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
Federal Police AB Prevention Activities
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
In FY09, the project will capitalize on the past achievements made so far and focuses on the following major
activities including:
1)Continuing to build organizational capacity of the Federal Police Commission and Addis Ababa Police
Commission by working closely with the advisory board to improve financial and procurement systems to
better implement MARCH;
2)Strengthening the technical capacity of project staff to: develop PSD and IEC materials; conduct peer
group discussions, training, and mentoring; and monitor the progress of MARCH implementation;
3)Continuing to produce and disseminate PSD with comprehensive HIV/AIDS prevention messages to
police members every month. This effort will be supported by bi-weekly interactive peer-group discussions;
and insure the enclosure information regarding VCT service accessibility, referral linkages of care and
treatment services
4)Recruiting and training police members as peer leaders, as well as offering refresher training for existing
peer leaders;
5)Continuing to incorporate male-norms issues into all materials and activities begun in FY07 and FY08;
6)Production and distribution of different IEC/BCC materials needed to supplement the PSD and addressing
gaps identified during peer group discussions and various issues related to HIV/AIDS, such as gender-
based violence, alcohol us, risk reduction, etc;
7)Conducting regular peer-group discussions and other reinforcement activities using police media including
radio, TV, and newspaper;
8)Strengthening project monitoring, evaluation, reporting, and documentation systems and conducting
process evaluation;
9)Strengthening linkages with other services (e.g., VCT, ART, and PMTCT) in the police hospital and with
other service providers;
10)Strengthen the MARCH program targeting rapid forces under the federal police located outside Addis
Ababa and expand MARCH to regional police forces at the national level. Recruit additional MARCH focal
persons in the rapid and regional police forces and increase the number of PSD production and other
reinforcement activities and IEC material production and distribution.
Since the PSD and reinforcement activities encompassed in MARCH are designed to reach the police with
a comprehensive ABC message, all targets will be counted under Other Prevention, though AB is a
significant part of the overall prevention intervention.
This is a continuing AB focused activity from FY08, linked to OP activity with Federal Police and Expansion
of Wegen National AIDS Talk line and MARCH Model Activities.
The objective of this continuing AB activity is to strengthen and integrate the Federal Police Commission's
(FPC) HIV prevention, care, and treatment activities for police and their dependents with other prevention
activities employing the MARCH model (Modeling and Reinforcement to Combat HIV/AIDS).
In 2005, HIV sero prevalence among antenatal care (ANC) attendees of the Federal Police Referral
Hospital was 24.8%, suggesting that HIV prevalence among police members and their families is significant.
Moreover, the formative assessment carried out among the Federal Police and Addis Ababa police
identified HIV risk factors related with behavior, socio-demographic characteristics, police duties, and
relationships in their personal life, including young age, substance/alcohol abuse, willingness to experiment,
frequent movement, sexual dissatisfaction with condoms, and lack of faith in condoms.
MARCH is a behavior-change communications (BCC) strategy that promotes behavioral changes that
reduce the risk of HIV infection and transmission, and encourages communities to use services, to care for
people living with HIV (PLWH) and children orphaned by the epidemic. This Other Prevention intervention:
promotes consistent and correct condom use; promotes early treatment of sexually transmitted infections
(STI); addresses problems related to stigma and discrimination towards PLWH; and promotes uptake of
services (e.g., voluntary counseling and testing (VCT) and ART). MARCH also addresses related attitudes
to gender, gender-based violence, stigma, and risk perception.
There are two main components to the MARCH program: education through entertainment, and
interpersonal reinforcement. The entertainment component uses a printed serial drama (PSD) format to
introduce role models in a storyline to provide information about behavior change, to motivate the audience,
and to enhance a sense of self-efficacy. Reinforcement activities use interpersonal strategies like peer
group discussions to achieve the objective of having group members apply messages from the drama to
their own lives. The group discussions also provide accurate information about HIV/AIDS and behavior
change, provide opportunities to practice new skills that may be required to avoid infection, and provide
support to those who have been infected. In FY05, structural adjustments were made to the MARCH Office,
allowing it to function under the Director General's Office, with project advisory boards consisting of higher
officials from all departments. Project staff were employed and trained on MARCH principles and PSD
design. In FY06, a total of 5,263 police members were reached with a variety of MARCH activities, including
PSD and reinforcement activities such as live drama presentations, panel discussions, police radio and TV
ads, fliers, posters, and banners. Additional 715 police members were trained with the MARCH handbook to
promote correct and consistent condom use, early treatment of STI, and risk reduction, and 1,400 peer-
discussion groups were convened. In FY07, additional 875 police members were trained to promote correct
and consistent condom use and early treatment of STI. The PSD was produced and distributed to more
than 1,400 peer groups, and various interactive reinforcement activities were held, reaching 5,000 police
members. Various information education-communication (IEC) materials, including fliers, posters and
banners were produced and distributed. The project used police radio and TV programs to promote MARCH
and link prevention with HIV services. The project also created a working relationship with the University of
California, San Diego(UCSD) program at the Federal Police Referral hospital. Technical assistance from
Johns Hopkins University/Center for Communications Programs (JHU/CCP) and CDC helped the project to
Activity Narrative: accelerate implementation of activities and achieve results.
Up to FY08, 50 trainers, 2500 peer leaders were trained and 2450 peer discussion groups formed to
conduct discussions based on the PSD. Federal Police was able to reach 15,000 police members through
the PSD and different reinforcement activities. In FY08, Federal police has expanded the MARCH project to
different departments located outside Addis Ababa to reach the most mobile groups in the police force
(rapid forces) using supplemental funding. This in turn increases the number of PSD printed, posters, fliers
and IEC material production and distribution; these additional activities require extra budget and human
resources in FY09. The Print serial drama will be produced every month. Peer groups will conduct peer
group discussions every two weeks alternating PSD with linked reinforcement activities.
During the past period of MARCH program implementation in Federal Police (FP), it is learnt that the
production of printed serial drama every two weeks was difficult. The production of PSDs adjusted from two
weeks to a month and this will help to have enough time and space to the limited number of designers and
cartoonists to do their job. As the PSD production extended to every month, it is true that gap will be created
on peer group discussions every two weeks, however in COP09 gaps created is filled by different linked
reinforcement activities including staged dramas, poem and play presentation, panel discussions and
quizzes. Using the supplemental funding, FP expands MARCH program at the regional level to address
rapid force commanded by the federal government which increases geographic area coverage and as well
as target numbers. This activity is continuing and sustained by COP09 funding increase. Still, there are
some challenges to cover all the police forces in the country, this is due to the different autonomous regions
using different languages and this in turn requires a substantial amount of budget increase, then to be dealt
in cop 2010.
So far, there is no cure or vaccine for HIV, the only alternative as a vaccine that we have at hand is
promoting and addressing messages geared towards averting new HIV infection, and hence MARCH will
continue to be a tool for our prevention programs to bring sustainable behavioral change and to bring a
change in behavior and to personalize models in the PSD, MARCH will continue with the appropriate
dosage, intensity and coverage to reach uniformed services including FP. We are observing early signs of
behavioral change among the police force, after the introduction of the MARCH program, police forces are
talking and discussing with their spouses, partners and family members about the voluntary testing and
counseling, and asking information about treatment and care services. The implementation of MARCH
program in the military creates demand for service uptake, and the program reinforce the demand through
availing information where they can access voluntary counseling testing, treatment and care. The focus of
PEPFAR and Ethiopian government to widen the service of counseling and testing and treatment around
the hot spots and MARPs areas and urban centers where the epidemic concentrated will help this most at
risk population to easily access the services.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16715
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16715 5633.08 HHS/Centers for Federal Police 7519 2249.08 Strengthening $42,000
Disease Control & HIV/AIDS, TB &
Prevention STI Prevention,
Control &
Treatment
Activities
10576 5633.07 HHS/Centers for Federal Police 5543 2249.07 $35,000
Disease Control &
Prevention
5633 5633.06 HHS/Centers for Federal Police 3781 2249.06 $75,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
Military Populations
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $15,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
HIV Prevention among Police
ACTIVITY MODIFIED IN THE FOLLOWING WAYS:
This is a continuing non-AB focused activity from FY08, linked to AB activity with Federal Police and
Expansion of Wegen National AIDS Talk line and MARCH Model Activities.
The objective of this continuing OP activity is to strengthen and integrate Federal Police Commission (FPC)
prevention, care, and treatment activities for police and their dependents with other prevention activities
employing Modeling and Reinforcement to Combat HIV/AIDS (MARCH).
accelerate implementation of activities and achieve results.
Up to FY08, 50 trainers, 2500 peer leaders trained and 2450 peer discussion groups were formed to
(rapid forces) using supplemental funding. This in turn increases the number of peer groups, the number of
PSD, posters, fliers, MARCH handbooks and IEC material production and distribution; these additional
activities require extra budget and human resources in FY09. The Print serial drama will be produced every
month. Peer groups will conduct peer group discussions every two weeks alternating PSD with linked
reinforcement activities.
Activity Narrative: talking and discussing with their spouses, partners and family members about the voluntary testing and
Commission by working closely with the advisory board to institutionalize HIV/AIDS activities through
strengthening an HIV/AIDS Prevention and Control Office and improve financial and procurement systems
to better implement MARCH;
based violence, alcohol us, risk reduction and insure the enclosure information regarding VCT service
accessibility, referral linkages of care and treatment services
7)
8)Conducting regular peer-group discussions and other reinforcement activities using police media including
9)Strengthening project monitoring, evaluation, reporting, and documentation systems and conducting
10)Strengthening linkages with other services (e.g., VCT, ART, and PMTCT) in the police hospital and with
11)Strengthen the MARCH program targeting rapid forces under the federal police located outside Addis
significant part of the overall prevention intervention. The Federal Police FY09 targets have shown a 100
percent increase to incorporate the expansions made using supplemental funding in FY08 and actual
situations on the ground.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.03:
