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: 2007 2008 2009
ACTIVITY DESCRIPTION: This activity is related to Track 1 Christian Aid activity in Benue and Plateau
state providing comprehensive services to OVC.
Community Care in Nigeria (CCN) project is currently in 4 states (Anambra, Edo, Kano and FCT) working
with 13 ex-GHAIN partners. In COP 08 the partnership will expand to 17 including 4 Dioceses in 4 additional
states (Adamawa, Benue, Lagos and Niger), bringing the project states to 8. This activity supports the scale
up of OVC service provision in 8 States and the development of the capacity of indigenous multipliers and
CSOs. CCN is being implemented through a consortium of partners including Christian Aid (CA), the
Association of Women Living with HIV/AIDS (ASWHAN), 5 Anglican Dioceses and agencies previously
supported under GHAIN.
CCN is developing a community and family-based approach in which communities design and implement
OVC protection and care. The approach adopted is based on the CA Track 1 supported program (CBCO).
The program offers comprehensive models of care and support to meet the psychological and material
needs of OVC and promotes advocacy and learning on issues affecting OVC.
Representatives of OVC households are mobilized into Savings and Loan Associations (SLAs). Members of
SLAs save for several months and when their savings become significantly large draw small loans, which
they use for income generation activities, school fees and uniforms, etc. To complement this and bolster
their food and nutritional security, the groups will also be supported with self-help projects in agriculture
(e.g. seed and livestock multiplication) and complementary sectors.
OVC between the ages of 6-11 years, whose guardians are members of SLA groups, will participate in
weekly Kids Clubs activities. Trained peer facilitators take the children through a structured manual
informed by material developed by the Regional Psychosocial Support Initiative (REPSSI). In this way,
these children receive quality psycho-social support. Under-5s will be targeted for preventive health care
support, birth registration, weight monitoring and food/nutrition support (training and/or provision of food
supplements locally mobilized through existing community groups).
Older OVC between the ages of 12-17 years are mobilized into youth clubs and participate in weekly life
skills sessions, reproductive health education and psychosocial support. The sessions are also facilitated by
trained peer educators using material informed by Population Services International (PSI) and other
reputable organizations.
Within the SLA groups, Child Protection Monitors (CPM) are appointed. The CPMs are responsible for
visiting the homes of each of their fellow SLA members at least twice per month. Here, they interact with
the OVC providing adult mentorship and ensuring OVC are not being abused, stigmatized, and/or
discriminated against. When minor child protection cases occur, carers are counselled to explore
alternative ways of treating the children. More serious cases are reported to community-established OVC
Support Committees, child protection committees, and/or local government officers/police for resolution.
Through this mechanism, the project is working to ensure that all the children are systematically monitored
and benefit from child protection, as well as one-one-one counseling support. Further health-related support
which will be provided by trained carers will include home-based care to OVC and their families.
Despite the economic strengthening work that is being undertaken, there are still many OVC that are unable
to attend school, particularly at secondary level. Given this, rigorous targeting will be undertaken with the
OVC Support Committees and SLA groups to identify and provide support for older OVC most in need.
Intensive advocacy and resource mobilization drives will be carried out to find more long-lasting solutions to
retaining these OVC in school. In addition, older OVC that cannot be integrated into the formal education
system due to a lack of a basic education, will be provided with vocational training through local training
institutions.
Community organizations will also facilitate referrals to other organizations to fill significant gaps. Partners
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 organizations such as NAPEP. The potential of private sector support for
OVC services (school support) will also be explored. Although the provision of direct benefits to OVC is a
central part to CCN, attention is also given to longer-term developments that will create an enabling
environment for continuation of provision of services to OVC after program close out. Part of this will be
support to the strengthening of coordinating structures for OVC activities at State and Federal Government
levels.
CCN started in late May 2007 and, in line with its plans for COP08, is expected to include at least 4 new
Diocese partners as well as at least 6 new support groups supported by ASWHAN. It will also expand from
4 to 8 States in COP08. Compared to COP07, funding will increase in COP08 by approximately
500,000USD. Targets will increase from 3,000 OVC and 1,000 carers in COP07 to 10,000 OVC and 2000
carers in COP08. In order to ensure these targets are reached, all registered children will be monitored
regularly using a Quality Assurance Tracking Database based on the successful model developed by the
CBCO program. The Database allows the monitoring of services provided directly by CCN, by referral from
CCN, by another organization independently and by services leveraged by CCN. In addition, the Child
Status Index (CSI) will be used bi-annually to monitor quality of life of OVC.
All elements of this program will contribute to the national response and will be based on relevant plans
such as the National OVC Plan of Action, the NSF and local plans developed by SACAs and LACAs. CCN
will address all six objectives included in the OVC National Plan of Action, and will specifically target
Objective 3 of the HIV/AIDS National Strategic Framework for Action 2005-09. It will complement and be
integrated into other USG-funded and GON programs particularly those involving clinical services such as
HCT, PMTCT and pediatric and adult ART. It will contribute to the development of learning networks that
can develop best practice for OVC work and stimulate the expansion of quality HIV related services. CA will
be the Case Manager for Anambra and Edo States and will monitor ASWHAN to carry out the same role in
Benue State. This role entails providing technical backstopping to the Federal Ministry of Women Affairs to
roll out policies, plans, and programs as well as capacity building to State Ministry of Women Affairs
(SMWA) to plan, monitor, supervise and evaluate OVC programs in the states.
Activity Narrative: The long-term impact of CCN will be the establishment of indigenous regional and national multipliers
capable of accessing funds and delivering quality OVC services. To this end, CA will provide technical
support to ASWHAN to develop the capacity to directly access USG funds in the future. A key principle of
the consortium will be that over the course of the program, management and granting responsibilities will be
transferred from CA to ASWHAN. By the end of the program, ASWHAN will be able to directly receive
funding from USAID. All other partners in CCN will undergo comprehensive organizational capacity
development to better enable them to sustain themselves and OVC services in the future.
CONTRIBUTIONS TO OVERALL PROGRAM AREA: By the end of the 3-year program CCN will directly
benefit 12,200 OVC and 5,000 families who will have accessed services. In COP08, the program expects to
reach 10,000 OVC and 2,000 families. Christian Aid and partners will assist, through advocacy with State
and Local Government stakeholders, the roll out of activities supported at national level by ENHANSE. In
addition the participation of SMWA representatives and SACAs and LACAs in program activities will be
used to share lessons and support local coordination.
LINKS TO OTHER ACTIVITIES: Linkages will be established with HIV/AIDS treatment centers and
community adherence activities, care and support programs, and TB/HIV programs to ensure that OVC and
carers stay alive and in good health, to counseling and testing centers to enable family members to receive
necessary support and to PMTCT providers to reduce the increase in numbers of HIV+ children.
TARGET POPULATIONS: 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. In addition, religious leaders 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.
EMPHASIS AREAS: This program includes emphasis on Local Organization Capacity Development and
community mobilization, nutrition and training as outlined in Section 1. The program will also focus on
increased access to micro-finance for households 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. The program
will also 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.