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: 2008 2009
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAY:
EngenderHealth South Africa (EHSA) will continue to implement the capacity-building and programmatic
activities described in COP 2008. However, minor modifications are planned. Specifically, messaging will be
altered to focus on linking behavior with culturally influenced actions, such as multiple concurrent partners
and alcohol abuse. To ensure the quality and the impact of these messages, EHSA will engage all program
officers, implementing partners and stakeholders in defining the desired number of face-to-face interactions
for each group reached through the project, as set out in the monitoring and evaluation plan.
ACTIVITY 2 (School/Community Action for Gender Equality (S-CAGE) ) will technically remain unchanged,
but EHSA will increase the number of middle schools working directly with the 10-14 year olds and beyond
in the North West Province, conveying messaging on Abstinence and Being Faithful (AB), while building
capacity of peers and educators to sustain implementation at school and community level. EHSA will
increase emphasis on messages on multiple partners and alcohol abuse, and on challenging the social
norms that often put males and their partners at risk.
EHSA is publishing a revised version of its Men as Partners (MAP) curriculum via a PEPFAR-supported
multi-country gender norms Initiative. Field-tested and revised in the South African context, this new
curriculum incorporates activities that dissect issues such as multiple concurrent partnerships and alcohol
use vs. abuse, offering individual knowledge and skills-building activities to assist in addressing these
cultural norms.
ACTIVITY 3 (Community Capacity Building Program) will remain the same, with EHSA partnering with
various community-based stakeholders to integrate the MAP approach. Inherent in the evidence-based
MAP approach is recognizing that behavior change as a process, and that the prevalence of HIV is higher
among men in their thirties and forties and younger women in their twenties. This recognition leads to
linking individual interventions with men to interventions focusing on partners, families and communities, as
well as community mobilization efforts to reach additional community members, while collaborating with
communities to increase the return of girls who drop out of school back to the educational system.
ACTIVITY 4 (Government/Other Key Stakeholders) will remain the same.
ACTIVITY 5 (Clinical/Community Outreach) will primarily remain the same. One modification will include
EHSA working with civil society partners to implement a behavior change communication campaign aimed
at out-of-school youth. This campaign will include direct messaging and skills-building on interpersonal
communication in order to help the young men (and women) link their risk behavior with culturally-
influenced actions, such as multiple concurrent partnerships and alcohol abuse. This activity also focuses
on inner-city and peri-urban areas in Johannesburg, thus reaching immigrant and migrant communities.
ACTIVITY 6 (MAP Network) consisting of monthly meetings of prime partners to ensure information
exchange and advocacy efforts will be continued in Gauteng and the Western Cape. EHSA will also co-
chair quarterly meetings (with Hope Worldwide) of the MenEngage Alliance, consisting of key stakeholders
representing the MAP Network and other non-governmental and community-based organizations,
government agencies and general activists, gathering to discuss issues, exchange information, and develop
an advocacy platform on public policies relating to gender-norm transformation, HIV and AIDS.
ACTIVITY 7 (National Campaigns) will not be modified, as EHSA will continue to promote AB messages
through gender norm transformation via national campaigns. In FY 2009, EHSA will continue a new social
marketing campaign -The Sisonke Campaign - engaging celebrity male artists (e.g., musicians, actors,
professional athletes) to promote positive male gender norms linked to sexual health, with emphasis on
reducing xenophobic and homophobic attacks, especially as they relate to sexual violence and HIV.
Through the high visibility mass media campaign, EHSA will also develop prevention messages specifically
targeted at the 2010 Federation of International Football Associations Soccer World Cup, appealing to boys
and men via football analogies. EHSA's Police as Partners initiative will focus on reaching men in their
thirties, forties, and fifties, focusing on messaging about multiple concurrent partnerships, consistent
condom use, cross-generational sexual relationships, as well as raising gender equitable children.
---------------
SUMMARY:
EngenderHealth's Men as Partners (MAP) Program works to reduce the spread and impact of HIV and
gender-based violence by challenging unhealthy gender-related beliefs and attitudes, such as equating
masculinity with dominance over women, pursuing multiple sexual partners, and participating in other risk
behaviors. The MAP program utilizes a range of strategies with focus on human and organizational capacity
building through skills-building workshops, community mobilization, health service provider training, media
advocacy, and public policy advocacy. The target population includes men and boys, in- and out-of-school
youth, university students, adults, people living with HIV, caregivers, immigrants/migrants, community and
religious leaders, program managers, public healthcare providers, CBOs, FBOs and NGOs.
BACKGROUND:
Since 1998, EngenderHealth received USG funding to support CBOs, FBOs and the South African
government to implement the MAP program. EngenderHealth conducts skills-building workshops on gender
norm transformation. Through these workshops, MAP develops "transformation agents" (peer educators)
who then spread AB messages and skills to others in their communities. These workshops aim at
motivating men to know their HIV status and take action if they test positive. MAP encourages men to
participate in their communities and to challenge other men who are practicing high-risk behaviors and
gender-based violence. MAP recognizes that this transformation will assist men and women in achieving
low-risk behaviors such as sexual abstinence, being faithful to one partner, and treating women as equals.
MAP works with individual men and boys, their partners, as well as community structures to influence
Activity Narrative: culture and transform lives. Working through various community-based partners, MAP also mobilizes
communities to take action via community education events and the formation of "community action
teams" (CATs). EngenderHealth MAP also produces information, education and communication (IEC)
materials that motivate men and boys to confront harmful gender norms. Currently, EngenderHealth is
running the "I am a Partner campaign" focusing on defining what men can do to take action and be more
gender equitable to reduce the spread and impact of HIV (www.iamapartner.org). Finally, EngenderHealth
staff coordinates provincial MAP Networks, creating a space for gender activists to share best practices and
formulating a platform to participate in the development and adoption of the HIV & AIDS and STI Strategic
Plan for South Africa, 2007-2011. In response to demand, EngenderHealth developed additional
programming linked to palliative care, and voluntary counseling and testing.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Tertiary Institution Programs
EngenderHealth will continue to build the capacity of tertiary institution's peer education programs to
integrate AB messages into gender norm transformation programming on HIV. EngenderHealth will work
with five institutions in the Western Cape (UCT, CPUT/Bellville, CPUT/Cape Town, UWC, and Stellenbosch
University) and with least three institutions outside of the Western Cape. At least five staff and student
"transformation agents" from each of the institutions will be trained on a quarterly basis. The
communications skills of the "transformation agents" will be developed so that they are able to reach
students on campus and learners in local communities with AB messages. Issues such as gender norms,
multiple partnerships, cross-generational sex, communication issues, and alcohol abuse, as well as
consistent and correct use of condoms and referral to condom service sites will be addressed.
EngenderHealth staff will provide ongoing on-site and telephonic assistance on a range of management and
content issues. EngenderHealth recognizes the power of working with such institutions and the sustainable
benefits of building such capacity.
ACTIVITY 2: School/Community Action for Gender Equality (S-CAGE) based Program
EngenderHealth will continue to capacitate at least four NGOs working in school-based settings by focusing
on the integration of AB messages into MAP programming on gender norm transformation and HIV. This
programming will take place in communities where the drivers of the epidemic have been identified, i.e. in
Gauteng (Diepsloot, Vaal, Hillbrow/Yeoville/Berea and Soweto), North West, and KwaZulu-Natal (KZN).
EngenderHealth will work with another PEPFAR partner, Mpilonhle, in KZN -to build a gender component to
their pre-existing work in schools and communities. EngenderHealth will work directly with school personnel
and student leaders to develop their capacity to link AB-related MAP messaging and programming into the
school curriculum via life orientation programs. Similar trainings will be conducted each quarter and course
content will be tailored to meet the needs of each community-based partner. Typically, 20 to 30 participants
will be trained over a period of four to five days. In addition, capacity-building assistance, in the the form of
individual on-site and telephonic sessions will be offered to all partners. EngenderHealth will solicit funds
from other development partners, and private sector entities to assist with this program. Potential and
existing public-private partnerships include those with the Ford Foundation (secured for North West
province); De Beers Mining Company (secured for KZN); and Anglo American Mining Company (pending
for KZN).
ACTIVITY 3: Community Capacity-building Program
EngenderHealth will continue building the capacity of at least four NGOs, CBOs, FBOs, and private sector
partners on AB messages and gender norms. EngenderHealth will partner with groups based in strategic
communities within Gauteng (Diepsloot, Vaal, Hillbrow, Yeoville, Berea, and Soweto), North West, KwaZulu
-Natal, and Western Cape provinces. In addition, private sector organizations will be approached for cost
sharing options. Trainings will be conducted each quarter and course content will be tailored to meet the
needs of each community-based partner. Typically, 20 to 30 participants will be trained over a period of four
to five days. EngenderHealth will be available to provide individual support to partners via on-site and
telephonic sessions.
ACTIVITY 4: Government/Other Key Stakeholder Program
EngenderHealth will continue building sustainable partnerships with national and provincial government
agencies. In FY 2008, these institutions may include South African Police Services (SAPS), Department of
Correctional Services, Department of Social Development and Department of Health. EngenderHealth plans
to work with the SAPS, building capacity of individual precincts youth desks to implement MAP
programming in their communities, maintaining community action teams (CATs) to mobilize men (including
policemen). Cost sharing options will be explored to gain financial support from government institutions.
Training and support, as described above, will be offered on a quarterly basis to partners.
ACTIVITY 5: Clinical/Community Outreach Program
EngenderHealth will continue to reach out to men in various settings, including street outreach and in
clinical settings. Typically, this program will reach over 250 men (and their partners) per month via formal
and informal talks at clinics and on the streets/parks nearby. These talks will focus on helping men
recognize the importance of having only one partner. EngenderHealth will target services in Gauteng,
specifically in Diepsloot, Vaal, Hillbrow, Yeoville, Berea, and Soweto. In the Western Cape, EngenderHealth
will work with its partners at tertiary institutions to conduct talks in clinics. Programs will also reach out to
youth in surrounding communities. This will focus on abstinence messaging for learners aged 10-14 and on
encouraging secondary abstinence for older youth aged 15-24 years old.
ACTIVITY 6: MAP Network:
Activity Narrative: EngenderHealth will continue to support the MAP Network on information exchange and advocacy.
EngenderHealth will host monthly meetings bringing together prime partners (typically about 20-30
members), to exchange experiences and to enhance programming. On a quarterly basis, additional key
stakeholders representing other NGOs, CBOs, government and general activists will gather to discuss
issues, exchange information and develop an advocacy platform on public policies relating to gender-norm
transformation, HIV and AB messages. EngenderHealth's advocacy program will then take these issues
forward at the national and local levels.
ACTIVITY 7: National Campaigns:
EngenderHealth will continue to promote AB messages through gender norm transformation via national
campaigns. Priorities will be placed on implementing the annual National MAP Week (held in March/April),
which motivate EngenderHealth partners to host community events which raise the profile of MAP's AB
messages. Working through national campaigns, such as annual MAP Week, EngenderHealth engages
private sector, media and government partners to increase the effectiveness of MAP. Activities may include
community marches and rallies, sports days, men's meetings, intergenerational dialogues to address cross-
generational sexual relationships, school debates, and mass media appearances. In addition,
EngenderHealth MAP staff will collaborate with other NGOs and government institutions to assist in
organizing and promoting additional campaigns, including 16 Days of Activism on Violence against Women,
Youth Month, and Men's Health Month. BCC materials (based on EngenderHealth's "I am a Partner
Campaign") will be used to motivate men to rethink gender equality and challenge other men to do so as
well. Finally, throughout the year, EngenderHealth will collaborate with various media partners to spread
MAP-AB messages via mass media channels.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13775
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
29192 29192.06 Department of US Department of 3109 3109.06 $111,916
Defense Defence/Pacific
Command
13775 2919.08 U.S. Agency for Engender Health 6604 216.08 ACQUIRE $690,000
International
Development
7566 2919.07 U.S. Agency for Engender Health 4469 216.07 $600,000
2919 2919.06 U.S. Agency for Engender Health 2629 216.06 $650,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's legal rights
* Reducing violence and coercion
Health-related Wraparound Programs
* Family Planning
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $3,200
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Estimated amount of funding that is planned for Education $300,000
Water
Table 3.3.02:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
SUMMARY/BACKGROUND:
Recognizing the need for cost effectiveness, EngenderHealth South Africa (EHSA) will integrate disparate
activities associated with abstinence and being faithbful (AB), other sexual prevention (OSP), male
circumcision (MC) and counseling and testing (CT) programs. For OSP, linkages will be made with CT by
offering CT services directly to individuals reached through EHSA's OSP partners in communities, including
police stations.
ACTIVITY 1: Tertares
Activity one will remain the same; however, messaging will emphasize culturally significant issues, such as
linkages between HIV, AIDS, multiple concurrent partnerships (MCP), MC, and alcohol abuse. As well, the
number of sub-agreement partners will reduce to seven, with funds being diverted for scale-up of the Police
as Partners (PAP) Initiative.
ACTIVITY 2: S-Cage Initiative
THis will remain the same, however messaging will be modified. Similarly, linkages between HIV, AIDS,
MCP, MC, and alcohol abuse will be emphasized. EHSA will also implement programming for "most at-risk
populations" in a cross-border site in Mussina (Limpopo). EHSA will continue building the capacity of a
Mussina-based CBO, targeting migrant workers, truck drivers, and young commercial sex workers with
MAP messages. This intervention will combine peer outreach, condom distribution, and information
sessions on sexual health, working with the border clinic. Finally, the number of sub-agreement partners
will reduce to one.
ACTIVITY 3: Police as Partners (PAP) Initiative
EHSA's PAP Initiative will be scaled up, capacitating additional South African Police Service (SAPS) staff
and volunteers to implement MAP programs in their communities. Target audiences for this intervention
include SAPS personnel, their families and members of communities surrounding police stations. The PAP
initiative also focuses on reaching men in their 30s and above, recognizing the beneficial aspects of
reaching this population with messaging about multiple concurrent partnerships, consistent condom use,
cross-generational sexual relationships, as well as raising gender-equitable children. Via training of
trainers, EHSA will work with at least 12 local police stations (specifically the community policing forums and
crime victims units) throughout Gauteng, Limpopo, Mpumalanga, Northwest and Western Cape provinces.
EHSA will facilitate MAP TOTs for SAPS personnel and volunteers. After the TOTs, participants will form
"community action teams" (CATs), developing community mobilization activity plans; including activities
such as marches, rallies, family days, workshops, intergenerational dialogues, door-to-door campaigns,
among others. EHSA will also work at the national level of the SAPS, encouraging support for the SAPS-
initiated "Men for Change" (MFC) program which offers funding to local police station for community
mobilization activities on male gender norms.
ACTIVITY 4: Transformational Social Development (TSD)
Activity four will be modified to incorporate all EHSA government partnerships. Currently, EHSA is
partnering with the Department of Social Development in the Western Cape, the Northwest Department of
Education, and the City of Johannesburg, among others. EHSA will continue providing capacity-building
assistance to these and additional government entities based on need. The TSD program will offer
technical assistance in the MAP program, as well as other issues (e.g. monitoring and evaluation, non-
governmental organization management, etc), to both government personnel and community-based
organizations (CBOs).
ACTIVITY 5: Clinic-Street Outreach (CSO)
Activity five will remain constant, allowing EHSA staff to conduct direct outreach reaching various men/boys.
A majority of effort will reach clients at STI clinics; however, other street outreach will also target other
areas, including informal settlements where CT drives are occurring. With a focus on inner-city
Johannesburg, refugees/displaced persons will also be reached.
ACTIVITY 6: Advocacy
Activity six will remain constant, however, greater emphasis will be placed on EHSA's role in co-chairing the
MenEngage Alliance of South Africa. Launched in late 2007, the MenEngage Alliance is a collective of men
and gender NGOs working to transform male gender norms. Via this collective, EHSA will lead efforts to
advocate among government agencies for sound policies which promote the health and well-being of all
those living in South Africa. Advocacy activities may include convening the MenEngage Alliance to
formulate an advocacy agenda, serving on national task forces, conducting media outreach to educate and
mobilize the public, attending police forums, to name a few activities.
ACTIVITY 8: National Campaigns
EHSA will continue a new social marketing campaign -The Sisonke Campaign - engaging celebrity male
artists (musicians, actors, professional athletes) to promote positive male gender norms linked to sexual
health, with emphasis on reducing xenophobic and homophobic attacks, especially as they relate to sexual
violence and HIV. Through this visibility campaign, EHSA will also develop OSP messages specifically
targeted designed for the 2010 World Cup, appealing to boys and men via football analogies.
----------------------
SUMMARY: The Men as Partners (MAP) Program works to reduce the spread and impact of HIV and AIDS
Activity Narrative: and gender-based violence (GBV) by challenging unhealthy gender-related beliefs and attitudes, such as
equating masculinity with dominance over women and pursuing multiple sexual partners. The MAP program
uses various strategies, including skills workshops, community mobilization, health service provider training,
media advocacy and public policy advocacy efforts to achieve its goal of gender norm transformation to
reduce the spread of HIV and AIDS and GBV. This transformation will assist men and women to achieve
behaviors such as abstinence, being faithful to one partner, correct and consistent condom use (CCC),
reducing the numbers of sexual partners, treating women as equals, and circumcision. MAP targets adults,
people living with HIV, religious leaders, refugees, teachers, CBOs, FBOs, and NGOs.BACKGROUND:
Since 1998, EngenderHealth has received USG funding to support CBOs, FBOs and the South African
Government to implement MAP. EngenderHealth's core strategy is conducting skills-building workshops on
gender norm transformation. Through these workshops, (over 100), MAP develops "transformation
agents" (TAs), peer educators who spread MAP messages and skills from the workshops to others in the
communities. MAP encourages men to take action in their communities, challenging other men who are
practicing behaviors that put them and their partners at risk for HIV and AIDS and GBV. MAP also sponsors
community education events and the formation of "community action teams" (CATs). EngenderHealth runs
the "I am a Partner" campaign, focusing on defining what men can do be more gender equitable to reduce
the spread and impact of HIV and AIDS. Working through national campaigns, EngenderHealth engages
national private sector, media and government partners to increase the effectiveness of MAP.
EngenderHealth coordinates provincial MAP networks, creating a space for lessons among gender activists
to be shared, and formulating a platform for national advocacy efforts, such as participating in the
development of the South African National Strategic Plan in HIV/AIDS. ACTIVITIES AND EXPECTED
RESULTS ACTIVITY 1: Tertiary Institutions EngenderHealth will continue to build the capacity of tertiary
institution peer education programs to integrate gender norm transformation messages into HIV and AIDS
programs of tertiary institutions peer education programs - specially with five institutions in the Western
Cape, as well as at least three additional institutions in Gauteng province. These trainings will be offered on
a quarterly basis, and at least five staff and TAs will be trained. Emphasis will be placed on skills-building of
TAs to reach students on campus, as well as learners in local communities, with messages about CCC, the
reduction of sexual coercion, reducing the number of sexual partners, and the prevention issues related to
male circumcision. Beyond the training, EngenderHealth will assist in providing ongoing capacity-building
assistance on a one-on-one basis, offering on-site and telephonic assistance on a range of management
and content issues linked to gender norm transformation and HIV and AIDS.ACTIVITY 2: School
Community Action for Gender Equality EngenderHealth will continue to capacitate at least four NGOs
working with teachers and learners in school-based settings, focusing on the integration of gender norm
transformation messages into HIV and AIDS programs. This program will work in priority communities in
Gauteng, and KwaZulu-Natal (KZN) Provinces (in KZN, working with PEPFAR partner Mpilonhle). As well,
EngenderHealth will work with school-personnel and student leaders to develop their capacity to link MAP
messaging into the school curriculum. Similar trainings will be offered on a quarterly basis to staff and
volunteers from about 20 selected NGO partners, tailoring specific knowledge and skills to the community-
based partner. Typically, these trainings will have 20-30 participants and be 4-5 days. Similarly, more
tailored capacity-building assistance will be offered to all the partners in person and telephonically. To help
sustain this initiative, major support will also come from other development partners, including private sector
entities. Currently, public-private partnerships opportunities are being investigated with the Ford Foundation
(secured for NW province); De Beers Mining Company (secured for KZN province); Anglo American Mining
Company (pending for KZN province), among others. ACTIVITY 3: Capacity-building EngenderHealth will
continue building the capacity of at least four NGOs, CBOs, FBOs and private sector partners to integrate
gender norm transformation activities related to HIV and AIDS. EngenderHealth will partner with groups
based in strategic communities within Gauteng, KZN, and Western Cape Provinces. In addition, private
sector partners will be engaged for such educational activities, with cost sharing options being examined.
These organizations will be selected based on needs identified by public health indicators, capacity to reach
community members, linkages to government funding sources, as well as willingness to integrate gender
norm transformative approaches into their current efforts. Specific focus on EngenderHealth's efforts in
Johannesburg will focus on working with refugees. Tailored capacity-building assistance will be offered to all
the partners via one-on-one, on-site, and telephonic sessions.ACTIVITY 4: Government/ Key Stakeholders
EngenderHealth will continue building sustainable partnerships with government institutions at the national
and local levels to build capacity related to integrating gender norm transformation and HIV and AIDS
activities. In FY 2008, these institutions may include Department of Education, South African Police
Services (SAPS), Department of Correctional Services, Department of Social Development and Department
of Health. In addition, cost sharing options will be ensured to gain financial support from government
institutions. The partnerships will include capacity building of specific units to carry out community
mobilization activities linked to male gender norm transformation and HIV and AIDS. Similar trainings will be
offered on a quarterly basis from all partners NGOs, tailoring specific knowledge and skills to the content of
the community-based partner. ACTIVITY 5: Clinical/Community Outreach EngenderHealth will continue to
provide direct prevention services on comprehensive HIV messages to men in various settings, including
street outreach and in clinical settings. Typically, this program will reach over 250 men and their partners
per month via formal and informal talks at clinics and on the streets/parks nearby. EngenderHealth will
target specific services in Gauteng. In the Western Cape, EngenderHealth will work with its partners at the
tertiary institutions to conduct such talks in the clinics, as well as community outreach programming they are
doing in surrounding communities, targeting students in higher education institutions and unemployed
men.ACTIVITY 6: MAP Network EngenderHealth continues to support the MAP network for information
exchange and advocacy efforts. In both the Gauteng and Western Cape Provinces, EngenderHealth will
host monthly meetings of its prime partners to exchange experiences and enhance programs. On a
quarterly basis, additional key stakeholders representing other NGOs, CBOs, government agencies and
general activists will gather to discuss issues, exchange information and develop an advocacy platform on
public policies relating to gender-norm transformation, HIV and AIDS and comprehensive HIV messages,
including male circumcision, for EngenderHealth's advocacy program to take forward at the national and
local levels. EngenderHealth will disseminate male circumcision messaging at the community level and
within the MAP network.ACTIVITY 7: National Campaigns EngenderHealth will continue to promote
comprehensive HIV messages through gender norm transformation via national campaigns. Priorities will
be placed in implementing the annual National MAP Week, which motivates EngenderHealth partners to
take action and host various community events raising the profile of MAP's messages. Working through
Activity Narrative: national campaigns, EngenderHealth engages national private sector, media and government partners to
increase the effectiveness of MAP. Example activities during the week may include community marches
and rallies, sports days, men's meetings, school debates and mass media appearances. EngenderHealth
MAP staff will collaborate with other NGOs and government institutions to organize additional campaigns
related to MAP messages, including 16 Days of Activism on Violence against Women; Youth Month, and
Men's Health Month. BCC will be developed to motivate men to transform themselves for gender equality
and challenge others men to do so as well. EngenderHealth will also collaborate with various media
partners to spread MAP messages via mass media channels. ACTIVITY 8: M&E EngenderHealth staff will
also continue to conduct monitoring and evaluation activities through process and impact assessments.
Each event is documented, as well as knowledge and attitudinal assessments conducted of participants. In
FY 2008, EngenderHealth will also finish an impact evaluation study being done in collaboration with
Mpilonhle, measuring the effectiveness of MAP strategies in a rural KZN community.
Continuing Activity: 13776
13776 2920.08 U.S. Agency for Engender Health 6604 216.08 ACQUIRE $520,000
7567 2920.07 U.S. Agency for Engender Health 4469 216.07 $450,000
2920 2920.06 U.S. Agency for Engender Health 2629 216.06 $300,000
Estimated amount of funding that is planned for Human Capacity Development $19,200
Estimated amount of funding that is planned for Education $150,000
Table 3.3.03:
EngenderHealth's Men as Partners (MAP) Program works to reduce the spread and impact of HIV, AIDS
and gender-based violence by challenging unhealthy gender-related beliefs and attitudes, such as equating
masculinity with dominance over women, pursuing multiple sexual partners and participating in other HIV
and AIDS related risk behaviors. The MAP program utilizes a range of strategies, including skills-building
workshops, community mobilization, health service provider training, media advocacy and public policy
advocacy efforts to achieve its major goal of gender norm transformation to reduce the spread and impact
of HIV, AIDS and gender-based violence. MAP recognizes that this transformation will assist men and
women in achieving such behaviors as sexual abstinence, being faithful to one partner, treating women as
equals, among other behaviors. MAP works with individual men and boys, their sexual partners, as well as
community structures to influence culture and transform lives. Specially, MAP targets men and boys, in and
out-of-school youth, university students, adults, people living with HIV and AIDS, caregivers,
immigrants/migrants in inner cities and cross-boarder sites, community and religious leaders, program
managers, public health care providers, CBOs, FBOs and NGOs.
government to implement MAP programming. EngenderHealth's core strategy is conducting skills-building
workshops on gender norm transformation. Through these workshops, MAP develops transformation
agents (e.g. peer educators) who then spread MAP messages and skills from the workshops to others in
their communities. These workshops are tailor-made for various communities, integrating abstinence/be
faithful messages, as well as motivating men to know their HIV status and take action if they test positive for
HIV. MAP encourages men to take action in their communities, challenging other men who are practicing
behaviors that put them (and their partners) at risk for HIV, AIDS and gender-based violence.
Working through various community-based partners, MAP also mobilizes communities to take action via
community education events and the formation of community action teams (CATs). EngenderHealth MAP
also produces information, education and communication (IEC) materials which motivate men and boys to
address these harmful gender norms and transform themselves. Currently, EngenderHealth is running the I-
am-a-Partner campaign; focusing on defining what men can do to take action and be more gender equitable
to reduce the spread and impact of HIV AND AIDS (see www.iamapartner.org).
Working through national campaigns, such as the 16 Days of Activism on Violence against Women/Children
and the annual Men as Partners (MAP) Week, EngenderHealth engages national private sector, media and
government partners to increase the effectiveness of MAP. Finally, EngenderHealth staff members
coordinate provincial MAP Networks, creating a space for lessons among gender activists to be shared, and
formulating a platform for national advocacy efforts - such as actively participating in the development and
adoption of the South African National Strategic Plan in HIV/AIDS and STIs. EngenderHealth also
developed programming linked to voluntary counseling and testing palliative care - based on demand
generated through the MAP program. EngenderHealth staff also conducts monitoring and evaluation
activities of the efforts through various process and impact assessments. Each workshop and community
event is documented, as well as knowledge and attitudinal assessments conducted of participants.
EngenderHealth will contribute to the overall PEPFAR goals of 2-7-10 by increasing the number of men
accessing HIV services including treatment; increasing the number of young and adult men choosing to
abstain or be faithful/reduce their number of sexual partners; reducing women's vulnerability to HIV and
AIDS by preventing gender-based violence; and increasing the number of men caring for the ill.
ACTIVITY 1: Disseminating Messaging
To disseminate accurate information about the benefits of male circumcision in terms of HIV transmission,
EngenderHealth will work with its community-based partners to develop an informational brochure to be
developed, pre-tested, printed and disseminated to men (and women) in communities across South Africa.
The brochure will clarify information about the benefits of circumcision in terms of HIV transmission among
men, aspects of medical and traditional circumcision, specific aspects of the process and post surgery,
specifically related to delay in sexual activity (up to 6 weeks) and condom use, among other issues. The
brochure will be developed and pilot tested among various communities throughout South Africa, and then
disseminated to communities via EngenderHealth's Men as Partner Network and the MenEngage Alliance
in line with the AB, OSP and HIV testing activities. The brochure will also be posted to EngenderHealth's
website for further distribution.
ACTIVITY 2: Hosting at least four community-based dialogues
Throughout the year, EngenderHealth will host at least four community-based dialogues on male
circumcision in two provinces, sharing information on the benefits of MC and HIV, and documenting their
views on the rollout of mass MC campaign. The focus of the dialogues would be to ask communities what
their views on a roll-out (e.g. traditional or medical or both), assess cultural aspects of such a roll-out, and
gain their support for additional advocacy at the local, provincial and national level for a formalized
community-driven policy on MC and HIV.
ACTIVITY 3: Advocacy
With documentation of the cultural acceptability of medical/ traditional circumcision rollout from community
dialogues, EngenderHealth will participate in various advocacy efforts to develop a formalized national
policy on the roll-out of MC activities throughout the country. EngenderHealth will bring to this partnership,
the cultural implications of such a policy and state of readiness of the communities involved in these
Activity Narrative: dialogues. EngenderHealth will continue to co-chair the MenEngage Alliance of South Africa, working
together with various men and organizations such as Jhpiego and Constella Futures to advocate for a Male
Circumcision policy. This advocacy will involve participating in a National Department of Health task force
on MC, developing and implementing a media strategy (via television., radio and newsprint) promoting the
benefits of MC, and raising the benefits of MC in various national HIV and gender forums of interest.
EngenderHealth will work to bring more stakeholders into the advocacy efforts, further building the case for
a mass rollout of MC activities in South Africa.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.07:
NO FY 2009 FUNDING IS REQUESTED FOR THIS ACTIVITY:
This activity was approved in the FY 2008 COP, is funded with FY 2008 PEPFAR funds, and is included
here to provide complete information for reviewers. No FY 2009 funding is requested for this activity. During
the PEPFAR South Africa Interagency Partner Evaluation, the review committee determined that the
strength of EngenderHealth's program no longer lies in this program area. In FY 2009 EngenderHealth will
focus more attention on sexual prevention, counseling and testing, and male circumcision. Therefore there
is no need to continue funding this activity with FY 2009 COP funds.
Continuing Activity: 13777
13777 12371.08 U.S. Agency for Engender Health 6604 216.08 ACQUIRE $325,000
12371 12371.07 U.S. Agency for Engender Health 4469 216.07 $280,000
Table 3.3.08:
To enhance its reach in FY 2009 EngenderHealth South Africa (EHSA) will use creative methods to
maximize output and integrate cost reductions by further integrating its counseling and testing (CT) program
with abstinence, being faithful (AB) and other sexual prevention (OSP) activities. Specially, by activity, the
following modifications will occur:
ACTIVITY 1: University-Based CT
This activity will essentially remain the same, however efforts will be maximized through integrating CT into
AB/OSP prevention partners efforts at tertiary institutions.
ACTIVITY 2: Community-Based CT
This activity will be slightly modified. Although all EHSA partners will be offered CT services, greater
emphasis being placed on conducting community-based CT drives with community partners associated with
EHSA's Police as Partners (PAP) project. Thus, as AB and/or OP community mobilization events are being
planned by Men as Partners (MAP) network community-based partners or EHSA itself, CT will be an
integral component in these events. In terms of budget reductions, EHSA will scale back the reach of the
project, focusing more on Gauteng, Mpumalanga and Limpopo provinces, based on increasing in these
provinces as well depth of the EHSA prevention programs.
ACTIVITY 3: Health Service Provider Training
This activity will remain the same as in FY 2008.
ACTIVITY 4: Private/Government Sector Partnership
This activity will be modified to focus more on conducting CT drives in partnership with the private sector
and government agencies. EHSA will work to secure financial support from various private sector partners,
offering CT at a subsidized rate as a part of MAP community mobilization effort conducted close to
workplaces. Based on recommendations from a strategic planning session (September 2008), EHSA will
embark on securing support from various corporate entities with large male employee-bases (e.g.
automotive and/or mining and construction sector). EHSA will work with these entities to secure funding
from them to subsidize CT services to their employees (and families), with strong linkages to care and
treatment services for those employees testing positive for HIV. Strong community education programming
will be linked to such efforts, working to transform gender norms through a community and encourage
additional men (and women) to test. EHSA is confident that such an approach will not only create
opportunities to reach additional men with quality CT services, but also assist EHSA in creating a more
sustainable program for the future.
ACTIVITY 5: Monitoring and Evaluation
This activity will remain the same.
----------------------------
EngenderHealth's Men as Partners (MAP) program works to reduce the spread and impact of HIV and
masculinity with dominance over women, pursuing multiple sexual partners, and participating in other HIV
risk behaviors. The MAP program utilizes a range of strategies including skills-building workshops,
community mobilization, health service provider training, media advocacy and public policy advocacy efforts
to achieve its major goal of gender norm transformation to reduce the spread and impact of HIV and gender
-based violence. MAP recognizes that this transformation will assist men and women in achieving low-risk
behavior such as sexual abstinence, being faithful to one partner, using condoms consistently and correctly,
reducing the numbers of sexual partners, and treating women as equals. MAP works with individual men
and boys, their romantic partners, as well as community structures to influence culture and transform lives.
In addition, MAP targets in and out-of-school youth, university students, adults, people living with HIV,
caregivers, community and religious leaders, program managers, public healthcare providers, and
community-based, faith-based and non-governmental organizations (CBOs, FBOs, NGOs).
workshops on gender norm transformation. Through these workshops, MAP develops "transformation
agents" (peer educators) who then spread MAP messages and skills from the workshops to others in their
communities. These workshops are tailor-made for various communities, integrating abstinence/be faithful
messages and/or condoms and other prevention messages, as well motivating men to know their HIV
status and to take action if they test positive for HIV. MAP encourages men to take action in their
communities, challenging other men who are practicing high-risk behaviors and gender-based violence.
community education events and the formation of "community action teams" (CATs). EngenderHealth/MAP
also produces behavior change communication materials that are used to motivate men and boys to
Activity Narrative: address these harmful gender norms and transform themselves. Currently, EngenderHealth is running the "I
am a Partner" campaign; focusing on defining what men can do to take action and be more gender
equitable to reduce the spread and impact of HIV. (See www.iamapartner.org). Working through national
campaigns, such as the annual Men as Partners (MAP) Week, EngenderHealth engages national, private
sector, media, and government partners to increase the effectiveness of MAP. Finally, EngenderHealth staff
coordinate provincial MAP Networks, creating a space for gender activists to share lessons learned, and
formulating a platform for national advocacy efforts, such as participating in the development and adoption
of the HIV & AIDS and STI Strategic Plan for South Africa, 2007-2011.
Recently, EngenderHealth developed additional programming linked to voluntary counseling and testing
and palliative care. In 2006, EngenderHealth carried out research to investigate why men were not testing
for HIV. In response to the findings of this research, EngenderHealth created a counseling and testing (CT)
program consisting of a mobile vehicle that focuses on getting men to test. In addition, it has become
apparent that more men need palliative care. Thus, EngenderHealth has recently launched a program to
meet the specific needs of men dealing with the stigma and stress of living with HIV, as well as other issues
related to gender norm transformation.
ACTIVITY 1: University-based Counseling and Testing
EngenderHealth will continue to support CT that has been provided on five government-supported
university campuses to increase access to young men and women. Using PEPFAR funds, EngenderHealth
will expand these services to three additional universities outside the Western Cape. Transformation Agents
(peer educators) will be trained, according to South African Government (SAG) guidelines, to promote CT
through workshops and community mobilization on campuses. It is estimated that EngenderHealth will
reach more than 100 students per month per campus with these activities. EngenderHealth will also use a
mobile CT unit, staffed with professional nurses and counselors as per SAG guidelines, to provide CT
services on campuses. Education materials, which will also comply with SAG policies, will be designed,
developed, and tested to spread the message. A monitoring and evaluation system will be developed and
utilized to track the effectiveness of the activities on campuses.
Students will be referred for TB screening and for CD4 count and ARV services when necessary. This
activity consists of three components: (a) provide support to CT sites at eight tertiary institutions through
sub-agreements; (b) develop referral systems to CT sites; and promote CT among students. Activities will
also include training of counselors, with a focus on gender counseling, couple counseling, and stigma
reduction. Additionally, CT outreach days will be organized to introduce CT to the wider campus population,
reaching those who do not use the who do not use the university health clinic. During these outreach days,
testing booths and the mobile CT unit will be will be placed at strategic points throughout the campuses and
CT services offered to all. These booths will be designed to ensure confidentiality. Posters, posters, campus
radio, and other media will be used to attract students. Referral systems for HIV-infected students to
existing support groups and media services will be established, and those students testing negative will
receive reinforced prevention messages. EngenderHealth will collaborate with the universities' health
services to help build sustainable programming.
ACTIVITY 2: Community-Based Counseling and Testing
EngenderHealth will expand their reach of CT services through additional mobile testing drives. Special
community CT drives promote CT services to men in the community. EngenderHealth will team up with its
MAP partners in Gauteng, Limpopo, KwaZulu-Natal, North West, and Western Cape to sponsor community
CT drives. EngenderHealth's mobile clinic is designed to ensure confidentiality. Experience has shown that
mobile testing will attract a large number of people who would not usually visit clinics. This activity will
improve and expand on the work already conducted in the inner-city area of Johannesburg. In addition to
the nurses, male Transformation Agents (peer educators) have been trained on gender-specific counseling,
couple counseling, and stigma reduction. All training has been approved by the South African government.
Referral systems for HIV-infected people to existing support and medical groups will be established, and
those testing negative will receive reinforced prevention messages. A follow up system will be established
to ensure that those referred to get the necessary services. EngenderHealth will also sub-contract the
Township AIDS Project to provide additional confidential male-friendly mobile CT testing throughout
Gauteng.
EngenderHealth will train public sector healthcare providers in Gauteng and Western Cape. Training will
adhere to South African government policies, and will aim to improve CT services, taking into account male-
specific needs. By linking with the public sector, EngenderHealth intends to build more sustainable
programs. The improvement of services will, in turn, increase men's utilization of HIV services, CT, TB
screening, antiretroviral treatment uptake and adherence, and their support for their partners' participation in
these services, especially prevention of mother-to-child transmission (PMTCT). EngenderHealth's programs
will also improve the quality and availability of male-friendly HIV services. Staff will focus on key target
areas, linking its prevention and palliative care programs to these CT efforts. Staff expect to conduct
quarterly training, reaching at least 30-40 providers per training.
ACTIVITY 4: National and Local Government Key Stakeholder Program
Using the CT mobile unit, EngenderHealth will provide CT services to outlets at public sector institutions,
such as the South African Police Services. Working through these government offices and linkages with
communities, CT services will be provided to encourage more men to know their status. The CT mobile unit
will be available at community events, government workplace HIV and AIDS awareness days, and other
important events. Employees and community members will be encouraged to test. EngenderHealth
recognizes the importance of public sector partnerships on the sustainability of such programming. On a
monthly basis, CT drives will be take place in various parts of Gauteng, Limpopo, Northwest and KZN
Activity Narrative: provinces.
EngenderHealth staff will continue to monitor and evaluate the project through various process and impact
assessments. Specific monitoring plans have been developed to assess CT programs. Each training
session and community event is documented, and knowledge and attitudinal shifts among participants is
examined.
Continuing Activity: 13778
13778 7983.08 U.S. Agency for Engender Health 6604 216.08 ACQUIRE $290,000
7983 7983.07 U.S. Agency for Engender Health 4469 216.07 $250,000
Estimated amount of funding that is planned for Human Capacity Development $1,500
Table 3.3.14:
