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.
ACTIVITY DESCRIPTION This activity also relates to HIV/AIDS treatment centres and community adherence activities (3.3.11), care and support programs (3.3.06), TB/HIV programs (3.3.07), and counselling and testing services (3.3.09) provided by PEPFAR partners.
The Community Based Care of Orphans and Vulnerable Children (CBCO) program is a multi-country Track 1.0 OVC project, with activities starting in Nigeria in COP 07. The scheduled CBCO partners in Nigeria in COP 07 are the Anglican Dioceses of Jos and Makurdi, in Plateau and Benue States respectively.
Jos Diocese covers the urban and rural areas of Plateau State. These areas have high HIV rates (up to 7.7% in some areas) and are prone to widespread conflict and displacement, resulting in large numbers of OVC. Makurdi Diocese, in Benue State, covers Makurdi city and large parts of the surrounding rural areas. Benue state has experienced consistently high HIV rates of over 9% since 1999 when it peaked at 16%.
Christian Aid will partner with the health and development units of Jos and Makurdi Dioceses, the Gospel Health and Development Services (GHADS) and Anglican Diocese Development Service (ADDS). Emergency Plan funding will be used to: support a capacity development program with ADDS and GHADS; establish community based OVC support structures that directly provide services and facilitate referrals; train clergymen and community organizations to combat stigma and provide counselling; support advocacy for the leverage of additional support for OVC; support lesson learning and the roll out of national OVC initiatives at State and Local level.
The expected impact in COP 07 is to improve the quality of life for 2,200 OVC, including the provision of Direct Primary support to at least 1,200 and Direct Supplemental Support to a further 1,000. In order to ensure these targets are reached all registered children will be monitored regularly using the CBCO OVC and Quality Assurance Tracking Database. The Database allows the monitoring of services provided directly by CBCO, by referral from CBCO, by another organisation independently and by services leveraged by CBCO.
Community organisations, in collaboration with GHADS and ADDS, will directly provide a selection of essential services from the six core areas (food and nutrition, shelter and care, protection, health, psychosocial support and education). They will also facilitate referrals to other organisations to fill in significant gaps. ADDS and GHADS will develop advocacy skills that will enable them to leverage additional support from public sector service providers. Priorities are likely to include advocacy to remove constraints to UBE and to improve access of vulnerable groups to services of organisations such as NAPEP. The potential of private sector support for OVC services (e.g. school support) will also be explored.
In order to ensure Primary targets are reached and to assist scale up, priority will be given to interventions that have low costs per OVC and can cover large numbers (e.g. child protection committees, Savings and Loans Associations for income generation). Scale up will also be facilitated by the development of a related programme, the proposal for which is currently being considered under APS Number 620 06 002.
CONTRIBUTIONS TO OVERALL PROGRAM AREA: The program will support the development of a network of organisations implementing household/family-based OVC programs as set out in the Emergency Plan. It will directly contribute 2,200 OVC. The program will improve the lives of OVC in line with the National HIV/AIDS Strategic Framework by delivering sustainable, comprehensive quality approaches to care and support services, by strengthening socio-economic, nutritional and psychosocial support programs for vulnerable groups and by building capacity for implementation of HIV/AIDS technical responses. It will encompass all six components identified in the National OVC Plan of Action as being essential for scaling up OVC support effectively: Service Delivery Environment, Education, Health, Household Level Care and Economic strengthening, Psychosocial Needs and Social Protection and Monitoring and Evaluation Framework.
Christian Aid and partners will assist, through advocacy and support to lesson learning with State and Local Government stakeholders, the roll out of activities supported at
national level by ENHANSE. Priorities are likely to include the ratification of the Child Rights Bill in the two States and the roll out of the National OVC Plan of Action. In addition the participation of State Ministry of Women Affairs representatives and SACAs and LACAs in programme activities will be used to share lessons and support local coordination. Indirect targets of 500 OVC and ten persons trained in OVC are expected additive accomplishments.
LINKS TO OTHER ACTIVITIES Linkages will be established with HIV/AIDS treatment centres and community adherence activities (3.3.11) care and support programs (3.3.06) and TB/HIV programs (3.3.07) to ensure that OVC and carers stay alive and in good health, to counselling and testing centers (3.3.09) to enable family members to receive necessary support and to PMTCT providers (3.3.01) to reduce the increase in numbers of HIV+ children.
POPULATIONS BEING TARGETED This program targets girl and boy OVC and families affected by HIV/AIDS. It will provide services to OVC and family members in community settings using existing established and accepted community organizations as service providers.
KEY LEGISLATIVE ISSUES ADDRESSED Stigma and Discrimination: Religious leaders, including priests, bishops and leaders of women's organizations, will be trained to combat stigma in their work and will be supported to engage productively and openly with PLHA. Wrap Arounds: Increased access to micro-finance for households will be provided by existing rural development programs of ADDS (Benue State only). ADDS and GHADS with Christian Aid, will encourage greater access to income generation opportunities through advocacy to regional branches of institutions such as NAPEP and will encourage provision of UBE through advocacy to local and State Government stakeholders. Gender: The program will aim to a) support equal numbers of male and female OVC and address cultural and economic factors that limit access to services of either gender; b) develop opportunities for women to increase their access to economic resources.
EMPHASIS AREAS This program includes a major emphasis on Local Organization Capacity Development and minor emphases on community mobilization, nutrition and training as outlined in Section 1.
