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: 2010 2011 2012 2013 2014
COP 2010 Overview Narrative
Communication for Change (C-Change) is a continuing Implementing Mechanism from FY09. In 2007, Namibia requested assistance from C-Change to strengthen social and behavior change communication (SBCC) for HIV/AIDS, particularly related to the prevention of sexual transmission of HIV. Country level implementation began in mid-July 2008.
1. C-Change provides SBCC strengthening from national to local levels, focusing on the prevention of HIV sexual transmission through three objectives, reflecting its breadth across technical areas: 1) strengthening the SBCC capacity of PEPFAR-funded partners, 2) strengthening the SBCC capacity of national HIV/AIDS programs, and 3) increasing the number of individuals trained in SBCC for HIV and AIDS.
C-Change assists PEPFAR partners to develop programs based on evidence, focus on changing behaviors related to the drivers of the epidemic, and strengthen approaches to ensure quality program design, implementation and M&E. On the national level, C-Change is helping to define essential packages of services, develop mass media and interpersonal communication materials for partner use, and implement behavioral M&E to monitor results. C-Change is also increasing the number of PEPFAR partners and public, private and civil society partners who are trained in SBCC.
First-year achievements included: rapid assessment of partner programs against SBCC against standards of quality; in-depth baseline assessments of prevention programs; development of SBCC strategies focusing on the drivers of the epidemic; improved service delivery structures and behavioral M&E; TOT of partner staff in SBCC and behavioral M&E; assistance during baseline data collection and analysis; identification/development of interpersonal communication (IPC) materials related to the drivers; TOT of partner staff in the use of the new materials; and assistance during training of field staff and volunteers. By the end of the period, 20 PEPFAR partners and their prevention programs had received strengthening support in SBCC.
2. The mechanism is in line with USG commitments of the Partnership Framework (PF) in terms of the PF prevention objectives. C-Change will continue to provide support to achieving these objectives through social and behavior change communication strengthening from national to local levels focusing on the key drivers including MC and MCP, youth, adults, MARPS and other vulnerable groups; through civil society, private sector and ministry programs in workplaces, communities, and in clinical settings.
3. Geographic coverage is nationwide. C-Change works directly with partners in every region to improve programs and provide SBCC TA and training.
4. C-Change works with GRN Ministries at the national level to assist in the development of national plans and strategies. For example, under the second objective C-Change has provided assistance to the National Prevention Technical Advisory Committee to develop the National Strategic Plan for HIV and AIDS and the National Strategy for the Prevention of Sexual Transmission of HIV. C-Change has also assisted in the development of national SBCC strategies for MCP, male circumcision, testing and counseling, alcohol and HIV; and development of mass media and IPC materials related to the drivers for partner use in national campaigns. C-Change also worked to strengthen the Ministry of Education's (MOE) regional workplace program through training in SBCC theory, SBCC strategy development, and use of new interpersonal communications (IPC) materials.
5. The cross-cutting nature of SBCC is the reason C-Change works with so many PEPFAR partners and government agencies. C-Change has also worked on gender in collaboration with USG and GRN partners.
6. C-Change will continue to work closely with PEPFAR partners and others to leverage funding and maximize cost-efficiency. Strengthening of PEPFAR partner programs is provided in coordination with other PEPFAR partners funded directly or indirectly. Strengthening of national HIV and AIDS structures and programs is provided in coordination with USAID, CDC and cooperating partners such as UNICEF, UNAIDS and GTZ.
7. C-Change is monitoring SBCC strengthening of PEPFAR partners and ensuring data quality by maintaining detailed lists of individuals trained and organizations strengthened. Outcomes of program strengthening are measured against a set of quality SBCC standards. SBCC strengthening of national level programs is tracked in periodic reports. National surveys tracking key indicators related to the drivers of the epidemic will continue to be the most important measures of national behavior change
Technical assistance to strengthen SBCC for AB to directly-funded civil society organizations, local firms contracted by civil society in SBCC, national and selected regional GRN organizations, and the GRN's health extension worker pilot program
Continuing Activity
Estimated Budget = $403,417
Training to strengthen SBCC for AB to directly-funded civil society organizations and selected regional GRN organizations
Estimated Budget = $44,010
Technical assistance to strengthen SBCC for AB to directly-funded civil society organizations, selected regional GRN organizations and the GRN's health extension worker pilot program
Estimated Budget = $315,399
ADDITIONAL DETAIL:
Following consultations with stakeholders and discussions among the PEPFAR Country Team, activities noted for inclusion were the following:
1. Limited technical assistance to Ministry of Health and Social Services to review and provide recommendations of content within existing materials of the MOHSS-MOE School Health Promotion Initiative. Funding for materials and training shall be covered under MOHSS (1) cooperative agreement with CDC.
2. Limited technical assistance to an undetermined GRN Institution to assess standards, accreditation and certification of formal SBCC training programs.
Level of effort to accommodate these two activities shall be determined by the cooperating agency at time of FY11 obligation of funds. The designation, limited technical assistance, will not result in an increase in the total estimated cost of Namibia-specific activities within the cooperative agreement.
Project Component 1: Improve the quality of SBCC interventions in AB among select local civil society organizations and local firms: SBCC technical assistance, training, and review visits to strengthen HIV prevention through AB and ensure quality among selected civil society organizations. Recipients will include 1) selected USAID-supported CSO transitioning to direct recipient status including Catholic AIDS Action, LifeLine/ChildLine, Churches Alliance for Orphans, and KAYEC; 2) selected GFATM-supported CSO delivering SBCC at scale including the Namibia Network of AIDS Service Organizations; and 3) selected commercial firms providing critical SBCC services to civil society partners.
Project Component 2: Strengthen the capacity of GRN national and regional offices to plan, monitor and evaluate SBCC components of AB related to the National Strategic Framework: Engage the GRN to strengthen national and regional SBCC efforts in AB through technical assistance and training. Recipients will include the Ministry of Health and Social Services/Directorate of Special Programs through the National Prevention Technical Advisory Committee and its Technical Working Groups; the Ministry of Regional and Local Government, Housing and Rural Development (MRLGHRD) and the Ministry of Health and Social Services through selected Regional AIDS Coordinating Committees (RACOCs).
Project Component 3: Provide technical assistance to the GRN's health extension worker pilot implementation in AB in Kunene Region: Engage the GRN through technical assistance to ensure quality implementation and use of new training and field and IEC materials in AB in the MOHSS Health Extension Worker (HEW) program.
Technical assistance to strengthen SBCC for OP to directly-funded civil society organizations, local firms contracted by civil society in SBCC, national and selected regional GRN organizations, and the GRN's health extension worker pilot program
Estimated Budget = $169,340
Training to strengthen SBCC for OP to directly-funded civil society organizations, and selected regional GRN organizations
Estimated Budget = $18,473
Technical assistance to strengthen SBCC for OP to directly-funded civil society organizations, selected regional GRN organizations and the GRN's health extension worker pilot program
Estimated Budget = $113,920
Project Component 1:
Improve the quality of SBCC interventions in OP among select local civil society organizations and local firms: SBCC technical assistance, training and review visits to strengthen HIV prevention through OP and ensure quality among selected civil society organizations. Recipients will include 1) selected USAID-supported CSO transitioning to direct recipient status including Catholic AIDS Action, LifeLine/ChildLine, Churches Alliance for Orphans, and KAYEC;
2) selected GFATM-supported CSO delivering SBCC at scale including the Namibia Network of AIDS Service Organizations; and
3) selected commercial firms providing critical SBCC services to civil society partners.
Project Component 2:
Strengthen the capacity of GRN national and regional offices to plan, monitor and evaluate SBCC components of OP related to the National Strategic Framework: Engage the GRN to strengthen national and regional SBCC efforts in OP through technical assistance and training. Recipients will include the Ministry of Health and Social Services/Directorate of Special Programs through the National Prevention Technical Advisory Committee and its Technical Working Groups; the Ministry of Regional and Local Government, Housing and Rural Development (MRLGHRD) and the Ministry of Health and Social Services through selected Regional AIDS Coordinating Committees (RACOCs).
Project Component 3:
Provide technical assistance to the GRN's health extension worker pilot implementation in OP in Kunene Region: Engage the GRN through technical assistance to ensure quality implementation and use of new training and field and IEC materials in OP in the MOHSS Health Extension Worker (HEW) program.
