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
This activity is linked to activity ID 18080.08, 18947.08, 17899.08, 18954.08, 18847.08.
SUMMARY: PEPFAR will support activities to prevent HIV/AIDS and STI transmission among the police
officers of the Haitian National Police (HPN), customs and immigration officers by focusing on partner
reduction and being faithful to one's partner as the most effective prevention behavior among sexually
active adults. In 2008, training of peers will be used to increase self-risk assessment and developing
behavior change strategies in partner reduction, fidelity, changing social norms such as in the reduction of
domestic abuse and increase in partner communications, and utilizing on-site USG supported counseling
and testing in precincts, customs and immigration offices. Audience specific messages will be targeted at
the uniformed services, especially men, to promote healthy sexual behaviors. The peer educators will
expand their geographical scope in FY2008 to reach all 10 departments of Haiti.
In addition, advocacy activities will be implemented among directors of the police, customs and immigration
in order to integrate HIV prevention messages into the basic training curriculum for uniform services and
promote other prevention activities throughout the forces. Training will be implemented with the HPN and
the United National Stabilization Mission in Haiti (MINUSTAH). The UNAIDS HIV/AIDS training curriculum
has been adapted for use in implementing this activity. About 85% of this activity is funded through the OP
budget.
BACKGROUND: In FY05, FHI in collaboration with MINUSTAH, trained 150 police officers of the HPN in
the West, South, South-East, and North Regional Departments. In FY06 and FY07, FHI continued these
activities in these four departments and trained an additional 150 police officers as peer educators. Over
the past several years, FHI has increased collaboration with the HPN and UN to promote messages for
increasing HIV/AIDS activities among the police.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Using the UNAIDS HIV/AIDS training curriculum and related materials which were adapted
for the HPN in FY07, prevention will continue into be incorporated into the basic training curriculum of the
national police academy. In FY07, 10 HPN Trainers were trained on the implementation of the curriculum;
technical assistance will be provided to the HPN Health Unit trainers in FY08 to refresh their skills in utilizing
the HIV/AIDS curriculum. HPN Trainers will be trained in focusing on topics such as partner reduction,
secondary abstinence, fidelity, changing social norms (e.g. reduction of domestic abuse), discussing various
means of entertainment, importance of partner communications, drug and alcohol abuse, and attending
counseling and testing services. Messages will also be tailored to meet the needs of women in the
uniformed services since they are the minority.
ACTIVITY 2: Follow up training and supervision will be provided to 300 police peer educators trained in
FY05 - FY07 to improve their interpersonal communication and counseling skills; 25 new police peer
educators will be trained in FY08. The increase in peer educators in FY08 will allow for expansion of the
peer-to-peer police educators into all 10 departments in Haiti. After training, Peer Educators will conduct
outreach to their peers with target messages to promote behavior change such as fidelity, secondary
abstinence, partner reduction and CT testing. FHI will make regular supervisory visits to oversee the police
peer education program and provide technical assistance to improve outreach activities and to utilize
innovative models to build HIV self risk assessment and behavior change strategies. During these sessions
service men and women will be encouraged to know their status, inform them of where they can find
services and assist them in developing personal risk reduction plans to increase protective behaviors. Peer
educators will also discuss issues related to sexual violence and gender issues, couple communication and
increased responsibility among males in reducing risky behavior and HIV transmission. It is anticipated that
police will target messages to promote AB messages, predominately B messages, to approximately 1,000
of their peers.
Activity 3: FHI will continue advocating for appropriation and promotion of the HIV/AIDS program within the
headquarters (PNH, Customs and Immigration). Quarterly meetings will be held to build upon awareness
raised in FY07 of the need for better integration and support of the program within the PNH network. Main
issues to be addressed include anti-discrimination and anti-stigma policies within the workforce. It is
anticipated all 10 departmental heads will participate, and assist with the peer training in their department.
Monitoring and Evaluation of these activities including data collection, use, quality and feedback will also be
a continued and focused effort in FY08.
Emphasis Areas:
Community Mobilization/Participation
Development of Network/Linkages/Referral Systems
Information, Education and Communication
Training
Workplace Programs
TARGETS:
Number of individuals reached through community outreach that promotes HIV/AIDS prevention through
abstinence (a subset of total reached with AB): N/A
abstinence and/or being faithful: 1000
Number of individuals trained to promote HIV/AIDS prevention through abstinence and/or being faithful: 25
Target Population:
Adults
Police Officers
Uniformed Services
Key Legislative Issues:
Addressing male norms and behaviors
Coverage Areas:
National
Activity Narrative:
This activity is linked to activity ID 17911.08, 18947.08, 17899.08, 18954.08, 18847.08.
NOTE: This is a continuing activity and was performed by Family Health International in previous Fiscal
Years.
reduction and being faithful to one's partner, and correct and consistent condom use as the most effective
prevention behavior among sexually active adults. In 2008, a to-be-determined (TBD) contractor will train
peers and will be used to increase self-risk assessment and developing behavior change strategies in
partner reduction, fidelity, changing social norms such as in the reduction of domestic abuse and increase in
partner communications, and utilizing on site USG supported counseling and testing services in precincts,
customs and immigration offices. Audience specific messages will be targeted at the uniformed services,
especially men, to promote healthy sexual behaviors. The peer educators will expand their geographical
scope in FY08 to reach all 10 departments of Haiti.
has been adapted for use in implementing this activity. 15% of this activity is funded through the AB
budget, and 85% through the OP.
BACKGROUND: In FY05, Family Health International, (FHI), in collaboration with MINUSTAH, trained 150
police officers of the HPN in the West, South, South-East, and North Regional Departments. In FY06 and
FY07, FHI continued these activities in these four departments and trained an additional 150 police officers
as peer educators. Over the past several years, FHI has increased collaboration with the HPN and UN to
promote messages for increasing HIV/AIDS activities among the police.
for the HPN in FY07, prevention will continue to be incorporated into the basic training curriculum of the
correct and consistent condom use, changing social norms (e.g. reduction of domestic abuse), discussing
various means of entertainment, importance of partner communications, drug and alcohol abuse, and
utilizing on-site USG supported counseling and testing services. Messages will also be tailored to meet the
needs of women in the uniformed services since they are the minority.
FY05 - FY07 to improve their interpersonal communication and counseling skills; 75 new police peer
outreach to their peers with target messages to promote behavior change such partner reduction, correct
and consistent condom use, and CT testing. Peer educators will ensure police know where local condom
outlets are in the community. The TBD contractor will make regular supervisory visits to oversee the police
peer education program and provide technical assistance to improve outreach activities. Technical
assistance will also be provided to utilize innovative models to build HIV risk assessment and strategies to
change their behaviors during mobilization session. During these sessions service men and women will be
encouraged to know their status, inform them of where they can find services and assist them in developing
personal risk reduction plans to increase protective behaviors. Peer educators will also discuss issues
related to sexual violence and gender issues, couple communication and increased responsibility among
males in reducing risky behavior and HIV transmission. It is anticipated that police will target messages to
promote OP behaviors, to approximately 3,000 of their peers.
Activity 3: The TBD contractor will continue advocating for appropriation and promotion of the HIV/AIDS
program within the headquarters (PNH, Customs and Immigration). Quarterly meetings will be held to build
upon awareness raised in FY07 of the need for better integration and support of the program within the
PNH network. Main issues to be addressed include anti-discrimination and anti-stigma policies within the
workforce. It is anticipated all 10 departmental heads will participate, and assist with the peer training in
their department.
other behavior change beyond abstinence and being faithful: 3,000
Number of individuals trained to promote HIV/AIDS prevention through other behavior change beyond
abstinence and/or being faithful: 75
BACKGROUND:
In Fiscal Year (FY) 2007, the United States Government (USG) expanded the package of community
palliative care by channeling resources to the 10 departments through a main CBO that will take the lead in
planning and implementing this program with MOH departmental directorates, local CBOs, and grassroots
institutions. The overall strategy is to refer all PLWHA enrolled in care at all HIV sites to the points of service
established by CBOs in order to provide them community and socio-economic support. Family Health
International (FHI) was given FY 2007 resources to be the central CBO for the North and South East
Departments. Last year, FHI was given funds to work with the MOH and other CBOs selected to develop
norms and guidelines for this program. Although the program has not yet been implemented because of
delays in receiving FY 2007 funding, a document detailing guidelines that defines the package of
community palliative care and strategies to deliver has been developed.
Since the launch of PEPFAR in Haiti, FHI has been a key partner in helping expand CT, care and treatment
as well as social mobilization programs, from policy development to implementation of activities at some
sites. With PEPFAR support, FHI launched a model of community CT services in Laborde (South
Department), Ti Descayettes and Campeche (West Department) two years ago. With FY 2007 resources,
two of these institutions (Ti Descayette and Laborde) are being reinforced to offer integrated palliative care
in order to reach 600 PLWA and their families.
With FY 2008 resources, a TBD contractor will reinforce its role as the central CBO in the North and South
East Departments of Haiti to continue delivering community palliative care in these areas. As the central
CBO, the contractor will focus on making links with the HIV sites where PLWHA are enrolled in care,
identifying local CBOs, grassroots organizations and PLWHA associations through which resources could
be channeled around these sites, expanding the package of services to target all PLWHA enrolled in care in
these two departments, connecting PLWHA to Title II food and economic growth programs to provide them
with food, and income generating activities based on needs assessment.
ACTIVITIES AND EXPECTED RESULTS
ACTIVITY 1: Funding will be used to continue upgrading the two palliative care sites (Ti Descayettes and
Laborde) to reach 600 patients. All patients will receive access to laboratory, clinical, nutrition, and psycho-
social assessments and follow up services to prevent and treat opportunistic infections. Additionally, the
contractor will provide access to services to address malnutrition, to manage pain and symptoms, to monitor
optimal time for HAART and to create a supportive environment for adherence to long term follow up and
care. Funding will be used to enhance infrastructure and strengthen both clinical and community staff with
an emphasis on nurses so that they may play a greater role in providing clinical care. Through the
community, home based care will be reinforced around these sites to provide PLWHA a package of
preventive care, counseling and education services. The contractor will support groups and will provide
technical oversight, supervision, and monitoring of activities.
Activity 2: The contractor will continue to work with the MOH and other CBOs to reinforce all policy aspects
of the program. As guidelines are being developed, validated and disseminated this year, training and
supervision tools in coordination with I-TECH (see I-TECH PC activity narrative) will be next year's focus.
The contractor will participate in all task force activities aimed at implementing these tools.
Activity 3: The TBD contractor will use resources to maintain and expand office spaces in the North and
South East Departments. These offices will be adequately staffed with trained support and psycho-social
staff, as well as with facilitators who are to work with their counterparts at the sites to recruit PLWHA,
establish the social needs of the PLWHA's family and to deliver a package of community palliative care
services. After the expansion, the contractor's departmental offices will have the capacity to provide service
either directly or to channel resources and coordinate activities through local CBOs linked to this program
based on PLWHA needs and geographic location. The community based information system, which is in
development, will be put in place through these offices so that the contractor can provide a track record of
patients enrolled and services offered.
Activity 4: To facilitate access and to provide services closer to the population, the contractor will identify
local CBOs with the capacity to deliver the community palliative care package. Emphasis will be put on
PLWA support groups and associations that are being expanded and reinforced and on organizations with
relevant experience in providing support to PLWA and/or other social support. Through subcontracts with
local CBOs, the contractor will provide financial and technical assistance to upgrade them and provide them
with the tools to offer community support services to PLWA with emphasis on training (e.g. stigma
reduction, best health practices and HIV prevention.)
Activity 5: The contractor will make available through its offices and local CBOs a package of prevention,
nutrition and socio-economic, and education services (see program narrative for details on the package) as
directed by the guidelines. Most of the commodities for the prevention package, such as insecticide treated
nets, safe water products, drinking water bottles and hygiene kits, will be procured by SCMS (see SCMS
narrative). The education materials will be provided by the TBD contractor for community mobilization (see
TBD activity narrative). Food will be made available through the Food Title partner. Through this funding,
the contractor will make available resources to cover school fees, and transit housing for PLWA.
Activity 6: The success of this program will depend upon strong relationships that the contractor and its local
CBO network will continue to establish with HIV sites and community support organizations. For example,
Title II Food program partners will continuously work with HIV sites to update the lists of PLWA enrolled in
care to get them enrolled in community support services. Formal agreements and referrals will be
established between the contractor and community support organizations to ensure quality and continuity of
services. For example, the contractor and its CBO will provide guaranty/warranty funds for micro-credit.
They could also provide funding for transportation fees for churches groups that will conduct home visits to
PLWA and their families.
EMPHASIS AREAS:
- Community mobilization/Participation
- Development of Network/linkages/referral systems
- Human resources
- Linkages with other sector and initiatives
Activity Narrative: - Local organization capacity development
- Food nutrition and support
TARGETS FY 2008
- 3 new sites providing palliative care
-15,000 individuals provided with community palliative care
- 600 individuals provided with clinical palliative care
-100 individuals trained/recycled to provide palliative care
COVERAGE AREAS
- West, North, South and South East Departments
This activity is linked to activity ID 17911.08, 18080.08, 18947.08, 18954.08, 18847.08.
This is a continuing activity.
The President's Emergency Plan for AIDS Relief's (PEPFAR) Fiscal Year (FY) 2008 funds for Orphan and
Vulnerable Children (OVC) will be used by TBD to address the community-based care component of the
program and will support activities targeting OVC related to HIV/AIDS in the South East and North
departments. This intervention will aim at improving the well being of OVC related to HIV/AIDS through
increasing accessibility to school, prevention and curative health care services, economic opportunity and
psychosocial support. Additionally, the program will train care givers and aid families to acquire minimum
basic needs such as beds, mattresses, sheets, tables etc. Collaborative partners will be the Ministry of
Social Welfare (MSW) - IBESR ( Social Welfare Institute ) and Ministry of Health (MSPP)/ North and South
East Regional directorates.
BACKGROUND
TBD's mandate in FY 2005 was to work in four departments (South, South East, North and Grand-Anse.)
with the staff of the Ministry of Social Work at the central and regional level and train them on orphan care
and strengthen psychosocial services for OVC. Over 150 IBSER staff members were trained in HIV/AIDS
basic information and children's rights and benefits. They were also given awareness sessions on potential
links between MSW systems and the health system for the benefit of OVC. Additionally, 1300 OVC were
supported (scholarship, training etc) in FY 2005.
For FY 2006, TBD continued its basic health care and support activities focused on OVC related to
HIV/AIDS in the South and South East departments. Thus far in 2007, TBD has worked in the area of OVC
around a network of four health centers in the South East department. TBD's efforts to date have been
successful. The lessons learned from this project taught us how to apply what we did in one area to the
entire system. TBD proposes to continue the project in the South East and to extend it in the North in FY
2008.
Activity 1: In FY 2007 TBD worked in four sites in the South East and will extend this activity in FY 2008 to
four sites in the North, mainly through the social service structure existing at those new sites (social workers
and community health agents). The goal is to identify dependants of PLWHA in orphanages and those
attending voluntary counseling and testing (VCT) and anti-retroviral (ARV) clinics, post test clubs, and
PLWHA Association meetings in order to enroll them in the program. TBD will continue to train and mentor
social workers and community health agents based at the site to equip them to address OVC related issues.
TBD will maintain contact with established community organizations working in other domains to educate
them to identify and refer OVC to the sites.
Activity 2: In collaboration with the departmental directorates of the Ministry of Health and Population
(MSPP) in the South East and North, some sites of services in strategic areas will be created in the North
and continue in the South East to deliver a package of community based services. TBD will work with local
organizations (e.g., post test clubs, support groups, PLWHA Association) to establish outlets for the
provision of a package of psychosocial and material support to OVC. TBD will hire trained personnel at
each new delivery point to manage the operations, organize the delivery of services and engage other
specific manpower based on the nature of services they will deliver. A core set of services will be provided
at each facility and will include psychosocial support for OVC and their families or caregivers, educational
activities for groups, school fees, support for birth registration, and referral for prevention and curative
health care services.
Activity 3: In each department, a link will be created between the local organization that provided services to
OVC, the health site and birth register office working in the coverage area to provide prevention services
(e.g., immunizations), curative care (e.g., opportunistic infections) and birth certificates to those in need.
Linkages will also be created between the local organization and Title II program and micro-finance
institutions to cover other basic needs.
Activity 4: In collaboration with the MSW, MOH/ South East, and the North directorates department,
trainings session will be organized for those responsible for orphanages as well as those employed as
orphanage caregivers. .
Emphasis areas:
Linkages with others Sectors and Initiatives
3000 OVC supported/served
500 providers/caretakers trained
Targets Populations:
Community Based Organizations
Orphans and Vulnerable Children
Caregivers
Key Legislative issue:
Increasing gender equity in HIV AIDS
Stigma and discrimination
Food
Education
Microfinance/microcredit
Southeast and North
This activity is linked to activity ID 17911.08, 18080.08, 18947.08, 17899.08, 18847.08.
These activities have been performed by Family Health International, subcontracted to MSPP, National Plan
during FY2007. Steps have been taken to have a mechanism in place to continue these activities in
FY2008
SUMMARY:
Activities in this program seek to further expand counseling and testing (C&T) services at three existing
community-based programs and resume those services at the Haitian National Police (PNH). Although
implementing sites will receive varying amounts of support depending on needs and prior performance,
overall activities will include: refurbishing work space, hiring and training counselors and social workers,
procuring basic office equipment, setting up escort services for referrals, organizing people living with
HIV/AIDS (PLWHA) support groups, mobilizing the community, and working to achieve service QA/QC. The
major emphasis areas for these activities are community mobilization; training, strengthening human
resources and infrastructure. Specific targets include general population and men in uniform (military).
For the past two years FHI has provided field support to three grass root community-based programs by
enabling them to add a C&T component to other ongoing educational and development activities. This pilot
experience has shown how communities with high stigma practices can widely accept HIV testing when
testing activities are supported by strong community mobilization and awareness campaign.
FHI has worked with the Haitian National Police (PNH) to support prevention activities during the past two
years, while the counseling and testing services component was developed through another mechanism. In
Fiscal Year 2008 the United States Government team will take steps to create more synergy in activities
developed in partnership with the police by streamlining the supporting mechanisms.
TBD will conduct the following activities in this program area.
Activity 1: Reactivation of Counseling and Testing services at the Haitian National Police: TBD will conduct
a quick assessment to evaluate previous efforts and identify areas where reinforcement is needed. TBD will
enter into a sub-agreement with the PNH to support testing for active duty officers and for candidates since
each year the organization screens thousands of new candidates. This agreement should allow the PNH to:
refurbish spaces at its fixed testing posts, accommodate ad-hoc counseling and testing services during the
enrollment process, and hire additional contractual counselors during the enrollment process, train new
counselors or provide refresher training to old ones, recruit social workers and psychologists, deliver
organization-wide promotional activities for counseling and testing, and create post test- clubs. TBD expects
to reactivate at least two former fixed posts in the metropolitan area, while creating a new post in the North.
It is expected that 3000 current active duty officers and new enrollees will be counseled and tested at the
PNH.
Activity 2: Reinforcement of Counseling and testing services at the three community-based programs.
In addition to elements already in place that provide pre and post test counseling, emphasis will be put this
year on (i) reinforcing mechanisms to retain patients once they test positive, and reduce attrition occurring
through the referral process, and (ii) setting up better partner referral services to limit the transmission of the
disease within families and communities. To accomplish this, resources will be devoted to: (i) hiring social
workers and community health workers to beef up psychosocial support provided at the testing facility as
well as at home to patients and to reach out to their families and partners, (ii) providing escort services and
supporting transportation costs when patients are referred to care facilities, (iii) expanding post test clubs
and PLWA groups to a 90% participation goal, (iii) reinforcing community mobilization activities to promote
services and mitigate stigmatization within the communities. TBD expects to test 2000 people in each
community.
Emphasis areas
Local organization Capacity Development
Human resources and infrastructure
6 sites providing voluntary counseling and testing
8000 persons counseled and tested
50 functional post test clubs
50 Service providers trained/recycled
Target Populations
General populations
This activity is linked to activity ID 17911.08, 18080.08, 18947.08, 17899.08, 18954.08.
This activity is aimed at: 1) measuring the tendencies of behaviors relating to HIV/AIDS; 2) providing the
MOH, financial donors, and other stake holders, relevant information for activities surrounding prevention
and global management of the fight against HIV/AIDS. The completion of this activity encompass: writing
of protocols; review of protocols by the national ethic committee , chaired by the Ministry of Health;
mapping of the surveyed regions,, development of questionnaires, training of field supervisors and
interviewers (data collectors), data collection, data cleaning and analysis, drafting of preliminary and final
reports, presentation and dissemination of results. The primary emphasis for these activities is the
Behavioral Surveillance Survey (BSS). Targeted populations include: commercial sex workers, men who
have sex with men, street youth, police personnel, truck drivers, and migrant workers. The activities will be
carried out in all of Haiti's 10 departments.
This proposed survey represents the fourth round of the kind carried in Haiti. The previous three surveys
took place in 2001 and 2003 and 2006. They all took place under the leadership of the Ministry of Health,
with the technical assistance of FHI and with the financial contribution of different organizations, including
Fondation SogeBank (FSGB) at the last round. Execution have been carried out by a local organization,
Centre de Recherches Appliquées (CERA), specialized in survey and epidemiological studies. Great
considerations have been given onto using the similar methodologies and selecting the same population
sub-groups at each round, in order monitor trend and keep track of changes.
We will carry out eight separate activities in this program area.
ACTIVITY 1: Sub-contract with CERA for the execution of the survey. Implementation includes: (i) design of
the study protocol (ii) Development of questionnaires and training of field supervisors (iii) development of
survey materials such questionnaires, consent forms for each group, and training manuals (iv) mapping
exercises (v) training of activity managers, supervisors, and interviewers. TBD will accompany CERA to
ensure leadership and endorsement by the Ministry of Health, participation of other stakeholders, approval
of protocol by the Ethic committee and dissemination of importance. Issues of importance faced during the
previous rounds and that will need to be dealt with this time again remain: (i) the time for approval, which in
general stretches to 12 months (ii) the mapping to ensure that physical locations of the population of interest
are still relevant.
ACTIVITY 2: Off-shore technical assistance for the analysis and drafting of the survey reports. TBD will
appoint a consultant to help with the analysis and drafting of the final report, to make sure that the report
could be digested easily
TARGETS / Deliverables
Mapping report
Final report BSS IV
