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 is a continuing activity under COP09.
ACTIVITY UNCHANGED FROM FY2008
This is a continuing activity under COP08, with the following update. The emphasis in this activity is on
providing technical assistance and support to the RESP for behavior change communication activities and
materials in support of PMTCT. With increased resources, JHU will have the opportunity to expand
provincial level support, as appropriate, to Nampula Province, the target province for USG activities under
COP08, in addition to continuing their support to prior year focus provinces of Sofala and Zambezia.
The below narrative from FY2007 has not been updated.
This activity is related to JHU/HCP activities C&OP 8648; AB 8645; HTXS 9165; and OPHS 8646. These
activities taken together form a major initiative for providing technical assistance to the MOH/RESP (health
education unit) and the CNCS (National AIDS Council) and implementation of communication strategies in
support of all program areas at national and provincial levels, especially Zambezia and Sofala Provinces.
JHU/CCP is also expected to serve as a resource and support to other Ministries such as the Ministry of
Defense, Ministry of the Interior, Ministry of Education and Ministry of Women and Children as well as the
NGO community and other USG PEPFAR agencies. With regards to PMTCT, a communication strategy
and IEC materials have been developed and are awaiting MOH approval. JHU/CCP will need to determine
the status of the PMTCT communication strategy and IEC materials, and work with the MOH and all
PMTCT partners to respond to their needs in implementing the strategy. This may include, but is not limited
to, organizing consultation meetings at national and provincial levels, reproducing IEC materials and
assisting the MOH to distribute them through their normal channels, carrying out formative research and
development of additional materials to fill identified gaps, planning and working with partners for community
mobilization, developing mass media programming. Given the broad portfolio assigned to JHUCCP for the
communication activity, it is expected that opportunities will be found for integrating promotion of PMTCT
services and destigmatization of use of those services in other program area activities.
The primary emphasis area is IEC, referring to the need for materials and educational activities for the
promotion of PMTCT in the community and patient/client education in the health facilities. Job aides and
other materials will improve quality of services delivered. Better understanding on the part of clients, staff
and community members will help reduce stigma and discrimination.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14518
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14518 9162.08 U.S. Agency for Johns Hopkins 6855 3680.08 The Health $200,000
International University Center Communication
Development for Communication Partnership
Programs
9162 9162.07 U.S. Agency for Johns Hopkins 4893 3680.07 The Health $150,000
Table 3.3.01:
April09 Reprogramming: Decreased $515,000.
NEW ACTIVITY
SECONDED POSITIONS
Johns Hopkins University (JHU/CCP) has provided technical assistance to National AIDS Council (CNCS)
for the development of a national communication strategy for all aspects of AIDS prevention, care, and
treatment and in the roll-out of the national communication strategy and supported the Ministry of Health's
plan to align behavior change communication (BCC) activities and campaigns with the epidemiology of
AIDS and also developed a communication course with Universidade Eduardo Mondlane (UEM) and to
implement abstinence and be faithful activities with the students and faculty.. This will be to strengthen the
organizational and program implementation capacity of Mozambican public to combat HIV/AIDS in the area
of behavior change communication and entertainment-education approaches as it relates to the main
drivers of the epidemic (multiple concurrent partners, intergenerational sex and transactional sex) and on
the roll-out of large scale behavior change interventions at both national and provincial levels by
coordinating media strategies in print and electronic media.
Ministry of Health - ($310,000.00)
This activity will provide salaries, benefits, travel, transportation and supplies for two expat or four local staff
positions to support the Ministry of Health's Information, Education and Communication (RESP) department,
responsible for coordination and approval of all IEC materials related to HIV and health in the country.
In recent years, RESP has become a weak department within the MOH and currently operates
with only three full-time staff, few resources and weak representation within the MOH.
This funding will provide HR support and organizational capacity building to RESP and
will build much needed linkages and coordination systems with the Communications Unit under CNCS.
CNCS ($360,000.00)
This activity will provide salaries, benefits, travel, transportation and supplies for two expat or five local
positions CNCS'technical, organizational capacity to carry out its responsibility of national coordination of
HIV/AIDS prevention in Mozambique. The USG team will ensure that HR support from other (DFiD, GTZ,
UNICEF) complements and reinforces, rather than duplicates, this activity.
Ministry of Education (160,000.00)
This activity will provide salaries, benefits, travel, transportation and supplies for one expat or two positions
to support the Ministry of Education on the organizational capacity to increase governmental ownership and
by-in life skills methodology, integration of life skills education into school curriculum and establishment of
coordination mechanism between MEC and provincial associations of PLWHA.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
TA to CNCS and RESP/MOH is a continuing activity under COP09, and this ACTIVITY will remain
UNCHANGED FROM FY2008.
However, for COP09, we will add three HVAB seconded positions through this JHU-managed activity; and,
we will add a short activity narrative for each one at the bottom of the original activity narrative (see
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS).
This is a continuing activity under COP08. JHU/HCP has phased out the activity with the University of
Eduardo Mondlane (COP06) and will be starting the expanded communication activity in September 2007.
In addition to Maputo-based technical staff, JHU/HCP will have technical advisors in Sofala and Zambezia
provinces. With the $200,000 increase in COP08, JHU/HCP will extend intensified activities to Nampula
province.
The FY2007 reprogramming narrative below has not been changed.
This activity is related to JHU/HCP communication activities OHPS 8646; HVOP 8648; PMTCT 9162; and
HTXS 9165. These activities taken together form a major initiative for providing technical assistance to the
MOH/RESP and the CNCS and implementation of commmunication strategies in support of all program
areas at national and provincial levels, especially Zambezia and Sofala Provinces. JHU/HCP should phase
out of prior year UEM programming, and devote attention to AB normative change, focusing on priority
behaviors of reducing multiple concurrent partners, cross-generational and transactional sex. JHU/HCP is
being asked to work with the MOH, CNCS, PEPFAR partners, USG agencies and other stakeholders to
develop and implement large scale behavior change interventions. This may include, but is not limited to,
organizing consultation meetings at national and provincial levels; developing and coordinating media
strategies in print and electronic media (for example, a script with characters on radio programming, in
comic books, on television, billboards); carrying out formative research, planning and working with partners
for community mobilization, developing mass media programming. Given the broad portfolio assigned to
JHU/HCP for the communication activity, it is expected that opportunities will be found for integrating AB
messages in other program area activities. It is expected that JHU/HCP will assist other partners to
leverage funding for AB behavior change from CNCS, and will provide the technical assistance required for
large scale activities requiring the participation of a multitude of partners including private sector
businesses, the public sector, advertising and graphic arts agencies, etc.
Activity Narrative:
Continuing Activity: 14519
14519 5289.08 U.S. Agency for Johns Hopkins 6855 3680.08 The Health $800,000
8645 5289.07 U.S. Agency for Johns Hopkins 4893 3680.07 The Health $600,000
5289 5289.06 U.S. Agency for Johns Hopkins 3680 3680.06 The Health $300,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $250,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
This is a continuing activity. With the addition of$90,600, JHU/HCP will be able to initiate some activities in
Nampula, the third focus province. In its second year of the activity, JHU/HCP, working in partnership with
the MOH and the National AIDS Council and other USG partners, will use COP08 funding to continue to
address priority adult behaviors including cross-generational sex, multiple, concurrent partnerships, and
transactional sex at national and provincial levels.
The FY2007 narrative below has not been updated.
These activities taken together form a major initiative for providing technical assistance to the MOH/RESP
(health education unit) and the CNCS (National AIDS Council) and implementation of communication
strategies in support of all program areas at national and provincial levels, especially Zambezia and Sofala
Provinces. JHU/CCP is also expected to serve as a resource and support to other Ministries such as the
Ministry of Defense, Ministry of the Interior, Ministry of Education and Ministry of Women and Children as
well as the NGO community and other USG PEPFAR agencies.
This activity is conceptualized as a large scale media activity with local community mobilization components
to effect real behavior change and to create a supportive environment for addressing the HIV/AIDS
epidemic in Mozambique. While implementation of communication activities is important, attention to
building capacity in Mozambique to design, carry out, implement and sustain behavior change is paramount
to success in slowing down the HIV/AIDS epidemic. It is anticipated that this activity will focus largely on
populations affected in a general epidemic with PSI focusing more on the most at risk populations, and FDC
focusing more on traditional and cultural practices affecting HIV transmission.
JHU/HCP has worked with the MOH and the CNCS to finalize a national communication strategy which has
now been approved and is being rolled out to the provincial nucleos. This Condoms and Other Prevention
activity will provide the necessary expertise for implementation of the strategy and effective use of the
media to accelerate change. Components of this activity include:
1. Municipal and local leaders: mobilization of local political leaders to promote and model ABC behaviors
and to reduce stigma;
2. Technical assistance to the Health Education Unit of the MOH (RESP) for promotion of free condoms and
better distribution. This TA will include a condom assessment with three objectives: a) to engage the MOH
in identifying barriers and opportunities for distribution of free condoms in all services, but especially
reaching at risk groups (STI, FP, TARV, PMTCT and MCH services, discordant couples); b) to engage the
MOH and CNCS in identifying better ways of promoting use of these free condoms and assuring that no
opportunity is missed in providing ample supplies with appropriate counseling and education to staff and
clients within the health care system; c) to inform the development of condom distribution and promotion
policies and procedures within the MOH and planning of condom promotion BCC interventions under the
egis of the National Communication strategy.
3. Technical assistance to the CNCS for large scale implementation of the national communication strategy
4. Media campaigns and leadership supporting the presidential initiative: The Ministers of Defense and
Interior as well as high rank commanders from both ministries will record (video and audio) appropriate
prevention messages to be transmitted in military bases and police squadrons [military $150,000; police
$50,000]
5. Mozambique appropriate media and community activities directed towards older youth and young
couples establishing families, with the purpose of addressing living a healthy life together, either as couple
without HIV, a discordant couple or a positive couple.
6. Mozambique appropriate media and community activities reinforcing uptake of all HIV/AIDS services:
prevention, care and treatment.
7. Mozambiqiue appropriate media and community activities addressing the role that alcohol plays in risky
behavior and shifting norms around acceptable behaviors for men and women with regards to alcohol.
Indirect target estimates 50,000 individuals to be reached; 100 individuals trained are the municipal and
local leaders. It is expected that more accurate targets will be developed when JHU/CCP provides a
proposal and workplan for the activity.
Add to existing narrative: JHU/HCP should focus efforts on priority behaviors: multiple concurrent
partnerships, transactional sex and cross-generational sex. Emphasis also should be placed on adult
behaviors.
Continuing Activity: 14520
14520 8648.08 U.S. Agency for Johns Hopkins 6855 3680.08 The Health $313,000
8648 8648.07 U.S. Agency for Johns Hopkins 4893 3680.07 The Health $222,400
Estimated amount of funding that is planned for Human Capacity Development $150,000
Table 3.3.03:
ACTIVITY UNCHANGED FROM FY2008.
This is a new activity in COP 08.
Linked closely with the JHU HTXS activity this activity is intended to support the partners, provincial medical
department and provincial "nucleos" (provincial level organization of the National AIDS Council) in the focus
provinces (Nampula, Sofala, Zambezia) in implementation of the communication strategy related to home-
based care. Funding in HBC allows for integrated and effective behavior change communication activities
targeted to PLWHA and caregivers, their families and friends and the community at large. Reduction of
stigma as well as identifying and addressing communication needs of HBC clients and their families is an
important component of this program. Because this is a behavior change communication activity, HBC
targets are not applicable and have not been set.
Continuing Activity: 15845
15845 15845.08 U.S. Agency for Johns Hopkins 6855 3680.08 The Health $150,000
Table 3.3.08:
This is a continuing activity under COP08.
It is expected that the main development and testing of IEC materials for treatment adherence and pediatric
AIDS activities will take place with FY07 funding. Additional funding at a reduced level is provided in
COP08 in order to support to the provincial "nucleos" (national aids council provincial level organizations)
and partners for roll out of communication programs to implement the treatment adherence strategies. No
emphasis areas or target populations have been selected because this activity is intended to develop
materials and behavior change strategies for use in treatment programs in facilities and in communities.
Plus-up: Plus-up funding will incorporate pediatric AIDS in the JHU/HCP HTXS activity. JHU/HCP will
support the MOH to adapt/develop and disseminate IEC materials on care for the HIV exposed adn infected
child including OVC, targeting communities, caregivers. Specific topics to include nutrition and infant
feeding, cotrimoxazole and INH prophylaxis, ART and adherence to treatment, disclosure, and infection
prevention and control. Because this activity is focused on IEC materials, targets are not applicable.
Original COP: This activity is related to JHU/HCP communication activities C&OP 8648; HVAB 8645;
MTCT 9162; and OHPS 8646. These activities taken together form a major initiative for providing technical
assistance to the MOH/RESP (health education unit) and the CNCS (National AIDS Council) and
implementation of communication strategies in support of all program areas at national and provincial
levels, especially Zambezia and Sofala Provinces. JHU/CCP is also expected to serve as a resource and
support to other Ministries such as the Ministry of Defense, Ministry of the Interior, Ministry of Education and
Ministry of Women and Children as well as the NGO community and other USG PEPFAR agencies. With
regards to treatment services, JHUCCP is being asked to work with the MOH, CNCS, PEPFAR treatment
partners, USG agencies and other stakeholders to develop an effective community behavior change
strategy to promote treatment adherence, treatment literacy and increased uptake of treatment services.
The focus of these efforts should be in Zambezia and Sofala provinces where the treatment services will be
greatly expanded in COP07. The MOH has set ambitious targets for people on treatment and is expanding
sites and services rapidly. People must be able to overcome stigma and use those services and follow their
treatment regimens correctly. Caregivers, support groups in the community, friends, neighbors and
workplace colleagues also need to be able to assist the person on treatment and provide reinforcement for
desired behavior change. This may include, but is not limited to, organizing consultation meetings at
national and provincial levels, reproducing IEC materials and assisting the MOH to distribute them through
their normal channels, carrying out formative research and development of additional materials to fill
identified gaps, planning and working with partners for community mobilization, developing mass media
programming. Given the broad portfolio assigned to JHUCCP for the communication activity, it is expected
that opportunities will be found for integrating promotion of TARV services and destigmatization of use of
those services in other program area activities. In this context, JHUCCP must work closely with and be
responsive to the MOH and treatment partners in Zambezia and Sofala.
Continuing Activity: 14522
14522 9165.08 U.S. Agency for Johns Hopkins 6855 3680.08 The Health $97,000
9165 9165.07 U.S. Agency for Johns Hopkins 4893 3680.07 The Health $434,230
Table 3.3.09:
This is a continuing activity in COP08.
It is expected that the main development and testing of IEC materials for TB/HIV activities will take place
with FY07 funding. Additional funding at a reduced level is provided in COP08 in order to complete the
behavior change communication package for TB/HIV services, with partners providing TB/HIV services in
addition to those providing HBHC and with relevant community organizations such as faith based
organizations and groups of PLWHA. No emphasis areas or target populations have been selected because
this activity is intended to develop materials and behavior change strategies for use in TB/HIV programs in
facilities and in the community.
The narrative below from FY2007 has not been updated. These activities taken together form a major
initiative for providing technical assistance to the MOH/RESP (health education unit) and the CNCS
(National AIDS Council) and implementation of communication strategies in support of all program areas at
national and provincial levels, especially Zambezia and Sofala Provinces. JHU/CCP is also expected to
serve as a resource and support to other Ministries such as the Ministry of Defense, Ministry of the Interior,
Ministry of Education and Ministry of Women and Children as well as the NGO community and other USG
PEPFAR agencies. With regards to HTXS, JHU will work with the MOH, CNCS and other partners to
standardize, develop and produce according to the identified needs, IEC materials for TB/HIV activities such
as TB education for PLWHAs, support for HIV testing of TB patients, need for TB treatment adherence.
Because this activity is focused on IEC materials, targets are not applicable.
Continuing Activity: 14521
14521 12268.08 U.S. Agency for Johns Hopkins 6855 3680.08 The Health $100,000
12268 12268.07 U.S. Agency for Johns Hopkins 4893 3680.07 The Health $300,000
Table 3.3.12:
This is a continuing activity under COP 09. ACTIVITY UNCHANGED FROM FY 2008.
This is a continuing activity under COP08. The funding increase is intended for the additional production of
materials and manuals needed to increase capacity for behavior change communication programs related
to priority behaviors in transmission of HIV/AIDS. This will not change targets from the levels indicated in
FY07.
This activity is related to JHU/HCP communication activities C&OP 8648; AB 8645; PMTCT 9162; and
MOH/RESP (health education unit) and the CNCS (National AIDS Council) and implementation of
communication strategies in support of all program areas at national and provincial levels, especially
Zambezia and Sofala Provinces. JHU/CCP is also expected to serve as a resource and support to other
Ministries such as the Ministry of Defense, Ministry of the Interior, Ministry of Education and Ministry of
Women and Children as well as the NGO community and other USG PEPFAR agencies.
to success in slowing down the HIV/AIDS epidemic.
JHU/CCP has worked with the MOH and the CNCS to finalize a national communication strategy which has
now been approved and is being rolled out to the provincial nucleos. This activity will provide the necessary
expertise for implementation of the strategy and effective use of the media to accelerate change. It will also
provide the coordination and framework for bringing together the various programatic area activities to
assure economies of scale, harmonization of messages, appropriate Mozambican approaches and
ownership by the responsible central and provincial level authorities. Technical assistance to the MOH
Health Education Unit(RESP) and to the CNCS will be key to the success of this activity. JHUCCP will
need to explore the structures required to provide leadership to the communication initiative. This may take
the form of a national commission or forum which brings together stakeholders (public sector, private sector,
civil society) to oversee the roll out of the communication strategy, or it may take the form of smaller
regional or provincial groups. Leadership and coordination with the donor community will also be important.
Sustainability and planning for an exit should be considered from the beginning.
Components of this activity include:
better distribution
4. Media campaigns and leadership supporting the presidential initiative
7. Mozambique appropriate media and community activities addressing the role that alcohol plays in risky
behavior and shifting norms around acceptable behaviors for men and women with regards to alcohol
8. Mozambique appropriate media and community activities directed towards AB norms
9. Mozambique appropriate media and community activities which involve health workers as community
members as well as providers of care
10. Building capacity in both public and private sectors to plan and carry out BCC activities to reduce
incidence of HIV/AIDS
Products will include a collection of IEC materials produced in all areas; documentation from a leadership
structure for the communication initiative (terms of reference, minutes, correspondence)
Deliverables/benchmarks
• Large scale media and community education campaigns
• Collection of IEC materials
• Documentation from a leadership structure for the communication
Continuing Activity: 14523
14523 5291.08 U.S. Agency for Johns Hopkins 6855 3680.08 The Health $320,000
8646 5291.07 U.S. Agency for Johns Hopkins 4893 3680.07 The Health $263,596
5291 5291.06 U.S. Agency for Johns Hopkins 3680 3680.06 The Health $300,000
Table 3.3.18:
