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
HIV Prevention In Large-Scale Construction Sites in Ethiopia
NEW ACTIVITY NARRATIVE
This activity is split HVAB $500,000 and HVOP $500,000
In collaboration with the private company Astar Advertising (Astar), World Learning will work directly with
the government's Ethiopia Electric Power Corporation (EEPCo), the Ethiopian Roads Authority (ERA) and
the Ministry of Water HIV Task Force (MOW) to support and institutionalize the design, implementation and
evaluation of HIV prevention interventions and services that address the risks associated with transactional
sex in urban centers and "hotspots," particularly in large-scale construction sites and surrounding
communities.
The two specific objectives of the program are:
•?To reduce transmission of HIV among high-risk populations in project areas;
•?To enhance the role of public corporations, particularly EEPCo HIV/AIDS Control Program, MOW HIV
Task Force and ERA, in the implementation of HIV prevention programs.
This project will raise awareness and provide education on HIV and STI as a critical first step in creating
positive behavior changes and minimizing transmission among members of the identified high-risk groups.
Reducing high-risk behaviors and addressing the stigma and discrimination associated with HIV/AIDS
through behavior change is essential to reducing the spread of infection.
The program will encourage and facilitate increased use of Voluntary Counseling and Testing (VCT),
Antiretroviral Therapy (ART), Prevention of Mother-to-child Transmission (PMTCT) services of targeted
groups, while strengthening government and community HIV monitoring and prevention activities.
This project targets employees of EEPCo, ERA and the MoW as well as communities and commercial sex
workers surrounding the hydro-electric power plants, irrigation and road construction sites. Overall, more
than 200,000 surrounding community members, 2950 commercial sex workers (CSWs), and 33,290 site
workers who are residing in 25 sites are targeted in this program.
Targeting areas that lack adequate health services, the project will work across five regions in Ethiopia,
namely Oromyia, SNNPR, Amhara, Afar and Tigray; and Diredawa town.
The project will enhance the role of EPPCo, ERA and MOW in the implementation of
HIV programs through formative research on target groups, increased advocacy for a strong commitment
within the government, trainings in HIV and STI Prevention and skill-building in proposal development and
financial and grant management.
This project builds upon that experience and draws from Astar Advertising's extensive worldwide expertise
in innovative social marketing for a targeted audience, particularly for PEPFAR and non-PEPFAR funded
clients and projects. The program will change high-risk behavior among the targeted populations through
the adoption/adaptation and dissemination of HIV/STD Protection and Prevention SBCC (Strategic
Behavioral Change and Communication) materials, direct training with targeted groups and communities
around the construction sites and capacity building of implementing partners. The program will also provide
integrated prevention and education packages designed to modify the practice of risky sexual behaviors
among the targeted population thereby reducing the HIV transmission rate.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
Prevention at Construction Sites
This is a new activity in COP09.
In collaboration with the private company Astar Advertising (Astar), World Learning
will work directly with the government's Ethiopia Electric Power Corporation
(EEPCo), the Ethiopian Roads Authority (ERA) and the Ministry of Water HIV Task
Force (MOW) to support and institutionalize the design, implementation and evaluation of HIV prevention
interventions and services that address the risks associated with transactional sex in urban centers and
"hotspots," particularly in large-scale construction sites and surrounding communities.
•?To enhance the role of public corporations, particularly EEPCo HIV/AIDS
Control Program, MOW HIV Task Force and ERA, in the implementation of HIV
prevention programs.
The program will encourage and facilitate increased use of Voluntary Counseling and
Testing (VCT), Antiretroviral Therapy (ART), Prevention of Mother-to-child
Transmission (PMTCT) services of targeted groups, while strengthening government and community HIV
monitoring and prevention activities.
namely Oromyia, SNNPR, Amhara, Afar and Tigray; and
Diredawa town.
Behavioral
Change and Communication) materials, direct training with targeted groups and communities around the
construction sites and capacity building of implementing partners. The program will also provide integrated
prevention and education packages designed to modify the practice of risky sexual behaviors among the
targeted population thereby reducing the HIV transmission rate.
Table 3.3.03:
Communities and Schools for Children Affected by HIV/AIDS (CASCAID)
ACTIVITY UNCHANGED FROM FY2008.
COP08 NARRATIVE
During COP08, World Learning (WL) will support 6,000 children from HIV/AIDS affected communities or
households to continue their education in 100 schools through a combination of project and community
support. Selected schools serving OVC will continue to be strengthened through needs-based financial and
material support. Parent Teacher Associations (PTA), teachers, community members, local government
administration and district, zone and regional education bureaus will collaborate to ensure that quality OVC
education is provided. In COP08 program interventions will address needs of vulnerable children including
psychosocial counseling, prevention of stigma and discrimination, and referral to health services, provision
or abolition of school uniforms, school supplies, and waiver of school fees as provided by local PTA to
create a supportive learning environment. Results from these interventions in 2006 to present include
23,038 OVC staying in school; 800 getting a health service due to referrals, and general feedback that
students are experiencing less stigma.
The PTA will assist OVC to receive remedial study support after school and during summer tutorial
programs and will collaborate in organizing psychosocial support. Success stories from engagement of the
PTA include mobilization of the community, FBO and CBO and in collaboration with communities have
started diversified IGA activities to generate resource for sustainable support of OVC. Through counseling
and guidance with emphasis on HIV/AIDS-affected children, school-based Girls Advisory Committees
(GAC) will assist and advocate within the school and broader community on the value of education for girls
and in improvement in the condition of girls, orphaned or vulnerable due to HIV/AIDS. They will also assist
AIDS-affected and orphaned girls to attend school regularly, and receive sufficient study and tutorial time
after class resulting from gender specific labor at home. Results from the GAC component include,
facilitated trainings to communities on harmful traditional practices that affect girls' education and expose to
HIV infection, conducted home visits to OVC girls, and organized rooms in schools to serve as center for
girls' counseling in HIV and RH. Strong ties with the community via the PTA enable monitoring OVC
receiving core services such as shelter, healthcare, protection, food, and emotional and social from within
the community or their households. PTA income generation activities and school gardening have proven
sustainable and will continue. Wraparound with food supplementation agencies such as World Food
Program offer short-term relief while longer-term solutions are being established. World Learning will
coordinate with other PEPFAR Ethiopia OVC partners to use OVC resources in high prevalence areas. This
includes harmonization of indicators, reporting, and care standards in line with GOE national guidelines,
Standards of Services for OVC in Ethiopia and PEPFAROVC program guidelines.
WL's exit and sustainability strategy will focus on building the capacities of PTA, GAC, school community
and local education offices, and educating the public in methods to support OVC in their communities and
schools effectively. Indications of increased capacity to date include psychosocial services provided to OVC
by teachers, initiation of IGA by PTA, GAC organized remedial sessions for girls. New activities will be
provided in COP08 based on input received from students, teachers, and caregivers on ways to strengthen
program implementation. These activities include: psychosocial strengthening through establishing school
based counseling centers for use by trained teacher counselors, increased technical support for
income0generation activities (IGA), strengthening information, education, communications (IEC) and
advocacy activities, and increasing OVC support through local paraprofessional assistance in school and
community settings. These interventions will incorporate lessons learned from application in other areas.
The project directly addresses the strategy and vision of a "wraparound" priority activity under the
Emergency plan, "basic education is one of the most effective means of HIV prevention." Active
engagement of community members and teachers facilitates monitoring of child and family health and
increases networking with other services. School officials and teachers will be trained on identifying and
referring students who are frequently absent or sick to ensure children suffering from malaria, diarrhea, and
other illnesses receive medical care. Gender issues will continue to be addressed through increasing girls'
access to services and teacher training on gender norms.
This activity links to the school support component of the PEPFAR PC3 project, for which World Learning is
a sub-recipient. Similarly, this on-going activity is closely linked to the newly USAID-funded Basic Education
Program, Community-School Partnership Program and the Kokeb/Model Ward Initiative designed to link
health and education activities at the community level. CASCAID will work collaboratively with PC3 and
JHU/HCP to share experience and lessons learned, as well as use of materials developed for quality OVC
services. This program builds on FY07 successes involving Parent-Teacher Associations, Girls Advisory
Committees, community elders and Ward administration to minimize stigma and discrimination, promote
educational access and equity, provide linkages between education and health, and sensitize communities
to accept HIV affected orphaned and vulnerable children.
All targeted OVC are registered students in the 100 participating CASCAID schools. Project personnel work
directly with each school administration, PTA and community based CBO to provide training and support to
retain and sustain OVC in school, provide home and community support and enhance the likelihood that
they will successfully complete primary education. Caregivers are directly trained and home care outreach
for HIV/AIDS affected families is provided through School Service Coordinators and PTA. Teachers are
reached through direct training of personnel.
Community Mobilization/Participation is addressed through training and support of Parent Teacher
Associations, community mobilization and information meetings, and follow-up with home based caregivers.
Gender issues including male norms, gender equity, women's access to income, and increasing women's
legal rights are directly addressed through training of local HAPCO, BOLSA, Woman's Affairs, Regional and
District Health Bureaus and Offices, Police and Judiciary officials and the establishment of a Health Referral
System linking each school with nearby health facilities. School based service mapping is part of the linkage
Activity Narrative: system. Linkages with other sectors occur through training, capacity building and information sharing. Local
organization capacity development and sensitization occurs through direct training and support of Parent
Teacher Associations and Girls Advisory Committees, and outreach to CBO including local faith-based
associations, religious leaders and other community groups. Reduction of violence and coercion occur
through a coalescence of the training and outreach activities.
New/Continuing Activity: Continuing Activity
Continuing Activity: 18257
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18257 18257.08 U.S. Agency for World Learning 7504 4059.08 $4,200,000
International
Development
* Reducing violence and coercion
Health-related Wraparound Programs
* Child Survival Activities
Estimated amount of funding that is planned for Human Capacity Development $500,000
Estimated amount of funding that is planned for Education $2,500,000
Table 3.3.13:
