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:
Activities are carried out by Children in Distress (CINDI) in KwaZulu-Natal (KZN), to support the expansion
of services aimed at improving the lives of orphans and vulnerable children (OVC) and families affected by
AIDS through providing comprehensive services and to strengthen communities and ensure that the needs
of OVC are met. The emphasis areas of the project include local organization capacity-building, gender and
wrap-around program (education). Primary target populations include orphans and vulnerable children,
children 5-9 years, adolescents 10-14 years and 15-24 years, and people living with HIV.
BACKGROUND:
CINDI, founded in July 1996, consists of over 100 member organizations (NGOs, CBOs, FBOs) that
collaborate to reduce the impact of HIV and AIDS on children in KZN. This project is part of a larger initiative
implemented by CINDI members. The project was implemented in FY 2007 with PEPFAR support. The
activity is supported by the Department of Education in KZN with whom CINDI liaises in selecting the
targeted schools. Four member organizations are implementing the project for CINDI - Project Gateway,
Sinani, LifeLine and Youth for Christ/ KZN (YFC). Both LifeLine and YFC receive PEPFAR funds in other
program areas and have no OVC activities that overlap under this CINDI project. LifeLine and Project
Gateway have both received accreditations from the provincial Department of Health as counseling and
testing (CT) sites. CINDI will address gender issues through increasing access to services for girls/women;
encouraging the participation of males as facilitators and caregivers wherever possible (since they are
mostly female); prioritizes gender issues within targeted schools; and provides training addressing male
norms and behaviors.
ACTIVITIES & EXPECTED RESULTS:
ACTIVITY 1: Life skills training for OVC
CINDI, in partnership with 4 sub-partners, will provide life skills, peer education training and promote learner
access to CT (and encourage access to pediatric ARV therapy) in 14 new targeted primary and high
schools in FY 2008 and will provide follow-up in the 14 schools from FY 2007. Lifeline and Project Gateway
have both been accredited as CT sites and have mechanisms in place for formal referral systems for
children identified. Children identified will be followed up with care and support activities aimed at orphans
and vulnerable children and their families. The 14 targeted primary and high schools are provided with
training for learner peer educators and selected teachers. All learners participate in a creatively-designed
school-based presentation which will increase their knowledge and information on HIV and AIDS and
related issues such as stigmatization and discrimination, gender issues, CT and age appropriate sexuality
training to motivate for abstinence and encourage behavior change. Learners also participate in a 4-day HIV
and AIDS intensive workshop which will increase their knowledge on safe healthy sexual behavior, HIV
messages, personal development and gender issues and skills in accessing grants, fees exemption from
schools, skills in heading up child-headed households, which will facilitate positive behavior change. In
addition, all learners voluntarily participating in CT will be able to communicate what they have learned
about voluntary testing in their communities and be encouraged to live their lives responsibly. Learners
participating in CT will be assisted in dealing with previous and/or current sexual abuse and serious sexual
offences will be taken up through the legal system. Life skills in accessing grants, etc. will assist the
learners in schools to be aware of their rights, build resilience and individual empowerment. Youth workers
in schools will assist, provide support, and refer the child to the necessary sub-partner who will ensure that
their needs are met. FY 2008 funding will support staff and youth workers to provide these services in the
targeted schools. Sustainability of these activities is built in through the training of interested and committed
teachers within each school who will support the activities into the future, and the trained learner peer
educators will be enabled to continue with the activities. Youth workers and peer educators will have first
contact with OVC and provide necessary support and care before referring. Schools will also be linked
directly with organizations and government departments who can provide ongoing services. CINDI supports
all 4 sub-partners with project supervision and management, financial management, monitoring and
evaluation of this activity and ensures quality assurance of record-keeping and data-capturing.
ACTIVITY 2: OVC and Family Support
CINDI, in partnership with Project Gateway, identifies OVC in the 14 new target schools and provides
services to improve the quality of life of vulnerable children, and HIV-infected individuals and their families.
The families and caregivers will be supported through capacity-building activities to provide better care for
their households; the stability and sustainability of families will be increased through access to shelter, food
(in conjunction with the DOSD), economic support, education, psychosocial support and health care.
Identified families will have at least one child who attends one of the 14 target schools. FY 2008 funding will
support CINDI staff and trained volunteers working with the families to deliver the required services.
Sustainability of these activities and services is provided through training of caregivers, linking families with
relevant government departments and organizations who provide ongoing services, and through capacity-
building provided to household providers/caregivers. CINDI supports Project Gateway with project
supervision and management, financial management, monitoring and evaluation of this activity and ensures
quality assurance of record-keeping and data-capturing.
ACTIVITY 3: Psychosocial Support for OVC
CINDI, in partnership with Sinani, will provide good quality comprehensive and compassionate care for
children orphaned by AIDS and other vulnerable children to help ensure they grow up to be healthy,
educated and socially well-adjusted adults, through all CINDI sub-partners. The identified children will come
from targeted primary schools. OVC will participate in a Structured Group Therapy Program which
effectively reduces distress and builds resilience, with the aim of decreasing depression while increasing
children's access to social support. The duration of therapeutic sessions will vary according to the child's or
group's needs. Youth and adult community leaders and members will be sensitized to the needs of OVC
which will result in an increase in community- awareness of the needs of OVC in communities. This activity
is facilitated by Sinani, one of the CINDI members specializing on psychosocial support with a counseling
psychologist to transfer skills to trained facilitators and volunteers. CINDI supports Sinani with project
Activity Narrative: quality assurance of record-keeping and data-capturing.
ACTIVITY 4: Providing care and supervision for providers/caretakers
In FY 2008 caregivers will be given on-site and group training by CINDI, in partnership with Project
Gateway, to be able to identify and manage stress and burn-out. Regular supervision will be given to enable
caregivers to be efficient in their work while debriefing sessions will take place for caregivers to discuss
problems associated with their work. All the four CINDI members will ensure that each OVC counted is
provided with at least a minimum of three services which include access to education, health care,
psychosocial support, nutrition support, protection from abuse, economic support, pediatric HIV and AIDS
treatment, legal assistance and mobilizing and building capacity of communities to respond to OVC needs.
The CINDI OVC activities will contribute to the PEPFAR 2-7-10 goals by improving access to care for 10
million people, including OVC.
