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:
SUMMARY:
The program will be implemented in at least eight provinces in South Africa. The program will be expanded
to South African Council on Alcoholism and Drug Dependence (SANCA) and LifeLine Southern Africa
centres on a national basis who have the capacity and agreed to provide voluntary counseling and testing
(VCT) services and also include non-governmental organization (NGO) partners who operate government
approved medical and non-medical sites. This VCT project is unique in the sense that it will focus its training
and activities to reach hard-to-reach populations, like couples, substance abuse persons, children,
adolescents and families. The selection of such partners will be coordinated with the provincial VCT
coordinators who do not receive other PEPFAR funding for VCT services.
Activity 2, Training, has been modified as follows:
Counselors will be trained on counseling couples, as well as counseling substance abusers, children,
adolescents and families. AED will sub-contract an accredited Health and Welfare Sector Education and
Training Authority (HWSETA) training provider to train counselors on accredited HIV training courses and
also submit a new developed training curriculum, together with the sub-contractor, to HWSETA for pre- and
post-test counseling, as per South African Qualifications Authority (SAQA) unit standard 252533. AED will
approach SANCA to share existing training material for substance abuse counseling and include it in the
new curriculum for refresher trainings. AED will arrange trainee assessments by the sub-contractor and
coordinate certification of successful candidates. During 2009/10, the project team will focus its activities on
technical assistance and partner support through on-site visits. Partners will be monitored and guided
following the VCT training workshops in 2008/09.
The AED training curriculum addresses sero conversion and the effect it has on test results. This aspect is
discussed in detail and forms part of the protocol when a negative client is counseled. Based on the client's
risk, the client will be requested to return for VCT again.
Negative clients will also be referred to support them in maintaining their HIV negative statuses. This can be
done by referring them to organizations that support a positive lifestyle like churches, sport facilities, etc. to
follow the ABC principle (Abstinence, Be-faithful and Condomize).Prevention of new HIV infections and the
identification of HIV negative clients remains as important as the referral and treatment of the already
infected clients. These clients will be requested to tests regularly and collect condoms as necessary.
Outreach to these specific populations through test events will become an important part of the project to
increase VCT access and to make communities aware of partner organisations' existence within their
communities who provide VCT and other essential community services and support.
AED will provide HIV rapid testing quality management systems training to professional nurses employed at
partner sites to ensure general quality control including quality assurance of testing services, through
coordination with the National Institute for Communicable Diseases (NICD).
Activity 3: Technical Assistance (TA)
Referrals, data management, procurement systems and VCT services will be strengthened through on-site
technical assistance and support by the project team. AED will develop and strengthen partnerships
between health-care facilities, district VCT coordinators and its NGO partner sites and the establishment of
effective links for referral. AED will further promote the usage of NDOH approved kits on tender and will
coordinate with provincial and district representatives on the supply of rapid test kits and possibly other VCT
commodities.
Based on a flat-line budget approval, each partner site will be visited on average 1.8 times in the year. All
40 partner sites will be visited during the first four months and at least 32 will receive second visits between
the sixth and eighth months of the financial year. These on-site visits will be doubled in the event of a 10%
increase in funding and an additional technical support person will be employed to assist the project team.
In addition, or as an alternative to TA visits, the project team will also provide telephonic assistance and
support by means of regular follow-up calls, as well as through e-mail communication. Monthly data
reporting will be evaluated to monitor on-site progress.
AED will focus on establishing non-medical sites at participating SANCA centres and promote VCT in
addition to their existing services. AED will promote and support outreach to communities through test
events, but also put emphasis on door-to-door visits and offering VCT to existing and new SANCA clients.
AED will link up with VCT activities of the Medical Research Council (MRC) especially SANCA sites in
KwaZulu-Natal.
Specific strategies will be developed and discussed with partner organizations to reach more men with VCT
services. Outreach events to workplaces and schools can ensure that more men are reached, or by offering
after hour VCT services and deploying more men counselors. More men will also be reached through
provisioning and promoting couple and family counseling on and off site. Outreach test events at malls and
pay points can play an important role in reaching men as a specific target.
As part of the technical assistance visits from year two onwards, a certain set of operational questions will
be developed as an on-site checklist in collaboration with the Centers for Disease Control and Prevention
(CDC) to monitor the impact of program implementation during the full period of the project. This data will be
processed after each visit.
Activity Narrative: The initial assessment data, which will serve as baseline data, will be compared to the technical assistance
data which will be collected during each on-site visit. The program impact will be evaluated as the project
continuous.
AED will support outreach events in collaboration with partner organizations based on planned activities and
through on-site technical assistance and possible attendance of the events where possible.
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The Academy for Educational Development (AED) in partnership with South African Council on Alcoholism
and Drug Dependence (SANCA) and Lifeline along with a host of collaborators, seek to build on its success
under the community voluntary counseling and testing program previous funded by PEPFAR. AED will
collaborate with some of the same organizations and networks providing a mix of training along with several
strategic testing events seeking to capture clients who may visit service outlets. The program will be
implemented in four provinces.
BACKGROUND:
AED proposes to build upon a previous program to expand counseling and testing (CT) in South Africa that
was funded by PEPFAR until FY 2006.
ACTIVITIES AND EXPECTED RESULTS:
Activity 1: Outreach and HIV testing
This activity will be implemented through enhancing current CT sites and creating selected new sites,
especially in organizations with proven outreach to at-risk and underserved populations. AED will work with
Lifeline and align its activities with the its workplace prevention program to hold testing days at selected
worksites. AED will also support linkages to SANCA' s home visiting counselors with CT counselors to
support family testing. SANCA clients who have alcohol and drug dependency problem will all be offered
HIV testing by their counselors and this will be extended to their family members.
AED will hold testing events at locations frequented by youth and adolescents. Prior these events AED will
conduct community campaigns targeting youth and adolescents.
Activity 2: Training
AED will train staff from SANCA who work with high risk populations on HIV counseling and testing.
Refresher courses will be held for all other counselors. Counselors will be trained on couple HIV counseling
and testing.
All of the above activities will contribute towards meeting PEPFAR's 2-7-10 goals.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19513
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19513 19513.08 HHS/Centers for Academy for 8710 8710.08 $722,000
Disease Control & Educational
Prevention Development
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $46,845
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.14:
