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
In C0P 09, the C-Change program (previously known as PHDC) will fill identified gaps in the mass media
approach to prevention of sexual transmission of HIV in Nigeria, build capacity of USG Implementing
Partners to implement BCC program strategies targeted at abstinence, being faithful, and condoms and
other prevention (ABC) services and increase the reach of the prevention program while ensuring that BCC
strategies are informed by available epidemiologically relevant and target specific data.
C-Change will conduct a strategic assessment of the current communication programming situation in
country and a needs assessment that will include a review of BCC materials. C-Change will build capacity
of individual USG prevention partners to appropriately design and implement their own outreach activities
and to produce information, education, and communication (IEC) materials in support of their prevention
objectives using effective messaging and BCC strategies. Assisted implementing partners (IPs) will develop
and implement behavior change interventions to address appropriate ABC messages to the youth of
Nigeria. Messages will focus on abstinence, delay of sexual debut, and secondary abstinence. Messaging
will be age specific and culturally appropriate and will target in- and out-of-school youth under the age of 15.
C-Change will train 180 individuals from IP project sites in peer education skills. Trained peer educators will
be provided with assistance in coordinating peer education clubs in schools and communities. Activities of
the peer education clubs will increase knowledge and build capacity of other club members. Trained peer
educators will also focus on strengthening the capacity of the peer education clubs to develop guidelines for
operation and detailed responsibilities of members. Peer educators will target most-at-risk populations
(MARPs), including persons living with HIV/AIDS (PLWHAs), in- and out-of-school youth, as well as
couples.
The 180 core ABC peer educators will reach out to an additional 32,840 youth through peer education
activities. Peer educators will use materials and strategies developed by C-Change in collaboration with
USG IPs to reinforce behavioral change and risk reduction messages. C-Change will assist IPs to reinforce
messages at the community level through the use of electronic media and various innovative
communication channels, appropriate to the community, such as drama and local folkloric genres. The
sexual prevention program will also be strengthened through the initiation of a national level behavioral
change communication (BCC) strategy and through enhanced behavior change via mass media activities
that reinforce other USG-funded interpersonal communications and community-based outreach activities.
C-Change will build capacity of IPs to implement BCC programs using strategies that respect and respond
to local customs, and social and community norms. Programming is expected to: support delay of sexual
debut; develop skills in unmarried individuals for practicing abstinence and negotiation for safe sex while
transiting from abstinence; address coerced sexual activity and transactional sex; emphasize the
importance of faithfulness in reducing the transmission of HIV; support partner reduction; and develop skills
for sustaining marital fidelity. This will entail development of the ‘Be faithful' messaging component of sexual
prevention activities of IPs to target couples using mass media, print, and religious and community
gatherings, including counseling service provision. C-Change will train 120 individuals from IP project sites
who will reach out to 21,894 individuals with developed messages and materials (including audio visual
aids) targeted at fidelity, partner reduction and messages that focus on HIV counseling and testing to
reduce incidence of HIV and AIDS. C-Change will assist IPs in targeting community and traditional leaders
and organizations by focusing on messages to be promoted during planned advocacy visits and community
intervention programs. C-Change will work with IPs to develop thematic messages that are culturally
appropriate and acceptable as well as explore activities that are favorable for the faith based settings.
Messages will also promote linkages to other program areas, including counseling and testing, STI
treatment and other facility based services.
C-Change will assist IPs to address the mobilization of communities to address norms and behaviors on
cross generational and transactional sex, promote increased male involvement in prevention activities and
improved health seeking behaviors. Also addressed in the intervention will be: issues of stigma and
discrimination; promoting behavioral change among blood donors and potential donors to embrace non-
remunerated blood donations; and promoting injection safety. C-Change will adhere to recommendations
made in the National Prevention Plan and National Behavior Change Communication Strategy and utilize a
balanced AB+C approach in its interventions. C-Change will collaborate with the National Agency for the
Control of AIDS (NACA) and national media to ensure sustainability and support of NACA BCC efforts. C-
Change will also provide technical assistance to the BCC committee of the National Prevention Technical
Working Group and support BCC activities in the wider public health (FMoH) programming.
C-Change will ensure data quality and continuous quality improvement of activities by encouraging IPs to
develop effective peer education activity monitoring forms and build capacity in monitoring and evaluation of
communication programs through periodic monitoring and supportive supervision site visits to verify planned
implementation as well as to provide technical assistance that will ensure continued quality data collection
CONTRIBUTIONS TO OVERALL PROGRAM AREA
C-Change's contribution to the overall sexual prevention activities will be by building technical capacities of
implementing partners to review and develop strategies for working with different target audiences including
MARPs and other segments of the general population, resulting in more sustainable prevention
programming.
LINKS TO OTHER ACTIVITIES
These activities will be linked to community program development, HCT, Gender, HCT, PMTCT, Blood
Safety, Injection Safety, TB HIV, treatment, care and SI.
POPULATIONS BEING TARGETED
Targeted populations for this activity include: staff of implementing agencies, MARPs, young people,
couples, religious organizations and media organizations.
KEY LEGISLATIVE ISSUES ADDRESSED
The activity will help address male norms and behaviors, and community norms and values while
Activity Narrative: emphasizing benefits of reducing violence and coercion through messaging delivered through such
activities as couple counseling and testing.
EMPHASIS AREAS
This activity will emphasize Behavior Change Communication with a focus on strategy and message
development directed at sexual prevention.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16927
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16927 16927.08 U.S. Agency for To Be Determined 7602 7602.08 USAID Track
International 2.0 FS PHDC
Development
Emphasis Areas
Gender
* Addressing male norms and behaviors
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:
Table 3.3.03:
