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 WAYS:
ACTIVITY 5: Youth Friendly VCT
During the last two years, Life Choices has made mobile voluntary counseling and testing (VCT) available
to the high schools by networking with a highly qualified institution and PEPFAR partner, New Start (Society
for Family Health). At the end of 2007, Life Choices was pleased to receive another grant from PEPFAR
that will insure the establishment of Life Choices' own mobile VCT clinic, offering HIV testing, TB screening
and support services. In FY 2008, Life Choices will not have indirect results under this grant. Instead, direct
results will be reported under the new grant managed by CDC.
ACTIVITY 6: Monitoring & Evaluation
Life Choices staff is monitored on an ongoing basis by two coordinators. Surprise and supportive visits are
conducted in all Life Choices sites in order that feedback reports are produced to feed back to
management. Life Choices staff is also accountable to school management teams. School staff monitors
Life Choices work and they provide feedback to Life Choices Management about how the activities are
running in their schools (i.e., strengths and weaknesses). With the feedback gathered from different
sources, Life Choices management is able to make informed decisions about staff training needs;
programmatic changes and development; and staff appraisals and incentives.
Life Choices' Peer Educators are also supervised on a weekly basis by the Life Choices Trainers. Trainers
and school educators monitor peer education activities in schools, as they provide support to peer
educators in order to conduct quality peer activities.
Life Choices will continue conducting focus group discussions and annual knowledge, attitude and practice
surveys to follow up on behavior change resulting from the program and to inform new developments in the
program methodology.
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SUMMARY:
Life Choices is one of the implementing organizations that run the Western Cape Peer Education Program
for the Departments of Education and Health. Life Choices was the first organization integrated in this
program that was not funded by the Global Fund or Conditional Grants. Life Choices is also a founding
member of the Western Cape Youth Peer Education Association. This association aims to provide quality
standards and ensure sustainability of the provincial peer education program. The Life Choices Program
aims to reach young people with a powerful abstinence and be faithful (AB) message early in their lives, and
to change social norms (gender roles, violence, discrimination, etc.). The intent of the program is to reach
56,000 young people in a period of four years. Life Choices believes in providing a quality Life Skills
Program combined with a structured Peer Education Program to youth that will help them to maintain or
change behaviors. In order to create a supportive environment around youth, Life Choices also run
programs with the stakeholders in their lives - teachers and parents. Each year Life Choices chooses
different themes in order to ensure that youth aged 10 -14 delay sexual debut, older youth 15 -24 practice
secondary abstinence and those who are sexually active stay faithful to one partner, know their HIV status
and are given full information on consistent and correct use of condoms. Some of the themes that Life
Choices uses are - 'True Love Waits,' 'Spread Love not Gossip,' 'NO, I value LIFE,' 'I am the choices I
make,' among others. The emphasis area for this activity is gender and human capacity building. The target
population is adolescents, teachers, religious leaders and most at risk population which will include the
street youth, persons who engage in transactional sex, but who do not identify as persons in sex work and
incarcerated populations.
BACKGROUND:
The Life Choices Program was launched in FY 2005 in the Western Cape with the support of PEPFAR.
Three main communities were selected by the Western Cape Department of Education: Athlone, Delft and
Mannenberg. The schools within these three communities are the main target for the Life Choices Program
and became the base for program activities. Life Choices brought a comprehensive program that aimed to
change social norms (with components on HIV and AIDS, self-worth, gender, violence, and substance
abuse) to 11 high schools and 10 primary schools. Besides these three communities, Life Choices also
reaches youth around Cape Town in 'Street Youth' Shelters, churches and in one correctional center. The
Western Cape Departments of Health and Education coordinate the Life Choices school activities. Once a
month Life Choices meets with the Government and reports back about the monthly activities and quarterly
written reports are also submitted.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Training of Trainers - Human Capacity Development
In FY 2008, 18 trainers (nine women and nine men) will be trained on an ongoing basis in order to increase
the quality of their service delivery. Four major trainings will be organized during the year. These activities
will build on last year's success in counseling, and parental and facilitation training skills.
ACTIVITY 2: Development of Behavior Change Communication Materials
Behavior Change Communication (BCC) materials on Abstinence, Be faithful and gender issues will be
finalized and field tested in FY 2007. These materials will include pamphlets and other media, and will
comprise topics related to Life Choices messages (self-worth, reproductive health, relationships, gender,
violence, coercion, teen pregnancy, substance abuse, etc.). Furthermore, these materials will also need to
be approved by the Western Cape Government, and teachers' and parents' associations. Once the
Activity Narrative: approval has been obtained, the BCC materials will be used to reinforce the message around changing of
social norms which discourages gender violence and coercion of young women and girl children and
address issues of cross generational sex and multiple concurrent partnerships in an interactive way during
the delivery of the program. Some of the AB and gender materials will be given to the youth for free and
they will be distributed by Life Choices facilitators, Peer Educators, teachers and church leaders.
ACTIVITY 3: Delivery of the Program to the Salesian -Based Centers
The Life Choices program will continue to implement Life Skills in the Correctional Center targeting high risk
groups with behavior change activities. The work with Parish Youth Groups will also be maintained.
Unfortunately last year, Life Choices did not achieve its goal of training 30 parish youth leaders. In FY 2008,
Life Choices continue training youth leaders. These youth leaders will work in male-female pairs to reinforce
and enhance their status as role models to their peers. They will also receive additional training to ensure
that they are well informed to reinforce the AB message. Each pair of youth leaders will reach 50 youth in
their respective parishes.
ACTIVITY 4: School-Based Program
In FY 2008, Life Choices will continue to work in the 12 high schools where service are already established
and will expand to an additional two high school. The program will also continue in the ten primary schools.
FY 2008 expansion activities in primary schools will include targeting youth in the lower grades (Grades 4,
5, 6 and 7) and providing them with abstinence messages. In addition, a Health Promotion Program will be
initiated in high schools and primary schools where health services will be made available to school
learners. These include comprehensive health screening like TB screening, voluntary counseling and
testing, reproductive health services to provide an integrated prevention package.
Youth will be trained on an ongoing basis to become role models, to educate their peers in informal and
formal ways, to identify and refer peers with problems, and to advocate for change. Youth camps will be
organized to ensure the value, accuracy and consistency of the message given by the peer educators to
their peers. All the target schools will also continue with the Life Skills program that will reach learners. In
FY 2008 the Life Choices program will continue working with teachers by conducting quarterly workshops.
Expansion activities for FY 2008 include the implementation of a parent program. Both programs will aim to
improve teacher/parent-teen communication and to create a safe environment for positive behaviors among
youth.
ACTIVITY 5: Youth-Friendly VCT
The Life Choices Program, in agreement with New Start (a PEPFAR partner), will continue providing youth-
friendly VCT at designated schools via voluntary counseling and testing (VCT) mobile centers. The program
will continue organizing VCT campaigns in high schools where youth above 14 years of age will be
encouraged to test for HIV. These campaigns are used as powerful prevention tools. In a country where
very few HIV-infected people know their status, it is essential that ongoing VCT campaigns are organized in
the communities targeted by the program. New Start and Life Choices will continue establishing referral
networking systems for youth who need further support, including those who are HIV-infected, have been
abused, or are sexually active.
This Salesian Mission activity will contribute to PEPFAR achieving the overall goal of averting seven million
new HIV infections.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13802
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13802 3053.08 U.S. Agency for Salesian Mission 6614 507.08 $0
International
Development
7549 3053.07 U.S. Agency for Salesian Mission 4461 507.07 $70,298
3053 3053.06 U.S. Agency for Salesian Mission 2685 507.06 $771,484
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Reducing violence and coercion
Health-related Wraparound Programs
* TB
Human Capacity Development
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 $156,226
Water
Table 3.3.02:
