897 since the beginning of FY 2006 and totaled 92,293 at the end of March, 2006. Over 2,500 OVC caregivers were trained.
OVC partners have prioritized food/nutrition, safe water, education, protection, and health care. Economic strengthening supports household and community capacity to provide these services to OVC. PEPFAR Ethiopia has established implementation links with Title II Food for Peace and the World Food Program to expand service coverage and depth to at least 100,000 children and families. Food and nutrition security remain the most pressing problems for OVC in Ethiopia.
In FY 2007, a main focus will be continued system and network strengthening within government and civil society. Efforts with multiple USG agencies will provide OVC partners with a synthesis of existing GIS maps, and expansion of these maps, covering cross-sector services for vulnerable children and youth in high HIV prevalence areas. Information will be used to increase collaboration, especially referrals, prioritize geographic service areas, and eliminate duplication of effort.
Low PMTCT and pediatric ART uptake will be boosted through increased referrals from OVC programs to PEPFAR supported health facilities. Improved links with home-based palliative care will also increase service
coverage and a continuum of care dependent upon mutual referral systems. In addition to OVC partners, other PEPFAR Ethiopia partners contributing to this system will include Peace Corps, US-based Universities, the Care and Support Contract (previously referred to as BERHAN), Intra-health, ANECCA, and Ethiopian PLWHA associations.
The "Mothers to Mothers" program will be an expanded part of the referral system and will include outreach to pregnant OVC (teen pregnancies often result from rape or early marriage). Linkages with HACI and Population Council will intensify the focus on young girls. Expecting and new mother support groups will encourage HIV testing, follow up, child care training and child nutrition (e.g., food by prescription). Additional child health services will be achieved through collaboration with USAID health partner Essential Health Services in Ethiopia (ESHE II Project). ESHE II and PEPFAR OVC partners will work through health extension workers and community health promoters to improve health status of the most vulnerable children under age five, especially in nutrition and malaria.
In FY 2007, partnerships with parent-teacher associations (PTA) and Girls' Advisory Committees will be expanded to reach an additional 400-500 schools. At least 200 school communities will receive gender awareness and advocacy training and over 15,000 OVC will benefit from WFP-supported school feeding. Urban gardening will improve nutrition and increase income generation for HIV-affected households.
PEPFAR Ethiopia's OVC portfolio will address Ethiopia's high prevalence of gender-based violence, including abduction, trafficking, sexual abuse, forced early marriage, female genital cutting (FGC) and other harmful traditional practices. Working through policy and program level community and government structures, the program will train government gender-based violence unit staff, establish gender-based violence protection unit models, at the district and village levels, and strengthen law-enforcement bodies, legal organizations, and communities to enforce and implement government policies that support child protection, inheritance and land rights (e.g., the Developmental Social Welfare Policy, the Family Law of 2000). HACI, with links to Population Council, will engage USG OVC partners in reducing gender-based violence.
USG Ethiopia will issue an Annual Program Statement (APS) to address gaps in OVC program services and geographic coverage in the most HIV-affected areas. The APS will strengthen coordination with other USG agencies working on OVC, (e.g., DOL, DOD, CDC) and establish an OVC forum to coordinate USG OVC implementing partners and strengthen referrals between community and facility-based prevention, care and treatment services. The APS recipient(s) will facilitate harmonization of M&E efforts, including an increased focus on achieving standards of practice, costing and reporting outcomes. Increased partner efficiency and coordination will expand the scale and scope of services to the most vulnerable children due to HIV/AIDS.
Program Area Target: Number of OVC served by OVC programs 472,504 Number of providers/caregivers trained in caring for OVC 27,644
Table 3.3.08:
