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 HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
OVC targeted to received services increased from 3,600 to 4,000
Caregivers trained increased from 1,200 to 1,400.
COP08 Narrative below
ACTIVITY DESCRIPTION: This activity is related to Track 2 Christian Aid activity in eight States,
Community Care in Nigeria (CCN), that provides comprehensive services to OVC using a similar model.
The Community Based Care of Orphans and Vulnerable Children (CBCO) program is a multi-country Track
1.0 OVC project. CBCO local partners in Nigeria 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 is partnering 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 counseling; 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 levels.
The expected impact in COP8 is to improve the quality of life for 3,600 OVC including the provision of Direct
Primary support to at least 2,400 and Direct Supplemental Support to a further 1,200. In addition, 1,200
caregivers will be targeted in COP08. In order to ensure these targets are reached, all registered children
will be monitored regularly using the CBCO OVC and Quality Assurance Tracking Database, which has
incorporated the CSI. The Database utilizing the draft GON monitoring tools allows the monitoring of
services provided directly by CBCO, by referral from CBCO, by another organization independently and by
services leveraged by CBCO.
Community organizations, in collaboration with the CBCO partners, 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).
Economic Strengthening Services for OVC Caregivers
Representatives of OVC households will be 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
economic strengthening work and bolster their food and nutritional security, the groups will also be
supported with self-help projects in agriculture and complementary sectors, e.g., seed and livestock
multiplication.
Psychosocial and Food/Nutrition Services to younger OVC
OVC between the ages of 6 to 11 years of age whose guardians are attached to the 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, structured psycho-social support. Under-5s will be targeted for
preventive health care support, birth registration, weight monitoring and food/nutrition support. This will take
the form of training and/or provision of food supplements locally mobilized through existing community
groups.
Healthcare and Psychosocial Support Services for Older OVC
Older OVC - those between the ages of 12 to 17 years of age - are mobilized into youth clubs and
participate in the program's weekly life skills sessions. The sessions are also facilitated by trained peer
educators by material informed by Population Services International (PSI) and other national and
international reputable material. Through the life skills sessions, these older OVC benefit from both
healthcare support (i.e., reproductive health) and psycho social support.
Child Protection Services
Within the SLA groups, Child Protection Monitors are appointed. The Monitors are responsible for visiting
the homes of each of their fellow SLA members at least twice per month. Here, they spend time with the
OVC, thereby, providing adult mentorship support, as well as ensuring they are not being physically or
mentally abused, stigmatized, and/or discriminated against. When minor child protection cases are
revealed, they counsel the guardians in question to explore alternative ways of treating the children. More
serious cases are reported to OVC Support Committees, established in each community, 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 following the Child Status Index (CSI)
and, therefore, benefit from child protection support, as well as one-one-one counseling support.
Educational Services
Despite the economic strengthening work that is being undertaken, there are still many OVC who are
unable to attend school, particularly at the secondary level. Given this, rigorous targeting will be undertaken
with the OVC Support Committees and SLA groups to identify older OVC in most need of secondary school
support, and this is provided. In addition, older OVC who cannot be integrated into the formal education
system, i.e., those that do not even possess a basic educational foundation on which to build, will be
provided with vocational training through local training institutions.
Activity Narrative: The two partners in CBCO will also facilitate referrals to other organizations 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 Universal Basic
Education (UBE) and to improve access of vulnerable groups to services of organizations 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).
CONTRIBUTIONS TO OVERALL PROGRAM AREA:
The program will support the development of a network of organizations implementing household/family-
based OVC programs as set out in the Emergency Plan. It will directly contribute to serving 4,000 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 PEPFAR policy partners
and programs. In addition, the participation of State Ministry of Women Affairs representatives and SACAs
and LACAs in program activities support local coordination and provide a venue for the sharing of lessons
learned.
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 caregivers 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, 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.
EMPHASIS AREAS
This program includes an emphasis on Local Organization Capacity Development and community
mobilization, nutrition and training. In addition, emphasis will be on increased access to micro-finance for
households provided by existing rural development programs of ADDS (Benue State only). ADDS and
GHADS, working 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; and b) develop opportunities for women to increase their access to economic
resources.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13017
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13017 5430.08 U.S. Agency for Christian Aid 6369 3714.08 USAID Track $231,770
International 1.0 Christian Aid
Development
6724 5430.07 U.S. Agency for Christian Aid 4165 3714.07 Track 1.0 $175,665
International
5430 5430.06 U.S. Agency for Christian Aid 3714 3714.06 Track 1.0 $0
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $29,700
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Estimated amount of funding that is planned for Economic Strengthening $7,417
Education
Estimated amount of funding that is planned for Education $7,417
Water
Table 3.3.13: