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
This is a continuing activity from FY 2007. A narrative is included because this partner requires an 8% to
any one partner justification waiver.
The Community HIV/AIDS Mobilization Program (CHAMP), through financial support and technical and
institutional capacity building for Rwandan partner organizations, is working to ensure access to high
quality, sustainable HIV and AIDS care services. CHAMP partners support the provision of community
services in all EP-supported districts, especially around EP-supported health facilities. FY 2008 is the final
year of funding for this four-year, $40 million program. The EP will begin work on a follow-on activity in FY
2008 to ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities.
CHAMP partners are training members of various community and faith-based organizations to promote
PMTCT services in their communities by encouraging early ANC attendance, delivery in facilities, use of
appropriate infant feeding practices, use of early infant diagnosis and male involvement in ANC and
PMTCT. CHAMP trains volunteers to promote and support exclusive breastfeeding for HIV-positive lactating
mothers, support mothers during the cessation period, and provide information about appropriate weaning
foods and nutrition counseling. In FY 2008, CHAMP partners will continue to provide training for community
volunteers to promote PMTCT as part of their provision of care to OVC and PLHIV. CHAMP partners will
also work with EP-supported clinical partners to strengthen the referral system to get pregnant women to
PMTCT services and assist the clinic-based case managers to ensure proper treatment adherence.
CHAMP partners will link women in PMTCT and their families to other key community services, including
PLHIV associations, income generating activities, community gardens, malaria prevention and treatment,
child survival and health programs, and food assistance. CHAMP partners will not have any direct targets in
this area, but will contribute to increasing the number of women receiving PMTCT services by EP clinical
partners by training volunteers to promote the use of PMTCT services.
As this is the final year of funding for this program, CHAMP will work closely with current partners and the
follow-on project to ensure a smooth transition of support for these activities. CHAMP will also work to
document best practices and lessons learned to share with partners and other key stakeholders.
2008 to ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities. This
follow-on activity will be informed by an evaluation of the current community services project as well as an
assessment of IGA supported by the EP.
CHAMP will provide technical and financial assistance to Rwandan CBOs and FBOs who will incorporate
prevention messages - focused on abstinence and/or fidelity as appropriate - into their programs for
community and religious leaders, youth, PLHIV and their families, OVC including child-headed households,
and community caregivers. CHAMP-supported partners are reaching over 100,000 individuals with
abstinence and/or faithfulness messages and training over 3,000 community volunteers to provide these
messages in FY 2007. While much of the delivery of prevention messaging is being done by the new
USAID award for BCC and SM, CHAMP will continue to provide technical and financial support to Rwandan
partner organizations to include appropriate and targeted prevention messages in their programs for 52,500
OVC and PLHIV in communities in FY 2008.
Messages will be delivered using a family-centered approach through face-to-face interactions and will
address the entire household. These messages will include the linkages between alcohol use, violence and
HIV; stigma reduction; abstinence; fidelity; partner reduction; the vulnerability of young women; and, the
importance of knowing your HIV status. This program will reinforce the norms of Rwandan society which
have led to a relatively late age of sexual debut (20.3 among women and 20.8 among men). This is
especially important as traditional family and community structures are affected by HIV and AIDS. In
addition, the programs will support and/or link to activities which will enable individuals to practice
abstinence and/or faithfulness, such as life skills and income generating activities, and will address the
societal norms surrounding cross-generational and transactional sex.
services in EP-supported districts, especially around EP-supported health facilities. FY 2008 is the final year
of funding for this 4-year, $40 million program. The EP will begin work on a follow-on activity in FY 2008 to
ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities. This follow-on
activity will be informed by an evaluation of the current community services project as well as an
CHAMP partners mobilize and support community-based HIV prevention efforts, including PFP and
discordant couples, by incorporating these messages into their programs for community and religious
leaders, youth, families affected by HIV/AIDS, and OVC including CHH. CHAMP partners are reaching
30,000 individuals with prevention messages that go beyond AB. CHAMP partners are also training 2,000
community volunteers to incorporate prevention messages, especially for high risk populations, into their
community-based activities. While many of the general prevention activities are being implemented by the
USAID RFA, CHAMP continues to provide technical and financial support to Rwandan partner organizations
to include appropriate and targeted prevention messages in their programs for OVC and PLHIV in the
community. These messages include the linkages between alcohol use, violence and HIV; stigma reduction;
abstinence; fidelity; condom awareness and use; partner reduction; shifting social norms; and, the
importance of TC for the entire family. CHAMP partners will continue to educate communities about risky
behaviors and the correct and consistent use of condoms among appropriate target groups.
This is a continuing activity from FY 2007.
CHAMP is working to ensure access to high quality, sustainable HIV and AIDS care services through
financial support and technical and institutional capacity building for Rwandan partner organizations.
CHAMP partners support the provision of community services in all EP-supported districts, especially
around EP-supported health facilities. FY 2008 is the final year of funding for this 4-year, $40 million
program. The EP will begin work on a follow-on activity in FY 2008 to ensure a smooth transition of
services for PLHIV, OVC, their caretakers and communities.
In FY 2007, CHAMP is providing 22,000 PLHIV with HIV-related palliative care services, including income
generating activities, psychosocial and spiritual support, improved nutrition and links to food assistance,
community gardens, HIV prevention, HBC, and legal and human rights support. CHAMP is training 3,000
volunteer caregivers (primarily family members and members of PLHIV associations) in communities to
provide these services.
CHAMP is supporting the finalization and implementation of a community health policy and is providing
technical input to the national palliative care TWG. In FY 2008, CHAMP will continue to provide a menu of
community-based services to PLHIV with a focus on improving quality using the family-centered approach.
CHAMP will work closely with clinic-based case managers to ensure PLHIV and their families receive a
comprehensive services. Case managers and community health workers in the health facilities will support
PLHIV receiving clinical care to ensure follow-up and continuity of clinical services as well as link them to
community services.
CHAMP supported community groups will provide a variety of services for PLHIV and the availability of
these services will be documented and shared so that case managers and other clinic-based staff will be
able to easily refer clients to these activities. Services will include: provision of nutrition support by liaising
with MOH, TRAC and districts to effectively implement community-based nutrition programs; nutrition
counseling and education; nutrition needs assessment and surveillance for malnourished individuals;
support for household production of high-nutrient local staples; HBC for bedridden patients; provision of
business development services for PLHIV families and associations; technical and financial support for
viable and marketable services by PLHIV cooperatives; and linkages to health facilities, especially for
testing and care. CHAMP will ensure that communities are aware of and have access to other EP supported
clinical and community initiatives such as PMI, child survival and health programs, and food assistance.
CHAMP supported partners will reach 22,000 individuals with a comprehensive menu of services in FY
2008. In FY 2008, CHAMP will train or offer refresher training to 3,000 community volunteers and caregivers
and provide support to those caregivers trained previously. CHAMP will strengthen the systems, skills and
attitudes of community health workers, upgrade their psychosocial, pastoral, grief and bereavement
counseling skills (through Association Rwandaise des Conseillers en Trauma), and support for CHW
associations with IGAs and HBC kits.
In order to ensure sustainability of these programs, CHAMP will use a training of trainers approach, building
the knowledge and capacity of the staff of partner organizations and their association members to further
train their members as community volunteers. These community volunteers will take a family-centered
approach during home visits to PLHIV, monitoring and referring the children of HIV-affected households to
OVC community services as necessary and encouraging parents and guardians to test their children. In this
way, volunteers will help identify more HIV-infected children and family members and link them to
appropriate care and treatment.
CHAMP will also work to increase male involvement in providing care as well as support women and girls
as they tend to be the majority of primary care givers. CHAMP will also provide support to the PCAR to build
their capacity to ensure the future of quality palliative care services in Rwanda. PCAR has received limited
technical and financial support from APCA in Uganda to train palliative care service providers and advocate
for a supportive environment for community-based care. CHAMP will support PCAR with technical,
administrative, financial and managerial capacity building. CHAMP will work with its partners and the GOR
to conduct appropriate M&E, data collection and use, and management of resources in order to improve the
quality of HIV care and support services at the community level.
follow-on project to ensure a smooth transition of support for beneficiaries. CHAMP will also work to
This activity supports the EP five-year strategy to integrate HIV prevention, care and treatment, expand
pediatric HIV care, and mobilize community coordinated action.
The Community HIV/AIDS Mobilization Program (CHAMP) is working to ensure access to high quality,
sustainable HIV and AIDS care services through financial support and technical and institutional capacity
building for Rwandan partner organizations. CHAMP partners support the provision of community services
in all EP-supported districts, especially around EP-supported health facilities. FY 2008 is the final year of
funding for this four-year, $40 million program. The EP will begin work on a follow-on activity in FY 2008 to
CHAMP serves as the main coordinating mechanism for EP-supported OVC activities by providing TA,
training and financial support to local partners to support and strengthen their capacity to directly provide
care and by supporting GOR programs and policies for OVC by seconding technical staff at the central
level.
In communities where CHAMP partners work, CHAMP advances the network model by linking HIV/AIDS
clinical and community partners, and by doing wrap arounds with non-HIV/AIDS services that are supported
by other funding streams. To ensure sustainable change, CHAMP supports and strengthens existing natural
social linkages in the community for child protection, care and support. In FY 2007, CHAMP is providing
financial and technical support to 12 Rwandan Partner Organizations in 20 districts to reach over 39,000
OVC with a menu of services and train 5,000 caregivers. CHAMP works closely with the RPOs and the EP
Track 1.0 partners to assess the needs of individual OVC, and offer multiple services and/or refer OVC to
other services in the community, based on their needs. CHAMP works to fill gaps and improve the quality of
services currently being offered and expand services to ensure OVC have access to them, especially in the
catchment areas around EP-supported health facilities, including those areas around military camps.
CHAMP gives special attention to child headed households and takes a family-centered approach to
providing care, linking closely with their community-based care activities for PLHIV. In FY 2006, CHAMP
participated in the development and finalization of a national policy for OVC and the corresponding national
plan of action. CHAMP supports the implementation of the OVC policy through participation on the OVC
TWG, and secondment of a technical advisor in the MIGEPROF, the GOR entity charged with OVC
services.
In FY 2008, CHAMP-supported partners will reach 43,774 OVC with a comprehensive menu of services as
outlined in the national policy on OVC. CHAMP will train 5,600 OVC caregivers in psychosocial support,
protection, HIV prevention and ways to link to other services such as education, healthcare, food and
vocational training. CHAMP will ensure that caregivers trained previously receive follow-up support and
refresher training as needed. CHAMP will continue to wrap around other EP-funded and CHAMP-supported
OVC programs where appropriate. This includes Title II food support, the Ambassador's Girls Scholarship
program, PMI, and other general health services for children supported by USG's child survival and health
program, such as vitamin A distribution and immunization. CHAMP will work with their partners to develop
an exit strategy and transition plan to ensure the smooth transition of beneficiaries to the new community
services award to be made before the end of FY 2008.
This approach reflects the EP five-year strategy to integrate HIV prevention, care and treatment; expand
pediatric HIV care; and mobilize community coordinated action.
This activity is continuing from FY 2007. A narrative is included because this partner requires a justification
waiver for more than 8% to any one partner.
CHAMP partners are training volunteers/members from various community and faith-based organizations to
promote CT services among OVC, PLHIV, their families and caregivers through home visits and group
talks. By the end of FY 2007, over 6,000 individuals will have received messages on the importance of
counseling and testing for HIV prevention, care, and treatment. In FY 2008, CHAMP partners will continue
to support the promotion of CT among OVC and PLHIV and their families. This targeted promotion of CT
services will identify those most likely to be infected and ensure they are referred to appropriate sites to
receive care and treatment. CHAMP partners will not have any direct targets in this area, but will contribute
to increasing the number of people served by clinical partners and mobile CT activities.
CHAMP, through financial support and technical and institutional capacity building for Rwandan partner
organizations, is working to ensure access to high quality, sustainable HIV/AIDS care services. CHAMP
partners support the provision of community services in all EP-supported districts, especially around EP-
supported health facilities. FY 2008 is the final year of funding for this 4-year, $40 million program. The EP
will begin work on a follow-on activity in FY 2008 to ensure a smooth transition of services for PLHIV, OVC,
their caretakers and communities.
CHAMP is providing financial and technical support to 12 Rwandan C/FBOs to reach over 39,000 OVC and
22,000 PLHIV with various support services. In addition, these partners are delivering prevention messages
to 13,000 individuals and are training over 2,000 volunteers in the promotion of abstinence, fidelity, condom
use, TC, PMTCT, and a menu of services for OVC and PLHIV. Of these organizations, three are considered
"umbrella" organizations that collectively support over 1,000 community associations representing women,
PLHIV and the religious community. CHAMP works with these local organizations to build their capacity to
manage programs, finances, and human resources with the goal of directly receiving donor funding in the
future. All partners receive a series of required trainings which include organizational governance, strategic
planning, grant management, fundraising, project design, human resources management, and financial
management. In addition, CHAMP conducts a brief assessment of each organization's management
capacities, including financial, human resources, strategic planning, M&E, QA, fundraising, and develops
individual capacity building plans to address issues not already covered in the required trainings.
In addition to organizational capacity building, CHAMP provides TA to these sub-grantees and their
members to provide comprehensive quality services, especially for OVC and PLHIV as well as their families
and caregivers. This TA includes trainings in prevention, BCC, IGA, palliative care, involvement of PLHIV,
and community mobilization.
In FY 2008 CHAMP will develop an exit strategy and plan the smooth transition of these Rwandan partner
organizations to the new community services project, with the goal that some may be eligible to become
prime partners.
