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:
This in-country funded CARE USA Local Links activity is linked to the CARE USA Track I PEPFAR activity (#7542) that will intensify and strengthen the CARE USA Local Links OVC activity. Targets for these two activities will be combined.
SUMMARY:
CARE USA Local Links Project (CARE) provides support to OVC and strengthens families affected by HIV and AIDS. CARE works through South African locally-based sub-partners to stimulate and support the use of local resources (human, economic and knowledge systems) to promote the well-being and protection of OVC. Emphasis is on building the capacity of local organizations to strengthen direct service delivery to OVC and their caregivers, training and developing networks for linkages and referrals. Targeted populations are OVC, caregivers of OVC, people living with HIV (PLHIV), community leaders, community-based organizations, program managers, South Africa-based volunteers, and religious leaders.
BACKGROUND:
Local Links is part of the CARE USA OVC Track 1 Project is implemented in South Africa and Kenya. CARE Local Link's activities are: Strengthening economic coping mechanisms of households caring for OVC; Strengthening the capacity of sub-partners to provide a range of innovative services to OVC and their families; and Promotion of advocacy efforts that are sensitive to the needs and rights of OVC and PLHIV.
CARE implements activities in Motheo and Thabo Mofutsyane districts in the Free State province and Mopane and Sekhukhune in the Limpopo province. Presently CARE works in partnership with eleven sub-partners. Care plans to scale-up this program by adding seven new partners. One new sub-partner will be added in the Free State in FY 2007 and six from the Waterberg and Capricorn districts in Limpopo province in FY 2008. The scale-up will be done in consultation with the provincial Departments of Social Development (DoSD).
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Voluntary Savings and Loans (VSL)
This activity is focused on increasing access to income and productive resources for women caring for OVC through the Voluntary Savings and Loans (VSL) model and provision of income generation training and mentoring activities. Increased income and productive resources in vulnerable households has created a demand for income generation training. The survivalist income generation training will be scaled up; and more caregivers will have access to mentorship activities. Beneficiaries needing survivalist Income Generation Activities (IGAs) training tend to be grandmothers, who are caregivers.
Those needing mentorship tend to be relatively young caregivers who would like to move their IGAs beyond survivalist levels. Economic security activities are contributing to improved well-being of OVC and caregivers. Feedback indicates that VSL members have increased ability to buy food, pay school fees, pay for health services, etc. VSL groups become a social network for beneficiaries and their households. Some VSL groups meet twice a month. The first meeting is for income and productive purposes. The second meetings are usually informal and members discuss issues affecting them such as health, problems related to caring for OVC, coping with death, dealing with adolescent OVC, etc. A high percentage of VSL members are grandmothers who are caregivers. CARE will strengthen the social support function of VSL and will facilitate training for grandmothers with a focus on communicating and caring for adolescent OVC.
ACTIVITY 2: Strengthening OVC Services
CARE will continue to support sub-partners to strengthen their OVC services through improving the quality, consistency and comprehensiveness of their services through a range of delivery mechanisms like home-based care, support groups for OVC and PLHIV, scouts camps, and drop-in centers. CARE will strengthen the psychosocial care and support (PSS) to OVC and their families and will focus on building internal coping mechanisms of families particularly female and child-headed households. CARE will work with sub-partners to support women volunteers who deliver services to the OVC and their families. CARE will facilitate improved service quality and improve the success rate for accessing essential SAG services through the following activities: a) Placing salaried or auxiliary social workers within specific sub-partners who will provide technical support to other sub-partners; b) Strengthened collaboration with government departments at district and provincial level to ensure access to basic health care, pediatric treatment, PMTCT, legal documentation, government social security grants and volunteer stipends; c) Working through Early Childhood Development centers, to strengthen teachers and caregivers' capacity to access basic health services, PMTCT, nutrition, and early identification of HIV-infected children under 4 years and referral for pediatric treatment; d) Improved service delivery through training of staff' volunteers and caregivers to provide PSS, including counseling of OVC and their caregivers; e) Contracting specialists to train and mentor volunteers and staff to improve the clinical component of home-based care; social protection of OVC and follow through in cases of OVC or their caregivers being abused (through referrals, or developing selective sub-partner's capacity to offer a court chaperone service); and f) Support for caregivers to deal with burn-out and strengthening their capacity to facilitate support groups for OVC and PLHIV.
Capacity building and organizational support for sub-partners will be implemented through organizational development training and on-site mentoring based on identified needs and gaps. One of the major activities for FY 2008 will be to provide technical support to sub-partners to ensure sustainability and improved quality of services delivered to OVC and their caregivers.
ACTIVITY 3: Participatory Education Theatre (PET)
CARE works in communities where the numbers of OVC are high with a high ratio of OVC absorbed into extended families. The PET techniques will address OVC social protection from abuse and stigma and discrimination. It will also be used as a vehicle for HIV prevention messages targeting adolescents. PET encourages child and youth participation in the development of storylines, acting roles and developing key messages.
CARE will continue with the work initiated with mainstream and traditional church leaders in addressing issues of stigma and discrimination in their congregations; and encouraging them to provide support to children living in households directly affected by HIV and AIDS. CARE and its sub-partners will continue to strengthen linkages and partnerships with government service delivery departments to leverage essential services for OVC and their caregivers, including access to ARV treatment for children and their mothers. CARE participates in the National DoSD Plan of Action for OVC through the National Committee for Children affected by HIV and AIDS (NACCA). At the provincial level, CARE works closely with the DoSD district offices to identify sub-partners; and partners with district offices in the dissemination of information on government essential services. At the local district level CARE sub-partners participate in Child Care Forums (CCF) as an advocacy mechanism, and to share information and experience.
CARE activities support the USG/South Africa Five-Year strategy by supporting service delivery to OVC through local and community-based organizations, and PEPFAR's goal of providing care to 10 million people affected by HIV/AIDS, including OVC.
