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: 2008 2009
ACTIVITY DESCRIPTION:
Food for the Hungry (FH), a Track 1 ABY partner, implements activities in Nigeria as part of a multi-country
program. This activity will support FH's Nigeria program, which it implements through three major sub
partners: Beacon of Hope (Christian Reformed World Relief Committee), the Salvation Army and the
Church of the Nazarene. FH currently supports activities in the 20 states where Salvation Army and
Nazarene churches exist. Expansion efforts will be closely coordinated with the USG's LGA coverage
strategy to contribute to multiple and reinforcing messages that promote behavior change. Another partner,
Operation Blessing, a media organization, produces public service announcements (PSAs) that reinforce
abstinence and faithfulness (AB) messages for radio and TV throughout Nigeria.
FH will continue scaling in COP08. AB awareness meetings - focus group discussions and presentations
back to the community/group - introduce the ideas of abstinence and faithfulness. This leads to identification
of youth and adults interested in further participation in the program. The strategy in this activity is
community awareness campaigns and only those who participate further in the program are counted as
people reached.
Youth-to-Youth (Y2Y) groups aim to increase the commitment of individuals to abstinence before marriage
and faithfulness in marriage. Each Y2Y group consists of fourteen leader youth (LY) who are trained by
promoters using the age-graded "Choose Life" curricula. Each LY shares what they learn with a group of
peers. Trained promoters and on-site co-promoters assist, coach and mentor these LY through the Y2Y
groups. Each youth is encouraged to have a mentor who is invited to a Y2Y group session to learn more
about AB and his/her role as mentor. The curricula include essential life skills and while promoting AB
provide accurate information on condoms to youth 15 years and older. Culturally appropriate materials help
guide the Y2Y discussions that address issues relating to relationships, sex, HIV and AIDS and its impact
on the community. Through these small-group discussions and the multiplier effect of the LY, the Y2Y
groups promote AB as healthy and desirable sexual choices. Guidance and encouragement to continue
meeting as accountability groups after completion of the curricula is included. Strategies used in these
activities are the peer education model, curricula based approach, interactive and participatory learning
through games and dramas, the use of role models and addressing vulnerability issues through essential
life skills training and gender roles.
FH's faithfulness training emphasizes faithfulness to married men and women between the ages of 15-49.
The faithfulness training utilizes a culturally appropriate and evidence-based curriculum to guide small
group interactions that promote messages about fidelity in marriage and responsible behavior. To
implement this, FH holds training of trainers (TOT) workshops that engage married adults and influential
religious and community leaders in discussions on relationships, sex, HIV and AIDS and its impact on the
community. The trainers teach married couples in their churches, mosques and communities and the
formation of accountability groups is encouraged. The strategies for these activities include peer education
model, curricula based approach, use of role models and addressing vulnerability issues through the
promotion of healthy relationships between married men and women.
In addition, FH trains community and religious leaders in the prevention of sexual abuse. There are societal
factors that limit the ability of youth to make and enforce decisions about their sexuality. This training will
increase awareness among influential adults of sexual abuse and guide them in its prevention within their
own community through the development of policies and strategies to suit the local context. The strategies
used in this activity include the peer education model, curricula based approach and addressing
vulnerability issues.
Lastly, FH will commence skills training and provide start-up capital for income generating activities for
selected vulnerable youth in the program. Seeking to address a specialized need, FH will identify and work
alongside sister organizations to engage youth in this program. The USG team will facilitate linkages with
other IGA activities so that best practices can be developed and lessons learned can be shared.
To ensure consistent and high quality implementation of activities, FH uses a wide range of evidence based
M&E tools that include barrier analysis survey, BEHAVE Framework, KPC surveys, quality improvement
verification checklists and posttests.
The impact the Y2Y groups, faithfulness training and sexual abuse prevention training have on communities
continues to be tremendous. These programs encourage discussion and dialogue within the family and
larger community about various social issues related to HIV and AIDS.
CONTRIBUTION TO OVERALL PROGRAM AREA:
Through the Y2Y groups, faithfulness training and sexual abuse training, FH will promote AB to youth and
adults as a means of reducing the spread of HIV and AIDS. FH will work alongside its faith-based and
community partners to train 8,580 LY and influential adults to promote HIV and AIDS prevention through
abstinence and/or being faithful and to reach 112,504 youth and adults with AB messages. FH will reach its
targets by implementing activities with 1,809 churches, schools, Y2Y groups and other community
organizations.
LINKS TO OTHER ACTIVITIES:
FH's goal is to integrate its program into the lives of the churches, schools and communities where it works.
Therefore, it works to promote community acceptance of AB as healthy sexual choices and as social norms.
FH integrates these messages into other program activities with its partners and builds their capacities to
continue promotion of AB when this project ends. As there are currently no direct links with other
USAID/PEPFAR activities, FH's partners seek and the USG prevention team will actively promote linkages
with implementing partners involved in other activities that will improve the response to HIV and AIDS.
POPULATIONS BEING TARGETED:
FH targets unmarried youth between the ages of 10-24 years and married men and women aged 15-49
years. This is based on the National HIV/AIDS & Reproductive Health Survey (NARHS) of 2003 that found
the median age of first sex was 16.9 years for females and 19.8 years for males. The NARHS survey also
found that sex with a non-marital partner was highest in women aged 20-24 years (15.1%) and in men aged
25-29 (36.6%) followed closely by those in the 20-24 age group (34.9%). The 2005 Sentinel Survey found
the highest prevalence of HIV in the 25-29 age group (4.9%) closely followed by those 20-24 years (4.7%).
Activity Narrative:
EMPHASIS AREAS:
Emphasis areas include human capacity development, SI and income generating activities for youth.
Gender equality continues to be addressed through the Y2Y groups and faithfulness training. The
curriculum used by these groups is very intentional in promoting equality between males and females.
Training will also raise awareness of and reduce sexual coercion, violence, cross-generational sex and
other unhealthy sexual behaviors in the community. This training also addresses the stigma that exists
within Nigerian society towards those with HIV and AIDS.