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
An indigenous capacity building non-governmental organization, Community Support and Development
Services (CSDS) Inc was contracted to disburse and monitor small grants to a network of local
organizations, while strengthening their financial and administrative management capacities. Support to the
NGOs include the development of financial and accounting systems to ensure these systems are
compatible with project budgeting procedures and generally accepted accounting principles. Technical
assistance is provided through one-on-one support while conducting monthly visits and on-site training with
partner organizations. Training sessions/visits are geared to respond to the particular needs of each
organization and the designated accounting staff.
The capacity building organization will sub-contract nine NGOs and four FBOs, as well as the M.A.R.C.H.
(Modeling and Reinforcement to Combat HIV/AIDS) behavior change communication project to deliver A
and B messages to youth and adults. In FY08, MARCH will have achieved full NGO status and will
therefore be funded under this mechanism. These organizations currently work with in and out of school
youth, youth groups in churches, as well as communities, focusing on awareness, knowledge and applied
prevention activities. Activities include sensitization sessions with youth, adults and religious leaders; a
peer education program using local materials and manuals; edutainment through the performing arts; IEC
radio and television programs; and, the distribution of IEC materials. Messages are age-appropriate and
are geared to encourage primary and secondary abstinence, the development of skills for practicing
abstinence, ‘be faithful' in sexually active adults, adolescents and older youth, and, the reduction of stigma
and discrimination. The target audience is also informed about the risk associated with cross generational
sex, thus encouraging behavior that will reduce the risk of infection. As of March 07, over fifty thousand
persons were reached with A and B messages.
Grants will also be available to private-public partnerships for the promotion of "AB" prevention activities.
GHARP as the technical assistance, oversight and monitoring arm, provides assistance in programmatic
and technical aspects of the project to NGOs within the USAID HIV/AIDS strategy and serves as a key
agent in building sustainable program management and technical capacity of the NGOs. Hence, the targets
for all the NGOs involved in A and B activities, (except the MARCH project) would be included under
GHARP and in FY 08 will be tracked by the GHARP monitoring system and compiled in one database. In
keeping with OGAC's guidance, standardized data collection forms for each program area were developed
by GHARP, to ensure the quality of data collected. The maintenance of data quality will be ensured through
the training and retraining of NGO staff with M&E responsibility. Apart from the monthly review of data
collected, GHARP conducts quarterly data quality assurance reviews to each NGO to monitor the utilization
of the monitoring system and the accuracy of the data collected. Hence GHARP monitors progress against
the total program area targets and those individually set by the NGOs, in their annual Monitoring and
Evaluation plan.
It is however envisaged that by the end of FY 08 the monitoring of the NGO targets will be transferred to the
local capacity building NGO. Hence in FY 08, GHARP will provide technical assistance in monitoring and
evaluation to CSDS to enable them to effectively fulfill this role.
In FY 08, the MARCH project will receive technical assistance, oversight and monitoring by CDC. Hence,
the targets for MARCH will be tracked by CDC and compiled in their database, utilizing standardized data
collection forms in keeping with OGAC's guidance.
The MARCH (Modeling and Reinforcement to Combat HIV and AIDS) radio serial drama (RSD), Merundoi
was launched in October 2006. Two 15-minute episodes are aired twice weekly on the FM and medium
wave channels with two weekend omnibus editions. The response to the countrywide field test of the pilot
suggests that Merundoi reflects the reality of life in Guyana and resonates with Guyanese listeners. In
FY08, the MARCH program will scale up reinforcement activities in partnership with the Ministries of Health
and Education. A listenership survey and a public health evaluation of the impact of a MARCH-infused life
skills curriculum in secondary schools will formally document the reach of the program and inform program
content and implementation. Also in FY08 the MARCH program will begin its transition from administration
by the US-based Manila Consulting Company to a free-standing NGO. As of April 1, 2008, administration
and management will be through Community Support Development Services Inc. (CSDS), an indigenous
organization that receives funds through USAID for administration and capacity building in local NGOs. The
new management structure will emphasize further integration with the Ministry of Health; a representative
from the National AIDS Program sits on the governance committee to participate in this transition, and MOH
will be represented on the Board of Governors. Monitoring and evaluation for the program targets will
continue through USAID/GHARP reporting channels.
To date, the program has recorded 89 episodes and conducted 348 Listening and Discussion Groups
(LDGs) comprising 10 to 15 persons who listen to selected episodes from the RSD and participate in a
discussion around the behaviors and issues raised. MARCH is expanding the countrywide reach of
Merundoi through community relay radio stations, and Public Listening Sites (PLS). To date 11 such sites
target persons who do not have access to radios or who do not receive radio signals. CDs are made
available to responsible person(s) in the community, ideally shopkeepers who have CD players and sound
systems. The RSD also reaches the Guyanese Diaspora through Radio Guyana International based in
London, England where approximately 10,000 hits are recorded per month, and the Government of Guyana
HIV and AIDS website where there are an average 1,100 hits per month on Merundoi; of these more than
60% come from outside Guyana. MARCH will continue to work with CDC in Guyana and the Caribbean to
appeal to the Guyanese diaspora, expand the regional appeal of the RSD, and develop linkages for future
funding resources once MARCH is an independent NGO.
As part of AB prevention programming, MARCH targets in-school students, out-of-school youth, parents,
and vulnerable girls. Reinforcement activities focus on sexually abstinent adolescents in recognition that
they have not received the same amount of attention as their sexually active peers. Other areas of
emphasis include self-esteem, choice, coercion and violence. Events in the RSD exemplify the complexities
of intergenerational sex to address the high risk of intergenerational sex between older men and young
girls. Fidelity information is aimed at both married and single men to encourage them to consider why they
have multiple partners and who their partners are. Reinforcement activities to these target groups include
discussion groups, street theatre, and community mobilization activities in conjunction with MOH, the private
sector, NGO/FBO, and Peace Corps. Persons requiring other prevention services are linked to these
services through additional MARCH reinforcement activities described under Other Prevention.
A key target group, in-school youth, will be exposed to the RSD and MARCH themes through a MARCH-
infused life skills curriculum implemented in secondary schools throughout Guyana. The life skills
curriculum, originally developed by CARICOM, now includes HIV/AIDS specific behavioral themes that
coincide with the MARCH objectives. CARICOM is interested in piloting the revised curriculum in other
member nations around the Caribbean thus expanding the reach of the MARCH radio serial drama to the
region. In Guyana, the program began in select schools in 2007 and will provide an opportunity to evaluate
the impact of exposure to the MARCH themes in a more controlled environment than would be possible
among those exposed to the RSD via mass media. CDC Guyana and the Ministries of Health and
Education will collaborate on this public health evaluation in FY08, and the activity is described in full as a
PHE activity. As part of routine programmatic monitoring, MARCH will also execute a country wide
listenership survey to assess the reach of Merundoi. The results of this survey will inform marketing and
outreach strategies.
skills curriculum in secondary schools will formally document the reach of the program, the behavioral
impact of the program, and inform program content and implementation. Also in FY08 the MARCH program
will begin its transition from administration by the US-based Manila Consulting Company to status as a free-
standing NGO. As of April 1, 2008, administration and management will be through Community Support
Development Services Inc. (CSDS), an indigenous organization that receives funds through USAID for
administration and capacity building in local NGOs. The new management structure will emphasize further
integration with the Ministry of Health; a representative from the National AIDS Program sits on the
governance committee to participate in this transition, and MOH will be represented on the Board of
Governors.
systems. The RSD also reaches the Guyanese Diaspora through a web radio, Radio Guyana International,
based in London, England where approximately 10,000 hits are recorded per month, and the Government
of Guyana HIV and AIDS website where there have been just over 1,000 hits by persons residing in
Guyana. In addition just over 650 hits were made by persons in the USA. MARCH will continue to work with
CDC in Guyana and the Caribbean and with public and private sector partners to find opportunities to
expand the regional appeal of the RSD.
As part of Other Prevention Programs, MARCH targets out-of-school youths, young adults, and most at risk
populations including commercial sex workers and men who have sex with men. Reinforcement activities
focus on sexually active groups with the aim of sharing information on protective measures. Other areas of
emphasis include reduction of alcohol and drug consumption, accessing services, and negotiation and
assertiveness skills. Reinforcement activities to the target groups include listening and discussion groups
(LDGs), street theatre, and community mobilization activities in conjunction with MOH, the private sector,
NGO/FBO, and Peace Corps. LDG is the most popular reinforcement activity across the country. This forum
resonates well with high risk groups and young adults as it gives them a chance to be involved in intense
discussions on issues surrounding condom use, the importance of reducing alcohol and drug intake and
timely access to sexual and reproductive health services. Participants such as prisoners, commercial sex
workers and men who have sex with men are able to analyze and understand risky behavior patterns and
counteracting strategies through information sharing at LDGs. Where appropriate the targeted groups
receive referrals to counseling and testing services and information regarding prevention services.
CDC Guyana and the Ministries of Health and Education will collaborate on a public health evaluation in
FY08. As part of routine programmatic monitoring, MARCH will also execute a country wide listenership
survey to assess the reach of Merundoi. The results of this survey will inform marketing and outreach
strategies.
The capacity building NGO, Community Support and Development Services (CSDS) will disburse funds,
manage and strengthen the financial systems of five (5) NGOs working with MARP in Guyana's highest
HIV/AIDS affected regions. The NGOs are currently working with street-based and brothel based
commercial sex workers in four of Guyana's Regions. Interventions include HIV/STI prevention education
including information on assessing, reducing and eliminating one's risk of infection through behavior
change. These are conducted through one-on-one interaction by outreach workers and peer education
training. Outreach workers and peer educators (FCSW) also facilitate access to screening and treatment
for HIV and other STI, assistance for care and treatment referrals, as well as access to affordable condoms.
Through the intervention of Comforting Hearts, a USAID-supported NGO, three peer educators (FCSW),
have since quit the CSW profession and have established micro-enterprises. They also continue to be
members of the NGO assisting with outreach activities on a part-time basis.
In FY 08, the Modeling and Reinforcement to Combat HIV and AIDS (MARCH) serial drama project would
have achieved full NGO status and will be funded through CSDS. MARCH will focus on condom use,
stigma and discrimination, alcohol reduction and access to HIV related services. These issues will be
addressed in the listening and discussion groups.
In the next fiscal year, there will be a concentrated effort to focus on MARP, particularly MSM. The officer
responsible for MARP activities at the National AIDS Program Secretariat will work closely with the GHARP
Health Education Officer and the NGOs to implement a joint program to target this at-risk population.
The prevention targets for these organizations involved in Other Prevention activities will continue to be
included under GHARP and in FY 08 will be tracked by the GHARP monitoring framework and compiled in
their database.
GHARP as the technical assistance, oversight and monitoring arm, will continue to provide assistance in
programmatic and technical aspects of the project to NGOs within the USAID HIV/AIDS strategy and serves
as a key agent in building sustainable program management and technical capacity of the NGOs. Hence,
the targets for the NGOs involved in Other Prevention activities, except the MARCH project, would be
included under GHARP and in FY 08 will be tracked by the GHARP monitoring system and compiled in one
database.
In keeping with OGAC's guidance, standardized data collection forms for each program area were
developed by GHARP, to ensure the quality of data collected. The maintenance of data quality will be
ensured through the training and retraining of NGO staff with M&E responsibility. Apart from the monthly
review of data collected, GHARP conducts quarterly data quality assurance reviews to each NGO to
monitor the utilization of the monitoring system and the accuracy of the data collected. Hence GHARP
monitors progress against the total program area targets and those individually set by the NGOs, in their
annual Monitoring and Evaluation plan.
The Community Support and Development Services (CSDS) Inc is an indigenous capacity building
institution, which was contracted to disburse and monitor small grants to a network of local organizations,
while strengthening their financial and administrative management capacities. Support to the NGOs include
the development of their financial and accounting systems to ensure these systems are compatible with
project budgeting procedures and generally accepted accounting principles. Technical assistance is
provided through one-on-one support while conducting monthly visits and on-site training with partner
organizations. Training sessions/visits are geared to respond to the particular needs of each organization
and the designated accounting staff.
In FY 08, ten (10) key NGO/FBO partners will receive financial support from CSDS to continue to reach
PLWHA and their families in their communities. To date, palliative care services have been provided to
over 700 PLWHA and their families in seven regions, with over 60 community health care
providers/volunteers and nurse supervisors trained in community home-based care (HBC). Under this
program, one of our USAID-supported NGOs, Hope for All in Region 2, occupies an office within the public
hospital where a volunteer is on call to receive referrals of PLWHA from the doctors. This method, of an
NGO working on site along side the formal health care team has strengthened the referral system and has
greatly reduced the delay in a client's access to Home Based Care Services and support. All NGOs work
closely with the MOH Regional home-based care nurse supervisors, supported by the GFATM, who refer
patients identified as positive to the NGOS to ensure a continuum of care. Once a referral is received the
client is registered into the program and arrangements are made to do home visits, or, if the client is sick to
do home care. In the home, an assessment of the needs of both the client and family is conducted by the
nurse supervisor attached to Hope for All. Based on that assessment, a plan of care is drafted by the nurse
supervisor, and is communicated to the volunteer(s) assigned to the case.
The package of care provided includes:
1.) Clinical care accompaniment, nutritional and hygiene counseling, adherence support, hospital visits to
coordinate discharge planning, grief and bereavement counseling, provision of care packages, and basic
nursing care in the home;
2.) Prevention education for family members and encouraging family members to be a source of support;
3.) Psychosocial support (Clients are invited to eventually join the NGO support groups once they have
adjusted and accepted their diagnosis);
4.) Referral to a religious organization that is sensitive to HIV/AIDS issues;
5.) Linkages to social services such as welfare and legal services; and facilitating access to micro-
enterprise initiatives and vocational skills training.
Recently, house lots were donated by the Government of Guyana Ministry of Housing to provide affordable
housing for persons infected with HIV/AIDS. Houses will be constructed through self-help in collaboration
with Habitat for Humanity. This will provide an opportunity for on-the-job construction skills training for
PLHA and their families. GHARP will continue to collaborate with the Ministry of Housing in this regard.
GHARP, as the technical assistance, oversight and monitoring arm, provides assistance in programmatic
agent in building sustainable program management and technical capacity of the NGOs. Hence the targets
of the NGOs providing Home Based Care Services would be included in those under GHARP in FY 08, and
will be continue to be tracked by GHARP monitoring framework and compiled in their database. In keeping
with OGAC's guidance, standardized data collection forms for each program area were developed by
GHARP, to ensure the quality of data collected. Quality assurance of the NGO-based monitoring and
evaluation systems will be ensured through continued training and mentoring of M&E personnel. Apart from
monthly reporting and data reviews, GHARP conducts quarterly data quality assurance reviews on-site, with
each NGO in order to monitor the utilization of the monitoring system and the accuracy of the data
collected. Hence GHARP monitors progress against the total program area targets and those individually
set by the NGOs, in their annual Monitoring and Evaluation plan.
The capacity building organization will be responsible for the continued capacity and system strengthening
of the identified NGO/FBO partners in the key areas of financial and administrative management, through
on-site technical assistance and training.
the development of financial and accounting systems to ensure these systems are compatible with project
budgeting procedures and generally accepted accounting principles. Technical assistance is provided
through one-on-one support while conducting monthly visits and on-site training with partner organizations.
Training sessions/visits are geared to respond to the particular needs of each organization and the
designated accounting staff.
CSDS will provide financial assistance to nine (9) NGO/FBO partners to implement comprehensive OVC
programs. One of the key NGO partners, Linden Care Foundation (LCF), is currently providing care and
support services to over two hundred (200) children who are reached through referrals from schools and
members of the community, the HBC and VCT programs. Services offered to OVC include psychosocial
counseling( individual counseling with OVC as well as parent/guardian counseling), homework supervision,
medical referrals, nutritional assessment and counseling, adherence support, referring caregivers to social
and legal services, access to micro-enterprise initiatives and vocational skills training for older youth, age
appropriate prevention education and encouraging testing for family members. Community facilitators from
LCF, trained through GHARP, conduct visits to homes and schools to follow-up on the progress of the child.
LCF has also been able to leverage resources from international and local agencies to construct a ‘drop in'
centre for OVC, obtain raw materials for food and the acquisition of multi-vitamins, and, other medications
for pain management and the treatment of opportunistic infections. With support from UNICEF and ‘Every
Child Guyana' LCF also manages a mini-pharmacy. Support from the World Bank has enabled the
organization to provide nutritious meals for one hundred and twenty four OVC three days weekly. A
nutritionist who is a member of LCF assists with the preparation of the meals. The Chairperson of LCF is a
qualified nurse practitioner/midwife.
of these nine (9) NGOs/FBOs would be included under GHARP in FY 08, and will be tracked by GHARP
monitoring framework and compiled in their database. In keeping with OGAC's guidance, standardized
data collection forms for each program area were developed by GHARP, to ensure the quality of data
collected. The maintenance of data quality will be ensured through the training and retraining of NGO staff
with M&E responsibility. Apart from the monthly review of data collected, GHARP conducts quarterly data
quality assurance reviews to each NGO to monitor the utilization of the monitoring system and the accuracy
of the data collected. Thus, GHARP monitors progress against the total program area targets and those
individually set by the NGOs, in their annual Monitoring and Evaluation plan.
The capacity building NGO will be responsible for the continued capacity and system strengthening of the
identified NGO/FBO partners in the key areas of financial and administrative management, through on-site
technical assistance and training.
the development of financial and accounting systems to ensure these systems are compatible with the
The capacity building organization will continue to provide financial assistance to a regional distribution of
twenty (20) NGOs/FBOs to initiate interpersonal and community dialogue, provide information, and mobilize
communities to access Counseling and Testing Services, including counseling and testing through PMTCT
ANC clinics.
Currently, the following eight (8) NGO/FBO partners are supported to deliver counseling and testing:
Comforting Hearts, the Guyana Responsible Parenthood Association, Hope for All, Hope Foundation,
Lifeline Counseling Services, Linden Care Foundation, St. Francis Community Developers, Youth
Challenge Guyana. Of those eight, there are seven fixed sites and one mobile unit located at the Guyana
Responsible Parenthood Association. The NGOs/FBOs have been reaching high risk populations with C&T
services through their community outreach activities and walk-in service. Appropriate AB education has
been integrated into their risk reduction counseling, and, prevention programs for high risk populations
follow the ABC guidance. Persons who are tested positive through counseling and testing are referred to
treatment services, home and community based programs. Emphasis is placed on male access and MARP.
Of note, is that in FY07, GHARP transferred the service delivery aspect of VCT to Youth Challenge Guyana,
which enabled this organization to expand its counseling and testing services to the hinterland communities.
GHARP will continue to offer the training, QA, and technical assistance and oversight to ensure targets are
met and that appropriate communities are targeted.
of the NGOs providing Counseling and Testing Services would be included in those under GHARP in FY
08, and will continue to be tracked by GHARP monitoring framework and compiled in their database. In
The Government of Guyana, donors and civil society have recognized that in order to scale up the HIV
response and achieve Guyana's goals, non-governmental and faith-based organizations have become
important partners in the national response. While the NGOs are essential to extending the delivery of
HIV/AIDS prevention, care and support services throughout the country, many of them have demonstrated
inadequate capacity to rapidly scale up services as a result of their limited administrative management and
financial capacity. In addition, as the number of NGOs grows, it becomes increasingly necessary to identify
a sustainable cost effective solution to institutional capacity building. This requires the transfer of the
capacity building mandate to a local entity which can work with the NGOs in the field and maintain regular,
even daily contact, to respond to emergency needs and monitor progress. This agency would also fill the
gaps in the institutional memory created by the high turnover of key staff in these local NGOs.
After issuing a Request for Proposals in December 2006, Community Support & Development Services
(CSDS) Inc, an indigenous capacity building organization, was awarded the contract in May 2007 to meet
the emerging needs of the NGOs. CSDS is contracted to disburse and monitor small grants to a network of
USAID-supported non-governmental organizations (NGOs), faith-based organizations (FBOs), and the
NGO Coordinating Committee, while strengthening their financial and administrative management (including
governance) capacity. CSDS will provide technical assistance through local consultants and a local
Accounting Firm to enable the NGOs to immediately expand HIV/AIDS services while simultaneously
enhancing their capacity. Assistance will be provided in a targeted manner, focusing on direct
management, on-site training and mentoring and other direct support, and when warranted, other formal
training in the form of workshops to ensure long-term organizational sustainability.
Thus, under the Other/Policy Analysis and System Strengthening program area, through CSDS, a core of
short-term local consultants will build the capacity of the eighteen (18) USAID-supported NGOs to fulfill
critical governance and administrative tasks:
1. Review and develop customized constitutions and guidelines for NGO boards;
a. Train NGOs and their boards on final constitution
2.Update NGO Coordinating Committee Constitution;
a. Train board on final constitution
b. Participate in coordinating committees to oversee process
3.Develop customized staffing and volunteer policies for NGOs;
a.Develop management plans
b.Develop scopes of work for each position;
4.Develop conflict of interest policies;
5.Develop NGO guidelines for sub-contracting; and
6.Respond to NGO requests for on-site support.
CSDS will also sub-contract a local Accounting Firm to provide oversight to its financial management of the
NGOs through the review of financial systems and practices and the conduct of audits, thereby ensuring
continuous quality improvement and quality assurance.
The Guyana HIV/AIDS Reduction and Prevention (GHARP) project will continue to provide technical
guidance to the NGOs. GHARP will also serve in a mentoring capacity to CSDS throughout the duration of
the contract, with the ultimate goal of equipping them with the requisite skills to continue beyond the end
date of the (international) institutional contractor.
Deliverables/Additional Targets:
•Consultants contracted to provide following deliverables:
•Revised constitution for NGO Coordinating Committee completed