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: 2007 2008 2009
April09 Reprogramming: Reduced $135,000.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
AB Activities including community mobilization, training of youth leaders, outreach activities to youth, and
prevention with positive interventions will be expanded to Govuro District in Northern Inhambane.
This is a continuing Field Support activity under COP09.
NARRATIVE IS BEING REPLACED TO INCLUDE DETAILS:
This funding will continue Samaritan's Purse's Mobilizing, Equipping and Training (MET) AB program in
Zavala, Jangamo, Maxixe, Massinga, and Mabote Districts of Inhambane Province, and allow for an
expansion into Govuro District. Funding for this activity will allow for continued mobilization of churches and
communities to advocate healthy behavior change and continued capacity building of communities, schools,
churches and Youth-focused "There is Hope" clubs to strengthen social environments where AB behaviors
are supported and normalized.
MET's main emphasis area is community mobilization. Key legislative issues addressed are Gender and
Stigma. The MET program will continue to facilitate regular ‘community conversation meetings' on issues
such as gender based violence, child sexual abuse and exploitation. Stigma reduction is woven into this
activity when youth volunteers accompany community volunteers on home visits to PLWHA. Regular
interaction with and service to HIV affected neighbors encourages stigma reduction while also bringing the
issue of HIV closer to the young people's immediate lives. This community based activity targets children
and youth, both in and out of school; men, women, PLWHA, OVC, community and religious leaders,
teachers and community based volunteers.
Program activities will mobilize churches and communities to advocate healthy behavior change for both
youth and adults. AB focused HIV prevention activities targeting youth and activities targeting adults and
higher risk populations (i.e. miners, migrant workers) will be implemented with a stronger focus on
increasing risk perception.
To specifically address adults and higher risk populations, a B-based curriculum will be used. Behaviors for
discussion will include multiple, concurrent sexual partnerships, transactional sex, cross-generational sex,
sexual violence and coercion, alcohol and drug abuse, as well as other behaviors and norms identified by
the communities. A two- part intensive workshop will train men and women of influence in communities and
mobilize them to increase individual risk perception among community members and to promote healthy
behaviors and relationships around them. Community forums for discussion, as well as support groups for
men, women, and couples that are married or unmarried, will be introduced. Activities focused on
faithfulness will include information on the risks of multiple concurrent partnerships, and the importance of
knowing your and your partner's HIV status as key to reducing one's risk through "B" behaviors.
To help HIV-infected individuals reduce the risk of transmitting HIV to others ("prevention with positives"),
SP will increase its activities in prevention counseling in primary health care settings to compliment its
community based activities. As part of its outreach to vulnerable households, SP will mobilize its CBVTs to
provide moral and psycho-social support home visits. Home visits will not only give the opportunity for
continual prevention counseling, but also provide support to increase ARV treatment adherence, which is
key to reducing infectiousness and an important part of the prevention with positives. This activity
strategically builds upon the capacity and foundation of CBVT groups formed to continue promoting
prevention interventions locally.
FY08 NARRATIVE BELOW:
This is a continuing Field Support activity under COP08 with the following new activities.
1. Income generation activities (IGA) targeting at-risk girls: Many girls aged 12-18 in Zavala and Jangamo
Districts are at high risk of engaging in transactional and cross-generational sex by various compounding
factors. Both seaside districts are popular destinations of tourists who regularly pay for sex with local girls
and women. It has been noted that up to $100 USD is offered to girls as payment for staying the night with
"foreign" tourists. Furthermore, as coastal areas are populated with fishermen, many young girls and
women engaged in buying/selling fish as a primary source of income are vulnerable to transactional sex,
which can play a part in local business networks. Zavala is a trade corridor with constant passage of truck
drivers, posing high potential for adult men to engage in commercial or transactional sex with young girls.
Many young girls come to Zavala from isolated villages in other districts in order to continue their education,
as secondary schools are relatively few in the rural areas. Many girls come in groups and live
unaccompanied by adults, with little to no economic support. SP will complement existing AB activities by
establishing and supporting IGA activities aimed at: girl OVCs, girls aged 12-18, out of school, living
unaccompanied and all other girls identified as high-risk. Provision of vocational, life skills and income
generation opportunities is crucial in deterring girls from engaging in risky behaviors. Examples of IGAs are
agriculture/food production; sewing and local craft; business skills (book keeping, typing, filing, accounting);
‘junior' health care workers/nurse's assistants (HBC giver assistants, community IEC for wat/san, malaria,
etc.). This component will be linked to the new Vulnerable Girls Initiative activities.
2. AB Prevention aimed at Orphans and Vulnerable Children: Through non-USG funds, SP will implement
OVC services in Massinga and Zavala districts. As a wraparound service, SP will carry out increased AB
prevention activities aimed at OVCs and their caregivers. Greater efforts at the community level are also
critical in increasing awareness of child protection and gender-based violence issues.
3. Prevention with Positives: Through non- USG funds, SP is currently implementing HBC activities in
Massinga and Zavala, providing wraparound to PEPFAR funded AB and CT activities, resulting in a
Activity Narrative: comprehensive package in those districts. SP will leverage its ongoing AB activities by increasing
prevention interventions focused on reaching PLWHAs, their partners, and families. Coordinated efforts with
PEPFAR funded CCT activities will also be made to identify and support discordant couples.
4. Community Radio aimed at Couples: Community radio programs aimed at Mozambican couples ages 25-
49 will address: multiple, concurrent partnerships, discordance, CT and couples CT, disclosure related
domestic violence, family planning and condom use, communication, fidelity, widow cleansing, gender
related issues, and positive living.
The FY2007 reprogramming narrative below has not been changed.
This funding will allow Samaritan's Purse (SP) to:
1) Expand MET activities to Jangamo district in Inhambane.
2) Increased program activities aimed at adults and higher risk populations in Jangamo, Maxixe and
Massinga.
3) Organize a provincial HIV prevention technical workshop for MET staff, Government of Mozambique staff
and other NGOs.
Jangamo is a PEPFAR target district with currently just one other PEPFAR partner implementing AB
programs According to 1997 census data, Jangamo has an estimated population of 81,210, with an
estimated youth population of 25,905.
Start up activities aimed at youth will follow a similar framework used for current MET programs. Both in
and out-of-school youth will participate in lessons following an AB curriculum taught in schools, church and
community settings. Activities include facilitation of workshops from the MET Approach for Primary Behavior
Change in Youth, recruitment of committed workshop participants, and formation of youth clubs to increase
self perception of risk and actively promote healthy behavior change. Youth leaders and school teachers will
be trained in a two- part intensive workshop and then be used to lead and out reach to youth in their
spheres of influence.
To specifically address adults and higher risk populations, a B-based curriculum will be developed or
adapted from other partners operating in Mozambique. Behaviors for discussion will include multiple,
concurrent sexual partnerships, transactional sex, cross-generational sex, sexual violence and coercion,
alcohol and drug abuse, as well as other behaviors and norms identified by the communities. A two- part
intensive workshop will train men and women of influence in communities and mobilize them to increase
individual risk perception among community members and to promote healthy behaviors and relationships
around them. Community forums for discussion, as well as support groups for men, women, and couples
that are married or unmarried, will be introduced. Activities focused on faithfulness will include information
on the risks of multiple concurrent partnerships, and the importance of knowing your and your partner's HIV
status as key to reducing one's risk through "B" behaviors.
The program's main emphasis area is community mobilization. Key legislative issues addressed are
Gender and Stigma. This community based activity targets children and youth (both in and out of school),
men, women, PLWHA, OVC, community and religious leaders, teachers and community based volunteers.
This funding will support a workshop for all MET and AB prevention staff. The purpose of this workshop is to
expand the capacity of the AB prevention staff team to increase the quality and impact of the program.
During this workshop, staff will receive refresher training on curriculums, an update on the status of the
HIV/AIDS epidemic in province and country, updated epidemiological information on behaviors that increase
transmission and ways to communicate that information to the beneficiaries in the field, Mozambique's
national strategic plan to combat HIV/AIDS, team building, sharing lessons learned and experiences, as
well as organizational development training on monitoring and evaluation, reporting, and leadership.
Leaders from within SP, other NGOs, CNCS, DPS, and DDS will be invited as keynote speakers.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14333
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14333 9391.08 U.S. Agency for Samaritan's Purse 6781 5083.08 USAID- $550,000
International Samaritans
Development Purse-GHAI-HQ
9391 9391.07 U.S. Agency for Samaritan's Purse 5083 5083.07 USAID- $400,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Reducing violence and coercion
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS
Community-Based Counseling and Testing (CCT) Activities will be expanded to reach Guija and Bilene
District of Gaza Province, where prevalence rate is currently at 27%. SP is currently implementing care and
prevention activities in Guija and Bilene districts. CCT activities will serve as a complimentary intervention
and wrap around service to existing SP implemented activities.
This Community Based Counseling and Testing activity is related to USAID_HVAB_Activity 8231 and
USAID_HVAB_Activity 9391, Samaritan Purse's Track 1 and Field Support AB activities. It is also linked to
CDC_HVCT Activity 8572, as JHPIEGO will continue provision of technical assistance and support National
AIDS Council efforts in coordinating the community-based Counseling and Testing activities.
This funding will provide Samaritan's Purse resources to provide community based counseling and testing,
in Massinga and Zavala district of Inhambane as well as Guija and Bilene District of Gaza Province. This
wrap around service will reinforce SP's current AB program and will help to further achieve PEPFAR's Five
Year strategy prevention objective of "Strengthening Access to the Ministry of Health's Integrated Health
Networks".
The main emphasis area of this new activity is community mobilization/participation. Through networks and
relationships built through SP's exisiting AB and Care interventions, individuals will be easily identified for
participation in community based CT. Target populations include Secondary School students, Adults,
HIV/AIDS affected families, community and religious leaders, traditional birth attendants, and traditional
healers.
Training of counselors and integration of CCT activities under the supervision of both Provincial and District
level health services contributes to strengthening access to MISAU's "Integrated Health Networks." The
training of counselors and partnership with health facilities at the District level in monitoring quality
assurance of testing activities and defining referral mechanisms between community and clinic activities
enhances the capacity of both health systems and health care workers.
This is a continuing activity under COP08 funded through Field Support.
SP will expand community counseling and testing (CCT) services to Zavala District, which is considered a
corridor and high risk area with a population of 176,000 (UNICEF 2007 projection). Currently, Zavala has
one fixed VCT site that is managed through the district health facility with no funding from PEPFAR. SP will
establish 2 community-based counseling and testing satellite sites in Zavala district with COP08 funding.
Services to be funded include staff, training, materials and equipment, transportation and other operating
costs.
Through networks and relationships established under SP's existing AB PEPFAR activity and non-USG
funded HBC program, individuals will be easily identified for participation in CCT. Target populations
include secondary school students, teachers, adults, out of school youth, HIV/AIDS affected families, as
well as community and religious leaders. Trainings will be organized to train a total of eight new community
based counselors. There will be community based CT services at two new sites and a targeted 5,000
people will receive HIV counseling and testing and receive their results.
The activity narrative below from FY2007 has not been updated.
This is a new activity for this partner and is funded through Field Support. This Community Based
Counseling and Testing activity is related to: USAID_HVAB_Activity 8231, Samaritan Purse's Track One
activity for $475,596 and USAID_HVAB_Activity 9391, Samaritan Purse's Field Support funded activity for
$400,000. It is also linked to CDC_HVCT Activity 8572, as JHPIEGO will continue provision of technical
assistance and support National AIDS Council efforts in coordinating the community-based Counseling and
Testing activities.
In late 2005-early 2006, the National AIDS Council (CNCS) with technical assistance from JPHIEGO,
organized a pilot project for four organizations (ADPP, Anglican Church, HAMUZA and PSI) to provide
community based CT in five pilot sites in Moma District in Nampula, Milange District in Zambezia, Maciene
District in Gaza, Matola and Boane Districts in Maputo province, and Dondo District in Sofala. The initial
pilot project is on-going, with partner trainings in managing community based counseling and testing. It is
expected that the Ministry of Health will expand community based CT to other partners and geographic
areas in the second semester of 2007.
This funding will provide Samaritan's Purse resources to participate in the first post-pilot group of
organizations to initiate community based counseling and testing, slated to begin in the second semester of
FY07 or early FY08. Samaritan's Purse is currently an AB Track One partner in Inhambane province,
implementing its Mobilizing, Equipping and Training (MET) program in Mabote, Massinga and Zavala
districts. Samaritan's Purse will modify its AB Track One cooperative agreement to include provision of
community based counseling and testing in Massinga district. This wrap around service will reinforce SP's
current AB program and will help to further achieve PEPFAR's Five Year strategy prevention objective of
"Strengthening Access to the Ministry of Health's Integrated Health Networks".
Access to VCT services is extremely limited in Massinga district. Currently, there is only one fixed VCT site
managed through the district health facility and zero PEPFAR funded VCT services. With this funding, SP
will establish two (2) community based counseling and testing satellite sites in Massinga district including
staff, materials and equipment, transport, and other operating costs. Columbia University is currently a USG
funded treatment partner in Massinga and SP will work with them to coordinate a system of referral.
Activity Narrative: Access to VCT services is extremely limited in Massinga district. Currently, there is only one fixed VCT site
relationships built through SP's two year old MET AB program, individuals will be easily identified for
healers. Trainings will be organized to train a total of ten community based counselors. There will be
community based CT services at two sites and a targeted 3,000 people will receive HIV counseling and
testing and receive their results.
Continuing Activity: 14334
14334 9256.08 U.S. Agency for Samaritan's Purse 6781 5083.08 USAID- $200,000
9256 9256.07 U.S. Agency for Samaritan's Purse 5083 5083.07 USAID- $100,000
Table 3.3.14:
