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.
SUMMARY
The Orphans and Vulnerable Children (OVC) intervention is primarily community-based and ensures that
children have access to the six core intervention components, namely food/nutrition, shelter and care,
protection, health care, psychosocial support, and education. The activities include building the capacity of
immediate, extended and foster families to protect and care for their children, ensuring access to essential
medical, immunization and nutrition services, providing support for legal and social entitlements and
mobilizing community support and government participation. The primary targets are children orphaned
and/or affected by HIV and AIDS, family members, and caregivers.
BACKGROUND
The Avert Society project is a bilateral program implementing prevention, care, and treatment activities in
high burden districts of Maharashtra State. The population of Maharashtra is over 96.8 million and the HIV
prevalence is 0.75% (sentinel surveillance, State of Maharashtra, 2006). Avert currently supports over 70
NGOs to implement prevention, care, and treatment programs in selected high burden districts of
Maharashtra State. Under the umbrella of the Avert project, the Health Communication Partnership/Johns
Hopkins University (HCP/JSU) and the Hindustan Latex Family Planning Promotion Trust (HLFPPT) have
been awarded cooperative grants to support the state in scaling up the efforts on communication
(HCP/JHU) and condom social marketing (HLFPPT).
The National AIDS Control Organization (NACO) has asked the Avert project to assume responsibility for
the Technical Support Unit (TSU) to support the State AIDS Control Societies (SACS) in Maharashtra and
Goa to scale up HIV/AIDS prevention, care, and treatment programs in accordance with the third National
AIDS Control Program INACP-3). It is envisioned that Avert will also provide direct implementation support
to fill critical gaps in prevention services and/or demonstrate best practice models for specific populations.
The OVC activity is a continuation of initiatives under PEPFAR funds that began in 2006. These activities
are financially and technically supported through the Avert project. Avert will leverage support from other
resources, including UNICEF, CDC, and the Clinton Foundation, for strategic inputs for planning, additional
technical support and quality improvement.
ACTIVITIES AND EXPECTED RESULTS
Avert will provide direct support to demonstrate best practices in OVC interventions and will provide
technical support to the SACS in scaling up OVC interventions according to the needs in the states. Avert
will design strategies to address the vulnerabilities of orphaned and vulnerable girls by ensuring adequate
coverage of services for girls, particularly school enrollment and community support for shelter and care for
orphaned girls.
ACTIVITY 1: Improving Access to Quality Services for OVC
With FY08 funds, Avert will continue to support two existing projects and identify two new OVC programs in
Sangli and Nagpur districts, reaching approximately 1450 OVC. One program is located in a large brothel
site and primarily reaches children of sex workers with OVC services. The program also aims to prevent
children of sex workers from entering into sex trade.
Avert will train the program staff in all the OVC projects to provide a minimum quality and standard of care
for children infected, affected ,and vulnerable to HIV/AIDS in the six PEPFAR core areas. Under this
program, children will receive shelter and care, nutrition, school education and life skills
education/vocational training, protection, health care and psychosocial support. Avert will develop one of the
three OVC sites into a demonstration program to serve as a learning site for new OVC programs supported
by Avert and MSACS. Linkages will be established with educational institutions, child survival programs,
orphanages, and other social support programs to leverage resources and maximize the effectiveness of
the programs.
ACTIVITY 2: Technical Assistance to MSACS and GSACS on OVC Programs
Currently, the SACS are not implementing OVC programs. Recently, the USG-funded Samarth program,
implemented by Family Health International (FHI), provided technical assistanceto develop national
operational guidelines for OVC programs that can be used by the States to implement OVC programs, in
line with the new policy under the National AIDS AIDS Control Plan Phase 3. With FY08 funds, Avert, in
collaboration with FHI, will provide technical support to MSACS and GSACS in planning, implementing, and
monitoring OVC programs in the state.
This will including assisting the SACS to monitor the quality of interventions through reviewing monthly
activity reports, site visits, and reviewing facility-based and community-based services.
ACTIVITY 3: Improving the Quality of OVC Services
The Avert project will carry out a range of trainings to address the different skills required by the range of
personnel who are needed to deliver a holistic OVC program. Avert will train medical officers and
counselors on providing quality treatment for pediatric opportunistic infections (OI), ARV management, and
adherence counseling. The training will cover ethical guidelines for counseling children and child consent,
and declaring HIV status to children. OVC project staff will also be trained in standards for OVC
interventions, following national and international guidelines. Training for caregivers of infected and affected
children will cover the provision of home-based care, including nutrition, health, and hygiene. Life-skills
teachers and house mothers of residential OVC services and shelter accommodation will be trained in
identifying behavioral problems in children, nutritional guidance and follow-up, health, and hygiene.
