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
SUMMARY:
The Solidarity Center, in cooperation with a consortium of partners, proposes to implement a five-year HIV
prevention initiative in South Africa called "Be Faithful, Be Tested, Be Union". The Solidarity Center's
project partners are EngenderHealth and four of South Africa's largest and most influential unions. These
unions are the National Union of Metalworkers of South Africa (NUMSA), the Police and Prisons Civil Rights
Union (POPCRU), Health and Other Service Personnel Trade Union of South Africa (HOSPERSA), and the
Congress of South African Trade Unions, Western Cape (COSATU-Western Cape). Over five years,
activities will be implemented in five provinces: Gauteng, Limpopo, and KwaZulu-Natal, Western Cape and
Eastern Cape.
BACKGROUND:
The project will directly expand access to HIV-related services to one million South Africans, with a focus on
prevention through promoting safe and healthy sexual behavior in HIV-infected and uninfected individuals
and improving access to counseling and HIV testing. Union members, their families and communities are
the target audiences. The "Be Faithful, Be Tested, Be Union" Project strategy focuses on prevention,
concentrates on workplaces, and enlists unions, businesses, and communities to dramatically increase HIV
prevention within these critical economic groups. The project will address three key HIV-related areas:
counseling and testing, behavior change through gender norm transformation, and HIV-related institutional
capacity building among the union partners.
The South African labor force, and thereby, businesses and the public sector, have been particularly hard
hit by HIV and AIDS, with a negative impact on productivity and business profits. Historically, South African
unions have been at the forefront of improving work and social conditions, not only for their members, but
for their communities as well. However, most trade unions and employers lack the capacity and direct
encouragement and support to create workplaces that offer HIV education, promote counseling and testing,
reduce stigma, and provide benefits and access to services for workers and their families living with HIV
and AIDS. This project will fill that gap in key workplaces.
ACTIVITY 1: Be Faithful, Be Tested, Be Union
The "Be Faithful, Be Tested, Be Union Project" will address the high rate of HIV and AIDS among South
Africans through a strategy that focuses on prevention, concentrates on workplaces, and enlists unions,
businesses, and communities. The project will assist four large and influential South African unions, and the
workplaces and communities in which their members labor and live, to achieve wide-reaching HIV
prevention outcomes. The project will address four critical HIV-related areas: counseling and testing, gender
norm transformation, workplace policy development and implementation, and increased institutional HIV-
related capacity through targeted technical assistance. Over the life of the five-year project, activities will be
implemented in five provinces. FY 2009 funding will ensure that activities reach Limpopo and Eastern Cape
provinces. All are areas of the country in which either the Solidarity Center or EngenderHealth have
previous program experience and/or in which the project's union partners have large memberships,
extensive field operations, and substantial employer contacts.
The project will benefit from the strength of project partners with proven South African experience in critical
areas, such as HIV and AIDS programming, gender norm transformation, social mobilization skills for
worker and community outreach, and workplace advocacy and policy negotiation. The Solidarity Center and
EngenderHealth have offices and ongoing HIV and AIDS programs in South Africa, as well as significant
experience managing PEPFAR and other U.S. government-funded programs. As a result, these
organizations are very familiar with HIV and AIDS technical areas and interventions, program
implementation and management of large-scale projects, reporting, grant regulations, and related issues.
The "Be Faithful, Be Tested, Be Union" Project will harness the trade unions' highly developed and effective
organizing and mobilization skills to address key elements of HIV prevention, as well as make use of union
infrastructure and networks at the local, provincial and national levels. The project will contribute to all four
key priority areas identified within the South African government's HIV & AIDS AND STI National Strategic
Plan, 2007-2011. These are: 1) prevention; 2) treatment, care and support; 3) research, monitoring and
surveillance; and 4) human rights and access to justice.
ACTIVITY 2: Gender Norm Transformation
Gender norm transformation among the primary target audience—male workers—is one of the project's
cornerstones. The project will assist union members in promoting faithfulness and partner limitation, as well
as other HIV prevention strategies, through gender norm transformation and skills-building techniques
based on EngenderHealth's Men As Partners (MAP) methodology. The MAP program is unique in allowing
men and women to participate in a reflective process that explores how gender inequities and rigid
messages about masculinity contribute to HIV, sexually transmitted infections, unintended pregnancy,
gender-based violence, violence against girls and boys, and other health and social-related problems. This
process employs a "transformative approach" that allows men to challenge harmful gender norms and
embrace alternative models of masculinity that support their own health and that of others. MAP uses
programmatic strategies at many levels to effect changes in men's attitudes, values and practices; employs
an ecological approach to individual and community behavior change; and reaches individuals at various
points in their daily life, including: workshops aimed at changing individuals' knowledge, attitudes and
behavior; community awareness raising events to mobilize men to take action in their own communities and
with their own families; Community Action Teams, a collective of gender activists promoting change in their
communities; sensitization sessions and skills-building workshops with the health-care sector to increase
men's utilization of HIV testing and care and other health services; collaborations with other non-
governmental organizations to build their capacity to implement equivalent MAP programs; and advocacy
efforts for increased governmental commitment to promoting positive and constructive male involvement.
These activities will involve implementing workplace programs centered on HIV prevention. In addition, by
Activity Narrative: focusing on men and gender norm transformation this activity will address gender imbalances that affect
sexual decision making and ensure that men and women are equipped with knowledge on how to protect
themselves from contracting HIV.
New/Continuing Activity: Continuing Activity
Continuing Activity: 22496
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
22496 22496.08 HHS/Centers for American Center 9634 9634.08 $200,000
Disease Control & for International
Prevention Labor Solidarity
Emphasis Areas
Gender
* Addressing male norms and behaviors
Workplace Programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Program Budget Code: 03 - HVOP Sexual Prevention: Other sexual prevention
Total Planned Funding for Program Budget Code: $32,460,904
Total Planned Funding for Program Budget Code: $0
Table 3.3.03:
The Solidarity Centre, in cooperation with a consortium of partners, proposes to implement a five-year HIV
prevention initiative in South Africa called "Be Faithful, Be Tested, Be Union." The Solidarity Centre's
Congress of South African Trade Unions-Western Cape (COSATU-Western Cape). Over five years,
activities will be implemented in five provinces—Gauteng, Limpopo, and KwaZulu-Natal, Western Cape and
and improving access to HIV counseling and testing. Union members, their families, and communities are
the target audiences. The "Be Faithful, Be Tested, Be Union" project strategy focuses on prevention,
hit by HIV/AIDS, with a negative impact on productivity and business profits. Historically, South African
reduce stigma, and provide benefits and access to services for workers and their families living with
HIV/AIDS. This project will fill that gap in key workplaces.
ACTIVITIES AND EXPECTED RESULTS:
Solidarity Centre will carry out two separate activities in this program area.
The "Be Faithful, Be Tested, Be Union" project will address the high rate of HIV/AIDS among South Africans
through a strategy that focuses on prevention, concentrates on workplaces, and enlists unions, businesses,
and communities. The project will assist four large and influential South African unions, and the workplaces
and communities in which their members labor and live, to achieve wide-reaching HIV prevention outcomes.
The project will address four critical HIV-related areas: counseling and testing, gender norm transformation,
workplace policy development and implementation, and increased institutional HIV-related capacity through
targeted technical assistance. Over the life of the five-year project, activities will be implemented in five
provinces. FY 2009 funding will ensure that activities reach Limpopo and Eastern Cape provinces. All are
areas of the country in which either the Solidarity Centre or EngenderHealth have previous program
experience and/or in which the project's union partners have large memberships, extensive field operations,
and substantial employer contacts.
areas, such as HIV/AIDS programming, gender norm transformation, social mobilization skills for worker
and community outreach, and workplace advocacy and policy negotiation. The Solidarity Centre and
EngenderHealth have offices and ongoing HIV/AIDS programs in South Africa, as well as significant
experience managing PEPFAR and other U.S. Government-funded programs. As a result, these
organizations are very familiar with HIV/AIDS technical areas and interventions, program implementation
and management of large-scale projects, reporting, grant regulations, and related issues. The "Be Faithful,
Be Tested, Be Union" project will harness the trade unions' highly developed and effective organizing and
mobilization skills to address key elements of HIV prevention, as well as make use of union infrastructure
and networks at the local, provincial and national levels. The project will contribute to all four key priority
areas identified within the South African Government's HIV & AIDS and STI Strategic Plan for South Africa
2007-2011. These are: 1) Prevention; 2) Treatment, Care and Support; 3) Research, Monitoring and
Surveillance, and; 4) Human Rights and Access to Justice.
as other HIV prevention strategies through gender norm transformation and skills-building techniques based
on EngenderHealth's Men As Partners (MAP) methodology. The MAP program is unique in allowing men
and women to participate in a reflective process that explores how gender inequities and rigid messages
about masculinity contribute to HIV, sexually transmitted infections (STIs), unintended pregnancy, gender-
based violence, violence against girls and boys, and other health and social-related problems. This process
employs a "transformative approach" that allows men to challenge harmful gender norms and embrace
alternative models of masculinity that support their own health and that of others. MAP uses programmatic
strategies at many levels to effect changes in men's attitudes, values and practices; employs an "ecological
approach" to individual and community behavior change; and reaches individuals at various points in their
daily life, including: Workshops aimed at changing individuals' knowledge, attitudes and behavior;
community awareness raising events to mobilize men to take action in their own communities and with their
own families; community action teams (CATs), which are collectives of gender activists promoting change in
their communities, sensitization sessions and skills-building workshops with the health care sector to
increase men's utilization of HIV testing and care and other health services; collaborations with other non-
Activity Narrative: governmental organizations to build their capacity to implement equivalent MAP programs; and advocacy
Continuing Activity: 22323
22323 22323.08 HHS/Centers for American Center 9634 9634.08 $600,000
prevention initiative in South Africa called "Be Faithful, Be Tested, Be Union." The Solidarity Center's
activities will be implemented in five provinces-Gauteng, Limpopo, and KwaZulu-Natal, Western Cape and
Solidarity Center will carry out two separate activities in this program area.
areas of the country in which either the Solidarity Center or EngenderHealth have previous program
and community outreach, and workplace advocacy and policy negotiation. The Solidarity Center and
ACTIVITY 2: Expansion of Counseling and Testing Services
The Union-Branded Counseling and Testing (CT) Promotion initiative will be implemented through a
combination of regular onsite testing at workplaces, CT campaigns, union public events, and the production
of union-branded information, education and communication (IEC) materials. The project will increase
access for union families to CT, provide quality HIV treatment and care referrals, encourage union leaders
and employers to reduce HIV and AIDS-related stigma and discrimination in the workplace and strengthen
overall union and business partnerships in response to the epidemic. Campaign canvassing teams, largely
comprised of recently laid-off workers, will be hired to implement grassroots outreach. The Solidarity Center
team will collaborate with both mobile and fixed CT service providers, including New Start to provide CT
referrals and onsite testing, as well as treatment and care referral services to workers and their families who
test positive. The project will develop a strong referral network and sign memoranda of understanding
(MOUs) with agencies providing assistance for people living with HIV and AIDS and their families.
These activities will involve implementing workplace programs centered around HIV counseling and testing.
By ensuring access to CT services for union members and their families, more union members will know
their HIV status and can be referred to treatment programs if positive. For those union members who are
negative, this activity will ensure that they are provided with enough information around staying negative. In
Activity Narrative: addition, by focusing on men and gender norm transformation this activity will address gender imbalances
that affect sexual decision making and ensure that men and women are equipped with knowledge on how to
protect themselves from contracting HIV/AIDS.
Continuing Activity: 22493
22493 22493.08 HHS/Centers for American Center 9634 9634.08 $200,000
Table 3.3.14:
