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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
ACTIVITY 1:
Senzakwenzeke (SEKA) will provide support and monitor the already established Child Care Forums
(CCFs). CCFs are community-based structures focusing on meeting the needs of OVC. Through
collaboration with the Department of Social Development (DOSD) at the District level, SEKA will identify one
care worker to undergo Training (Master Trainer in the CCFs) by the DOSD. The Trainer will come and do
the train the trainee session in the organization, and at the municipality level SEKA will have 12 CCFs each
led by a Supervisor.
The Guidelines for mentoring are in line with the DOSD Policy Framework and National Plan of Action. The
role of the CCF is to ensure the identification of OVC, to be aware of the initiatives involving child care and
support, to create awareness of OVC issues, to assess OVC needs and ensure that the needs of OVC are
holistically addressed.
ACTIVITY 2:
In terms of workforce planning SEKA is planning to increase the numbers of care workers by adding 16 care
workers to the 63 to total at 79 Child Care Workers (CCWs) and 5 supervisors to the 12 for SEKA to reach a
total of 17 supervisors. This will help the organization to render a quality service to children. All Care
workers will be trained on how to address the special needs of the girl and boy child.
Promotion and retention strategy - SEKA selects supervisors from existing CCWs creating opportunities for
upward movement from within. Although SEKA is facing negative competition from local organizations that
offer better incentives in the form of stipends and attract most of the organization's trained care workers. For
example, the KwaZulu-Natal (KZN) Department of Health is paying the Community Health workers not less
than $142.90 compared to SEKA care workers who earn $114.3. To address this challenge, SEKA will
increase stipends by 10%.
Mentorship - SEKA will utilize induction activities to orientate new CCWs on job expectations and
procedures to ensure easy integration into the communities. Existing CCWs and Supervisors will assist new
ones. A refresher course for existing care workers will be focused on psycho-social support and counseling
using Regional Psychosocial Support Initiative (REPPSI) curriculum. New care workers will also be trained
with the REPPSI psycho-social support and counseling modules. Already trained SEKA in-house facilitators
will conduct the training.
Support of Caregivers: attention will be given to caring for care workers- an approach which also contributes
to the SEKA retention strategies. The University of KZN (Psychology and Humanities) will provide debriefing
sessions for 15 care workers per session, after an initial assessment by the University. This will be both
one-on-one and a group intervention.
ACTIVITY 3
This activity will reach especially vulnerable children - disabled children. CCWs will pay special attention to
identifying disabled children. SEKA will strengthen activities that meet the needs of OVC with disabilities
and their caregivers, providing special training to care workers to work with disabled children. The training
will be undertaken by CREATE.
ACTIVITY 6:
This activity utilizes a household-centered approach and prioritizes family and household care and reaches
especially vulnerable children aimed at making a measurable difference in their lives. SEKA care workers
will provide support to 105 OVC, from 15 child-headed households, teaching food gardening skills to
generate food for subsistence purposes. The food gardens are established at their homes and on protected
allocated community land. A once-off donation of seedlings is received from the Department of Agriculture.
SEKA has to supplement the donation with its own seedlings putting emphasis on producing a variety of
vegetables to provide for OVC nutritional needs. Food gardening is one of core activities that largely
contributes to OVC care and support; to enable scale up and create sustainable food gardening, care
workers who have undergone vegetable production training will transfer their skills to the OVC, especially
those from child-headed households. Using this approach, SEKA equips OVC with necessary skills to
enable them to sustain their lives after graduating from the PEPFAR program (above 18 years). This also
increases meaningful participation and ownership of the gardens among of the children; they are involved in
looking after the crops. Additionally, post-harvest food processing and storage activities will be included in
FY 2009. This will improve food security and equip caregiver with skills to store enough food.
-------------------------
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 orphans and vulnerable children (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, caregivers of OVC, community leaders, SA-based volunteers, and people living
with HIV and AIDS.
BACKGROUND:
Senzakwenzeke (SEKA) is a community-based organization operating in Nkandla Local Municipality, in the
Activity Narrative: Uthungulu District 28 in KwaZulu-Natal province (KZN). KwaZulu-Natal is the South African province with
the highest 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 924
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 2006, SEKA has expanded their OVC activities to three wards in the Nkandla
District. As of March 2006, SEKA has been able to provide services to 924 OVC. SEKA has established
strong links with the traditional leadership, 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 is 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.
SEKA will expand the program by mobilizing and training 25 new caregivers in the CCFs. They will be
linked to the 35 existing caregivers. These 35 caregivers will receive refresher training through a direct Train
the Trainers course. SEKA will ensure close monitoring and tracking of trained caregivers and their CCFs.
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 2008 SEKA will
recruit and train an additional twenty five OVC caregivers. During these training sessions Supervisors will
provide psychosocial support or debriefing sessions for the SEKA caregivers to share their concerns and
provide a forum to openly discuss what they see and experience in caring and supporting OVC.
ACTIVITY 3: OVC Care and Support
Through using the Sinomlando and REPPSI models, SEKA trains OVC on 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 are coping with the difficult situation in
their home environment. SEKA works with a number of partners in the Nkandla area, to assist with OVC
follow-up by observing resilience in the families that have benefited from memory boxes.
ACTIVITY 4: 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.
SEKA will continue to coordinate community-based outreach by Home Affairs to assist in fast tracking legal
documents for succession planning of the OVC (using mobile vans).
ACTIVITY 5: Strengthening Gender-Based Activities
SEKA caregivers work in and out of 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. Additionally,
SEKA caregivers will host sessions where boys and girls interact 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 Narrative: ACTIVITY 6: Food Gardens for Child-Headed Households
SEKA caregivers will 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.
Additionally, post-harvest food processing and storage activities will be included with help from the AED
Umbrella Grant Management Program.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13809
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13809 8259.08 U.S. Agency for Senzakwenzeke 6619 4759.08 $250,000
International
Development
8259 8259.07 U.S. Agency for Senzakwenzeke 4759 4759.07 $230,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
* Reducing violence and coercion
Health-related Wraparound Programs
* Child Survival Activities
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $6,760
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 $2,000
Economic Strengthening
Estimated amount of funding that is planned for Economic Strengthening $857
Education
Water
Table 3.3.13: