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: 2007 2008 2009
SUMMARY:
Senzakwenzeke (SEKA), a South African non-governmental organization (NGO) based in KwaZulu-Natal provides psychosocial support, nutrition counseling, homework assistance and social grant application assistance to OVC. SEKA conducts training programs for Child Care Forums (CCFs) and caregivers on children's rights, child protection, and care and support for OVC. The main emphasis areas of Senzakwenzeke activities are community mobilization and participation, the development of networks, linkages, and referral systems, and training. The target beneficiaries are orphans and vulnerable children (OVC), caregivers of OVC, community leaders, SA-based volunteers, and HIV and AIDS-affected families.
BACKGROUND:
Senzakwenzeke (SEKA) is a community-based organization operating in Nkandla Local Municipality, in the Uthungulu District 28 in KwaZulu-Natal province (KZN). KwaZulu-Natal is the South African province with the high HIV prevalence rate (39 percent). The Nkandla District, one of the largest districts in KZN is characterized by high unemployment, lack of resources and a very poor infrastructure. This affects service delivery to children and the community. Within their population radius, Senzakwenzeke has identified 550 OVC, and this number is likely to increase during the next few years.
SEKA is a partnership between the local community and local health professionals. The Nkandla Hospital had identified the need for a community-based care program to provide services to OVC. SEKA provides services that are relevant to the development and well-being of OVC, such as assistance in getting social security grants, health promotion, HIV prevention messages and reproductive health education, assistance in waiving school fees for OVC to access education, and access to legal documents for succession planning. SEKA was a sub-partner under the Nelson Mandela Children's Fund program which ended in FY 2006.
With PEPFAR support since 2005 SEKA has expanded their OVC activities to three wards in the Nkandla District. SEKA has been able to provide services to 552 OVC as of March 2006. SEKA has established strong links with the traditional leadership and the local government of Nkandla, the Nardini Sisters (a faith-based organization providing shelter and food to OVC), and the Nkandla Hospital (for OVC ART referral), in an effort to provide a strong community response to care for OVC. These and other partners work with SEKA to provide food aid, scholarships for tertiary education and skills training for OVC.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Strengthening Community Care Forums (CCFs)
SEKA will provide support in the establishment and training of Child Care Forums (CCFs). CCFs are community-based structures focusing on meeting the needs of OVC. The role of the CCF is to ensure the identification of OVC, to be aware of initiatives involving child care and support, to create awareness of OVC issues, to assess OVC needs, to liaise with
other community-driven initiatives focused on children, and to perform advocacy for OVC in the community. CCFs are vital for sustainability of OVC programs and community involvement in ensuring that the needs of OVC are addressed. SEKA partners with the Department of Social Development (DoSD) to train the CCFs, which are composed of representatives from the community. The training follows the DoSD Guidelines for establishing CCFs. SEKA implements all its OVC activities in line with the DoSD OVC Policy Framework and the National Plan of Action. Topics covered in the CCF training include, the role of the CCFs, drawing up a community profile, costing and fundraising, monitoring and evaluation, and understanding the needs and rights of children.
ACTIVITY 2: Human Capacity Development
SEKA will provide monthly training and mentoring for their thirty-five caregivers (recruited from the community) on counseling, psychosocial support, OVC needs assessments, children's rights, special needs of the girl and boy child, referrals for ART, nutrition, child protection and gardening. In FY 2007 SEKA will recruit and train an additional forty OVC caregivers. During these training sessions SEKA will provide psychosocial support or debriefing sessions by the supervisors for the SEKA caregivers to share their trauma and provide a forum to openly discuss what they see and experience in caring and supporting OVC.
SEKA will provide training for caregivers will on psychosocial support. This training uses the Regional Psychosocial Support Initiative (REPSSI) module. REPSSI trains the SEKA facilitators on this module. Psychosocial support training will also be provided to OVC by trained SEKA caregivers. The topics covered under this module include dealing with loss, grief and mourning, bereavement counseling, memory work, play counseling, building resilience, and coping strategies in OVC.
For example, using the REPSSI model, OVC are trained in how to create memory boxes to capture family memories, deal with grief, and build resilience in OVC. Periodic home visits to the OVC, provide an opportunity for follow-up and monitoring to see if the OVC children is coping with the difficult situation in their home environment. SEKA partners with a local organization in the Nkandla area, Sinomlando to assist with OVC follow-up by observing resilience in the families that have benefited from memory boxes.
ACTIVITY 3: Improving OVC access to Social Security Grants
During home visits, SEKA caregivers will assess whether OVC are in possession of legal documents such as birth certificates and identity documents. These documents are required in order for OVC to access government social security grants. Once the OVC is in possession of the required documents, the caregiver will assist the household with the application process to access the government social security grants and the caregivers will also provide training in budgeting skills so the OVC are able to manage this new source of household income. OVC and their households will also receive information and counseling on other available government social and health related services such as child protection and pediatric ART. The SEKA caregiver will act as a point of linkage, referral and follow-up for the OVC to access these services.
ACTIVITY 4: Strengthening Gender-Based Activities
SEKA caregivers work with the schools which run specific gender programs for girls and boys. Special sessions are held for girls and boys separately and cover issues such as sexual reproductive health, sexuality and abuse. South African Government training materials are used for the training. SEKA caregivers will host sessions where boys and girls are addressed together, to share their experiences and learn from each other. Caregivers also ensure that during the OVC home visits they spend time with each individual child to give them an opportunity to ask questions or share concerns around these topics.
ACTIVITY 5: Food Gardens for Child-Headed Households
SEKA caregivers provide training to OVC, especially child-headed households, on the skills required to create survival food gardens. The food gardens are at the homes of the children and on community land provided by the municipality. This is a wrap around activity where other stakeholders in the community provide the seeds and fertilizers for the gardens. The survival food gardens will provide vegetables which enable the children to have better nutrition. A SEKA two-week training module on food gardening includes a nutrition component encouraging the use of local plants and high nutrition vegetables to supplement the OVC nutritional needs.
The Senzakwenzeke OVC activities will contribute to the PEPFAR goal of providing care and support to 10 million HIV-affected individuals, including OVC.
