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.
Improving the functional wellbeing of CAA Home Based Palliative Care clients through support of community volunteers, providing comprehensive care and support including the provision of non-pharmaceutical HBC supplies, basic nursing care, psychosocial support, spiritual support and emergency assistance.
Continuing Activity
Estimated Budget = $619,400
Supporting community palliative care nurses to provide quality training, supervision and mentoring of community volunteers in the HBC curriculum, also including community based TB case finding.
Estimated Budget = $547,000
Ensuring program quality through Monitoring and Evaluation and supervision support (M&E + Supervision)
Estimated Budget = $72,100
Economic strengthening of community volunteers through income generating activities such as gardening, beading, bicycle maintenance, to promote motivation and sustainability of the project.
Estimated Budget = $23,300
Addressing male norms and addressing gender equitable behaviors through conducting of male awareness workshops in local communities.
Estimated Budget = $22,200
Ensuring HBPC clients' adherence to treatment by providing food supplements to PLHIV's on ARV's
Estimated Budget = $16,000
ADDITIONAL DETAIL:
With a target of 2200 community based volunteers for FY2012 resources, Catholic AIDS Action (CAA) is one of the largest FBO networks in Namibia providing quality home-based palliative care services for a target of 7,800 clients and their families.
The family-centered, holistic program involves the assessment of the person living with AIDS or HIV and the family needs, family and community based health education, stigma reduction, psychosocial and spiritual support, support for treatment adherence and referrals either to the CAA palliative care nurse for the provision of home-based clinical services or GRN clinics and hospitals for more intensive facility based clinical intervention. With the expansion of palliative care and end-of-life care in Namibia, CAA is at the forefront of working with the Ministry of Health to increase home based access to analgesic medication through its trained palliative care nurses.
CAA is also working towards greater collaboration and cooperation with the Ministry of Health to ensure seamless referrals to and from facilities and local communities. CAA will expand its integration of palliative care into existing home based care in the Khomas and Erongo Regions during this year. Home based palliative care activities will occur in the Karas, Hardap, Khomas, Omaheke, Erongo, Omusati, Oshana, Kavango, and Caprivi regions with a possible initial expansion to the Kunene region during this year.
Community based support to OVCs through support of community volunteers.
Continuing Activity Estimated Budget = $579,330
Ensuring OVCs receive the best possible care through training of community volunteers and care givers in PSS
Continuing Activity Estimated Budget = $340,000
Provide material support (uniforms and school fees) to OVCs to help keep them in School
Continuing Activity Estimated Budget = $266,670
Continuing Activity Estimated Budget = $94,000
Catholic AIDS Action is one of Namibia's largest providers of community-based support for orphans and other vulnerable children. 2200 trained, supervised and supported volunteers (the same individuals outlined in HBHC) will deliver quality services to 13,125 OVC. Each child will receive a minimum of one service (psychosocial support, supplemental nutrition, shelter and care, health care referrals, educational and vocational support, or protection and legal aid services. Many children enrolled with CAA actually receive multiple services depending on the child's needs and the available resources. Volunteers are provided with additional support and regular, monthly supervision in the provision of these community based services. After-school and supplemental nutrition programs will assist approximately 2000 children each month. HBPC volunteers identify and refer OVC to CAA's OVC program and other public health and welfare services. This will involve increased collaboration and cooperation with the Ministry of Gender Equality and Child Welfare, the Ministry of Health and the Ministry of Education. CAA provides limited secondary school scholarships to selected OVC in its "Saving Remnant" program as these individuals work towards exemption of tuition and other school fees.
These activities will occur in the Karas, Hardap, Khomas, Omaheke, Erongo, Omusati, Oshana, Kavango, and Caprivi regions with a possible initial expansion to the Kunene region. In these regions efforts will include tracking and enrolling children formerly served by PACT or CAFO sub-partners to ensure beneficiaries are not dropped.
Community based support to HIV positive children through the training, support and supervision of CAA volunteers and staff.
Estimated Budget = $300,000
Through periodic surveys of children enrolled in the CAA OVC care and support program, approximately 10% of these children (1,000-1,200) either identify as or are known as HIV positive. In many instances their biological parents have died from HIV complications and they are living with extended family members. However, the additional resources required by these children, (clinic visits, food with medication, additional psychosocial support) frequently overburden already sparse family resources. These resources allow CAA to allocate additional resources to its growing clinical services to ensure these children receive the support and additional resources they require for positive development. This includes supplemental nutrition and resources that provide salaries for the 9 community based palliative care nurses currently providing direct services and increasing the capacity of volunteers to provide holistic home based care services inclusive of Positive Prevention and TB screening and referrals as outlined in the national CHBC standards.
These activities will occur in the Karas, Hardap, Khomas, Omaheke, Erongo, Omusati, Oshana, Kavango, and Caprivi regions with a possible initial expansion to the Kunene region.
Promoting Abstinence/Be Faithful and Comprehensive Life Skills through the training of CAA Peer Educators and Facilitators in the Stepping Stones and Adventure Unlimited curricula
Estimated Budget = $200,450
Re-enforcing the content of Stepping Stones and Adventure Unlimited curricula by providing monthly post course activities
Estimated Budget = $33,550
Ensuring program quality through Monitoring and Evaluation, Supervision and support of peer educators and facilitators
Estimated Budget = $45,000
Provision of additional incentives for long serving peer educators to encourage program quality and continuity.
Estimated Budget $21,000
Two curricula, Adventure Unlimited for younger children and Stepping Stones for older youth and young adults, use strong participatory learning strategies to empower participants to become aware of HIV infection and AIDS and to develop strategies for behavioral change to prevent infection. Adventure Unlimited (AU) consists of ten sessions and Stepping Stones (SS) is fourteen sessions, with each session approximately two to three hours in length. These curricula not only provide accurate education (according to the WHO) on HIV infection, but equally important, engage participants to understand and discuss the additional cofactors for positive community health: effective communication skills, self-esteem and self-efficacy, gender issues, the role of alcohol and HIV infection, relationship and intimacy skills, and identifying cultural norms and practices that may either contribute to the spread of HIV or reduce infection incidence. These curricula help participants to not only acquire the information, but perhaps more importantly, the motivation, values and skills necessary to change complex behavioral patterns.
During the project year, twelve full time CAA Child and Youth Development coordinators will train, supervise and support 300 volunteer peer educators to provide courses in their local communities. They will provide 705 courses, 320 Adventure Unlimited and 385 Stepping Stones courses, reaching 11,985 direct beneficiaries (an average of 17 participants per course to ensure active participation). Supervision for quality assurance occurs at least once during each course implementation.
Participants are gathered from the local community in coordination with community leaders and referred from other USG sponsored CAA programs, home-based palliative care and support for orphans and other vulnerable children. Youth who complete the courses can continue to be supported through CAA post course activities using resources from C-Change and NAWA life trust to reinforce and support learning made during the course implementation.
