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:
Activities conducted at identified sites include HIV counseling AND testing and concurrent HIV prevention
and marketing activities. Trend Setters* will undertake the HIV prevention and marketing activities include
placing banners, canvassing the area on foot, distributing pamphlets and invoking discussion with
pedestrians, conducting information education sessions on HIV and AIDS, projecting culturally appropriate
abstinence and be faithful (AB) messages, performing dramas about HIV and AIDS, establishing "post-test
clubs" and condom demonstrations/distribution.
Teenager programs (13 -18 years) will focus mainly on abstinence or delayed sexual encounter and
encourage those who are sexually active to pledge abstinence once again. In the programs for older youth
and adults, focus will be on encouraging them to pledge faithfulness to monogamous relationships and to
avoid cross-generational relationships.
BACKGROUND:
LifeLine Mafikeng is a non-governmental, non-profit, community-based organization affiliated to LifeLine
Southern Africa, which in turn is affiliated to LifeLine International. Affiliation is awarded annually based on
maintenance of standards, adherence to policy and procedures and acceptable performance in areas of
service. Operational since 1991, LifeLine focuses on counseling and crisis intervention services; provision
of life skills training; capacity building for community-based organizations; voluntary counseling and testing
and HIV prevention activities.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Prevention with Traditional Leaders
LifeLine will work with traditional leaders and the community to transform male norms and behaviors in
order to reduce violence and sexual coercion, which is rife in the community. Traditional Leaders will be
utilized as participants in workshops, and in training with respect to traditional healing procedures and
addressing cultural norms. They are an important sector and can assist with community mobilization and
promote prevention activities such as condom distribution.
ACTIVITY 2: Prevention with Farm Workers and Sex Workers
Sex workers and farm workers are vulnerable populations who have little access to health care and
information. These groups will be targeted with the mobile units and Trend Setters for HIV testing, referral
and information. Programs will include prevention and living positively programs to promote maintaining a
negative HIV status and living positively to ensure quality of life. Trendsetters will conduct regular meetings
with each of these groups to discuss issues such access to health care and sexually transmitted infections,
condom use and other prevention strategies. They may even be encouraged to form Post-Test Clubs to
promote prevention strategies and positive living.
ACTIVITY 3: Post-Test Clubs
Post Test Clubs (PTC) is a model used in Uganda THAT help people living with HIV and AIDS to cope with
infection, and in addition, helps HIV-infected and negative members adopt and maintain an effective
prevention behavior. Formation of PTC can assist in changing the social norms in support of HIV risk
reduction. (UNAIDS pub.20 1999). PTCs will be established at each of the partner community-based
organizations. The PTC aims to address issues of HIV prevention, stigma reduction and positive living while
also addressing issues of gender-based violence and cross-generational relationships. Multiple Wound
Phenomena will be addressed in the PTC environment as a strategy to mobilize communities to effect
behavioral change with respect to HIV and AIDS, domestic violence and-cross generational relationships.
HIV prevention activities emphasize fidelity, though these are balanced with abstinence messages,
especially those targeted towards youth, and condom promotion (i.e., correct and consistent use of male or
female condom) in order to reach as many people in the target audience as possible. Management will
ensure PEPFAR regulations are strictly followed.
ACTIVITY 4: Education and Marketing
Education and marketing is used to dispel myths and to ensure the right information is out there. These
activities enable people, who may have been unable to overcome fear or stigma, to encourage knowing
their HIV status, which ultimately can prolong or save their lives and possibly the lives of others.
------------------
Activities conducted at identified sites include HIV counseling & testing and concurrent HIV prevention and
marketing activities. Trend Setters* will undertake the HIV prevention & marketing activities include placing
banners, canvassing the area on foot, distributing pamphlets and invoking discussion with pedestrians,
conducting information education sessions on HIV&AIDS, projecting culturally appropriate abstinence and
be faithful messages, performing HIV&AIDS-related dramas and performances, establishing "post test
clubs" and condom demonstrations/distribution. Post Test clubs (PTC) is a model used in Uganda which
helps PLWHA's cope with infection and both HIV positive and negative members adopt and maintain an
effective prevention behavior. Formation of PTC can assist in changing the social norms in support of HIV
risk reduction. (UNAIDS pub.20 1999).
HIV prevention activities especially emphasize fidelity, though are balanced with abstinence messages,
Activity Narrative: especially targeted towards youth, and condom promotion (i.e. correct and consistent use of male or female
condom) in order to reach as many people in the target audience as possible. Management will ensure
PEPFAR regulations are strictly followed.
Education and marketing is essentially to dispel myths and ensure the right information is out there. These
activities enable people, who may have been unable to overcome fear or stigma to encourage knowing their
HIV status, which ultimately can prolong or save their lives and possibly the lives of others.
Teenager programs (13 -18) will focus mainly on abstinence or delayed sexual encounter and encourage
those who are sexually active to pledge abstinence once again. Programmes will include prevention and
living positively programmes to promote maintaining a negative HIV status and living positively to ensure
quality of life.
New/Continuing Activity: Continuing Activity
Continuing Activity: 22508
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
22508 22508.08 HHS/Centers for Lifeline Mafikeng 9691 9691.08 $250,000
Disease Control &
Prevention
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's legal rights
Health-related Wraparound Programs
* Child Survival Activities
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $250,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
SUMMARY AND BACKGROUND:
HIV prevention activities will especially emphasize fidelity, though they are balanced with abstinence
messages, especially targeted towards youth and condom promotion (i.e. correct and consistent use of
male and female condoms) in order to reach as many people in the target audience as possible.
Management will ensure PEPFAR regulations are strictly followed. Education and marketing is essentially to
dispel myths and ensure the right information is out there. These activities enable people, who may have
been unable to overcome fear or stigma to encourage knowing their HIV status, which ultimately can
prolong or save their lives and possibly the lives of others.
Lifeline Mafikeng will carry out three separate activities in this program area.
ACTIVITY 1: Outreach
Programs targeting teenagers aged 13-18 years will focus mainly on abstinence or delayed sexual debut
and will encourage those who are sexually active to pledge abstinence once again. In the programs for
older youth and adults, the focus will be on encouraging a pledge of faithfulness to monogamous
relationships and to avoid cross-generational relationships. Lifeline Mafikeng will also work with the
traditional leaders and community members to transform male norms and behaviors in order to reduce
violence and sexual coercion, which is rife in the community. Commercial sex workers and farm workers are
a vulnerable with little access to health care and information and will be targeted with the mobile units and
trend setters for testing, referral and information. Programs will include prevention and living positively
programs to promote maintaining a negative HIV status and living positively to ensure quality of life.
ACTIVITY 2: HIV Prevention Messaging
Activities conducted at identified sites will include HIV counseling and testing, along with concurrent HIV
prevention and marketing activities. Trend setters will undertake the HIV prevention and marketing
activities, which will include placing banners, canvassing the area on foot, distributing pamphlets and
invoking discussion with pedestrians, conducting information and education sessions on HIV/AIDS,
projecting culturally appropriate abstinence and being faithful messages, performing HIV/AIDS-related
dramas and performances, establishing "post-test clubs" and performing condom demonstrations and
distribution.
ACTIVITY 3: Post-test Clubs
Post-test clubs (PTCs) are a model used in Uganda which helps people living with HIV and AIDS (PLWHAs)
to cope with infection in which both HIV-infected and HIV-negative members adopt and maintain effective
prevention behavior. Formation of PTCs can assist in changing the social norms in support of HIV risk
reduction (UNAIDS,1999). Post test clubs will be established at each of the partner community-based
organizations (CBOs). The activities of the PTCs include addressing issues of HIV prevention, stigma
reduction and positive living while also addressing issues of gender-based violence and cross generational
relationships.
--------------------
Summary of Proposed Activities:
LifeLine North West Mafikeng Centre seeks to implement a mobile HIV counseling & testing unit, in the
Central and Bophirima districts of the North West Province, building on the experience of our Rustenburg
affiliate that operates in the Bojanala District of the North West Province. LifeLine Rustenburg is currently
funded by PEPFAR (2007) to implement the mobile VCT service in the Bojanala District.
The project addresses U.S.Government's HIV/AIDS objectives in South Africa by:
1) Improving access to and providing HIV counseling & testing services, 2) Implementing HIV prevention
activities by promoting the ABCs of prevention, abstinence, being faithful, sexual behavioral change within
the context of cultural norms, and correct and consistent male or female condom use, and 3) Improving the
quality of life of those infected and affected by HIV & AIDS..
Geographic Reach: Central & Bophirima Districts
The administration and management of the project is based at the LifeLine centre in Mafikeng while the
mobile units will service ten identified sites in the Central and Bophirima Districts, five in each
Districts.Bophirima is rural while Central is a mixture of urban and rural communities, 20% of the provincial
population (3.8M) reside in Central while 18% live in Bophirima however, Bophirima is the largest district
and the population is very dispersed.
Target Populations
The identified sites will be locations which are not adequately served by clinics and in which high barriers to
individuals' learning their HIV status remain. The sites identified are villages and farming communities that
are far from clinics and/or are generally serviced by mobile clinics intermittently. Population will everyone,
however more specifically farm workers, youth and the overall rural population.
Activity Narrative: Proposed Contribution to the HIV and AIDS and STI Strategic Plan for South Africa (2007 -2011) and
Operational Plan for Comprehensive HIV and AIDS Care, Treatment and Management for South Africa
The project contributes the strategic and operational plans through promotion of ; HIV Counseling and
Testing; care and support for HIV infected individuals and their families.
The project activities fall into three categories that are strongly interconnected in their implementation and
objectives. Firstly, a wide array of HIV prevention & marketing activities are designed to increase the
uptake of services, disseminate factual, comprehensive information on HIV&AIDS, and encourage behavior
that prevents HIV transmission. Secondly, the work of the mobile unit includes conducting HIV testing &
counseling at designated identified sites in the two districts, five per district. Lastly, LifeLine activities
involve intensive human & organizational capacity development, both within LifeLine and through activities
with six CBOs/FBOs with an additional two to be added in the second year.
HIV Prevention Activities (HVAB and HVOP)
especially targeted towards youth, and condom promotion (i.e. correct and consistent use of male or female
Activity 3: Community Mobilization
The community mobilization and outreach efforts seek to ensure that the general public receives the
necessary information targeted towards behavior change. The HIV prevention activities, conducted in the
area surrounding the hot spots which are visited bi-monthly will be conducted by community outreach
volunteers and trend setters. Education is provided in plenary sessions, as well as focus group education
and discussion. Education topics highlight behavior change; attitudes; cultural, legal, gender, alcohol and
substance in young people as a risk factor, and other issues; multiple partners; same sex partners; and
cross generational sexual partners. Special emphasis for persons not yet sexually active will be the pros
and cons of abstinence, benefits of later sexual debut, and one partner relationships. For persons already
sexually active emphasis will be on faithfulness, one partner relationships and secondary abstinence where
relevant. All prevention activities are target and language group sensitive i.e. each target group receives
relevant information and education specific to the age, culture or other dynamic of the group.
Continuing Activity: 22500
22500 22500.08 HHS/Centers for Lifeline Mafikeng 9691 9691.08 $250,000
* Increasing women's access to income and productive resources
* Reducing violence and coercion
Table 3.3.03:
The LifeLine North West Mafikeng Centre seeks to implement a mobile HIV counseling and testing (CT)
unit, in the Central and Bophirima districts of the North West Province, building on the experience of our
Rustenburg affiliate that operates in the Bojanala District of the North West Province. LifeLine Rustenburg is
currently funded by PEPFAR (2007) to implement the mobile voluntary counseling and testing (VCT)
service in the Bojanala District.
1) Improving access to and providing HIV CT services, 2) Implementing HIV prevention activities by
promoting the ABCs of prevention; abstinence, being faithful, sexual behavioral change within the context of
cultural norms, and correct and consistent male or female condom use, and 3) Improving the quality of life
of those infected and affected by HIV/AIDS..
The administration and management of the project is based at the LifeLine Centre in Mafikeng while the
mobile units will service ten identified sites in the Central and Bophirima Districts, five in each District. While
Bophirima district is rural, Central district is a mixture of urban and rural communities, 20% of the provincial
Target Populations:
Proposed contribution to the HIV & AIDS and STI Strategic Plan for South Africa, 2007 -2011 and
Operational Plan for Comprehensive HIV and AIDS Care, Treatment and Management for South Africa:
The project contributes the strategic and operational plans through promotion of HIV CT and care and
support for HIV-infected individuals and their families.
objectives. Firstly, a wide array of HIV prevention and marketing activities are designed to increase the
uptake of services, disseminate factual, comprehensive information on HIV/AIDS, and encourage behavior
that prevents HIV transmission. Secondly, the work of the mobile unit includes conducting HIV CT at
designated identified sites in the two districts, five per district. Lastly, LifeLine activities involve intensive
human and organizational capacity development, both within LifeLine and through activities with six
community based organizations (CBOs) and faith-based organizations (FBOs), with an additional two to be
added in the second year.
LifeLine adheres to the principle of voluntary counseling and testing (VCT) with informed consent and
upholding the strict confidentiality policy in line with South African law. LifeLine ensures each test-taker
receives a high quality pre- and post-test counseling session. Test-takers complete a brief evaluation form
upon completion. Those receiving an HIV-infected result are referred to the nearest health facility to their
home for medical attention and to a CBO/FBO in closest proximity for psycho-social support amongst other
services.
The referral system is a crucial aspect of these activities. When test-takers receive a positive result, they
are referred to two places by the counselor. They are referred to the relevant health facility nearest to their
home for ongoing CD4 and viral load checks, other medical attention, and the wellness program through the
public system, which enables eventual antiretroviral (ARV) treatment. The Department tracks people living
with HIV and AIDS in its wellness programs. Secondly, they are referred to the closest partner CBO/FBO,
who would provide services such as psycho-social and spiritual support, amongst others.
LifeLine will carry out out two separate activities in this program area.
ACTIVITY 1:. Mobile Counseling and Testing and Health Education Services
LifeLine uses two mobile units to reach high numbers of adolescents and adults in the Central and
Bophirima districts of the North West Province. One mobile will be based in Central district and the other in
Bophirima district. Each unit will be staffed with one professional nurse, two counselors and two trend
setters. Each unit will go out five days a week to hot spots (still be identified) in each district. Hot spots will
be areas of high transmission and farming communities which are under serviced. Each hot spot will be
visited on a weekly basis for approximately seven hours per day. The main aim of the mobile service is to
increase accessibility, referral to care and support services, create awareness, and provide education and
training to the community. The mobile units provide VCT services, offering a full range of VCT services as
well as prevention interventions. During the mobile visits, communities are educated on abstinence and
being faithful (AB) messages by the trend setters. Counselors are trained in gender-based violence (GBV)
and will monitor the impact of GBV on the women clients and refer them to relevant resources i.e. shelters,
police etc. Trend setters will conduct educational programmes to encourage behavioural change and stigma
reduction.
Activity Narrative: ACTIVITY 2: LifeLine Center
LifeLine center provides a counseling service and is a non medical VCT site with a nutritional supplement
programme. The activities are conducted by LifeLine community outreach volunteers and trainers and are
similar to those conducted in Activity three in the FY 2008 narrative. The non medical site is based in a high
transmission area (HTA) and commercial sex workers will be specifically targetted for prevention and health
care information. LifeLine works closely with two organisations that are male dominated and has focus
groups which we can utilize to diseminate information regarding specific issues such as GBV and cross-
generational relationships.
Continuing Activity: 22494
22494 22494.08 HHS/Centers for Lifeline Mafikeng 9691 9691.08 $250,000
Estimated amount of funding that is planned for Human Capacity Development $74,140
Table 3.3.14:
