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:
Education Labour Relations Council (ELRC) has made the following enhancements to the COP 2008
narrative:
Activity 2: Training Peer Educators for Teachers Unions
While recruitment and training of master trainers and peer educators was conducted in the initial phase of
the project (FY2007-FY2008), in FY 2009 PEPFAR funds will be used to conduct audits of master trainers
and peer educators to identify where to replenish training resources. New testing procedures will also be
implemented to ensure consistency in the quality of training. At the end of each master trainer and peer
education workshop, participants will be required to take a test to demonstrate their knowledge of the
curriculum. Those master trainers and peer educators who do not have a satisfactory score will be
prioritized for refresher courses. Those who fail a second time will be removed from the project. New
training efforts will focus on the supervision and management of peer education services and the
development of advanced peer education skills. These advanced peer education skills will be needed as the
project evolves from merely raising teacher awareness about HIV and AIDS to addressing the social
attitudes that contribute to the spread of HIV like multiple and concurrent sexual partners. PEPFAR funds
will also be used in FY 2009 to develop a central database that stores contact information, test scores and
performance ratings of master trainers and peer educators to assist in the supervision of peer education
and outreach activities.
Activity 3: Community Mobilization and Outreach
The ELRC's Prevention Care and Treatment Access (PCTA) project's past mobilization efforts have
demonstrated that on-site outreach activities are the most effective method for delivering prevention
messages to adult educators. Support from principals is critical to conducting outreach activities at schools.
Consequently, the ELRC-PCTA will collaborate with the Department of Education to facilitate training of
school principals to sensitize them on the prevention, abstinence and being faithful curriculum, so that
principals will support peer education being conducted in schools. Working with principals and union
officials peer educators will use technology (DVDs on abstinence and being faithful (AB) messages) to
supplement face-to-face interactions with teachers during breaks and after school. Emphasis will be given
to those districts where HIV prevalence among educators is highest.
Beginning in FY 2008, the ELRC-PCTA will also coordinate with the Department of Education at the
national, provincial and district levels to conduct advocacy campaigns on AB prevention that address the
social norms that facilitate the spread of HIV among adults. Peer educators will develop linkages with
department of education representatives at the provincial and district levels so that they can share best
practices, lessons learned, coordinate mobilization events and harmonize prevention messages that
reinforce mutual monogamy.
------------------------------
SUMMARY:
This activity is a component of a comprehensive prevention education, care and treatment program for
small to medium enterprises (SMEs) with 20-200 employees and other workplaces in South Africa. It
includes activities in CT, Policy Analysis and Systems Strengthening, and Condoms and Other Prevention.
With an estimate of 12.3 million learners in South Africa, served by 386,600 teachers and more than 26,000
schools managing a response to HIV and AIDS across the education sector requires a comprehensive and
substantial effort. Efforts must include a focus on both learners and educators if the impact of HIV is to be
mitigated; and it must be recognized that any efforts focused on learners via the education sector cannot
succeed without educators also being addressed. The Education Labour Relations Council (ELRC) will
implement a comprehensive HIV and AIDS workplace program for the education sector of South Africa.
BACKGROUND:
ELRC is a statutory council which serves the South African education sector nationwide and is comprised of
the public sector, the national and provincial departments of education, the private sector and teacher
unions representing all primary and secondary public school educators. The ELRC works as an interface
between the Department of Education (DOE) and labor organizations for labor peace and a vision of
contributing towards the transformation and development of a quality South African public education
system. A 2005 Health of Our Educators Report found that 50% of all teacher attrition is linked to
complications of HIV and AIDS, resulting in 4000 teachers being lost each year due to AIDS. The general
prevalence rate among educators was found to closely parallel that of the national population with an
estimate of 12.7% of all DOE employed educators living with HIV. Based on the findings of this report and
with FY 2007 and FY 2008 PEPFAR funding ELRC will implement a country-wide project to educators living
with and affected by HIV and AIDS. The target group for this project is teachers, including those living with
HIV or those who have family members living with HIV. This is a workplace intervention with minor
emphasis areas in information, education and communication, community mobilization, and the
development of linkages and networks. A particular focus of this project is the greater involvement of
people with AIDS. ELRC will work with HIV positive teachers to ensure they can serve as role models to
fellow teachers and to learners.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Development of Workplace Prevention Education
PEPFAR funds will be used to support the development of a comprehensive education sector prevention
program targeting teachers and education sector union members. Funds will also be used to support
Activity Narrative: workplace prevention education programs targeting the health and education sector. With funding from
PEPFAR, these workplace programs will conduct training sessions for employers, senior management,
senior union leadership and employees on the basic facts of HIV transmission, prevention, and impact of
HIV and AIDS on the industry. Peer educators for unions in the education sector will receive ongoing
training on prevention (especially abstinence and being faithful), PMTCT, stigma and discrimination,
counseling and testing, palliative care, and access to treatment. The goal of the peer education is to
increase workers' knowledge about HIV and AIDS prevention, care and treatment with the purpose of
changing their attitudes and practices and modifying behavior to prevent HIV infections and reduce violence
and coercion (key legislative issue).
Activity 2: Training of peer educators for teachers unions
Working in nine provinces, peer educators from four teachers' unions will be identified and trained peer
educators. Training will focus on prevention, particularly AB messages. A structure will be set up to
support the peer educators and ensure quality assurance for the one-on-one interactions and community
mobilization activities that they will be expected to participate in.
Activity 2: Community Mobilization
The newly trained peer educators will reach teachers in their unions with AB prevention messages. The
focus of the AB messaging for teachers already involved in relationships will be the B component. The peer
educators will distribute IEC materials, organize mobilization events, campaign messages and conduct one-
on-one interactions with teachers and/or their families.
This activity will directly contribute to PEPFAR's goal of preventing 7 million new infections. These activities
support the USG Five-Year Strategy for South Africa by expanding and improving quality AB prevention
programs.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19442
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19442 19442.08 HHS/Centers for Education Labour 8682 8682.08 $550,000
Disease Control & Relations Council
Prevention
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Workplace Programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $194,013
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
ACTIVITY 1: Distribution of Male and Female Condoms
Participant reactions in training workshops indicate a real enthusiasm and genuine curiosity about female
condoms. In many instances, the Education Labor Relations Council Prevention, Care and Treatment
Access (ELRC-PCTA) workshop participants are exposed to female condoms for the first time. Given the
positive reactions particularly from female educators, in FY 2009, the ELRC-PCTA will increase its
procurement of female condoms. Union partners will also engage in campaigns to promote the use of
female condoms among their members. The ELRC-PCTA anticipates that the greater availability of female
condoms will increase usage among women and reduce reliance on male condoms, thereby promoting long
-term behavior change.
As such, the curriculum for master trainers will be expanded to include training on condom storage, supply
management and brand preference. Specifically, master trainers will be equipped with tools on tracking
defective condoms and strategies for selection of condom distribution sites. In addition, the training module
on prevention through other behavior change will be strengthened by adding peer education techniques on
how to identify high-risk behavior and how to transfer knowledge on condom negotiation. Building off of the
National Association of Trade Union's (NATU's) success in KwaZulu-Natal, the ELRC-PCTA will encourage
other unions to negotiate with provincial Department of Education (DOE) representatives on distribution of
condoms to learners 18 years and older.
-------------------
includes activities in CT, Policy Analysis and Systems Strengthening, and Abstinence and Be Faithful.
with FY 2007and FY 2008 PEPFAR funding ELRC will implement a country-wide project in all 9 South
African provinces to educators living with and affected by HIV and AIDS. The target group for this project is
teachers, including those living with HIV or those who have family members living with HIV. This is a
workplace intervention with minor emphasis areas in information, education and communication, community
mobilization, and the development of linkages and networks. A particular focus of this project is the greater
involvement of people with AIDS. ELRC will work with HIV-infected teachers to ensure they can serve as
role models to fellow teachers and to learners.
ACTIVITY 1: Distribution of male and female condoms
ELRC will work with its four sub partners to ensure that 150 physical sites in the education sector are
established to distribute male and female condoms. This will ensure that male and female teachers can
assess condoms in their workplace. In addition to condom distribution points, IEC materials will be
distributed focusing on correct and consistent condom usage and condoms as a HIV prevention strategy.
ACTIVITY 2: Development of Workplace Prevention Education
workplace prevention education programs targeting the health and education sector. With funding from
training on prevention, condoms as an HIV prevention strategy, PMTCT, stigma and discrimination (a key
legislative issue), counseling and testing, palliative care, and access to treatment. The goal of the peer
education is to increase workers' knowledge about HIV and AIDS prevention, care and treatment with the
purpose of changing their attitudes and practices and modifying behavior to prevent HIV infections and
reduce violence and coercion (key legislative issue).
ACTIVITY 3: Training of peer educators for teachers unions
Peer educators from 3 teachers' unions will be identified and trained peer educators. Training will focus on
Activity Narrative: all aspects of HIV prevention. A structure will be set up to support the peer educators and ensure quality
assurance for the one-on-one interactions and community mobilization activities that they will be expected
to participate in.
ACTIVITY 4: Community Mobilization
The newly trained peer educators will reach teachers in their unions with prevention messages. The peer
Note that for targets, the numbers of people reached with prevention messages are counted under AB
rather than OP.
Continuing Activity: 19446
19446 19446.08 HHS/Centers for Education Labour 8682 8682.08 $550,000
Estimated amount of funding that is planned for Human Capacity Development $205,425
Table 3.3.03:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAY:
ACTIVITY 1: Training master trainers and lay counselors
In FY 2008, the Academy for Educational Development (AED) will design and introduce a training module
on tuberculosis (TB) testing to supplement the existing training materials to ensure that master trainers and
lay counselors are skilled in the screening procedures for tuberculosis. In FY 2009, the scope of lay
counselor training will be expanded to provide accredited training on couple counseling. The purpose of
this voluntary counseling and testing (VCT) training will be to prevent transmission in serodiscordant
couples and promote fidelity among concordant negative couples. Potential lay counselors will also be
identified and recruited from experienced peer educators.
ACTIVITY 2: VCT services
Educator-specific incentives will be developed and distributed to encourage more testing at outreach
events. For example, pencil boxes featuring the Education Labour Relations Council Prevention, Care and
Treatment Access (ELRC-PCTA) logo and displaying, "I know my HIV status," will be available at peer
education workshops and union meetings.
ACTIVITY 3: Fostering linkages with treatment, care and support
Referral systems will be improved by monitoring and coordination of VCT services through the ELRC-PCTA
secretariat. The ELRC-PCTA will strengthen its relationship with its national treatment partner Tshepang
Trust, but also encourage unions to develop relationships with local VCT providers. Tshepang Trust will
also add TB screening to its menu of services and provide data regarding the number of educators
screened for TB.
ACTIVITY 4: Addressing stigma and discrimination
Union leaders will be trained in treatment literacy, stigma and discrimination towards educators and
learners. These union leaders will then be responsible for distributing information, education and
communications (IEC) materials focused on treatment literacy, stigma and discrimination as well as
conducting workshops to address these issues. The Department of Education national and provincial teams
will also receive induction training workshops in treatment literacy, stigma and discrimination.
------------------------
The voluntary counseling and testing (VCT) activity is a component of integrated service delivery activities
through the training of peer education and lay counselors in the workplace; and relates to activities in
prevention/abstinence and being faithful as well as condom distribution and sexually transmitted infection
program. This activity is a component of a comprehensive prevention education, care and treatment
program and activities are described in AB, Policy Analysis and Systems Strengthening, and Condoms and
Other Prevention. With an estimate of 12.3 million learners in South Africa, served by 386,600 teachers
and more than 26,000 schools managing a response to HIV and AIDS across the education sector requires
a comprehensive and substantial effort. Efforts must include a focus on both learners and educators if the
impact of HIV is to be mitigated; and it must be recognized that any efforts focused on learners via the
education sector cannot succeed without educators also being addressed. The Education Labour Relations
Council (ELRC) will implement a comprehensive HIV and AIDS workplace program for the education sector
of South Africa.
with FY 2007 and FY 2008 PEPFAR funding ELRC will implement a country-wide project in all 9 South
ACTIVITY 1: Training Master Trainers and Lay Counselors
Master trainers and lay counselors will receive training on rapid test protocols and VCT. The Master
trainers will be responsible for training lay counselors within their educational sector unions as well as
increasing the demand for and acceptance of VCT services.
ACTIVITY 2: VCT Services
Activity Narrative: This activity will provide access to VCT services for teachers and their families. Services will include
training, support and supervision of counselors. Peer educators within the education sector will promote
HIV counseling and testing as a strategy to prevent HIV. The peer educator will also raise awareness about
local community VCT Centers to increase the uptake and accessibility of counseling and testing. For those
who test positive, trained lay counselors will offer counseling on how to live with HIV, as well as strategies to
mitigate stigma and discrimination in the workplace and education sector.
ACTIVITY 3: Fostering linkages to treatment, care and support
ELRC will work with the implementing education sector unions providing VCT to ensure that linkages with
treatment, care and support services are established. ELRC will ensure, via the implementation of a
tracking system that all educators testing positive will be provided with referrals as needed. In addition, lay
counselors will work with the union to track educations who have been referred and to ensure that they
receive the services that they have been referred for. ELRC will develop a comprehensive provincial-based
directory of services. This directory will be geared towards educators and their families and will be
distributed via the union structures.
These accomplishments will directly contribute to the realization of PEPFAR's goal to prevent 7 million new
infections and provide care for 10 million people infected with HIV. These accomplishments also support
the prevention, care and treatment goals laid out in the USG Five-Year Strategy for South Africa.
Continuing Activity: 19516
19516 19516.08 HHS/Centers for Education Labour 8682 8682.08 $450,000
Health-related Wraparound Programs
* TB
Estimated amount of funding that is planned for Human Capacity Development $158,738
Table 3.3.14:
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
activities of the Education Labour Relations Council (ELRC) were not having significant impact and were
lagging behind in terms of targets. The committee recommended ending funding for this activity. Therefore
there is no need to continue funding this activity with FY 2009 COP funds.
Continuing Activity: 19529
19529 19529.08 HHS/Centers for Education Labour 8682 8682.08 $450,000
Table 3.3.18:
