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
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.
PEPFAR funds were allocated to PMTCT through the Integrated Primary Health Care Project (IPHC), a
collaborative project between the National Department of Health, the provincial Departments of Health in
the Eastern Cape, KwaZulu-Natal, Limpopo, Mpumalanga and North West provinces and the United States
Agency for International Development (USAID) awarded in 2004 and extended until December 2010 to
Management Sciences for Health (MSH). Since this project has a ceiling which cannot be exceeded, no
further funding can be added since the contract has reached its ceiling. MSH will work with the DOH to
ensure that activities are sustainable to the maximum extent possible. The PMTCT activities of MSH will be
completed according to schedule in 2010. Therefore there is no need to continue funding this activity with
FY 2009 COP funds.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13996
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
29529 29529.05 Department of University 12084 12084.05 CDC VCT $300,936
Health & Human Research
Services Corporation, LLC
29528 29528.07 U.S. Agency for To Be Determined 12082 12082.07 TACAIDS
International Communication
Development Strategy
29527 29527.07 U.S. Agency for To Be Determined 12082 12082.07 TACAIDS
29524 29524.07 U.S. Agency for To Be Determined 12081 12081.07 QED
International
Development
29522 29522.05 Department of National Institute 12077 12077.05 NIHE $240,000
Health & Human for Hygiene and
Services Epidemiology
29521 29521.08 U.S. Agency for Pan American 12119 12119.08 USAID/Haiti's $100,000
International Development Democracy and
Development Foundation Governance
Office/Psychoso
cial, Legal and
Integrated
Health
Prevention
29520 29520.08 HHS/Centers for Liverpool VCT and 12004 12004.08 Umbrella $170,000
Disease Control & Care
13996 2952.08 U.S. Agency for Management 6681 255.08 TASC2: $194,000
International Sciences for Intergrated
Development Health Primary Health
Care Project
7557 2952.07 U.S. Agency for Management 4463 255.07 TASC2: $200,000
2952 2952.06 U.S. Agency for Management 2644 255.06 TASC2: $200,000
Table 3.3.01:
PEPFAR funds were allocated to HCBC through the Integrated Primary Health Care Project (IPHC), a
ensure that activities are sustainable to the maximum extent possible. The HCBC activities of MSH will be
Continuing Activity: 13997
29499 29499.06 U.S. Agency for Program for 12069 12069.06 APHIA II $400,000
International Appropriate Western
Development Technology in
29498 29498.06 U.S. Agency for Pathfinder 12068 12068.06 APHIA II North $250,000
International International Eastern
29497 29497.06 U.S. Agency for Engender Health 12067 12067.06 APHIA II $100,000
International Nyanza
29496 29496.06 U.S. Agency for Family Health 12070 12070.06 APHIA II Rift $472,000
International International Valley
29495 29495.06 U.S. Agency for Program for 12069 12069.06 APHIA II $474,000
29494 29494.06 U.S. Agency for Engender Health 12067 12067.06 APHIA II $400,000
29493 29493.06 U.S. Agency for Family Health 12070 12070.06 APHIA II Rift $850,000
29492 29492.08 U.S. Agency for Reproductive 12050 12050.08 RHAC $150,000
International Health Association
Development of Cambodia
29491 29491.08 U.S. Agency for Reproductive 12050 12050.08 RHAC $918,268
13997 2949.08 U.S. Agency for Management 6681 255.08 TASC2: $794,250
7554 2949.07 U.S. Agency for Management 4463 255.07 TASC2: $1,025,000
2949 2949.06 U.S. Agency for Management 2644 255.06 TASC2: $300,000
Table 3.3.08:
PEPFAR funds were allocated to ARV treatment through the Integrated Primary Health Care Project
(IPHC), a collaborative project between the National Department of Health, the provincial Departments of
Health in the Eastern Cape, KwaZulu-Natal, Limpopo, Mpumalanga and North West provinces and the
United States Agency for International Development (USAID) awarded in 2004 and extended until
December 2010 to Management Sciences for Health (MSH). Since this project has a ceiling which cannot
be exceeded, no further funding can be added since the contract has reached its ceiling. MSH will work with
the DOH to ensure that activities are sustainable to the maximum extent possible. The ARV treatment
technical assistance activities of MSH will be completed according to schedule in 2010. Therefore there is
no need to continue funding this activity with FY 2009 COP funds.
Continuing Activity: 14001
29489 29489.06 U.S. Agency for Family Health 12070 12070.06 APHIA II Rift $800,000
29488 29488.06 U.S. Agency for Program for 12069 12069.06 APHIA II $546,000
29487 29487.06 U.S. Agency for Pathfinder 12068 12068.06 APHIA II North $424,000
29486 29486.06 U.S. Agency for Family Health 12070 12070.06 APHIA II Rift $300,000
29485 29485.06 U.S. Agency for Program for 12069 12069.06 APHIA II $200,000
29484 29484.06 U.S. Agency for Pathfinder 12068 12068.06 APHIA II North $200,000
29483 29483.06 U.S. Agency for Engender Health 12067 12067.06 APHIA II $200,000
14001 2948.08 U.S. Agency for Management 6681 255.08 TASC2: $588,000
7553 2948.07 U.S. Agency for Management 4463 255.07 TASC2: $400,000
2948 2948.06 U.S. Agency for Management 2644 255.06 TASC2: $400,000
Table 3.3.09:
PEPFAR funds were allocated to TB/HIV through the Integrated Primary Health Care Project (IPHC), a
ensure that activities are sustainable to the maximum extent possible. The TB/HIV activities of MSH will be
Continuing Activity: 16858
16858 7666.08 U.S. Agency for Management 6681 255.08 TASC2: $533,500
7666 7666.07 U.S. Agency for Management 4463 255.07 TASC2: $550,000
Table 3.3.12:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
ACTIVITY 1: Community Mobilization and Participation
Handing over (partnering with Department of Social Development): To ensure sustainability, the Integrated
Primary Health Care Project (IPHC) shall collaborate with key stakeholders, mostly Department of Health
(DOH), Department of Social Development (DOSD) and Child Care Forums (CCFs), to provide field
technical support that includes on-site training and mentoring of Community-based Organizations (CBOs).
The stakeholders shall be mentored in use of the revised data collection and reporting tools e.g. OVC
register of services provided, child in-take form, monthly and quarterly data reports and targets. This is in
anticipation of their taking over the responsibility of on-site mentoring of CBOs to sustain project activities in
the long term.
IPHC shall also expand the role of its five provincial coordinators to include supervisory responsibilities to
the 23 CBOs implementing the OVC program. This shall strengthen IPHC project support to Caregivers and
help build sustainability.
Inclusion of disabled children: IPHC shall provide technical support to CBOs to identify marginalized groups
in the community e.g. disabled children under fives, child-headed and youth-headed households,
adolescent OVC. Currently some CBOs like Pholo Modi wa Sechaba in North West province are working
with disabled children but need guidance on identification and documenting them. To facilitate this IPHC
shall revise the data collection and reporting tools to include categories on disabled children. This shall
ensure that the OVC data tools are sensitive to the needs of marginalized OVC groups.
Palliative care: IPHC shall also link the CBOs to palliative caregivers to enhance support to all groups of
OVC, including the disabled, to ensure sustainable support.
ACTIVITY 2: Capacity Building/Technical Support
Fundraising: IPHC will build the capacity of CBOs through training, expanding networks and partnerships to
identify opportunities for fund raising. This will enable organizations to effectively and efficiently implement
integrated programs that are responsive to the needs of OVC at local level in a sustainable manner.
IPHC shall develop a fundraising strategy to assist CBOs raise funds to sustain their activities in support of
OVC. This shall be done through identification of local private or business, and government and civil society
organizations and engaging them. A draft fundraising plan has already been developed and some CBOs
have already started fundraising initiatives. The CBOs shall first be involved in the Management and
Organizational Sustainability Tool (MOST) training exercise to assess their current strengths and
weaknesses.
Child Status Index: To improve on quality of care to OVC, IPHC shall introduce the Child Status Index (CSI),
a tool that measures the quality and type of service provided to a child. IPHC is part of a country team
working with DOSD, Save the Children UK, University Research Council (URC) and Pact to develop and
pilot minimum standards tools for measuring the quality of service provided to OVC. A draft tool has already
been developed.
Electronic OVC database: IPHC shall setup an electronic OVC database through technical support from
partner NGOs and collaboration with the DOSD. IPHC shall assist CBOs to setup the same electronic
database at project sites once it has been piloted and approved.
Depression and psychotherapy: To meet the physical, emotional, mental and spiritual needs of the child,
IPHC shall prioritize training of Caregivers in child care and management, particularly focusing on
psychosocial support and child participation. The main areas of focus in psychosocial care training shall be
children's rights, succession planning (wills, memory boxes and memory books), stigma and discrimination,
counselling, including bereavement counselling and play therapy, access to social grants and involvement
of religious organizations in child care. The model of psychosocial care and support shall be through Child
Care Forums (CCFs), Child Drop-In Centres, support to households including child-headed households and
counselling and debriefing of caregivers to prevent burnout.
Caregiver retention strategy: To address the challenge of high attrition rates of Caregivers from the CBOs
IPHC project shall offer incentives like training opportunities and skills development in income generating
activities. Monitoring tools to track the number of Caregivers and type of training offered shall be introduced.
A major strategy to be adopted is the recruitment of men to improve male participation in CBOs, especially
as Caregivers. This shall help reduce the number of children per Caregiver/Volunteer and subsequently
improve the quality of care. Assertiveness training in CBOs shall be introduced to reduce vulnerability of the
orphaned girl child. The project shall facilitate this training and encourage CBOs to replicate the training
among other CBOs.
ACTIVITY 3: Coordinated OVC Care
Child care committees: IPHC shall assist CBOs to identify key stakeholders like DOH, DOSD, and CCFs in
the local catchment areas to act as child care coordination committees. These committees shall be
replicated at district and provincial levels. CBOs shall be assisted to identify or set up CCFs in the local
catchment areas. Some of the CBOs have already established links with CCFs in their local communities.
Inclusion of OVC in IDPs: IPHC-supported CBOs will advocate for the inclusion of OVC care and support
service into the Local Government's Integrated Development Plans (IDPs). The 23 NGO sub-partners will
be linked to the child survival activities through the Integrated Management of Childhood Infections (IMCI)
portion of the IPHC project implemented in conjunction with the Department of Health and other partners.
IPHC will ensure that OVC continue to be fully immunized through referrals by the 23 NGOs to nearby
Activity Narrative: clinics. The NGOs will also be encouraged to continue to monitor the weight of children, especially in the
light of HIV/AIDS, to enable early detection of children failing to thrive. Access to ARVs will continue to be
improved through facilitation of referrals of OVC to nearby health facilities that offer these services. In FY
2008 all 23 CBOs have reported successful referrals of OVC for ARV treatment.
-------------------------
SUMMARY:
Management Sciences for Health, Integrated Primary Health Care Project (IPHC), in collaboration with the
National Department of Health (NDOH), will continue to support the expansion of the orphans and
vulnerable children (OVC) program in 5 provinces of South Africa (Eastern Cape, Mpumalanga, KwaZulu-
Natal, Limpopo and North West).
The OVC activities supported aim to strengthen communities to meet the needs of OVC and their families;
supporting community-based responses, helping children and adolescents to meet their own needs and
creating a supportive social environment. The activities under this program specifically aim to assist OVC
with access to education, economic support, provision of food and or nutrition, legal assistance, healthcare,
psychological support and protection from abuse. The target populations for the activity are OVC and their
caregivers and people living with HIV. The major emphasis areas are in local organization capacity and
wrap around activities with child survival interventions that link the IPHC partner organizations to their
nearest clinics.
In FY 2007, IPHC increased the number of partner NGOs from 7 to 23 and they now include the following:
-Eastern Cape Province: Inkwanca Home-based Care, Ikhwezi Lomso Child & Family Welfare Society,
House of Hope Hospice, Ncedisizwe Home-based Care, Bonukhanyo Youth Organization.
-KwaZulu-Natal Province: Khanyiselani Development Trust/National Peace Accord, Sibambisene
Organization, Inkosinathi HIV/AIDS Project, Masakhane Women's Organization,
-Limpopo Province: Makotse Women's Club, Direlang Project, Makhuduthamaga Community Home-based
Care Organization, Lafata Home-based Care, Mohlarekoma Home-based Care,
-Mpumalanga Province: Zimeleni Home-based Care, Thuthukani Home-based Care, Sizanani Home-based
Care, Luncedo Lwesizwe Home-based Care,
-North West Province: Thibela Bolwetse Project, Botho Jwa Rona Home-based Care, Pholo Modi Wa
Sechaba Home-based Care, Winterveldt HIV/ AIDS Project, Progressive AIDS Project.
BACKGROUND:
This activity is on-going and continuing from activities initiated in FY 2006 and FY 2007. IPHC will be
working with NGOs and Community-Based Organizations (CBOs) that are implementing activities aimed at
improving the lives of OVC. All NGO/CBO activities are integrated into the plans of the Departments of
Health and Social Development. With FY 2008 PEPFAR funding, the IPHC will also establish and
strengthen the referral system between the NGOs and CBOs and, local municipality and health facilities to
increase access to health services e.g. provision of childhood immunization, pediatric HIV testing, clinical
monitoring and management of ARV therapy when necessary. IPHC has a wrap around child survival
activity at the health facilities surrounding these OVC organizations and will work to actively encourage and
support referrals between the CBOs and the health facility. IPHC and its sub-partners will strengthen
collaboration between the South African Police Services and Child Protection Units to report cases of abuse
and rape especially in child-headed households. IPHC will engage traditional leaders to raise awareness
and address the abuse of girl children in their communities.
ACTIVITIES AND EXPECTED RESULTS:
Using FY 2007 funds, IPHC managed to increase the number of NGOs providing care and support to OVC
from seven (7) to twenty-three (23) in the 5 provinces. As a result the number of OVC served surpassed the
set target of 10,000 for FY 2007. In FY 2008 the aim is to continue to increase the number of caregivers,
expand the services provided and increase the number of OVC that receive support. To achieve this IPHC
will build the capacity of NGOs and CBOs through training, expanding networks and partnerships, and
identifying opportunities for fund raising. This will enable organizations to effectively and efficiently
implement integrated programs that are responsive to the needs of OVC at local level.
IPHC will also increase the number of caregivers trained in psychosocial aspects of working with OVC,
including understanding their developmental needs and support requirements of children. IPHC will also
assist with the identification of accredited service providers to provide training to the NGOs on technical
aspects related to OVC care. Examples of such training include financial and project management, data
management and reporting, financial proposal development and fundraising. IPHC will work with the NGOs
that have crches and drop-in centers and raise their knowledge in relation to children's needs and rights, in
line with the guidelines of the Department of Social Development on early childhood development. The
trainings shall be at local district level in the five provinces.
It is expected that a total of 15,000 OVC shall be reached by end of FY 2008.This will be done through
specific training that will be conducted on child rights, child participation and memory work' with children.
With FY 2008 PEPFAR funding, IPHC will provide technical support to NGOs and CBOs to enable them to
provide a comprehensive package of care and support to OVC. The package includes support to OVC to
obtain birth certificates and identification documents; access social security grants; psychosocial support
that includes trauma, bereavement and basic counseling; emotional and spiritual support; counseling and
debriefing of caregivers to prevent burnout; referral to clinics and hospital for pediatric ARV treatment and
adherence; immunization; age appropriate messages on prevention of HIV infection; support for child-
Activity Narrative: headed households and protection interventions to prevent sexual abuse, rape, land grabs and provide
security of inheritance; access to life skills education; access to legal aid to prevent social neglect.
In FY 2008, IPHC will directly provide mentoring and technical support to NGOs in the areas of
administration, financial management and reporting, data collection, monitoring, evaluation and report
writing. A simple accounting and financial package, that is user friendly, will be provided to all NGOs trained
so that they can apply it in their financial reporting. The newly designed data collection and reporting forms,
registers and child in-take forms will be used in group trainings to build the skills of NGOs in data reporting.
All 23 NGOs shall be supported to develop a monitoring and evaluation system that has activity plans,
targets, simple indicators, outputs and outcomes and time-frames. This will be done through short-term one
week training sessions that will be followed up with on-site field visits by the technical advisor and provincial
coordinators.
ACTIVITY 3: Linkages and Networks
IPHC will facilitate partnerships between the 23 NGOs and other local organizations working with OVC in
order to encourage shared knowledge and learning. IPHC will also ensure that NGOs participate in the local
coordinating structures such as District AIDS Councils (DACs) to facilitate access to resources for OVC.
IPHC will also form Child Care Forums to ensure that OVC receive appropriate services and encourage
community protection of OVC. IPHC supported NGOs will also advocate for the inclusion of OVC care and
support service into the Local Government's Integrated Development Plans (IDPs). The 23 NGO sub-
partners will be linked to the child survival activities through the Integrated Management of Childhood
Infections (IMCI) portion of the IPHC implemented in conjunction with the Department of Health and other
partners. IPHC will ensure that OVC continue to be fully immunized through referrals by the 23 NGOs to
nearby clinics. The NGOs will also be encouraged to monitor the weight of children, especially in the light of
HIV/AIDS, to enable early detection of children failing to thrive. Access to ARVs will be improved through
facilitation of referrals of OVC to nearby health facilities that offer these services.
Continuing Activity: 13999
29508 29508.08 U.S. Agency for University of North 6563 1213.08 $1,600,000
International Carolina at Chapel
Development Hill, Carolina
Population Center
29507 29507.08 U.S. Agency for Engender Health 6514 5096.08 $414,774
29506 29506.08 U.S. Agency for Engender Health 6514 5096.08 $2,860,000
29505 29505.06 U.S. Agency for Family Health 12070 12070.06 APHIA II Rift $1,500,000
29503 29503.08 U.S. Agency for Catholic Relief 6505 5027.08 $30,000
International Services
29502 29502.06 U.S. Agency for Program for 12069 12069.06 APHIA II $900,000
29501 29501.06 U.S. Agency for Pathfinder 12068 12068.06 APHIA II North $220,000
29500 29500.06 U.S. Agency for Family Health 12070 12070.06 APHIA II Rift $296,000
13999 2950.08 U.S. Agency for Management 6681 255.08 TASC2: $400,000
7555 2950.07 U.S. Agency for Management 4463 255.07 TASC2: $400,000
2950 2950.06 U.S. Agency for Management 2644 255.06 TASC2: $225,000
Emphasis Areas
Health-related Wraparound Programs
* Child Survival Activities
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities $15,000
Economic Strengthening
Estimated amount of funding that is planned for Economic Strengthening $10,000
Education
Water
Table 3.3.13:
PEPFAR funds were allocated to VCT through the Integrated Primary Health Care Project (IPHC), a
ensure that activities are sustainable to the maximum extent possible. The VCT activities of MSH will be
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.14:
