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
Prevention Component of the Ethiopian Orthodox Church Development and Interchurch Aid
Commission/IOCC HIV/AIDS Response Mechanism Project
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
The International Orthodox Christian Charities (IOCC) conducts HIV prevention, care, and support activities
with the Ethiopian Orthodox Church's Development Inter Church Aid Commission (DICAC). The Ethiopian
Orthodox Church (EOC) has approximately 40 million faithful, over 500,000 clergy and a network of 40,000
parishes found throughout Ethiopia. DICAC operates in over 200 districts in the country. The Church
publicly declares that it has an obligation to mobilize human and material infrastructure for the national
response to HIV/AIDS and that it should strive to influence positive social change, care for those affected or
living with HIV/AIDS, promote abstinence and faithfulness and reduce stigma and discrimination. DICAC
uses peer education and interactive communication to reach these goals.
This is a continuing activity implemented by the IOCC with DICAC. The comprehensive HIV/AIDS activity
started in FY06 and provides a package of prevention modules to include peer education, public rallies,
information-education-communication (IEC) materials, media intervention and clergy training, all of which
interact to slow the spread of the epidemic. During the first half of FY07 alone, the partners reached almost
1.2 million individuals (54% women) with abstinence and be faithful (AB) messages and trained 6,700
persons in AB outreach approaches.
During FY08, the activity will operate in 140 districts in 28 dioceses. IOCC anticipates that several districts
will be transitioned to the status of "areas of higher HIV prevalence" using both antenatal care (ANC) and
Ethiopia Demographic and Health Survey (EDHS) data. This will allow communities at risk to be reached
with interactive and interpersonal communications utilizing AB messages. Similar AB approaches utilizing
interpersonal peer education and interactive communication will be conducted through Sunday schools, lay
counselors and 55 public rallies (five by the Patriarch and 50 by the Archbishops).
The communications strategy uses several approaches:
1) Interpersonal Peer Education: During FY05, DICAC implemented a youth prevention program through
the existing Sunday school structure, with 2,000 peer educators reaching 50,000 youth. In FY06 and FY07,
DICAC adapted the Youth Action Toolkit (YAK), produced by Johns Hopkins University/Health
Communications Partnership, for the Sunday school setting. In FY06, 80,000 youth were enrolled in YAK
activities at Sunday schools throughout the 100 districts. An additional 2,000 peer educators were trained or
retrained.
2) Interactive Communication and Public Rallies: In FY06 and FY07, DICAC supported interactive HIV-
prevention and stigma-reduction communications (i.e. Archbishop Rallies, Clergy outreach) within AB
prevention activities at the community level. These activities targeted community attitudes and social norms
of the congregation , including delay of sexual debut, return to abstinence, mutual fidelity, HIV burden
among young women, empathy for persons living with HIV/AIDS and identifying addressing misconceptions.
Interactive communication and mass rallies held by the Patriarch and his Archbishops played an important
role in catalyzing discussion on HIV/AIDS at the community level. These types of interventions will be
continued in FY08 with strategic emphasis on the vulnerability of young girls and sanctioning male behavior
in relation to multiple sexual partnerships and cross generational sex.
In FY05, IOCC/DICAC trained 100 clergy trainers who in turn trained 40,000 clergy and community
members on key AB issues. During FY06, 8,000 additional clergy and community members were trained,
bringing the total to 48,000 trained clergy in operation. These clergy discuss HIV prevention and stigma with
members of the congregation during community outreach and reach millions of individuals during the course
of one year. Discussions use church doctrine and clergy training materials to support improvements in risk
perception and AB approaches to HIV prevention by individuals and households. Trained clergy openly
encourage premarital voluntary counseling and testing (VCT) and support discordant couples and others
seeking advice, by referral to local service providers, on condoms, secondary prevention, care, and support
and ART. Lastly, a new module was incorporated into the training manual for clergy on the complementarity
between holy water and ART.
3) Pre-Service HIV/AIDS Curriculum in Theological Colleges: During FY05, the Ethiopian Orthodox Church,
with support from the IOCC, integrated HIV/AIDS modules into the core curriculum of eight clergy training
institutes and three theological colleges. During FY06 and FY07 further supportive supervision was
provided to these training institutes and colleges to ensure that the curriculum is effectively implemented. In
addition, clergy in training will perform an internship that includes community outreach during the summer
months in the regions. A section of that internship drew on lessons from the core curriculum.
Activities in FY08 will include the above three, as well as supportive supervision of district activities by the
Ethiopian Orthodox Church to ensure consistency, quality assurance and improvements in programmatic
performance against management indicators. This program will continue to use interpersonal
communication through Sunday school and clergy counseling. IOCC anticipates additional technical
assistance from the Johns Hopkins University Health Communications Partnership to implement the Youth
Action Toolkit to support risk reduction, improved knowledge of HIV/AIDS and adoption of AB practices.
Ninety-five thousand youths and young adults will be reached through Sunday Schools. Other strategies
include interactive communications and mass rallies with the Patriarch and Archbishops to support changes
in social norms and attitudes surrounding HIV/AIDS. The rallies draw on messages that emphasize
empowerment, support and empathy for those living with HIV/AIDS and HIV prevention through AB.
IOCC will continue to integrate the HIV/AIDS core curriculum into 18 clergy training institutes and three
theological colleges. Training through these outlets will reach 2,000 individuals. The maintenance of training
standards will be fostered through the modification of curricula on an as need basis, refresher courses and
regular reporting. The program will support in-service training for 10,000 clergy with follow-up from district
Activity Narrative: branch coordinators. IOCC will provide capacity building and exit strategy/planning with the Ethiopian
Orthodox Church/DICAC to support a multi-year transition of activities from IOCC to the Ethiopian Orthodox
Church, thus assuring sustainability of the program. This program will continue to provide IEC materials on
HIV prevention, care, and misconceptions regarding the Ethiopian Orthodox Church's stance on the
complementarities of holy water and ART will be distributed. These IEC messages and materials will be
reinforced by development and dissemination of new audio visual presentations. Community members and
PLWH trained as lay counselors to support community outreach will help disseminate these materials and
messages to the general population. These persons will function as messengers of hope to give public
testimony about their experiences with the program.
DICAC has supported the development of local community networks linking community organizations
offering HIV prevention, care, and treatment services. Efforts during FY05 allowed important partnerships to
be formed with local government, the Ethiopian Red Cross, PLWH associations and the Organization for
Social Services for AIDS. In FY08, the program will continue to support these networks with technical
assistance from DICAC staff in the regions. DICAC will cultivate additional partnerships with other
organizations active in interpersonal communications, including Population Service International, Population
Council, Family Guidance Association, World Food Program, and Action Aid.
Gender remains an underlying principle to DICAC and is given attention as a cross-cutting theme. Efforts to
increase participation of women in youth clubs, community-based discussion groups, income generating
activities, and counseling and training activities will continue. By the same token, steps will be taken to
increase male participation in the program at all levels in collaboration with Engender Health (12235). In
FY06, explicit female participation targets were raised to 50% for lay counselor and peer educator staffing
with satisfactory results. IOCC will maintain these targets in FY08.
In addition to the explicit multi-year planned transfer of responsibility from IOCC to the Ethiopian Orthodox
Church/DICAC, IOCC and DICAC will collaborate with the National Partnership Forum and the Inter Faith
Forum for Development and Dialogue and Action both to assure sustainability of this program as well as to
reinforce Ethiopia's faith-based organization response to the HIV/AIDS epidemic.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.02:
HIV/AIDS Response Mechanism Project
ACTIVITY UNCHANGED FROM FY2008
COP 08 ACTIVITY NaRRATIVE:
The International Orthodox Christian Charities (IOCC) conducts HIV prevention, care and support activities
with the Ethiopian Orthodox Church's Development Inter Church Aid Commission (DICAC).
The Ethiopian Orthodox Church (EOC) has approximately 40 million faithful, over 500,000 clergy and a
network of 40,000 parishes found throughout Ethiopia. DICAC operates in over 200 districts in the country.
The Church publicly declares that it has an obligation to mobilize human and material infrastructure for the
national response to HIV/AIDS and that it should strive to influence positive social change, care for those
affected or living with HIV/AIDS, promote abstinence and faithfulness and reduce stigma and discrimination.
DICAC utilizes peer education and interactive communication to reach these goals.
This is a continuing activity implemented by the IOCC with DICAC. IOCC/DICAC implements home-based
care services in twelve dioceses and its income generating activities and spiritual counseling support
services in 140 districts. In the first half of FY07 alone, IOCC/DICAC provided over 8,400 individuals (53%
women) with general HIV-related palliative care.
In FY08, IOCC/DICAC will reach 12,000 PLWHA with care and support activities including income
generating activities, home-based care (HBC) and spiritual counseling. IOCC utilizes volunteers drawn from
local Orthodox congregations to conduct home visits to clients who are bedridden or in the end-of-life
stages of AIDS. These volunteers conduct several activities at least twice each week, including: counseling
both the client and their family; providing basic physical and social care; serving as liaison for clergy to visit
the home; referring patients to medical services including ART (or in reverse, accepting ART beneficiaries
from the public health system); and leveraging nutritional support from the community including local
businesses and hotels. The activities planned at each district will continue in close collaboration with the
local district HIV/AIDS Prevention and Control Office (HAPCO) branch and other area stakeholders.
IOCC/DICAC encourages networking among groups to further strengthen the project's impact and
sustainability. Gender equality is an important cross cutting theme of the IOCC/DICAC program. In FY08
the program will increase efforts to ensure increased female participation in youth clubs, advocacy groups,
community-based discussion groups, income generating activities and counseling and training activities.
The program will maintain targets of no less than 50% female participation for income generating activities
(IGA), lay counselor and peer educator staffing. By the same token, steps will be taken to increase male
participation in the program at all levels in response to male partner initiatives in collaboration with the
Engender Health "Men as Partners" activity (ID 12232).
During 2008, IOCC/DICAC will provide HBC services to 3,000 PLWHA and an estimated 12,000 family
members, reaching a total of 15,000 clients. HBC services will include nursing care; spiritual counseling;
referral of household contacts for VCT; screening for active TB and referral to local health facilities for
prescription of prophylaxis when appropriate; provision of insecticide-treated mosquito nets; education on
safe water and hygiene together with the provision of locally manufactured water treatment supplies;
nutrition counseling; adherence counseling; and education and encouragement of PLWHA to seek HIV care
and treatment at health centers and hospitals.
In FY05, IOCC/DICAC developed a strategy aimed to improve the welfare and economic sustainability of
PLWHA households with IGA. In FY08, IOCC/DICAC will extend IGA support to an additional 1,500 PLWHA
and will indirectly support 6,000 family members. During FY08 the program will increase IGA start-up capital
from $90 to $136 per person to address the increased cost of commodities. IOCC/DICAC will foster
linkages so that PLWHA enrolled in the program continue to receive regular follow-up guidance and
technical advice from their local HAPCO and agricultural office regarding selection and management of their
IGA. IOCC/DICAC will also support 5,625 PLWHA with spiritual counseling through trained spiritual hope
counselors.
The Ethiopian Orthodox Church has taken a strong public stance against stigma and discrimination. This
will continue to be a key message in FY08 and will be widely disseminated at public rallies, through the
teachings of the church and trained clergy.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16676
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16676 5593.08 U.S. Agency for International 7499 603.08 * $719,501
International Orthodox Christian
Development Charities
10496 5593.07 U.S. Agency for International 5515 603.07 * $644,714
5593 5593.06 U.S. Agency for International 3759 603.06 * $400,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.08:
Orphans and Vulnerable Children component of the Ethiopian Orthodox Church Development and
Interchurch Aid Commission/IOCC HIV/AIDS Response Mechanism Project
ACTIVITY REMAINS UNCHANGED FROM FY2008
DICAC uses peer education and interactive communication to reach these goals.
This is a continuing activity implemented by the IOCC with EOC/DICAC that provides a package of services
to address the needs of orphans and vulnerable children. The package of services includes counseling by
trained lay counselors, training of guardians and provision of small grants for the start up of income
generating activities (IGA) to provide economic support.
In FY07, 2,000 new OVC and their households were enrolled in the IGA program that is expected to
indirectly improve the lives of approximately 8,000 OVC household members. These household members
benefit from the project's care and support components, including spiritual and practical counseling, start-up
capital, and education on nutrition and sanitation in the home. All OVC beneficiaries attended school, a
policy of the program that is reinforced through follow-up by lay counselors with guardians.
To increase program effectiveness and sustainability, IOCC increased networking and partnerships with
organizations such as the national, regional and local HIV/AIDS Prevention and Control Offices (HAPCO),
Red Cross, regional administration offices, Dawn of Hope and the Organization for Social Services for AIDS
(OSSA). In FY08, IOCC anticipates supporting 28 diocese equaling about 140 districts in the regions of
Addis Ababa, Amhara, Benishangul Gumuz, Oromiya, SNNP, and Tigray.
Additional resources in COP08 will be used to:
(1) Increase start-up capital from $90 to $136 provided to 3,000 additional OVC for income generating
activities. This is important in view of significant inflation in Ethiopia which was not anticipated in the last
budget. IOCC/DICAC will continue foster linkages so that OVC enrolled in the program continue to receive
regular follow-up guidance and technical advice from their local HAPCO and agricultural office regarding
selection and management of their IGA.
(2) Provide training to 360 new lay counselors. Lay counselors are required to follow-up and provide
guidance to the planned total of 6,500 OVC and their household members. The program currently has 240
lay counselors, a ratio of 23 OVC to one counselor. In FY08, this ratio will be reduced to 11 to 1 to enable
more frequent and better quality follow-up sessions; necessitating recruitment of an additional 360 lay
(3) Provide funds to enable 75 OVC over 15 years of age to attend vocational training schools to receive
training that will better secure their future and make them productive and employable citizens. The program
will therefore provide funds to send three OVC from each of the 25 branch areas to vocational training
schools. This will include training in tailoring, metal work, woodworking and hairdressing. In addition, IOCC
will provide start-up equipment such as sewing machines and tools upon graduation.
In partnership with other PEPFAR Ethiopia OVC partners, this activity will work with the new PEPFAR
Annual Program Statement recipient to coordinate activities to achieve the most efficient use of resources
for OVC in the highest HIV/AIDS prevalence areas. This includes harmonization on indicators, reporting,
and OVC standards of care in line with Government of Ethiopia national guidelines and policies and OGAC
OVC Program Guidance, as well as achieving quality assurance in OVC programming. Data from the
Ethiopia Demographic and Health Survey (EDHS) 2005 and the results of USG Ethiopia mapping will used
to further identify geographic priority areas ranked highest for children affected by HIV/AIDS. As an exit
strategy IOCC focuses on strengthening the community and the diocesan partners to sustain the program.
activities and counseling and training activities will continue. By the same token, steps will be taken to
increase male participation in the program at all levels in collaboration with Engender Health (ID 12235). In
FY06, explicit female participation targets were raised to 50% for lay counselor and peer educator staffing,
Church/DICAC, IOCC and DICAC will collaborate with the National Partnership Forum and the Interfaith
Forum for Development Dialogue and Action both to assure sustainability of this program as well as to
Continuing Activity: 16677
16677 5591.08 U.S. Agency for International 7499 603.08 * $984,240
10511 5591.07 U.S. Agency for International 5515 603.07 * $820,200
5591 5591.06 U.S. Agency for International 3759 603.06 * $573,000
Health-related Wraparound Programs
* Child Survival Activities
Estimated amount of funding that is planned for Human Capacity Development $685,000
Estimated amount of funding that is planned for Education $275,000
Table 3.3.13:
