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: 2011 2012 2013 2014
COP 2010 Overview Narrative
This is a new implementing mechanism which is a follow-on to Project Hope, whose Track 1 award ends in June, 2010. Project Hope has been working directly with guardians and parents of orphans and vulnerable children (OVC), providing them with small loans and business training through its Village Health Fund Microcredit Methodology. Under this approach, solidarity groups are formed, and micro-financing is accompanied by a health and parenting course. Since the beginning of the project in 2005, 2,251 caregivers have been trained, and 8,164 OVC have been served.
The new mechanism will target OVC through their caregivers, combining economic strengthening with health education and targeted interventions for TB prevention and management. The program design will utilize the structures of village health funds established by Project Hope, including field workers, and build linkages to local partners and the health system.
1. The new mechanism will focus on mitigating the impact of HIV/AIDS on OVC and OVC caregivers, addressing both economic needs and health aspects of HIV and TB. It has three comprehensive goals and objectives: 1) sustainable economic strengthening of families of OVC through microfinance and business skills training, and 2) building capacity of caregivers to address the emotional, physical and health needs of children in their care and 3) increasing TB awareness and case management.
2. The mechanism is in line with USG commitments of the Partnership Framework in its response to the draft National Strategic Plan on HIV AIDS, both in regard to impact mitigation (improving sustainable livelihoods for households with vulnerable person) as well as care (management of TB/HIV co-infection).
3. The geographic coverage will be six political regions (Oshana, Omusati, Ohangwena, Oshikoto, Kavango, and Caprivi). Target populations will be: a) caregivers of OVC, including elderly and junior heads of households, b) OVC in their care, and c) TB patients and patients co-infected by TB and HIV.
4. The mechanism will be linked to USG support for systems' strengthening of the Ministry of Gender Equality and Child Welfare (MGECW) human resource system and the administration of welfare grants. OVC caregivers will be educated on eligibility and processes for access to OVC grants, and strengthening the MGECW Community Development Directorate will broaden its capacity to support community projects for OVC caregivers. The TB activities will strengthen health systems delivery for DOTS through strengthening linkages and communication between clinics and communities.
5. The mechanism will increase women's access to income and productive resources, and thereby address unequal gender relations and gender-based violence. The proposed mechanism will reach predominantly women since, due to culture and social norms, the majority of OVC caregivers are female. Providing women and the children under their care with the opportunity to generate income through small businesses will contribute towards addressing the prevailing imbalances in power relations between male and female household members.
6. The mechanism will aspire towards long term cost-effectiveness and sustainability by linking operations to an emerging local micro-finance bank, Koshi-Yomuti. The TB activities will utilize and feed into the national TB control program and existing community structures.
7. An M&E plan will be developed, and outcomes will be measured at the household (household assets) and child (care, health, education) levels. For TB case management, the activities will utilize the government's recording and reporting system and report to the health system.
Training in business skills and financial literacy
Continuing Activity
Estimated Budget = $300,000
Development and implementation of a village savings and loan training module for OVC caregivers.
Estimated Budget = $240,000
Establishment of partnerships with private sector to transition micro-finance program
ContinuingActivity
Estimated Budget = $0
Create and support linkages of vulnerable youth to vocational training opportunities and collaborate with GRN to ensure development and utilization of vulnerability selection criteria for bursaries.
Estimated Budget = $20,000
Provide health and community education to OVC caregivers
Estimated Budget = $447,000
ADDITIONAL DETAIL:
The activities focus on improving the caring capacity of communities and households to care for OVC as well as TB patients through economic strengthening combined with health and parenting education. Activities will take place in the Omusati, Ohangwena, Oshana, Oshikoto, Kavango and Caprivi regions. OVC caregivers will be made aware of eligibility and procedures for child welfare grants, and referrals to line ministries for grants and other services in education and health will be made.
Economic strengthening activities will be tailored according to needs and capacities of beneficiaries and to availability of complementary services and local private sector environment (such as micro-finance institutions, vocational training institutions) and include:
Business skills training:
Project Hope will offer its business skills and financial literacy training ("Handbook for Business Activism") which provides basic practical skills in business management.
Village Savings and Loans (VSL):
Project Hope is currently in the process of developing a VSL model, based on its experiences in Mozambique and Namibia. Groups of OVC caregivers will be formed and trained on VSL, and will also receive health education (see below).
Micro-finance:
Project Hope has in the past focused on micro-loans through its Village Health Bank model. In FY 11 and 12, efforts will focus on transitioning micro-finance groups to a new private micro-finance bank currently operating in the central northern regions (FIDES).
Create and support linkages of vulnerable youth to vocational training opportunities:
Vulnerable youth will be assisted to complete applications to vocational training institutions, and information on accessing scholarships will be provided. Project Hope will collaborate with the relevant government providers of bursaries to ensure vulnerability criteria are developed and utilized in selection procedures.
Health education will continue to be delivered to groups of caregivers (usually groups who also participate in economic strengthening activities) with the 20 session curriculum entitled Happy Children in the Heart of the Community which is currently under revision. The sessions focus on young child health, hygiene, and nutrition as well as psycho-social aspects of parental care.
Register patients into MOHSS Tuberculosis Prevention and Support Program
Link patients to field promoters from the district hospitals to the health centers and clinics
Map TB caseloads to identify high burden catchment areas and assist in resource allocation Trace treatment defaulter.
Assist the MoHSS to update the treatment outcomes by cohort for TB patients Document active case finding activities through tracing contacts of sputum positive patients Continuing Cost sharing.
Monitor patients during treatment to ensure that they adhere to the full 6-month course of TB medication.
Continuing Activity Estimated Budget = $85,000
Monitor care and support services provided to TB patients that tested positive for HIV at registration.
Continuing Activity Estimated Budget = $25,000
Early detection of suspected Drug Resistant (DR) patients through monitoring patients for failure to improve and/or failure to have their sputum convert.
Educate TB patients, families, and health promoters on infection control (IC) practices primarily on separation and ventilation.
Continuing Activity Estiamted Budget = $25,000
Train Relevant cadres of staff and volunteers
Continuing Activity Estimated Budget = $126,247
ADDITIONAL DETAIL: Project HOPE Namibia, supports the NTLP to expand CB-DOTS program covering the Oshana, Oshikoto and Kavango regions. The program engages community level volunteers who promote Community Systems Strengthening approach to TB control and management. They form the main link between the community and health facilities. Activities will support the MoHSS' Tuberculosis Prevention and Support Program and will include:
1) Support to District TB Coordinators 2) Treatment adherence support 3) Training of Field Promoters and TB Lifestyle Ambassadors; and 4) Support to the MoHSS electronic data registry, including contact tracing.
Field promoters deployment in Kavango region in particular will be increased to support the community Directly Observed Therapy (DOT) strategy to address the high burden of drug resistant TB, will conduct household visits, defaulter tracing, contact tracing, data collection and referrals. Emphasis will be placed on active management of HIV/TB co-infection.
TB awareness will also be included in the revised child health curriculum entitled Happy Children in the Heart of the Community (see HKID), and wherever feasible, TB patients will be linked to economic strengthening groups (see HKID).
