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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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
This activity narrative refers to field support which will augment the central Gender Initiative, "PEPFAR
Gender Initiative on Girls' Vulnerability to HIV".
Johns Hopkins University (JHU/CCP) has won this award.
The PEPFAR Gender Initiative on Girls' Vulnerability to HIV has been developed as part of a set of
PEPFAR special gender initiatives. The program aims to prevent HIV infection among 13-19 year old girls
by developing innovative program interventions to 1) modify contextual factors associated with increased
sexual risk behavior and rates of HIV infection; and 2) assess the feasibility and effectiveness of these
interventions and their potential for sustainability, scale-up, and transferability to other settings. Botswana,
Malawi and Mozambique are the three countries selected for this Initiative.
Many PEPFAR programs reach adolescent girls through broad-reaching AB prevention activities that focus
on HIV education in church and school settings. However, these programs often do not reach those at
highest risk, who commonly are found outside of these settings. Those at highest risk need to be reached
with a package of comprehensive services, including economic strengthening activities, to meet their unique
needs. In addition, many OVC programs focus on younger children and overlook the needs of adolescent
orphans, even though this latter group represents a significant proportion of all orphans. This Initiative
seeks to address these programming gaps by implementing and evaluating promising integrated models to
reach highly vulnerable adolescent girls with comprehensive services tailored to their particular needs.
The goal of the Initiative is to prevent HIV infection in the most vulnerable adolescent girls. The objectives
are: 1) To identify and expand promising new and existing program approaches for addressing the
contextual factors which place some adolescent girls at especially high risk of HIV; and 2) To evaluate the
feasibility, sustainability, and effectiveness of these interventions and their potential for adaptation and scale
-up to other settings. Initiative activities will be closely linked with other prevention and OVC activities, as
well as relevant wrap-around programming.
A multi-component approach with a focus on the most vulnerable girls will be undertaken to address the
antecedents of risk. Age-segmentation and targeting based on different types of risks girls face will be
utilized to prevent girls from adopting risky behaviors as well as addressing the needs of girls already
engaged in risky behaviors. Program components may include the following:
-HIV prevention education focused on the "ABC" approach;
-Non-material support for girls' continuation in, or return to, school;
-Outreach and linkages with HIV-related health services as well as RH services such as pregnancy
-Wrap-around or direct support for training in sustainable livelihoods and/or improved access to economic
resources such as development of appropriate age- and gender-specific financial literacy, development of
savings products and related social support mechanisms, sustainable livelihoods and/or improved access to
economic resources, including government-provided entitlements and health services;
-Parenting skills among parents and guardians of adolescents;
-Peer influence by promoting positive group norms and behaviors; and
-Community social norms that help to reduce sexual coercion and exploitation and other harmful practices
contributing to girls' vulnerability.
For those adolescents without parents, this activity will include specialized subjects such as developing
mentoring programs to ensure all adolescents have support on a continuing basis from a caring
mentor/community member and providing lessons on empowerment and interpersonal skills to enable girls
to adopt and/or maintain healthy sexual behaviors, including making decisions within relationships, families,
Specific activities are TBD, pending selection of the Task Order contractor and development of the workplan
(anticipated to begin Oct 2008).