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 UNCHANGED FROM FY2008
Abstinence and Be Faithful (AB) activities will focus on behavior change, risk reduction, partner reduction,
and a reduction in dependency on transactional sex work among brothel based commercial sex workers
(CSWs) through provision of income generating activities (IGA) aimed at providing alternative income and
motivation for leaving sex work. The AIM Project will continue to implement AB activities in partnership with
indigenous organizations (non-governmental, community-based, and faith-based organizations [NGOs,
CBOs, FBOs]). In conformity with the recommended AB prevention strategy, CSW will be reached with a
minimum package of three services from a pool of established best practices. The three strategies selected
by the AIM project for the HIV prevention include community awareness campaigns, peer education and on-
on-the job support for peer educators, interventions addressing vulnerability issues such as IGAs, and
essential life skills. These activities are aimed at reinforcing HIV prevention messages and services towards
behavior change.
The AIM Project will continue to strengthen the capacity of its indigenous partner NGO/CBO/FBOs to
implement HIV prevention services and facilitate behavior change among 2600 CSWs in its 15 PEPFAR
states. Winrock AIM project expansion strategy responds to the HIV/AIDS epidemic by aiming at saturation,
which is guided by prevalence and concentration of target population. The AIM project targets CSWs and
out-of-school youth within selected communities. Priority is given to states with high HIV prevalence and a
significant number of CSW and out-of-school youth. The fifteen states selected are: Adamawa, Anambra,
Bauchi, Benue, Borno, Cross River, Edo, Imo, Kano, Lagos, Nassarawa, Niger, Oyo, Plateau and FCT.
Community Awareness Campaigns: The AIM Project will facilitate focus group discussions (FGDs) to
assess the prevailing knowledge, attitude, behavior and practices (KABP) of sex workers towards HIV
prevention within their communities. Community dialogues will be conducted to provide reinforcing
messages on HIV prevention. AB messages will be collected or reproduced from other USAID
implementing partners (IPs), such as Society for Family Health (SFH), and be disseminated to at least 2600
CSWs in the 15 states. Community awareness activities will also address issues of stigma and
discrimination as well as the need for greater involvement of people living with HIV/AIDS (PLWHA) into all
productive spheres of the community. Gender roles and vulnerability to HIV transmission as well as its
impact on individuals, families and communities will also be addressed through the community awareness
activities.
Peer Education (PE): At least 150 volunteer/former CSWs will be identified and trained as peer educators
using the SFH and Government of Nigeria (GON) approved peer education (PE) model to encourage and
sustain behavior change among CSWs. The volunteer/former CSWs will be trained on HIV prevention and
interpersonal communication skills to promote accurate information on HIV transmission and prevention,
partner reduction, correct and consistent condom usage, and life skills. Peer educators will visit CSWs
regularly on a one-on-one to basis to discuss, educate and disseminate HIV prevention messages. In
addition to the training provided using the PE model, a standard set of HIV prevention messages will be
provided to each peer educator, which will serve as guidance to ensure that each CSW receives similar,
appropriate, accurate and balanced prevention messages. Each peer educator will monitor and report on
their activities monthly. Furthermore, in view of the needs of this target group, peer educators will access
and provide condoms during their visits and make referrals to other fixed condom outlets around the brothel.
Vulnerability Issues: The AIM Project will support IGAs to promote alternatives to commercial sex. Under
this strategy, the AIM partners will train 2600 CSWs on vocational skills towards alternative means of
sustaining livelihoods, such as bead making, tailoring, hairdressing, and food processing. The sex workers
will also be trained in basic business skills that include how to record income and expenses, determine
profit, set prices for their sale items, and encourage savings. Of the 2600 sex workers trained, sex workers
who demonstrate a commitment to dropping out of the sex trade will receive small in-kind grants of up to
$200 designed to stimulate an alternative source of income. CSWs who do not qualify for an income
generating grant will be referred to micro-finance institutions to access micro-loan services. Winrock
International will facilitate the access of this micro-loan through training on business plan development and
orientation on how to manage micro-loans. All 2600 CSW trained will receive essential life skills training that
will include communication skills, decision making, problem solving, and condom negotiation in order to
build their self esteem and to sustain behavior change. The AIM Project will collaborate with other
USAID/PEPFAR partners and GON agencies to provide CSWs access to STI management, treatment, care
and support services.
Condoms and Other Preventions: In COP 09, the AIM Project plans to reach individuals with balanced ABC
messages in its 15 PEPFAR states. The AIM Project in partnership with indigenous NGO/CBO/FBOs will
use several prevention strategies focused on behavior change, adoption of safer sex practices and
provision of condom education among out-of-school-youth (OSY), particularly barbers and hairstylists. In
the northern part of Nigeria, the project will reach out to tradition barbers ("Wanzamai") and provide them
the HIV prevention services.
The AIM Project partners will be encouraged to conduct advocacy visits to key community stakeholders,
including barbers, hairdresser and traditional barber associations, community, religious and political leaders
to create an enabling environment for project implementation and ensure community participation and
ownership of the project.
Through its local partners, the AIM Project will implement the condoms and other prevention program by
providing a minimum package of three services from the GON National HIV/AIDS Prevention Plan of 2007,
and the HIV/AIDS National Strategic Framework for Action 2005-2009 and established best practices for
behavior change communication (BCC). The three strategies selected by the AIM Project for the HIV
prevention includes: (1) specific population awareness campaigns; (2) structured peer education based on
GON approved training curriculum, refresher trainings and on-the-job support for peer educators; and (3)
community outreach that promote balanced ABC messaging, condom messaging and distribution.
Activity Narrative: AIM Project will utilize the following three strategies to implement behavior change activities and the
adoption of safer sex practices amongst 13,000 barbers, hairstylists and traditional barbers.
Specific Population Awareness Campaigns: AIM partners will facilitate focus group discussions (FGDs) to
obtain baseline data and assess the prevailing knowledge, attitude, behavior and practices (KABP)
regarding HIV prevention within their communities. In addition, community dialogues will be conducted to
provide reinforcing messages on HIV prevention. Appropriate information, education and communication
(IEC) materials for out-of-school youth will be collected or reproduced from other USAID IPs and
disseminated to at least 13,000 OSY in the selected 15 states. In addition to the balanced ABC prevention
strategy, issues of stigma and discrimination, and greater involvement of PLWHA into all productive spheres
of the community will be addressed.
Peer Education Model: AIM Project will select at least 300 barbers, hairstylists and traditional barbers to be
trained as volunteer peer educators using the GON approved peer education curriculum. These barbers
and hairstylist will be trained on interpersonal communication to promote HIV prevention that includes
negotiation, assertiveness, decision making, problem solving, condom messaging, and facts and myths of
HIV/AIDS. They will also be role models and positive peer models. Age appropriate prevention messages
will be disseminated to reach at least 13,000 barbers, hairstylists and other out-of-school youth. Each peer
educators will monitor and report on their activities monthly. Furthermore, in view of the needs of this target
group, peer educators will access and provide condoms during their visits and make referrals to AIM project
existing fixed condom service outlets (e.g., barber shops and hair salons).
Community Outreach: The AIM Project will encourage beneficiaries to go for counseling and testing
services. In addition to balanced ABC messages, beneficiaries will receive condom demonstrations and
distributions. AIM Project will acquire condoms from USAID IPs, such as SFH, that will be supplied to the
partners for distribution through at least 150 fixed condom outlets (barbershops and hairdressing salons) in
the 15 states through focal persons and peer educators in barbershops, hairstylist salons and other
appropriate service outlets. The AIM Project anticipates acquiring about 90,000 units of condoms from SFH.
POPULATIONS BEING TARGETED
Targeted populations include commercial sex workers and out-of-school youth (particularly barbers,
hairdressers, and traditional barbers).
CONTRIBUTION TO OVERALL PROGRAM AREA
The AIM Project will increase capacity of NGO/CBO/FBOs and communities to disseminate accurate
information on HIV/AIDS prevention and the number of individuals trained to disseminate balanced ABC
HIV Prevention messages, and consequently contribute in building HIV/AIDS competent communities.
LINKS TO OTHER ACTIVITIES
AIM project's AB and C&OP activities are linked to OVC activities and to other PEPFAR USG Partners'
activities to ensure strong referrals to comprehensive prevention, care and treatment services.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13173
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13173 9766.08 U.S. Agency for Winrock 6404 5268.08 USAID Track $1,000,000
International International 2.0 Winrock AIM
Development
9766 9766.07 U.S. Agency for Winrock 5268 5268.07 APS $1,000,000
International International
Emphasis Areas
Gender
* Increasing women's access to income and productive resources
* Increasing women's legal rights
* Reducing violence and coercion
Health-related Wraparound Programs
* Family Planning
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $28,640
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 $137,658
Education
Water
Table 3.3.02:
Continuing Activity: 13174
13174 9783.08 U.S. Agency for Winrock 6404 5268.08 USAID Track $350,000
9783 9783.07 U.S. Agency for Winrock 5268 5268.07 APS $450,000
Table 3.3.03:
ACTIVITY MODIFICATIONS INCLUDE
At the request of USAID in COP 07, the project expanded the target from widows and single mothers to
include the neediest men. This modification was implemented in COP 08 and will continue in COP 09. The
project will also include a few youth particularly child head of households.
ACTIVITY Narrative
Winrock International's Capacity Building for AIDS Impact Mitigation (AIM) Project targets to improve the
quality of life of 1,500 people living with HIV/AIDS (PLWHA) in COP 08. This submission is for COP 09.
In COP 09, AIM project will strengthen and improve the quality of life of 1,500 People Living with HIV/AIDS
(PLWHA) and 3000 People Affected by AIDS (PABA) through its two principal partners RAPAC and Ummah
in: Lagos, Oyo, Edo, Anambra, FCT, Kano, Bauchi, and Imo. Based on USAID strategy which encourages
partners to saturate regionally, AIM has scaled up activities to saturate these eights states of strength
versus the initial 15 states proposed on COP07.
Economic Empowerment - The AIM project has shown great success in sustaining OVC services through
the economic empowerment of their caregivers. Studies from the ongoing AIM project shows that caregivers
engaged in IGAs use the income from their trade to pay for children's school fees, food, shelter and other
immediate family needs. AIM will therefore continue with this activity in COP09. AIM partners will identify
PLWHA and PABA from existing support groups. The project will target widows and single mothers with
school aged children in their care and will also include men who are the most in need and older child-head
of households. AIM partners will work with community selection committees to select project beneficiaries
by using established criteria such as HIV status and income level of not more than $50.
AIM partners will train 1,500 selected PLWHA and PABA in vocational and business entrepreneurial skills
such as market identification, product pricing, record keeping and financial management. AIM will use the
curriculum for community based IGA's developed by Winrock International. In addition, 1,000 PLWHA and
PABA will receive in-kind grants ranging from $100-$150 USD for income generating activities (IGA).
Project beneficiaries will also be linked to existing business owners for mentorship.
Market assessments will be conducted by AIM partners to identify viable trades within communities where
project sites are located. Conducting yearly market assessments allows for identification of new business
opportunities. Based on results of markets assessments, AIM partners will provide equipment grants for IGA
to the beneficiaries. Experience from previous programming indicates that the preferred model for
Economic Empowerment varies in Nigeria by geopolitical zones. For instance, the cooperative society
business model has been highly successful amongst rural populations while independent businesses were
preferred by urban women. The AIM project will promote appropriate business models for the varied
interests of beneficiaries across the country. Beneficiaries who have demonstrated entrepreneurial promise
through sustained increase in income for IGA over time will be identified and linked to Oceanic Bank's micro
-finance program. Identified PLWHA must have established good recordkeeping practices in their business.
This private partnership with Oceanic Bank will provide the beneficiaries access to micro and small loans of
$300 or $1000 from a pool of $100,000. Winrock will continue to encourage rotating and savings scheme
among beneficiaries.
Basic Care including psychosocial and spiritual support - 24 individuals will be trained to provide HIV care
and support services to enrolled clients through 8 service outlets. Trainees will include staff of AIM partners
and volunteers from support groups served by AIM partners. The training will focus on positive living
education such as nutritional counseling and treatment adherence. Knowledge and skills acquired from the
training will help AIM partner staff and volunteers during monthly home visits to PLWHA and PABA.
Referrals to partner organizations for comprehensive prevention package - The AIM Project implements its
adult BCS project to ensure economic empowerment of the beneficiaries for increased access to traditional
health care or home based care services. Therefore, the project will strengthen its partnership with support
groups of PLWHA and PABA and make referrals to USG-IP sites for health care services such as the
minimum care package.
Exit strategy at the end of PEPFAR 2: AIM implements it BCS activities through local partners and therefore
its first step in AIM's exit plan has been to develop the project management capabilities its local partners.
The second step was training the local partners to implement fieldwork through sub-grants. The third step is
building their capacity to receive funding directly from the USG or other donors to continue their work with
BCS after AIM project close-out.
ACTIVITY DESCRIPTION:
Winrock International's Capacity Building for AIDS Impact Mitigation Project under the USAID APS Civil
Society Organizations/Faith Based Organizations (CSOs/FBOs) Network to Provide HIV/AIDS Prevention,
Care and Support Services has begun second year of activities under COP 07 funding. This is a submission
for COP 08.
In COP 08 AIM will work with existing USG supportive clients to strengthen and improve the quality of life of
500 People Living With HIV/AIDS (PLWHA) and 1,000 People Affected by AIDS (PABA). AIM is currently
working in seven states (Lagos, Oyo, Edo, Anambra, FCT, Kano, and Bauchi). AIM will work in 8 new states
(Imo, Cross River, Benue, Nassarawa, Niger, Plateau, Adamawa and Borno) to cover the 15 PEPFAR
states. AIM will work with existing USG partners and identify sites as the need arises.
The AIM Project will provide services through the following strategies:
Economic strengthening - To mitigate the impact of HIV and AIDS on PLWHA and PABAs AIM will
Activity Narrative: contribute to their economic empowerment. Experience has shown that the families that will benefit most
from our economic strengthening usually have low literacy levels and this has a negative impact on
business management. AIM will train 800 selected PLWHAs and PABAs in basic business management
skills. To identify viable trades, market assessments will be conducted within communities where project
sites are located. AIM will award in-kind grants ranging from $50-$150 to 500 PLWHA as start up capital for
IGAs. Project beneficiaries, in particular young men above 17 years of age, will be linked to existing
business owners for mentoring. Experience from previous programming indicates that the preferred model
for IGA varies in Nigeria by geopolitical zones. AIM will promote appropriate business models for the varied
interests of beneficiaries across the country. AIM is aware of the inadequacy of the start up capital and
therefore has an ongoing undertaking with Oceanic Bank for PLWHAs and PABAs to compliment the AIM
principal investment. PLWHAs and PABAs who have attained and sustained an increased income over
time and exhibited entrepreneurial abilities will be identified and linked to the Bank's micro-credit program.
Psychosocial and spiritual support -Experience has shown the need for basic counseling skills for all
service providers to address the psychosocial and spiritual needs of PLWHAs and PABAs. To be able to
provide stopgap measures to handle the psychosocial and spiritual needs of our beneficiaries, AIM will train
sixty master trainers. Staff and partner staff will be trained on areas focused on key aspects of psychosocial
and spiritual. The training will focus on HIV transmission and prevention, counseling (self-esteem, crisis
prevention, adherence), and other aspects of living positively (good nutrition, exercise, and treatment
adherence) will also be addressed. AIM will also promote reduction of stigma and discrimination and
encourage greater involvement of PLWHA in the community and workplace.
Comprehensive prevention package - AIM's integrated services will refer all PLWHAs and PABAs to
existing PEPFAR or GON programs to access the Basic Prevention and Care Package comprising of an
insecticide treated mosquito net, water guard and a water vessel. AIM will ensure all beneficiaries are linked
to other USG agencies, GON for treatment, psychosocial support and other social services. The AIM HBC
component will actively leverage interventions to supplement the meager resources available.
CONTRIBUTIONS TO OVERALL PROGRAM AREA:
This program activity will contribute to the PEPFAR goal of mitigating the impact through provision of care
and support to people living with HIV/AIDS. It will also contribute to the reduction of women's vulnerability
and reduction of stigma. This activity will also contribute to the alleviation of poverty in the country.
LINKS TO OTHER ACTIVITIES:
AIM will develop a system networking PLWHA and PABA to other USG supported activities such as HCT,
HBC, treatment, OVC, AB, condoms and other prevention, TB-HIV, PMTCT. AIM will collaborate with the
Nigerian government via the National Directorate of Employment and the Small and Medium Enterprises
Development Agency to provide expertise and skills to project beneficiaries.
TARGET POPULATIONS:
PLWHAs, PABAs, their families and communities will benefit from this comprehensive and integrated
intervention.
EMPHASIS AREAS:
The socio-economic strengthening and capacity building through CBO/FBO capacity and grant awards is
the major emphasis area of the HBHC. As a stopgap measure basic psychosocial and spiritual support will
be offered to our beneficiaries.
Program activities will help to address issues related to stigma, discrimination, socioeconomic status and
gender, especially increasing women's access to income and productive resources.
Continuing Activity: 13175
13175 9841.08 U.S. Agency for Winrock 6404 5268.08 USAID Track $330,000
9841 9841.07 U.S. Agency for Winrock 5268 5268.07 APS $495,000
* Increasing gender equity in HIV/AIDS programs
Estimated amount of funding that is planned for Human Capacity Development $61,775
Estimated amount of funding that is planned for Economic Strengthening $81,500
Table 3.3.08:
Following feedback from the OVC team visit in 07, the Acada Learning Centers were redesigned in FY 2008
to minimize disparity in the higher quality obtained in the centers compared to existing public schools.
Services will be provided in a manner than will reach more OVC to make the program more cost effective.
Therefore, the target has been increased from 4,200 in 07 to 8,000. School teachers will be trained to
implement current curriculum, students will be provided with existing materials and uniforms that their
counterparts have in public schools. Greater community involvement will be encouraged. Partners will be
made aware that food and nutrition services are an integral part of OVC programming and not separate.
These changes implemented in 2008 will be continued in 2009 and are aimed at making the centers and the
program more sustainable.
During COP09, Winrock International's Capacity Building for AIDS Impact Mitigation (AIM) Project will
continue to engage in capacity building activities designed to strengthen ongoing OVC care and support
services through its two primary partners RAPAC and Ummah in Lagos, Oyo, Anambra, Edo, Bauchi, Kano
and FCT.
The AIM project will provide 8,000 OVC with direct care and support services in the following program
areas: education, psychosocial support, child protection, general health care, food and nutrition and
economic strengthening services. The OVC program will target school age and pre-school children.
School Based Support - AIM partners have demonstrated success in providing basic numeracy and literacy
to the enrolled OVCs in the current Acada Learning Centers. AIM will continue to maintain the educational
support activities provided to OVC. Adopted Acada Center schools will continue to receive block granting to
provide additional educational activities to students. AIM and its partners will continue to engage in
advocacy efforts that will include the State Universal Basic Education Boards, the primary schools, and any
other appropriate agencies to address the identified priorities for improved learning conditions in the
schools. The teachers in the Acada Learning centers will receive technical assistance from AIM and its
partners based on government curriculum and guidelines to provide comprehensive care and support that
will include basic health and hygiene, psychosocial, spiritual, life skills, child protection, and food and
nutrition services to a minimum of 3,200 OVCs. 50 teachers, nutritionists and other service providers will be
trained to provide adequate OVC care and support services.
Reintegration of the Acada Learning Center graduates into formal education has proven to be a best
practice. In COP 09, the AIM project plans to reintegrate 1,600 OVCs that either graduated from Acada
Centers or who are not in school into formal education.
The AIM project will continue to support the Kids' Clubs to play its strong role in providing psychosocial
support to children from the Acada Centers and the neighborhood. First established in 2007, these Kids'
Clubs are usually hosted at the local school under the supervision of the program manager or an adult
volunteer, and will be strengthened to provide a variety of support activities to the neighborhood children.
Age-appropriate activities including life-skills and self-esteem building will be encouraged. Other activities
such as drama, debate, musical events and other community events will be hosted by the clubs.
Educational topics covering nutrition, general hygiene and any other appropriate topics of interest to the
OVC will also be encouraged.
Pre-school Support- The AIM project plans to reach 3,200 OVCs under 5 years with food and nutrition
activities that were commenced in 2007. Monthly measurements and growth charting to assess the
nutritional status as well as the growth and development of the child will continue. Caregivers will be given
appropriate nutrition education including good feeding practices, adequate food selection, proper food
storage, cooking methods and portion sizes.
Economic Strengthening - 500 Caregivers with children under 5 years old will be trained in income
generation and the neediest will be selected for in-kind equipment grants to start-up income generating
activities. Other trainees will be referred to local microfinance institutions to access available microfinance
services. Caregivers will be encouraged to start rotating savings and credit schemes to provide easier
access to extra cash.
Referrals: To ensure that the children receive comprehensive care services, AIM will strengthen its referral
system to verify that OVCs referred to other USG programs receive the goods and services needed.
Continuing Activity: 13176
13176 9882.08 U.S. Agency for Winrock 6404 5268.08 USAID Track $2,000,000
9882 9882.07 U.S. Agency for Winrock 5268 5268.07 APS $1,469,000
Estimated amount of funding that is planned for Human Capacity Development $76,387
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $465,328
and Service Delivery
Estimated amount of funding that is planned for Economic Strengthening $82,308
Estimated amount of funding that is planned for Education $551,712
Table 3.3.13:
