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.
SUMMARY: Save the Children UK (SC), in partnership with The Centre for Positive Care (CPC), supports the South African local government (LG) and Departments of Social Development (DoSD), Education (DOE) and Health (DOH) in the Free State and Limpopo to create networks providing comprehensive care for OVC. Activities include building community capacity by establishing, training and mentoring Child Care Forums (CCFs) to identify OVC and their caregivers, refer OVC for services and visit homes, training home-based caregivers, helping schools to plan and implement care for OVC, working with selected CBOs and FBOs, and improving local, district, provincial and national coordination of OVC programming.
BACKGROUND: SC's OVC program in South Africa started in 2003 and has been supported by PEPFAR since 2004. SC works closely with LG to rapidly roll out CCFs at ward level. In FY 2005 SC and CPC were able to assist 10,582 OVC indicating that this is an effective model for reaching large numbers of OVC in remote, rural communities.
FY 2007 funding will strengthen the reach and quality of care provided to OVC at ward level by improving ward level networks of support, formed by CCFs, a home-based care (HBC) group and a school. SC actively seeks support of local business and FBOs for network activities such as community-based, multi-purpose drop-in centers. SC activities will be implemented in underserved areas in the Free State (in Thabo Mofutsanyana District, a South African presidential poverty area) and in Limpopo (in Vhembe district, a designated homeland during Apartheid).
The project is in line with South Africa's Policy Framework for OVC, the National Action Plan for OVC and the policies of the DoSD and DOE. SC participates in the development of national policy and guidelines and coordinates the national Caring Schools Network of NGOs and other organizations establishing OVC care through schools in South Africa.
ACTIVITIES AND EXPECTED RESULTS: ACTIVITY 1: Establishing and strengthening community structures. SC and CPC will establish and strengthen community-based, volunteer CCFs in two provinces.The mandate of CCFs is to identify OVC, ensure OVC and their caregivers access services, mobilize community support for OVC and their caregivers, and actively support community initiatives for OVC. In addition, CCFs monitor the well-being of OVC (taking account of needs according to age and gender) and their caregivers, and raise issues related to service delivery for OVC with relevant local authorities through the OVC Task Team. SC will enable schools to plan and implement programs to care for OVC and to establish children's groups. SC will establish and strengthen ward level networks of CCFs, HBC groups, schools, local business, faith-based and other groups. SC will review the impact of CCFs on OVC to facilitate improvements and document the model for roll out to other districts and provinces with SAG support.
ACTIVITY 2: Human Capacity Development. SC supports human capacity development in two provinces by training CCF members, school-based youth facilitators and community stakeholders in children's rights including child participation, HIV and AIDS, identifying and referring OVC for other essential services, psychosocial support and home visits, and child protection. HBC groups will be trained in health care for children in AIDS-affected households and support for children looking after ill adults. Organizational development and OVC program training will be given to CBOs, FBOs and partner NGOs.
Human Capacity Development will include training for CCF and HBC members on understanding adolescents; how to talk to and listen to them to help them to understand the changes in their bodies and how to initiate groups and activities that they will participate in. Specific training for school based youth facilitators will be implemented to initiate and support peer education activities for adolescent in school OVC. All activities will include a focus on gender and gender roles in adolescent sexuality. In addition, clinic staff will be offered training and support by SC in working with adolescents and responding to their health needs.
ACTIVITY 3: Care Services. With SC support, CCF members will identify OVC; refer them for birth registration, health care (including pediatric treatment) and HIV counseling and testing, social security grants, protection and monitor that services are delivered; make
home visits and initiate children's and caregiver's activities to enhance psychosocial well-being and provide or arrange for food assistance, school fee waivers, uniforms and transport to government services. Capacitating schools to provide services will result in improved food support, increased recreation, play and psychosocial support for children and their caregivers (both teachers and family caregivers); extracurricular activities that encourage children to excel in different fields and that teach children relevant skills; clothes and uniform banks; improved safety and protection for children; the provision of other government services at schools; and linkages with community programs that support OVC. SC will explore the role of gender and activities will respond to the needs of young girls and boys and all caregivers, including older women. Women will actively participate in decision-making while men and youth will play an active role in community care and support activities. SC data for specific indicators will be recorded and analyzed by gender and monitored to ensure gender-balanced outcomes.
Using FY 07 plus up funds, care Services for OVC will be expanded to include referring adolescent OVC to clinics for sexual and reproductive health services and ensuring that the clinics are responsive to adolescent OVC needs. In addition, SC will start support groups for adolescent OVC, in conjunction with resource centres in Vhembe district and target other places where children can be reached. Services will include support for peer-led activities and services offered by trained adult caregivers. OVC will be supported to discuss and find solutions to their problems, access information and services, and to interact socially with each other in a safe space supervised by trained adult caregivers. SC will expand the in-school youth peer education programme using existing best practice models, such as the RADS life skills programme developed with Rutanang, in the Free State and Vhembe.
ACTIVITY 4: Advocacy. SC will continue to advocate for improved service delivery to OVC. A key element of advocacy will be the collation and sharing of data on service delivery with SAG. SC will refine its database, decentralize to ward level and reorganize to generate reports on the status of service provision. These will be analyzed collaboratively with Local Government and Home Affairs, DoSD, DOE, and DOH to design more responsive services including child-oriented VCT. OVC Task Teams will be capacitated to monitor OVC service provision. Local Government will be encouraged to include children's issues in their integrated development plans.
ACTIVITY 5: Improved Coordination. SC will provide technical support to the OVC Task Teams to coordinate services for OVC at local level and move towards sustainability, including hosting meetings between service providers and strengthening links with CCFs, other ward structures and district level. SC will support exchange visits at local and district levels and promote participation of OVC in ward and local level decision making. Stakeholders at district and provincial levels will be encouraged to form appropriate Action Committees for Children at district and provincial level (DACCAs/PACCAs). SC will also support DoSD National Action Committees for Children (NACCA) at the national level to engage with the SAG's National AIDS Council, and local government bodies and provide guidance for improved OVC programs in South Africa.
