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
Summary
Through EP funding, the USG will continue to support an HIV/AIDS Specialist to provide technical
leadership and program support for the HIV/AIDS prevention program in Malawi. This activity is linked to
Condoms and Other Prevention (ID#18271).
Background
With one of the highest adult HIV prevalence rates in the world (14.2% in 2003), the HIV/AIDS pandemic
has taken the lives of nearly one million Malawians and exacerbated societal problems as diverse as food
security, human resource capacity, and national defense. The USG through the Emergency Plan (EP)
remains committed to expanding its program of HIV/AIDS prevention in Malawi. Currently the USG is one
of only two donors directly funding programs to prevent sexual transmission of HIV in Malawi, and the only
one with significant resources programmed in Prevention. USG has supported Behavior Change
Communication (BCC), Community Outreach, and social marketing of condoms to high risk populations
since 2002.
Recently, the USG began supporting AB activities of local NGOs and FBOs through an umbrella grants
management program. In addition, the USG continues to support Malawi's National HIV/AIDS Action
Framework (NAF) by working with the National AIDS Commission (NAC) and the Ministry of Health (MoH)
to promote AB prevention initiatives.
The overall USG prevention portfolio has many strengths such as a balanced approach to addressing key
audiences, (including adults, youth and high-risk populations); an appropriate balance and strong links
between mass media and interpersonal communications; and a comprehensive abstain, be faithful,
condoms (ABC) approach. The comprehensive approach includes attention to partner reduction and a focus
on gender issues, especially male norms and traditional cultural practices. There is still considerable need
to deepen prevention efforts through more nuanced segmentation of adult, youth, and high-risk populations.
More formative work is needed to develop and target more focused messages to specific sub-populations.
To address these gaps, the USG/Malawi team provides technical guidance to the existing AB prevention
partners and sub-partners. In addition, the USG team will compete and award two new competitive
agreements with FY 2008 funding. One RFA procurement will be a program addressing HIV prevention in
the general population. The TBD procurement will challenge social and gender norms and promote safer
sexual behaviors to both youth and adults. The second TBD program will focus on prevention for high risk
groups. This program will have an emphasis on partner reduction and consistent and correct condom use.
Activity 1: Technical Leadership
The HIV/AIDS Prevention Specialist will provide technical leadership and support to the Government of
Malawi (GoM), USG partners, USG Agencies engaged in EP to develop, adapt, and integrate an
appropriate minimum package of effective HIV/AIDS prevention services and support consistent with the
GoM's National Plan of Action and EP guidance. The HIV/AIDS prevention specialist will serve as the chair
of the inter-agency technical working group on prevention to provide overall technical guidance and
coordination for the implementation of the HIV prevention activities. The Specialist will work with all
stakeholders to provide guidance and advocacy for the provision and scale-up of HIV/AIDS Prevention
services. In addition, he or she will work with other USAID Strategic Objective teams to identify
opportunities for wrap-around programs (e.g., education) that will benefit HIV/AIDS prevention.
Activity 2: Donor Coordination
It is expected that the HIV/AIDS Prevention Specialist will work closely with other members of the USG EP
team, the GoM, other bilateral and multilateral donors and organizations (e.g., NAC, UN Agencies) to
harmonize technical approaches and maximize geographic coverage for HIV prevention programs that are
consistent with sound HIV prevention practices and host government strategic plans. In addition, the
individual will serve as a technical member of HIV/AIDS related technical advisory committees, established
by key stakeholders such as NAC, MoH and Development Partners.
Activity 3: Program Management
The HIV/AIDS Prevention Specialist will provide technical guidance and management for selected AB
prevention partners, including tracking activity progress, analyzing progress and barriers to achievement,
making recommendations to address implementation problems, and documenting results. The Specialist
will conduct regular site visits to partners and sub-partners to assure data quality.
Communication (BCC) for HIV/AIDS Prevention, Community Outreach HIV/AIDS activities, and the social
marketing of condoms to high risk populations since 2002.
To address these gaps, the USG/Malawi team will compete and award two new competitive agreements
with FY 2008 funding; one TBD procurement will address HIV prevention in the general population (social
and gender norms, safer sexual behaviors) and the second TBD will focus on prevention for high risk
groups (partner reduction and consistent and correct condom use). This activity describes the role of a
HIV/AIDS Prevention Specialist who will provide technical guidance to existing and new AB prevention
partners and sub-partners.
Malawi (GoM), USG partners, USG Agencies engaged in EP to develop, adapt and integrate an appropriate
minimum package of effective HIV/AIDS prevention services and support consistent with the GoM's
National Plan of Action and EP guidance. The HIV/AIDS prevention specialist will serve as the chair of the
inter-agency technical working group on prevention to provide overall technical guidance and coordination
for the implementation of the HIV prevention activities. The Specialist will work with all stakeholders to
provide guidance and advocacy for the provision and scale-up of HIV/AIDS Prevention services. In
addition, he or she will work with other USAID Strategic Objective teams to identify opportunities for wrap-
around programs (e.g.; education) that will benefit HIV/AIDS prevention.
team, the GoM, and other bilateral and multilateral donors and organizations (e.g., NAC, UN Agencies) to
Through Emergency Plan (EP) funding, USG Malawi will recruit and hire a Senior Technical Advisor to
provide leadership and support for OVC and community care programming in Malawi. This is the same
activity as HKID activity ID#17781 which describes the activities of the OVC Advisor who will also provide
USG technical leadership in basic care.
With nearly 1 million Orphans and Vulnerable Children (OVC) in Malawi, there is an urgent need to
strengthen the capacity of the GoM and civil society to provide comprehensive care and support services.
In 2004 USG Malawi and other donor partners provided support to the Ministry of Women and Child
Development (MOWCD) to develop a National Plan of Action. Malawi was awarded a Global Fund Round 5
grant for OVC for $20 million to the National Aids Commission with MOWCD as the implementing agency.
As of September 2007, only $1.98 million had been disbursed. Since FY 2002, USG Malawi has been
supporting community and home-based care activities of NGOs, CBOs, and FBOs. The National Plan of
Action for OVC was finalized in 2005 and districts are planning their own action plans in FY 2007 with
UNICEF support. Essential OVC services have not been established nationally and there are large gaps in
service delivery at the community level. Given the importance of OVC and the number of EP partners
providing care services, the USG PEPFAR team has agreed on the need for a Senior Technical Advisor in
Community Care and OVC to provide overall guidance on and advocacy for OVC and other priority HIV
community care interventions, including palliative care.
The Advisor will provide technical leadership to the entire USG Emergency Plan (EP) team in developing,
adapting, and integrating quality OVC standard and guidelines for service delivery to relevant populations
and partners within USG supported programs. S/he will ensure OVC programming is integrated with food,
prevention, pediatric treatment, and the vulnerable girls program under USG comprehensive funding for
Malawi. The Advisor will provide national leadership and advocacy for OVC and Palliative Care priority
interventions strengthening and scale up. Also, the Advisor will ensure that USG-supported OVC programs
in Malawi provide a package of OVC care and support including education, care and shelter, health,
psychosocial and child development, protection and rights, nutrition, and economic strengthening. The
Advisor will work collaboratively with the EP interagency team, the Government of Malawi (GoM), other
bilateral and multilateral donors and institutions, EP implementing partners, civil society, and other relevant
stakeholders.
The Advisor will provide technical leadership and support to GoM, USG partners, USG Agencies engaged
in EP to develop, adapt, and integrate appropriate standards and guidelines for effective delivery of quality
OVC services and support consistent with the GoM's National Plan of Action and EP guidance. The
Advisor will work with all relevant stakeholders including the GoM, UNICEF and civil society organizations to
provide national leadership and advocacy for OVC the provision and scale-up of services. In addition, the
Advisor will work with other USAID Strategic Objective teams to identify opportunities for wrap-around
programs (e.g. food security and nutrition, education, and economic growth) that will benefit OVC. The
Advisor will be the activity manager and lead Advisor to NGOs, CBOs and FBOS under USG support in
OVC and Basic Care, especially Pact (see Activity #10359). In FY 2008, the Advisor will work with the
above group to help develop a national M&E for OVC in form of database with TA on data management and
data quality.
Activity 2:Donor Coordination
It is expected that the Community Care and OVC Advisor will work closely with other members of the USG
EP team, UNICEF, the Ministry of Health, MOWCD, other bilateral and multilateral donors and
organizations to harmonize technical approaches and maximize geographic coverage for OVC programs
that are consistent with the National Plan of Action for OVC, district-level action plans, and sound OVC
practices and host government strategic plans. As appropriate, the Advisor will provide technical support to
the Global Fund Secretariat, the National AIDS Council, Ministry of Education, and the MOWCD to facilitate
the implementation of the Global Fund Grant for OVC.
USG Malawi provides technical assistance to partners in order to assist Malawi in meeting its SI goals of
generating empirical information about HIV and AIDS that informs policy, practice and interventions,
building capacity at national, district and community levels, and pursuing one of the ‘three ones', one
harmonized and functional Monitoring and Evaluation (M and E) system for the national response to HIV
and AIDS. USG Malawi has hired a Strategic Information (SI) Advisor to serve as USG's primary Technical
Advisor in monitoring and evaluation for country operations planning and reporting. The SI Advisor is the co
-lead for the SI Technical Working Group in Malawi which holds regular Interagency meetings to review the
SI portfolio. They will also serve as primary Technical Advisor in SI to other USAID health implementing
partners.
Activity 1: Country Operational Plan
The SI Advisor will manage and coordinate SI-related processes required for the development of the annual
COP; oversee the fiscal year and planning year target setting exercises. The SI Advisor is responsible for
producing summary targets for the program areas in the COP. The SI Advisor will track the progress of
results achieved by implementing partners against their targets and track overall progress in achieving EP
goals.
Activity 2: Communication and Coordination
The SI Advisor serves as the primary conduit for communication on SI issues, challenges and policy
questions. The SI Advisor will communicate directly with the SI TWG and coordinate the SI exchange with
the in-country team.
Activity 3: Program Monitoring and Reporting
The SI Advisor is responsible for timely and quality collection and reporting of the EP program, monitoring,
outcome and impact indictors of the EP's Program, Monitoring, Outcome and Impact Indicators. Country SI
guidelines, standards, and manuals will be updated to ensure consistency with latest EP guidelines. The SI
Advisor will produce summary targets and track the progress of results achieved by implementing partners.
Activity 4: Coordination of Monitoring and Evaluation
The SI Advisor will work with other USG and international organizations to harmonize EP's reporting
requirements. The SI Advisor will work closely with Government of Malawi (GoM) officials responsible for
monitoring and evaluation of the HIV/AIDS programs. The SI Advisor will establish and maintain close
relationships with all international development partners representatives to ensure consistency and
harmony of results reporting and to develop shared languages around issues of attribution. The SI Advisor
will also work with USAID's M and E Advisor to ensure coordination and collaboration on broader health
issues, especially at the intersection of HIV/AIDS and complementary programs.
Activity 5: Capacity Building
USG Malawi with other USG Agencies will build the capacity of implementing partners to achieve SI
requirements. A workshop on data quality assessments will be held for all partners. The workshop will
provide an opportunity to share experiences in improving data quality and introduce and apply data quality
tools, techniques and methodologies for M and E activities. As an outcome of the workshop, partners will
develop a data quality plan. The SI Advisor will conduct data verification site visits to ensure data is
collected in an agreed upon manner. In addition, one-on-one site visits will be conducted to show partners
how to use M&E to improve programs rather than just reporting requirements. The SI advisor will develop
formal procedures for feedback to partners, conducting site visits for data quality assessments, and
following up with partners to ensure that corrective actions are taken.
This narrative describes USAID's M and S request for FY 2008. The USAID Malawi M and S budget has
been vetted through the interagency decision making process and agreed to as presented in the COP08
submission.
The USAID HIV/AIDS team brings broad skills in HIV/AIDS programming to the USG Malawi program. The
USAID team has expertise over broad technical areas for prevention, care and treatment with sub
specialties in prevention, PMTCT, pediatric AIDS, nutrition, community mobilization and community care,
capacity development, policy and donor relations, public private partnership and gender. The USAID team
also draws on support from the broader USAID Health Team. The issue of understaffing has been constant
fixture for the Team and has negatively impacted implementation. The Team has begun to staff up and by
FY 08, is expected to be on firmer ground. The staffing pattern is still very tight and USAID is considering
two new proposed staff in FY 09, an acquisition specialist and a program and technical support new entry
professional (NEP).
The HIV/AIDS Team within the USAID/Malawi Health Office will have eight members plus the Team Leader
positions in FY 2008. In addition, PEPFAR will cover one financial management position plus shares of
program-funded support staff from Program Support, Financial Management and Executive Offices along
with their associated administrative costs. USAID will still rely on regional assistance for expert TA for
prevention and care (USAID's Regional HIV/AIDS Program (RHAP)); assistance in contracting, logistics and
management support will continue to be provided from USAID Pretoria and Washington. These costs do not
capture OE-funded staff that supports PEPFAR such as the Health Team Leader, Mission Controller,
Executive Officer, Contracting Officer and Mission Director.
USAID's HIV Team currently consists of a USDH Health Team Leader, a USPSC Strategic Information
Advisor, two FSN HIV/AIDS Specialists, and two support staff. Under recruitment are a Senior HIV Advisor
and Program Manager (Global Health Fellows) and a Community Care Advisor (USPSC). The Team is also
supporting a nutritionist seconded from a partner organization to the Mission (co funded with development
authority and non HIV CSH funds). The Team Leader is providing full time support to PEPFAR, as well as
oversight of all other Health programs plus donor relations such as The Global Fund, Millennium
Development, and chairing the Donor Coordination Group. All members work under the guidance of the
USAID Mission Director.
Funding levels have almost doubled for USAID over the last few years and the recent move to increase staff
reflects this. O/GAC also highlighted this need in the last years' COP reviews. In response, USAID will
shortly increase its technical capacity in community programming for HBC and OVC, holistic PMTCT and
pediatric programming and management. The cost of all technical positions will be captured within the
specific program areas under which they fall, and not within M&S. The costs reflected here include those
associated with operating the HIV/AIDS-related portion of the portfolio; again, the exception is OE costs.
Costs captured here are salary and benefits for FSN staff, local costs (housing, residence utilities,
maintenance and guard services, education allowances and travel and entitlement transportation) for the
USDH and Fellows, office supplies, rent and utilities, warehouse rent and utilities, travel and training.
USAID/Washington Information Resources Management tax and International Cooperative Administrative
Support Services (ICASS) costs are captured separately with the prime partner listed as State as required
by COP08 guidance. Capital Security Cost Sharing expenses are subtracted from USAID/Malawi program
budget levels prior to their allowance to the field. This cost is subtracted centrally from the overall USAID
budget.
IRM tax for USAID is calculated at $41,405 USD for the HIV/AIDS Team in FY 2008.
