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
The overall goal of PSI's Healthy Schools Initiative is to reduce HIV incidence among youth aged 15-24 by
promoting abstinence and safer sexual behaviors, changing social norms among men and women, and
improving communication among secondary school youth. Prevention programs for youth remain a high
priority for both the GOR and the EP. Since the overall national prevalence is 3.1%, there is a great need for
prevention programming in the largely HIV-negative population and an opportunity to affect the progression
of the epidemic by reaching the youth population. In addition, though 2005 RDHS-III data reflect a very low
HIV prevalence among nearly all youth groups, recent testing data from some youth centers suggest that
HIV prevalence among out-of-school youth could be as high as 7% in some areas.
During FY 2007, PSI collaborated with the MINEDUC to implement health communications interventions in
60 secondary schools under the Healthy Schools Initiative. In order to reach higher risk youth populations in
FY 2008, this prevention initiative will be extended to 30 additional schools as well as out-of-school youth,
through provision of comprehensive prevention and testing services at four youth centers in Rwanda. This
strategy will thereby provide a more integrated prevention program for youth in Rwanda, targeting a diverse
mix of in- and out-of-school youth.
The first component of the Healthy Schools Initiative is an interpersonal communication intervention
focusing on improving parent-child communication about HIV/AIDS. During a five-session training, parents
develop the knowledge and skills necessary to speak confidently to their children about the realities of
HIV/AIDS in Rwanda. Children learn to speak more openly with their parents about the problems they
encounter in everyday life. Emphasis is placed on the special vulnerability of girls and young women vis-à-
vis GBV and transactional and cross-generational sex, and about protection from HIV through abstinence
and fidelity.
A second component includes training of anti-AIDS clubs and other youth groups in gender and HIV/AIDS,
interactive drama, peer education, interpersonal communication, and life skills techniques. Through these
trainings and ongoing formative supervision, the EP will contribute to strengthening the capacity of the anti-
AIDS clubs to conduct outreach IPC interventions at their schools and in the communities.
Additionally, PSI produces the ABAJENE! youth call-in radio shows that focus on healthy lifestyles and
reinforce the prevention messages communicated during peer education trainings. A related ABAJENE!
youth magazine is also produced quarterly and disseminated to youth in secondary schools.
By the end of 2006, PSI had trained 1,626 peer educators who reached 62,620 students with AB messaging
and information. An additional 40,000 students were reached in FY 2007 by the 1,000 peer educators
trained in AB. In FY 2008, PSI will maintain its presence in the first 60 schools through intermittent support
and refresher trainings and will expand the Healthy Schools Initiative to 30 additional secondary schools.
44,000 secondary school youth will be reached with AB messages through the Healthy Schools Initiative.
New in FY 2008 will be EP support to four youth centers where PSI offers comprehensive prevention and
testing services. PSI will leverage its experience with youth-friendly services and employ innovative models
to deliver high quality prevention messaging and TC to most at-risk youth. PSI will build the capacity of
youth associations and out-of-school anti-AIDS clubs to conduct IPC and peer education activities. PSI will
also conduct mobile video unit shows and special events at youth clubs and other youth venues promoting
AB and OP as appropriate. Synergies between school based and out-of-school activities will be achieved
through sharing of IEC materials and curricula as well as creation of linkages between the schools and
testing services at the centers. Priority target groups reached by youth centers will include youth living in
urban areas and high HIV transmission zones (as defined by the PLACE study), youth frequenting hotspots,
girls engaging in transactional sex, and OVC above 15. PSI will create linkages with the CHAMP project for
referral of OVC to comprehensive services. Approximately 45,000 youth will be reached with AB messages
at the four youth centers.
PSI will measure outcomes and objectives through an ongoing behavioral research study started in FY
2007. The behavioral tracking methodology utilizes in-depth surveys to assess factors that affect behavior
change among the secondary school youth reached with behavior change prevention interventions.
Information obtained from this research will help to refine project interventions during implementation.
Funding in this area is also provided to support the national HIV/AIDS hotline, which is managed by the
CNLS. The objective of the hotline is to respond to client calls with information about behavior change to
prevent HIV, provide psychosocial counseling for PLHIV, and refer clients to testing centers. Of the more
than 30,000 calls received annually, more than half are for HIV prevention counseling. With this funding in
FY 2008, an estimated 18,000 people will be reached with HIV prevention messages promoting abstinence
and fidelity through the hotline. PSI will also conduct refresher trainings in behavior change prevention
counseling for the six hotline staff who manage the calls.
New/Continuing Activity: Continuing Activity
Continuing Activity: 12870
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
12870 2795.08 HHS/Centers for Population 6321 128.08 PSI Healthy $1,200,000
Disease Control & Services Schools
Prevention International
7226 2795.07 HHS/Centers for Population 4343 128.07 PSI Healthy $550,000
2795 2795.06 HHS/Centers for Population 2571 128.06 HIV/AIDS $350,000
Disease Control & Services School Based
Prevention International Program-
Procurement
Table 3.3.02:
improving communication among youth. During FY 2007, PSI collaborated with MINEDUC to implement
health communication interventions in 60 secondary schools under the Healthy Schools Initiative. In FY
2008, PSI will expand this activity to 30 additional secondary schools while maintaining presence in the first
60 schools through intermittent support and refresher trainings. By end of FY 2008, this coverage will
extend to all 23 EP districts plus Huye and Musanze where two of the youth centers are located.
Prevention programs for youth remain a high priority for both the GOR and the EP. Since the overall
national prevalence is 3.1%, there is a great need for prevention programming in the largely HIV-negative
population and an opportunity to affect the progression of the epidemic by reaching the youth populations.
In addition, though 2005 RDHS-III data reflect a very low HIV prevalence among nearly all youth groups,
recent testing data from some youth centers suggest that HIV prevalence among out-of-school youth could
be as high as 7% in some areas. In order to reach this higher risk population in FY 2008, this prevention
initiative will be extended to out-of-school youth, through provision of comprehensive prevention and testing
services at four youth centers in Rwanda. This strategy will thereby provide a more integrated prevention
program for youth in Rwanda, targeting a diverse mix of in- and out-of-school youth.
The components of the school-based activities include an interpersonal communication intervention
focusing on improving parent-child communication about HIV/AIDS, capacity building and training of anti-
AIDS clubs in BCC, distribution of IPC tool kits, and production of the ABAJENE! youth call-in radio shows
and youth magazines. With youth over age 15, a portion of the BCC interventions will focus on correct and
consistent condom use for those who are sexually active, and specifically helping youth to develop condom
negotiation skills. 11,000 secondary school youth will be reached with condoms and other prevention
messaging.
New in FY 2008, the EP will extend support to four youth centers where PSI will offer comprehensive HIV
prevention and testing services. In addition, STI services (including screening, diagnosis, and treatment)
and family planning counseling will be provided, thereby ensuring that youth who access the centers receive
a comprehensive package of services, all of which can contribute to prevention of HIV. PSI will also conduct
mobile video unit shows and special events at youth clubs and other youth venues promoting AB and OP as
appropriate, including at high risk youth workplaces and in hotspots and bars. Priority target groups reached
by youth centers will include youth living in urban areas and high HIV transmission zones (as defined by the
PLACE study), youth frequenting hotspots, girls engaging in transactional sex, and OVC above 15. PSI will
create linkages with CHAMP for referral of OVC to comprehensive OVC services. 25,000 youth will be
reached at the youth centers with condoms and other prevention messaging.
Continuing Activity: 12871
12871 4837.08 HHS/Centers for Population 6321 128.08 PSI Healthy $200,000
7228 4837.07 HHS/Centers for Population 4343 128.07 PSI Healthy $100,000
4837 4837.06 HHS/Centers for Population 2571 128.06 HIV/AIDS $200,000
Table 3.3.03:
This is a continuing activity from FY 2008. No narrative required.
Continuing Activity: 12872
12872 2796.08 HHS/Centers for Population 6321 128.08 PSI Healthy $750,000
7227 2796.07 HHS/Centers for Population 4343 128.07 PSI Healthy $100,000
2796 2796.06 HHS/Centers for Population 2571 128.06 HIV/AIDS $100,000
Table 3.3.14:
