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.
INTEGRATED ACTIVITY FLAG:
In addition to its Track 1 AB activities, HOPE worldwide also implements an OVC Track 1 ANCHOR program (#7372). HOPE worldwide also implements country-funded programs in AB (#7607), Basic Health Care and Support (#7608), OVC (#7609) and CT (#7610). Track 1-supported prevention efforts are linked to HOPE worldwide's PACT-funded program. Although there are two programs, sites, staff and reach are separate and efforts are not duplicated.
SUMMARY:
HOPE worldwide South Africa (HWSA) will continue activities to support the expansion of a comprehensive HIV prevention program through a skills-based, gender-focused program for young boys and men, and the promotion of Abstinence and Be Faithful (AB) messages for young people in four provinces (Western Cape, Eastern Cape, Gauteng, and KwaZulu-Natal).
The activity targets primary and secondary school children and youth (both in- and out-of-school), adults, teachers and religious and community leaders, community-based, faith-based and non-governmental organizations (NGOs). Major emphasis areas for the project are information, education and communication and minors are community mobilization/participation, training and linkages with other sectors and initiatives.
BACKGROUND:
The activities described below are part of an ongoing HIV prevention program of HWSA, funded by PEPFAR since FY 2006. HWSA will promote and strengthen AB prevention messages, implement a gender-sensitizing component carried out by HWSA's Men as Partners (MAP) program, and work with parents, caregivers and guardians to promote consistent, positive and proactive parenting and a constructive family environment.
ACTIVITIES AND EXPECTED RESULTS
ACTIVITY 1: AB Awareness-raising
HWSA will continue its programs in Gauteng, KwaZulu-Natal, Western Cape and Eastern Cape provinces to promote and strengthen abstinence and faithfulness prevention messages within its community outreach efforts that include communities of faith. HWSA will expand to new areas within the current sites, and in particular to peri-urban and rural areas in KwaZulu-Natal in response to the geographic development of the HIV pandemic in South Africa. HWSA will establish an abstinence-based program in four provinces, for youth 14 years and under who have not initiated sexual activity. HWSA will use PEPFAR funding to support a program that prioritizes abstinence messages, HIV prevention information, workshops and learning materials required for this HIV prevention intervention. HWSA will also target the 15-24 year old age group and will establish an abstinence and fidelity-based approach (AB) for this target population. This will focus on reducing sexual partners, mutual faithfulness with an uninfected partner and the importance of correct and consistent condom use. HWSA's AB program with all age groups follows a standard peer educator model of training small groups of change agents to impact their immediate and broader communities.
HWSA's AB program for youth under 14 years of age is an age-appropriate program that aims to promote the importance of abstinence in reducing HIV transmission and encourages delay in sexual debut. This program educates children on the basic facts about HIV prevention and AIDS, the skills for practicing abstinence, stigma and discrimination and avoiding and reporting violence and abuse. The HWSA program involves five contact sessions spread over 10-12 hours.
HWSA's AB program for youth older than 14 years is designed to be age and culturally appropriate with sessions on the benefits of abstinence in reducing HIV transmission and where appropriate secondary abstinence, personal self-esteem, healthy relationships, the delay of sexual activity until marriage, the importance of reducing the number of casual sex partners, mutual faithfulness to an uninfected partner, the importance of HIV
counseling and testing and full information on the correct and consistent use of condoms as a way to reduce the risk of HIV for those who engage in risky sexual behaviors. The program involves ten contact sessions spread over 14-20 hours. The program is designed to be interactive and fun, and sessions mix limited teaching by HWSA facilitators with youth-led group discussions, role plays and debates. Relevant games are used. The program includes a component that will target out-of-school youth through youth clubs, community-based organizations and sports groups. HWSA will continue to work closely with the national and provincial Departments of Health. The activity will build on FY 2006 success of 57,000 individuals reached with A and AB messages through 100 FBOs and 50 schools.
ACTIVITY 2: Men as Partners (MAP)
A follow-up activity to Activity 1 will be a gender-sensitizing component carried out by HWSA's MAP program. This activity will both address the prevention needs of girls and young women and the promotion of positive gender-sensitive attitudes, practices and behavior for young boys and youth. The MAP program will be modified to be age-appropriate and will attempt to change social norms related to male socialization, coercive sex (key legislative issue), cross-generational sex, and/or transactional sex. This activity will create community commitment and involvement in reduction of Violence against Women and Children, support HIV counseling and testing, peer education and community interventions with messages to challenge norms about masculinity, early sexual activity and multiple sexual partners for boys and men and transactional sex. This program will promote the benefits of abstinence in reducing HIV transmission, encourage the delay of sexual debut until marriage for the 10 -14 age groups and for the older youth MAP will also encourage the reduction in casual sexual partnerships, mutual faithfulness to an uninfected partner and will stress the importance of HIV counseling and testing and provide full information on the correct and consistent use of condoms to reduce the risk of HIV for those who engage in risky sexual behavior.
ACTIVITY 3: Parent Empowerment
This activity will work with parents, caregivers and guardians to promote consistent, positive and proactive parenting and a constructive family environment. This activity will build on research that shows that strong families have a major influence on children's achievements in school and through life and also that youth report a preference of having parents/guardians educate them about sexuality and related issues. The program will empower and capacitate parents with skills to interact with children and youth about abstinence, sexuality, HIV prevention messages and create an enabling environment for AB messages. This activity aims to promote good relationships between parents and teens and adequate supervision of teens which, research has shown reduces risky behavior among youth. HWSA will partner with the Parenting Centre and FBO networks (e.g. South African Council of Churches, African Federation of Churches and the International Churches of Christ) to develop and implement this program. The program will include sessions on personal growth; enhance self-awareness, personal values, parenting skills, building children's self-esteem, discipline and problem-solving. The activity will also be linked to the HWSA OVC program with a focus on empowering parents and guardians in vulnerable household and working with granny-headed households.
These HWSA activities will contribute to the PEPFAR objectives of averting 7 million infections, and support the USG Five-Year Strategy for South Africa by improving AB preventive behaviors among youth and adults.
In addition to its Track 1 OVC activities referred to as Africa Network for Children Orphaned and at Risk (ANCHOR), HOPE worldwide also implements an AB track 1 program (#7371). Also HWSA is implementing AB (#7607), basic care and support (#7608), OVC (#7609), and CT (#7610) programs with PEPFAR funds from the South Africa Mission. The Track 1 OVC program is linked to the Mission-funded OVC program. Although the two programs compliment each other, sites, staff and reach are separate and efforts are not duplicated.
The ANCHOR partnership will continue to strengthen and develop community OVC support groups, facilitate kids clubs, strengthen Community Childcare Forums, train partner organizations and provide one sub-grant to a Community-Based Organization (CBO). ANCHOR partners will continue to build relationships with Rotary Clubs, local leaders, local and provincial government departments, health facilities and local NGOs and CBOs. The primary target populations include orphans and vulnerable children and families, youth, people affected by HIV and AIDS, and community and religious leaders, and SA-based volunteers. The program has reached over 2,200 OVC in 2006. The major emphasis area is community mobilization with additional efforts in the development of network systems, linkages with other sectors and initiatives, and training.
ANCHOR is a regional OVC partnership initiative operating in six African countries (South Africa, Cote d'Ivoire, Kenya, Nigeria, Botswana and Zambia). ANCHOR comprises four organizations: HOPE worldwide, Rotarians For Fighting AIDS (RFFA), Coca-Cola/Africa (CC), and the Schools of Public Health and Nursing at Emory University. ANCHOR will contribute to the PEPFAR vision in South Africa as outlined in the Five Year Strategy by providing care for OVC through the expansion of local community capacity to deliver quality care for orphans and vulnerable children and their families. ANCHOR will strengthen community capacity to scale-up OVC efforts at the community level. Through ANCHOR's participation in the National Action Committee for Children Affected by AIDS (NACCA) at the national Department of Social Development (DoSD) level, ANCHOR SA is making a contribution to achieving these goals.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: CARE AND SUPPORT
ANCHOR will continue to provide comprehensive integrated care and support to OVC, their caregivers and families. ANCHOR activities will include providing services such as assiting OVC to access education (waivers for school fees, school supplies and uniforms), assistance in securing government social security grants for OVC, access to health care, legal aid, nutritional and psychosocial support. ANCHOR will continue to work with Tiger Brands, a major food producer that provides OVC with food support. Nestle will provide training to OVC and their families on how to prepare meals with high content nutritional meals. ANCHOR will partner with OXFAM to assist with food security and to train volunteers to start food gardens and income generation activities. ANCHOR will continue to build linkages and spprot with local schools and clinics as key partners in providing educational and health services to OVC.
ACTIVITY 2: TRAINING AND CAPACITY BUILDING
In 2005, 62 participants were trained in psychosocial support (PSS) for OVC. ANCHOR will continue to train community members in PSS skills to support OVC. ANCHOR will develop user-friendly and outcome-based psychosocial support and basic counseling training manuals to be used by community workers. ANCHOR will use a 'Training of Trainers' (TOT) approach to scale up efforts and increase the number of OVC service providers that have been trained in PSS skills. HWSA's AB team in partnership with ANCHOR will continue to train the caregivers/families on parenting and leadership skills. The involvement of
caregivers and community groups will ensure that ANCHOR strategies relevant to the community and that they meet the best interests of the children. ANCHOR will provide training to address strategies on child protection, psychosocial support of OVC and strategies to reduce the abuse of women and children for community members.
ACTIVITY 3: SUPPORT GROUPS AND KIDS CLUBS
ANCHOR establishes and strengthens community OVC support groups and Kids Clubs. Psychosocial support (to build resilience and empowerment), educational support (including homework supervision), nutritional support and comprehensive referrals to other care and support services are key components of the support groups and Kids Clubs. The Kids Clubs have a strong emphasis on youth involvement and youth leadership, as well as child participation at all levels, developing lesson plans, role plays etc. Local Rotary Clubs will strengthen the kids clubs by providing educational and life skill materials, school supplies and refurbished containers in areas where there are no centers to house Kids Clubs.
ACTIVITY 4: CHILD CARE FORUMS
Community Child Care Forums (CCF) will be established in ANCHOR sites in the four provinces. These forums will consist of key stakeholders in local communities, including health workers, the police, government departments, and CBOs, FBOs, caregivers and child/youth representatives. In addition, educators will be represented on each CCF to ensure children's educational issues are addressed. The functions of the CCF are to ensure that the needs of OVC are met in a sustainable structure. CCF manuals from the DoSD will be used to train CCF members.
ACTIVITY 5: SUB-GRANTEES
Boitsoko, an OVC-focused organization, has been identified as a sub-grantee for the Track 1 program. ANCHOR and its sub partner, Boitsoko will provide OVC support in education, nutrition, developing and supporting Kids Clubs, support groups and providing psychosocial support. ANCHOR will provide technical assistance to Boitsoko on organizational capacity development to improve implementation of the OVC program. Regular mentoring and feedback sessions will be held to review progress. Funds will be used to support staff, training, community mobilization and other program support needs. SIDA and Coca Cola Africa Foundation have been approached to fund organizational capacity development and staff development for all ANCHOR community partners. If this request for funding is successful it will strengthen sub-grantees and NGOs.
The ANCHOR South Africa activities contribute substantially to the PEPFAR's goal of providing care and services to 10 million HIV-affected people, including OVC. These activities specifically support the USG/South Africa Five Year Strategy by expanding the capacity of communities to respond to the needs of OVC, focusing on community participation.
