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.
This activity has been transferred to Society for Family Health.
Public Affairs Section (PAS), U.S. Embassy Abuja will undertake Abstinence and Be Faithful programming within the university outreach programming initiated in COP 06. With PEPFAR funding, PAS currently supports sixteen universities in 12 states. Ten additional universities in the prevention focus states will be supported in FY 07 to bring the total number to 26 universities spread across 22 PEPFAR states.
Through grant programs, the activity will promote abstinence, delay of sexual debut, mutual fidelity and partner-reduction among university students and staff. This activity will also address gender and social issues that increase vulnerability to HIV transmission in the target populations. A "Condoms and Other Prevention" activity with most at risk students among the target population groups will complement this activity under a separate Activity Narrative.
PEPFAR support for the program directly empowers the Mission's Public Diplomacy efforts in Nigeria, particularly with universities, and promotes goodwill towards the United States of America. Universities are our principal constituents and remain open and receptive to approaches from the Public Affairs Section. These partnerships are vital tools in achieving PEPFAR goals.
PAS will partner with Society for Family Health (SFH) to conduct a retreat with the university partners for work planning, guidance on A&B messaging, and related issues. The partnership with SFH will involve an MOU for ongoing technical assistance on A&B messaging. This will complement the technical expertise existing at the universities. We are leveraging more resources from the universities as they posses the core competencies needed to implement HIV prevention programs and have volunteered both staff and student time. There will be a follow-up retreat mid-term with the universities and our USG-technical partners to assess progress.
PAS will have oversight of the grants and undertake field visits to monitor compliance with the work plans and the A&B messaging guidance. PAS will participate in all GON and USG prevention working groups, interfacing with the universities and strengthening linkages and coordination with USG funded AB advisors and partners such as NYNETHA, NEPWHAN, and National Youth Service Corps. PAS will also participate in all USG-PEPFAR management and coordination activities.
The grant award process will include developing guidelines and grant criteria, a call for proposals, proposal review, and grants award ceremony. PAS will include the USG PEPFAR team, the USG Prevention advisor, SFH, ENHANCE, the National Universities Commission, the Ministry of Health and the National Action Committee on AIDS in all aspects of the grant award process and on their review panels.
The grants from PAS will support: training of trainers, peer-group education, workplace policies and curriculum review to include HIV/AIDS education in the compulsory "General Studies" course of the universities. Thus, current and future generations of Nigerian undergraduates will undergo formal education in HIV/AIDS. Peer education programs in the old sites will largely target entry-level students, while the new sites will target students at all levels. The activity will reinforce the need for HIV counseling and testing and an increased demand for VCT is an expected outcome.
Recognizing that training changes skills and knowledge and that many times behavior change goes beyond the individual's ability to sustain these changes, grant recipients will be expected to provide support for the following activities: Community dialogues (involving community leaders) and mass enlightenment programs to address norms, attitudes, values, and behaviors that increase vulnerability to HIV, such as trans-generational and transactional sex, multiple sex partners, and a focus on the rising incidence of sexual harassment on campuses. Activities will address environmental factors that impede behavior change and build on the lasting partnerships the universities' current AB and advocacy programs have forged in the communities. It will include an emphasis on the equal participation of men and women in the programs.
In addition, the universities will support vocational skills programs for at risk female
undergraduates in their respective institutions, whose dire economic circumstances predispose them to trans-generational and transactional sex. University of Nigeria, Nsukka has initiated a pilot vocational skills program to supplement their PEPFAR-funded A&B program. The universities will explore other social support services to channel the energies of youth in a positive direction. As engaging in sexual activities is perceived as a form of recreation by the youth, alternative recreational activities such as talent hunts, formation of campus theatre groups to undertake drama tours, institutionally managed parties and the reviving of historical love gardens (in botanical centers) will be explored to supplement the PEPFAR grant.
The recently released national survey shows that the 18 - 24 age cohorts have some of the highest HIV prevalence rates in the country. The majority of university students are in the aged 18-24 years, who now enjoy increased autonomy from parents and high school restrictions. This freedom, coupled with peer pressure, result in sexual experimentation and potentially risky sexual practices. With support of PEPFAR, Igbinedion University, Edo State developed and implemented their curriculum on HIV/AIDS for freshmen and University of Maiduguri completed and disseminated their Workplace Policy.
Contribution to Overall Program Area The activity will advance PEPFAR's goal of HIV prevention in universities and contribute to HIV reduction among the vulnerable youth. The activity seeks to institutionalize PEPFAR's AB strategy through improved collaboration, information sharing, and networking among key USG and GON players. We expect to reach a minimum target of 350,000 students and staff as direct beneficiaries of PEPFAR-funded AB programs. It is expected that a minimum of 26,000 students will be referred for VCT services.
3. Links to Other Activities
This program increases demand and creates linkages to services such as VCT 6702, 6736, ARV Services 6703, 6807 and PMTCT 6706, through education, promotion, and referrals.
4. Populations being targeted This activity focuses on university students to reduce HIV prevalence among this future core of Nigeria's highly-skilled workers. The students fall within the age cohorts (18 - 24) with some of the highest prevalence rates for HIV in Nigeria. Other target population groups include staff members of the universities, policy makers, and community/religious leaders to address environmental factors that impede behavior change.
5. Key Legislative Issues This activity also addresses the key legislative issue of "Gender", as it will increase gender equity in programming. Since HIV workplace policies address issues of stigma and discrimination and HIV counseling reduce stigma associated with HIV, this activity also addresses the Key legislative issue of "Stigma and Discrimination".
6. Emphasis Areas The major emphasis area for this activity is community mobilization and participation as a key element of outreach for prevention efforts associated with AB. Capacity development through linkages with relevant USG-supported programs is planned with the universities. We will also focus on Information, Education and Communication as an essential element of outreach for AB messaging. The workplace policies promote HIV prevention and address the dearth of organizational policy on critical issues of HIV/AIDS such as stigma and discrimination against PLWHA.
Targets
Target Target Value Not Applicable Number of individuals reached through community outreach that promotes HIV/AIDS prevention through abstinence (a subset of total reached with AB) Number of individuals reached through community outreach that promotes HIV/AIDS prevention through abstinence and/or being faithful Number of individuals trained to promote HIV/AIDS prevention programs through abstinence and/or being faithful
Table 3.3.02:
ACTIVITY DESCRIPTION The Public Affairs Section (PAS), U.S. Embassy Abuja currently supports sixteen universities in 12 states through its university outreach program. Through FY07 COP support, PAS will expand its university outreach program to ten additional universities. Through its involvement as a PEPFAR implementing agency and a member of the Nigeria Prevention Technical Working Group, PAS will select the additional 10 universities based on the USG/Nigeria team's overall geographic strategy and the prevention-specific approach to expansion within the PEPAR focus states.
The university outreach program supports prevention programming in universities through a grant award process. The grant award process includes developing program guidelines and grant criteria, disseminating a call for proposals, proposal review, and developing grants with university recipients. PAS will include the USG Prevention Technical Working Group, SFH, the National Universities Commission, the Ministry of Health and the National Action Committee on AIDS in all aspects of the grant award process, including participation on the grant review panels. Once the universities are selected, PAS provides technical assistance in work plan development, activity implementation, and program monitoring and evaluation to ensure consistent, high-quality prevention programming throughout the university grant recipients.
The PAS university outreach program is funded through HVOP and HVAB to ensure that it is appropriately targeted towards the risk behaviors of university students. The recently released national survey shows that the 18 - 24 age cohorts have some of the highest prevalence rates for HIV in the country. The majority of university students are in the 18-24 age cohorts, and enjoy increased autonomy from parents and high school restrictions. Research shows that this freedom, coupled with peer pressure, result in sexual experimentation and highly risky sexual practices.
To address the needs of high-risk university youth, the university outreach program supports universities in implementing a comprehensive package of prevention activities. Activities emphasize the provision of full and accurate information about correct and consistent condom use as a means of reducing, but not eliminating, the risk of HIV infection. PAS supports access to condoms through linkages with the SFH condom distribution program. Information, education and distribution of condoms for those most at risk is coupled with fidelity and risk reduction messages. In addition to the key messages of fidelity, partner reduction, and correct and consistent condom use, activities promote complete treatment of all sexually transmitted infections (STIs) and the importance of HIV counseling and testing. Universities will incorporate referrals for diagnosis and treatment of STIs and linkages to voluntary counseling and testing sites in their programs. Universities will develop interventions targeted towards their unique student population, but examples include community dialogues, peer education and dissemination of behavior change communication materials.
Universities will also be supported to implement activities that address the gender-specific needs of their student populations. To address transactional sex, the program supports vocational skills programs for female undergraduates. Women are also empowered to use available commodities such as female condoms to prevent HIV transmission. Universities will also support advocacy around issues such as transactional and trans-generational sex.
PAS will partner with SFH to provide ongoing technical assistance for this activity. PAS is in the process of establishing an MOU to define the scope of its work with SFH. The USG Nigeria Prevention Technical Working Group will support PAS and SFH in establishing the MOU to ensure that it is in line with the overall USG PEPFAR and prevention-specific strategies. The technical assistance of SFH will complement the technical expertise in the universities through which PAS implements its program. PAS will leverage resources from the universities as they posses the core competencies needed to implement HIV prevention programs and have volunteered both staff and student time.
PAS will have general oversight of the grants, including undertaking regular field visits to monitor compliance with the work plans and the delivery of high quality programming. PAS will participate in all GON and USG prevention working groups, interface with the
universities and strengthen linkages and coordination with USG funded prevention advisors and partners. PAS will also participate in all USG PEPFAR management and coordination activities.
PEPFAR support for the PAS university outreach program directly empowers the Mission's Public Diplomacy efforts in Nigeria, particularly with universities, and promotes goodwill towards the United States of America. Universities are our principal constituents and remain open and receptive to approaches from the PAS. These partnerships are vital tools in achieving PEPFAR goals.
CONTRIBUTION TO OVERALL PROGRAM AREA This activity will advance PEPFAR's goal of HIV prevention by implementing activities that promote HIV prevention among high-risk university students. This activity targets 100,000 individuals through community outreach that promotes HIV/AIDS prevention through other behavior change beyond abstinence and/or be faithful.
LINKS TO OTHER ACTIVITIES This program increases demand and creates linkages to services such as VCT (3.3.09), ART (3.3.10) and PMTCT (3.3.10) through education, promotion, and referrals.
POPULATIONS BEING TARGETED This activity focuses on most at risk university students to reduce HIV prevalence among this future core of Nigeria's highly-skilled workers.
KEY LEGISLATIVE ISSUES This activity addresses the key legislative issue of "Gender", in particular the subcategories of reducing violence and coercion and increasing women's access to income and productive resources.
EMPHASIS AREAS The major emphasis area for this activity is Community Mobilization/Participation; the minor emphasis area for this activity is Information, Education and Communication.
Target Target Value Not Applicable Number of targeted condom service outlets Number of individuals reached through community outreach that promotes HIV/AIDS prevention through other behavior change beyond abstinence and/or being faithful Number of individuals trained to promote HIV/AIDS prevention through other behavior change beyond abstinence and/or being faithful
Key Legislative Issues Volunteers
Table 3.3.05:
ACTIVITY DESCRIPTION: The funding covers PAS' M&S budget. PAS' M&S goal is to support one dedicated PAS staff to develop, admisniter, coordinate, and provide technical and programmatic oversight for the 2007 Nigeria Strategic Communication Plan involving all USG PEPFAR implementing agencies, their implementing partners, government of Nigeria, the media, OGAC, contractors, PEPFAR beneficiaries and the Nigerian public to tell the PEPFAR story in Nigeria.
M&S costs are inclusive of one M&S dedicated staff and associated costs, including costs for travel and other program coordination activities across a significant array of implementing partners in Nigeria, which is the second largest PEPFATR country based on an established 2009 end targets.
Table 3.3.15:
