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
Livelihood Support for Vulnerable PLWH
ACTIVITY UNCHANGED FROM FY2008
This is a competitive acquisition and the partner will be identified
COP 08 ACTIVITY NARRATIVE:
This is a continuing activity.
This activity receives HBHC and HKID funding to provide analysis and implementation of viable economic
strengthening models, specifically income generation, for persons living with HIV/AIDS and OVC in urban
and per urban areas. This funding specifically targets persons living with HIV enrolled in care and treatment
services.
As ART access becomes widely available to persons living with HIV in specific urban and per urban areas
the dynamics of community based palliative care and OVC care has evolved. Several need assessment
surveys done among households where persons with HIV reside or households where OVC reside in
Ethiopia revealed limited community social support, such as lack of sustainable means to obtain economic
resources for food, shelter and other necessities such as transportation to clinics for ART or related
services. Findings from a recent Network Assessment conducted by Johns Hopkins University indicated
that a majority of care and treatment beneficiaries required community-based social services to increase the
security of their household livelihood.
This activity will improve PEPFAR Ethiopia's understanding of viable economic strengthening models for
persons requiring disease management services or long term social support services in a livelihood
insecure setting.
Ethiopia, like all focus countries, experiences socioeconomic barriers to care and treatment services. Often
persons enrolled in care and treatment has migrated to urban areas and is beyond traditional coping
structures such as extended family and community networks. Although these patients are enrolled in care
and treatment and there is a positive impact on their capacity to self-care they have very unstable
livelihoods that do not facilitate adherence to therapies received through inpatient facilities. This activity will
work closely with USAID's Economic Growth Office to identify and pilot best practices and technical
specialization from other African and Asian countries to strengthen PEPFAR Ethiopia's continuum of care,
specifically social support as the need for income generation expand. This activity's impact will be
disseminated widely to the HIV/AIDS Prevention and Control Office (HAPCO) to build upon evidence-based
approaches to social support.
Several need assessment surveys done among PLWHA in Ethiopia revealed that lack of social support,
such as lack of sustainable means to obtain economic resources for food, shelter and other necessities,
such as transportation to clinics for ART or related services, was the most frequently mentioned challenge.
Inadequate social support was quite often mentioned as one of the reasons for defaulting from ART
treatment.
This activity will support major PLWHA associations and relevant CSO involved in social support of PLWHA
to design viable IGA and livelihood options for vulnerable PLWHA members of the associations in urban
areas linked with 30 hospitals and network health centers that provide majority of patients with ART care.
The initiative will mainly target HIV positive women attending HIV/AIDS care and treatment services. Those
HIV positive women who are heads of households, widowed, divorced and unemployed are primarily
targeted. The project will provide livelihoods options for those women who otherwise are likely to be
engaged in high risk sex, despite their HIV status, to generate income for their households. The activity will
also be strongly linked with existing HIV/AIDS prevention, care and treatment services within the health
network model. Prior to the implementation of this activity PEPFAR Ethiopia will conduct extensive mapping
of available services for PLWHA in order to facilitate the referral linkages.
The IGA support will also be used as opportunity to approach the family to address issues like disclosure of
HIV status and referring other members of the family for HIV testing.
The project will establish a sustainable savings and credit scheme for HIV/AIDS infected and affected
persons. Through partner organizations, clients receive other services such as counseling, education on
health issues related to AIDS.
Activities will include:
-Identifying relevant local partners to implement quality livelihood activities in 10 urban areas and support
the highest number of PLWHA on care and treatment services
-Working with PEPFAR implementing partners, EGAT implementing partners and District/Town offices to
identify economic strengthening activities
-Selection of beneficiaries for time limited support
-Mobilizing and training Group Saving and Loan (GSL) clubs and linking them to viable markets.
This activity will support an estimated 10,000 persons, 75% of which are female beneficiaries
This activity will contribute to the PEPFAR Ethiopia 5-year strategy by improving livelihoods and self
reliance of households where persons with HIV reside. It will also contribute towards improved ART
adherence through adherence counseling among support groups.
The program will cover at least 10 major urban areas with target groups of people living with HIV/AIDS
(PLWHA) in the communities. This will contribute to behavioral change, improve living standards, provide
better planning and organizational abilities for income generating activities (IGA) productivity through the
training provided to them by the project. There will be reduced stigmatization against HIV/AIDS infected and
affected persons with increase self reliance among PLWHA and their families. The program will support a
total of 10,000 beneficiaries including families of PLWHA
Activity Narrative: Partnerships will be formed with other USG investment portfolios in agriculture, health, economic growth,
and education to leverage resources. This activity will be coordinated with other PEPFAR and EGAT funded
activities to increase the number of beneficiaries and households as possible. Examples include Aid to
Artisans, Land O'Lakes small scale dairy programs, IOCC and WFP Urban HIV/AIDS program.
During FY2008, PEPFAR Ethiopia will continue to its consultations with the OGAC Public Private
Partnership technical working group including to disseminate the results of this activity.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17865
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17865 17865.08 U.S. Agency for To Be Determined 7588 7588.08 Livelihood
International
Development
Emphasis Areas
Gender
* 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:
