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 HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
In COP09, YWCA will be scaling up activities to two additional states, Anambra and Plateau states, and will
be reaching 16,364 people with the standard minimum AB activities package, as recommended in the
National Prevention Plan. YWCA will also be providing grants to an additional 5 community-based and faith-
based organizations (CBOs and FBOs) in COP09 in addition to building their capacity in grants
management and AB programming. YCARE project volunteers will be trained in COP09 to support HIV
prevention in houses of worship and market places, and in the peer education plus (PEP) model that
includes the use of drama, songs, and HIV debates. Helping Each other Act Responsibly Together
(HEART) Health club will be initiated in schools, while YWCA will continue to provide skills acquisition
trainings, including bead making, tie-dying, and basic computer skills through its vocational schools
programs. YWCA will reach 7,740 individuals through abstinence only and will provide training to 50
persons in COP09.
ACTIVITY DESCRIPTION:
The focus of Y-Care activities will be in four of Nigeria's six geopolitical zones (southwest, south-south,
southeast, and north-central) and focused primarily in four states (Lagos, Anambra, Rivers, and Plateau). Y
Care is designed to allow a rapid scale-up of activities and is anticipated to reach 16,364 people with
prevention programs.
The main goal of the Y-CARE Project is to build the HIV programmatic capacity of CBOs and FBOs in
Lagos, Anambra, Plateau and Rivers. To achieve this, CBOs and FBOs with successful track records and
experience in reaching and providing services to the target populations are encouraged to become involved
in the program and to consider applying for small grants from Y-CARE. To enhance the management of
funds, the financial capacity of these organizations will be assessed and strengthened. Organizations not
yet capable of managing their own funds but able to mount successful programs will have their funds
managed directly by YWCA until they are able to assume full management.
CBOs/FBOs will be key partners in Y-CARE. They will participate in capacity building training to enhance
their capacity to provide HIV/AIDS prevention programs. In addition, they will develop concept papers to
implement the Y-CARE prevention protocols. Because the majority of CBOs and FBOs have limited
experience in implementing such programs, YWCA will focus primarily on their experience in implementing
similar projects and/or working with the target population. In addition, YWCA will consider the number of
years in operation, the number of paid staff members and volunteers, the annual budget, and how each
organization is managed to assess their potential to successfully implement a proposed project.
Additionally, site visits will be conducted by staff to verify information received in written form and to better
assess additional capacity building needs organizations may have. Selected projects will work with National
YWCA staff to modify protocols to fit with local needs.
Addressing the value of women will be a key component of Y-CARE. Workshops will include discussions of
women's roles in their family and community, and the gender norms that constrain women. Peer health
educators will use exercises to help build women's and girls' self esteem, and, as appropriate peer health
educators will also teach income generating skills, such as jewelry making. Building of self esteem and
economic empowerment of women and girls have been key activities of YWCA of Nigeria for a number of
years.
This project will emphasize dissemination of messages centered on AB prevention targeted at girls, women,
and their partners. Abstinence messages will encourage girls to delay sexual activity debut while "Be
Faithful" messages will discourage women and their partners from having multiple sexual partners.
When teaching women and youth in churches, prevention outreach will be consistent with church teachings,
yet accurate in regards to HIV transmission, prevention and care. This will be an important element in
gaining the support of church leadership for the program. Clergy who are interested in actively promoting
HIV prevention will receive accurate information on HIV/AIDS for their outreach activities to their
congregations through sermons and community programs.
When working with youth in schools, Helping Each other Act Responsibly (HEART) health clubs will be
initiated in schools and houses of worship. Members of health clubs will reach their peers during the course
of the project. HEART club members will be involved in peer education plus activities (dramas, songs and
HIV debates). HIV prevention will also include a component of economic empowerment for women and
girls. One major problem for women and girls in Nigeria is their vulnerability related to finances/income,
which contributes to their continued low status in society. Their low status also makes it difficult for Nigerian
women and girls to be firm about their sexual decisions and to effectively negotiate condom use in sexual
relationships.
When working with the women in market places, volunteers will conduct their trainings around the market
schedule. Because many women take their children to the markets with them, HIV prevention outreach to
these women will include separate age appropriate activities for the children. The HIV prevention program
will also include guidance on caring for children. When working with women in polygamous marriages,
volunteers will modify HIV prevention messages to be culturally relevant to polygamous family life. For
example, faithfulness will be discussed with consideration for their husband's other wives.
The Y-CARE Project will emphasize decision making about sexual behavior, the importance of delaying
sexual debut, and looking for a partner who is willing to be mutually faithful. Trained peer health educators
will provide information on relationship skills so that youth can learn to identify equitable relationships and
be able to negotiate with their partners once they are in a relationship. For women who have partners, the
peer health educators will focus on faithfulness to one partner. AB activities in Lagos, Anambra, Rivers,
and Plateau states will help women build relationship and communication skills to improve their ability to
negotiate safer sex in the relationship. Women at high risk, such as those in discordant relationships, will be
taught other prevention measures.
Activity Narrative: CBOs and FBOs will be responsible for the implementation and supervision of projects, including project
monitoring and evaluation and budget management. The CBOs and FBOs will submit quarterly project
reports to YWCA regional offices, which will detail the progress of their programs and standardized data
collection results.
PROJECT CONTRIBUTIONS
At the end of the three year project it is expected that 16,364 individuals will have benefited directly from the
project through YWCA collaboration with CBOs and FBOs through peer education and outreach activities.
NETWORKING/LINKAGES
Through networking with other USG funded HIV programs, Y Care will actively refer individuals to other
USG-sponsored HIV testing, treatment and care programs that will complement Y Care activities to
enhance service integration and ensure that people living with HIV receive the care and support that they
need and deserve.
TARGET POPULATION FOR Y-CARE
The target populations for this project are girls, women and their partners.
EMPHASIS AREAS OF ACTIVITY:
This project will provide emphasis on dissemination of messages centered on AB prevention targeted at
girls, women and their partners. Abstinence messages will encourage girls to delay sexual activity while Be
Faithful messages will discourage women and their partners from having multiple sexual partners.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
