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
NOTICE - Per the recommendation from OGAC that Malawi as an FY2008 Compact Country, submit a mini
-COP (i.e. program area level narratives only), this activity level narrative has not been updated prior to the
submission of the FY09 Full COP. The Malawi country team anticipates updating narratives upon
completion and final approval of the negotiated 5-year Compact between the United States Government
and the Government of Malawi.
Summary
Save the Children had previously introduced CRS I-LIFE Consortium partners to the Hope Kit developed by
the JHU BRIDGE Project, to promote open discussion on issues of HIV and AIDS. The Hope Kit is currently
being used by the NGOs. I-LIFE staff have been trained by the BRIDGE Project and they have in turn
trained community members and groups. The Hope Kit is being incorporated and adopted by groups such
as village savings and loans groups, food distributors and during other meetings occurring in the
community. The target groups for these activities are adolescents, adults PLWHA, pregnant women, and
the general adult population.
Background
CRS basic I-LIFE, a consortium of seven NGOs co-lead by CRS and CARE, aims at reducing food
insecurity among vulnerable households in seven districts of Malawi. The other five NGOs include Africare,
Emmanuel International, SAVE the Children USA, The Salvation Army and World Vision International; each
NGO implements I-LIFE activities in a separate district. To effectively manage overall program coordination,
the co-leads have established an independently-housed Program Management Unit (PMU). I-LIFE is a title
II program, with complementary funds from OFDA to implement irrigation activities. The consortium has
established six technical working groups on agriculture/marketing, commodities, decentralization, HIV/AIDS,
health/ nutrition and M&E to provide sectoral guidance to consortium members. SAVE is the technical lead
on HIV/AIDS.
The program provides each targeted household with a holistic package of services that ultimately work to
protect, enhance and secure its food security status. With regard to HIV/AIDS, program beneficiaries
include households caring for the chronically ill. Existing networks of HBC volunteer services are utilized
where possible. As such, HBC volunteers are drawn upon to assist in identifying, registering, monitoring and
graduating beneficiaries. In so doing, they provide basic care, which include assistance in undertaking
household chores such as farming, cleaning homesteads, cooking and bathing chronically ill persons. They
also collaborate with I-LIFE extension workers to facilitate the participation of targeted chronically
households in other program components such as establishment and maintenance of home gardens,
membership in village savings and loan schemes along with participation in community based
organizations. I-LIFE's health and nutrition activities will be implemented through the care group model - a
community based health care provision strategy - that will also encompass key HIV/AIDS activities such as
positive living and promotion of HIV/AIDS messages.
Activity 1: Hope Kit Training and Distribution
In FY 2008, I-LIFE will use FY 2007 Emergency Plan funds to implement use of the Hope Kit as part of their
community outreach strategy for promoting HIV/AIDS prevention. It is expected that sub-partners will train a
total of 150 community members (e.g. HBC volunteers, PLWHA support groups, youth groups, village AIDS
committee members) in how to use the Hope Kit for HIV/AIDS prevention. Through these trained individuals
a further 1500 people are expected to be reached with abstinence and/or being faithful messages through
Hope Kit demonstrations during group meetings and community gatherings. Efforts will be made to integrate
these efforts into the care group model - a community based health care provision strategy.
Activity 2: Capacity Building
Save The Children US, as the I-LIFE technical lead organization for HIV/AIDS, will continue to enhance the
capacities of key project staff in partner organizations in how to ensure provision of quality HBC services
and mainstream HIV/AIDS in programs, as well as in the workplace. This will be accomplished through
trainings and regular provision of technical assistance.
HIV/AIDS Mainstreaming workshops conducted by the HIV/AIDS Technical Lead in FY 2006 and FY 2007
have focused on building skills of NGO staff to ensure that HIV/AIDS issues are addressed in all I-LIFE
activities including workplace programs targeting staff. A key strategy for achieving this is to include
technical staff from sectors outside of HIV/AIDS and health, in order to increase understanding of the
benefits of program integration. The development of annual action plans for HIV/AIDS mainstreaming and
sharing of achievements, challenges and lessons learned have been key activities in the workshops and will
continue to be so in the workshop conducted in FY 2008. The workshops also provide the opportunity to
address specific skills gaps in the area of mainstreaming identified by staff. A total of 30 I-LIFE staff from
the 7 implementing partners will be targeted for these activities.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17115
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17115 11047.08 U.S. Agency for Catholic Relief 7663 5657.08 CRS CSH $0
International Services
Development
11047 11047.07 U.S. Agency for Catholic Relief 5657 5657.07 CRS CSH $38,500
Table 3.3.02:
I-LIFE, a consortium of seven NGOs co-lead by CRS and CARE, aims at reducing food insecurity among
vulnerable households in seven districts of Malawi. The other five NGOs include Africare, Emmanuel, Save
the Children, The Salvation Army, and World Vision; each NGO implements I-LIFE activities in a separate
district. To effectively manage overall program coordination, the co-leads have established an
independently-housed Program Management Unit (PMU). The consortium has established six technical
working groups on Agriculture/Marketing, Commodities, Decentralization, HIV/AIDS, Health and Nutrition,
and Monitoring and Evaluation to provide sectoral guidance to consortium members. SAVE is the technical
lead on HIV/AIDS.
During FY 2006 and FY 2007, I-LIFE partners focused on improving the quality of palliative care as well as
scaling up of service provision to chronically ill people in the seven I-LIFE districts. This was achieved
through the training of both key HIV/AIDS partner project staff and the Home Based Care (HBC) volunteers
in different palliative care areas. The program trained 492 HBC volunteers in palliative care provision,
exceeding the set target of 50. The target was surpassed due to the overwhelming response by
communities in the mobilization of volunteers along with a change in the refresher training structure that
created room for additional training participants. The training resulted in the standardization of HBC
provision practices and expansion of services by the volunteers as well as an overall improvement in the
quality of care delivered.
492 trained volunteers provided palliative care to 1,682 (544 males and 1,138 females) chronically ill people
in the I-LIFE districts. This achievement was below the set target of 2,000 due to changes in the volunteer
work structure and volunteer drop-out. I-LIFE partners assigned 2 volunteers per village, resulting in a lower
volunteer to beneficiary ratio than the 1:40 proposed in the FY 2006 COP. The new structure was found to
be more cost-effective because volunteers do not cover long distances, which ultimately improved the
quality of service provision.
Activity 1: Service Delivery
I-LIFE will conduct refresher courses for a total of 175 volunteers and health staff. HBC kits will be provided
and/or replenished. The key elements of the quality care package of services to be delivered by I-LIFE
trained CHBC volunteers, include basic nursing and care e.g. bathing and feeding of patients; Management
of common health ailments through medical supplies provided in drug kits and referral to nearest health
facilities where necessary; Psycho-social care incl. counseling of both infected and affected individuals;
Promotion of VCT and linkage to PLWHA support groups; Provision of information on the dietary needs of
the chronically ill and PLWHA; Promotion of positive living through food diversification, establishing labor-
saving kitchen gardens, provision of information on nutrition and food processing demonstrations. In
addition to this, the CHBC package implemented by I-LIFE partners encourages formation of volunteer
support groups as part of caring for the caregivers and CHBC volunteers are supervised by Ministry of
Health staff. All CHBC activities are carried out in close collaboration with MOH staff as well as with other
stakeholders at district and community levels incl. NGOs, FBOs and CBOs. The program will also develop
strategies to ensure HIV-positive children are reached and linked to pediatric care and treatment.
Activity 2: Stigma Reduction
A key area of focus for I-LIFE in FY 2008 is overcoming the stigmatization of people living with HIV/AIDS.
This will be accomplished through partnerships with Johns Hopkins Bridge program that has effectively
utilized the Hope Kit to address stigmatization. This will include Bambo wa Chitsanzo (Model Father) roll out
- a complementary Hope Kit package that will be developed by Bridge. The consortium is also benefiting
from the effective network of local and international partners established by USG-supported Umoyo
program which has now ended. It is expected that sub-partners will provide 2,050 individuals with palliative
care.
Activity 3: Volunteer Support
With FY 2007 funds, I-LIFE will focus on ensuring the provision of quality services, by reducing the ratio of
volunteers to beneficiaries. This approach will also counter the high burn-out and drop-out rates of
volunteers.
Continuing Activity: 17116
17116 5936.08 U.S. Agency for Catholic Relief 7663 5657.08 CRS CSH $0
11141 5936.07 U.S. Agency for Catholic Relief 5657 5657.07 CRS CSH $93,100
5936 5936.06 U.S. Agency for Catholic Relief 3885 3885.06 $93,100
Table 3.3.08:
