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 1: (a) HwwSA will increase the participation of schools in the community. An internationally
recognized tool, the UNDP's Community Capacity Enhancement (CCE) program will be used. Most
community methodologies focus on awareness raising and discussion; CCE focuses on interactive dialogue
on the epidemic's deeper causes (e.g., power relations, gender issues, stigma or discrimination) and,
through a facilitated process, community decision-making and action. New activities will include consultation
with community stakeholders including the school governing bodies, school learners, teachers and parents;
community mapping with stakeholders; facilitation of focus group discussions to assess HIV competence;
facilitation of community conversations to identify issues in the school setting; participatory planning
workshops to address concerns; facilitation of access to community resources; and working sessions to
refine initial plans and strategies for the school. The revised strategy should benefit 20 schools in 4
provinces reaching an estimated 30,000 individuals with abstinence and be faithful (AB) interventions.
(b) The peer education (PE) training target will increase by a third. Measuring the quality of interventions
and tracking behavior change outcomes will be emphasized. The PE model will be implemented in
collaboration with Harvard School of Public Health and the Centre for the Support of Peer Education
(CSPE). The Rutanang model will be used, which dictates ten standards for PE, namely, planning,
mobilizing, supervisor infrastructure, linkages, learning program, peer education infrastructure,
management, recognition, monitoring & evaluation and sustainability. These standards will ensure that key
PE roles are executed and that significant life skills are developed, including decision-making; access to
and empowerment to facilitate peers' access to counseling and testing; and strengthening civic virtue to
address issues fuelling the HIV pandemic among youth. One component of HwwSA's PE program is being
evaluated at Donaldson Primary School in collaboration with the Human Sciences Research Council
(HSRC), CSPE, and CDC. The study runs from September to November 2008 and aims to interview one of
the Community Action Teams (CAT). CATs are comprised of 8 peer educators (between the ages of 15-19)
who facilitate two OVC groups consisting of 30 participants per group. The evaluation will provide
information on the quality and effectiveness of the PE model. It will also inform program development for FY
2008 and FY 2009. In addition, a national post-assessment evaluative study is scheduled to take place at
the end of September with youth in the PE program. This evaluative report will be compared to the baseline
evaluation KAP study conducted in the inception of the program with the same target group.
ACTIVITIES 1-3 have been modified to address the 50% decrease in funding for FY 2009, from $ 1,455,000
in FY 2008 to $701,750 in FY 2009. The following cuts will be made: 100% in capital expenditure, 100% in
Social Researcher salary (HR), 100% for the Impact Evaluation Study, and the travel budget will be
decreased to accommodate the budget cut. This will not compromise the quality of service delivery as
systems will be put in place to maintain and enhance quality approaches. Service delivery sites will not be
cut, but FY 2008 plans to expand to Limpopo will be delayed until further funding can be leveraged.
HwwSA will not employ new staff on permanent contracts, but current staff will be maintained and carried
through FY 2009.
ACTIVITY 4: Due to budget limitations, HwwSA will not provide a sub-grant to GATEWAY International in
FY 2008 and 2009. Instead HwwSA will provide organizational capacity development through mentoring
and training, which will allow GATEWAY to transition from sub-grantee to self-sufficient partner. Creative
Concept Mapping (CCM) will be used to assist GATEWAY with capacity building and sustainability. CCM
identifies factors influencing individual's life and determines behavior by mapping the relationship between
factors. HwwSA will be trained on, and partner with organizations who implement this tool, including Holistic
Soul-Body Institute. Mentoring GATEWAY will take the form of monthly partner meetings with project
coordinators, to monitor the implementation of AB Community outreach activities including, training PEs,
forming CATs, CCE and the CCM. In addition, quarterly site visits will be conducted and training on good
governance, facilitation skills, strategic planning, as well as guidance on program development will be
provided.
The goals of the HIV & AIDS and STI Strategic Plan for South Africa, 2007-2011 (NSP) include reducing the
number of new infections by 50%; reducing the impact of HIV and AIDS on individuals, families and
communities by expanding access to appropriate treatment, care and support to 80% of all diagnosed with
HIV. The NSP states that young people aged 15-24 years be the focus of all interventions, especially
behavior change prevention. A priority intervention is prevention. The NSP recognizes that keeping HIV
negative people negative is the most effective and sustainable intervention. HwwSA's AB prevention
intervention is aligned with the NSP as it partners with other prevention programs in South Africa to offer a
comprehensive package to communities at risk of HIV. Key activities include training PEs in comprehensive
life skills. Moreover, other prevention activities include the CCE (involving community members). Lastly,
youth aged 15-24 years are emphasized.
Gender activities will be incorporated into the school programs to ensure that youth are reached in a
controlled and conducive learning environment. Gender and leadership camps will increase awareness of
gender-based violence as gender is mainstreamed in all of HwwSA's programs to reach more boys and
vulnerable girls. The Men as Partners (MAP) component of the program is a community-based intervention
that aims to reduce violence and coercion as men are trained as PEs. A life skills gender-based curriculum
is used to promote gender sensitivity and healthy lifestyle behaviors.
-----------
SUMMARY:
HOPE worldwide South Africa (HWSA) will continue activities in abstinence and being faithful (AB) to
support the expansion of a comprehensive HIV prevention program through a skills-based, gender-focused
program for young boys and men and the promotion of AB messages for young people within designated
communities.
The activity targets children and youth (both in- and out-of-school), adults, parents, teachers, religious and
community leaders, mobile populations and non-governmental organizations (NGOs). The emphasis areas
Activity Narrative: for the project are gender addressing male norms and behaviors, reducing violence and coercion and
human capacity development. The target populations are adolescents and adults.
BACKGROUND:
The FY 2008 funded activities are part of an ongoing HIV prevention program of HWSA, funded by
PEPFAR since 2003. HWSA will continue its programs in Gauteng, KwaZulu-Natal, Western Cape and
Eastern Cape provinces to promote and strengthen abstinence and faithfulness prevention behaviors within
its community outreach efforts that include communities of faith. With FY 2008 funding, HWSA will expand
to new areas, and in particular to peri-urban and rural areas in South Africa, where the HIV prevalence is
high. HWSA has reached 300,000 individuals with A and AB messages through 32 faith-based
organizations (FBOs) and 73 schools, and other community-based awareness campaigns in 26 clinics and
hospitals through support groups. The HWSA prevention program is aligned to the South African
Government's (SAG) prevention strategy in its promotion of abstinence, fidelity and the correct and
consistent use of condoms (ABC) for sexually active youth at risk and older youth.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: AB Community Outreach
HWSA's AB program follows a standard Peer Educator model of training small groups of change agents,
through age-appropriate activities, to impact their immediate and broader communities. The first part of the
activity entails the establishment of an abstinence-based program for youth aged 10-14 years who have not
initiated sexual activity. The program educates children on the basic facts about HIV prevention and AIDS,
addresses stigma and discrimination and how to avoid and report abuse. The second part of the activity will
be targeted at the 15-24 year old age group and will establish an abstinence and fidelity-based approach
(AB) focusing on HIV prevention messages and AIDS awareness, the importance of abstinence in reducing
the transmission of HIV, the importance of delaying sexual activity until marriage, the development of skills
for practicing abstinence, and where appropriate secondary abstinence, personal self-esteem, the reduction
in the number of sexual partners, the importance of mutual faithfulness in reducing HIV transmission,
dangers of alcohol and substance abuse and the importance of HIV counseling and testing. The activity will
reach youth through school programs, faith-based organizations, recreational activities, health care services
and the workplace. HWSA will expand its services to new areas and focus on improving the quality of the
services offered based on lessons learned using PEPFAR funding. Key areas to be addressed include the
need to incorporate components on culture and personal leadership into the AB program
The HWSA program will also target out-of-school youth through youth clubs, community-based
organizations and sports groups. HWSA will provide full information regarding the correct and consistent
use of condoms and refer youth at risk of HIV infection to condom outlets and health facilities where
necessary as a way to reduce the risk of HIV infection for those who engage in risky behaviors. This
element of the program will be closely linked to HWSA's OP activity.
ACTIVITY 2: Men as Partners (MAP)
HWSA's MAP program is part of the national Men as Partners network initiated by Engender Health. The
MAP program creates community commitment and involvement in the reduction of violence against women
and children, community interventions that will challenge male norms and behavior about masculinity, early
sexual activity, multiple sexual partners and transactional sex for boys and men and will establish new
norms. FY 2008 funding will support school-based violence prevention programs, promote abstinence and
the development of skills for practicing abstinence and skills training for peer educators to promote HIV
counseling and testing. The MAP program will continue to build its public-private partnerships (with Coca
Cola, South African Airways and the National Department of Arts and Culture), which provide corporate
funding for workplace MAP workshops and awareness activities in the communities adjacent to these
companies. The MAP program will be modified to be age-appropriate for school children and older youth
reached by the school-based program. MAP project will focus on educating both young and older men to
respect and protect the rights of women and girl children. Lessons learned through program implementation
indicate the need for as a greater emphasis on gender issues in particular the vulnerability of girls and
young women and discourage sexual abuse, violence and coercion of women and girl children.
The activity will target young men aged 15-24 years and their communities. PEPFAR funding will be used to
maintain current staff of three coordinators, and eight peer educators.
ACTIVITY 3: Parent Empowerment
HWSA will scale up its Parent Empowerment program with FY 2008 funding. This activity started in FY
2006 and has been progressively scaled up in FY 2007. The need to scale up this activity and to empower
and capacitate parents, caregivers and guardians with skills to interact with children and youth about
sexuality and to create an enabling environment for AB messages has become increasingly evident over
the last program year. The scaling up of this activity will involve more sessions on personal growth; enhance
self awareness, personal values, and parenting skills. In addition much of the focus will be placed on
creating spaces where both youth and parents/caregivers are able to interact. Camps, child-parent days
and joint campaigns of youth Community Action Teams (CATs) and parent CATs will form a key part of this
component of the activity. Target audiences for this activity include parents of youth involved in the A
activities, members of FBOs and adults from the communities at large. The activity will also be linked to the
OVC program with a focus on empowering parents and guardians in vulnerable households and working
with granny-headed households. The practice and role-modeling of fidelity or partner reduction that forms a
part of the parenting activity will contribute to the number of beneficiaries reached through the indicator for
number reached with community outreach HIV prevention promoting AB. This activity will build on work
done with FBO networks and school governing bodies in FY 2007.
Activity Narrative: ACTIVITY 4: Sub-grant to Gateway for AB Prevention for In-school Youth
HWSA's new partnership with Gateway, an NGO working in rural communities of South Africa, will assist in
scaling up AB activities in areas where HWSA does not currently operate. As Gateway works predominantly
in schools with in-school youth, these activities will focus on including AB peer education, AB MAP activities
and the mobilization of Community Action Teams. The program will be expanded to new areas in Limpopo
Province (Musina, Duiwelskloof, Makhado, Lephalale, Modimolle, Bela-Bela, Vaalwater), North West
(Klerksdorp), Free State (Riebeekstad, Kroonstad, Welkom, Odendaalsrus, Ventersburg), KwaZulu-Natal
(Utrecht, Newcastle), Mpumalanga (Volksrust) and Northern Cape (Kimberly and Douglas). These
provinces have a high HIV prevalence according to the Human Sciences Research Council (HSRC)
research study. This strategic partnership will enable HWSA to expand its capacity to work in additional
areas through providing human resources and utilizing Gateway's established links and track record in the
new communities. HWSA will train Gateway staff on its Peer Education, AB and MAP curricula and provide
mentoring and coaching on a regular basis. This partnership will build on Gateway's success for 2006 in
which 338,464 individuals were reached. Gateway's work with youth has been funded by SAG grants and
other corporate sponsors.
These HWSA activities will contribute to the PEPFAR objectives of averting 7 million infections, and support
the USG PEPFAR Five-Year Strategy for South Africa by improving AB HIV prevention behaviors among
youth and adults.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13959
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13959 3302.08 U.S. Agency for Olive Leaf 6669 2803.08 $1,455,000
International Foundation
Development
7607 3302.07 U.S. Agency for Olive Leaf 4485 2803.07 $900,000
3302 3302.06 U.S. Agency for Olive Leaf 2803 2803.06 $900,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
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.
PEPFAR funds were allocated to scale up Hope worldwide (HWW) South Africa activities in other
prevention activities specifically in prevention with positives and condom education. HWW will continue its
prevention activities with a specific focus on abstinence education at both primary and secondary schools.
HWW will continue to implement the other prevention activities specified in the FY 2008 COP and these will
be completed according to schedule in 2008. The outcome of the PEPFAR South Africa Interagency
Partner Evaluation was that HWW should focus only on AB, where they have a strong program, but not to
continue support HWW in Other Prevention. Therefore there is no need to continue funding this activity with
FY 2009 COP funds.
Continuing Activity: 13960
13960 12323.08 U.S. Agency for Olive Leaf 6669 2803.08 $48,500
12323 12323.07 U.S. Agency for Olive Leaf 4485 2803.07 $50,000
Table 3.3.03:
ACTIVITY 1 (Support Group Mechanism):
A) Hope worldwide South Africa's (HwwSA) 10 week 'Living with Hope' education series has been revised
based on input received from people living with HIV (PLHIV) support group members and support group
coordinators. Prevention with Positives, Parenting skills, and Therapeutic Measures for Self Care topics will
be added to the series.
The HwwSA-adapted Nutritional Guideline will be implemented during FY 2009. Topics on Nutritional
Education which will also be included in the series in line with the guidelines. Topics that will be included
are: energy requirement of PLHIV and pregnant woman infected with HIV; food and safety
recommendations; recommendations for treatment; and management of opportunistic infections and ART
side effects.
The education program has now been extended to 15 weeks. PLHIV will meet once a week with HwwSA
support-group coordinators. Coordinators will continue to facilitate the sessions in an interactive manner,
covering a range of topics relevant to HIV and AIDS. A pre- and post-questionnaire will be used to evaluate
the effectiveness of the series and its impact on participants.
B) HwwSA will pro-actively facilitate income generating partnerships between the private sector and the
support group members who have already graduated from the 'Living with Hope' education series and
formed their own support groups ('open' support groups). Support from the private sector will contribute to
sustaining income generating activities established within the 'open' support groups.
C) Gender-related activities: Care and Support and Abalingani program collaboration
Program activities will include: facilitating workshops and training to support group members on gender-
related issues, providing mentoring after workshops, establishing male support groups that focus on
particular issues of masculine health and referring PLHIV and their family members to service providers as
appropriate.
The expected outcome of the collaboration is to reduce gender-based violence, to increase male
involvement in care and support of the sick, and to improve communication within families and awareness
of sexual rights amongst PLHIV.
D) Several trainings will be outsourced and will mostly target PLHIV support group members in order to
empower PLHIV with the ability to partake in economic strengthening activities. These include Gardening,
Nutrition, Entrepreneurial Skills, and Catering.
ACTIVITY 2 (Home-based Care):
A) A proactive approach to identify clients infected by TB will be encouraged. During routine home visits,
clients that present with symptoms of TB (based on the Centre for Disease Control's symptom based
questionnaire) will be referred to the closest clinical support structure (CSS) and follow up will be done
regarding test results and treatment adherence.
Clients infected with TB will be visited regularly to ensure treatment adherence. Vitamin B6, ready to use
therapeutic food and a basic food parcel will be provided to TB infected clients based on the outcome of
nutritional assessments. Weak clients will by accompanied by fieldworkers to the closest CSS for further
care and support.
B) PLHIV will receive a broader spectrum of services during routine home-based care visits. Such services
will include education on issues related to chronic disease and treatment, support through nutrition and
therapeutic measures and education on the use of therapeutic measures for self care. The overall outcome
of the above mentioned strategies will ensure a more holistic care package for PLHIV.
C) The HwwSA-adapted Nutritional Guideline will be implemented in FY 2009. Activities will include a
baseline nutrition and dietary assessment when a client is first met; ongoing nutritional information
education and counseling; follow up assessments based on initial findings and guidelines; food distribution
to clients meeting the criteria stated in the guideline; food preparation education; supplementation and
micronutrient provision (according to the guideline); referral to clinical (e.g. South African Government
Clinics) or non-clinical ( e.g. Department of Social Development) support structure.)
D) Training specifically focused on improving care and support activities will be provided to HwwSA staff,
stakeholders and PLHIV, by HwwSA.
The full 69 day 'Home-based care training' will not be provided in FY 2009 as a result of budget constraints.
Rather, four adapted five-day trainings will be provided. The modules included in the trainings will be
adapted from the 69 day 'Home-based care' training. The trainings will include: Basic ART Information and
Adherence Counseling; Gender-based Issues, Nutrition, and a Home-based Care refresher course provided
only to people previously completing the 59- or 69 day Home-based Care course.
Secondary Cross-Cutting Budget Attributions Description:
Food and Nutrition: Policy Tools and Service Delivery
HwwSA will adapt national and international nutritional guidelines for PLHIV to better address issues that
have been identified as challenges in FY 2007. The resulting internal guidelines will inform changes that will
be made to the training curriculum and implementation plans for FY 2009 that will ultimately improve the
quality of services delivered at community and household levels. The nutritional enhancement activities will
be incorporated within the program's home-based care, training, and support group activities.
Activity Narrative: In accordance with the PEPFAR HIV and Food Security Conceptual Framework, HwwSA will provide
therapeutic measures and treatment addressing dietary complications caused by HIV infection and ART.
The following will be provided by the HwwSA care and support program:
i) Ready-to-use therapeutic foods will be procured and provided to clients suffering from mild to moderate
malnourishment, oral and oesophageal ulcerations and candidiasis. Vitamin B6 (micronutrient
supplementation) for the treatment of peripheral neuropathy will be administered intramuscularly by the
HwwSA professional nurses during home-based care visits.
ii) Multi-vitamin supplementation and food parcels will be provided to the following beneficiaries: Pregnant
woman infected by HIV and challenged by the affects of ART and/or those infected by TB (pre- and post-
natal)
iii) Food parcels will be delivered to clients meeting the food parcel eligibility criteria.
iv) Referring severely malnourished clients to Clinical Support Structures (CSS) and accompanying the
weak. HwwSA has developed well established referral networks with CSS throughout the South African
sites.
-------------------------------------
Hope worldwide South Africa (HWSA) will continue activities to provide and strengthen comprehensive care
and support of people living with HIV (PLHIV) and their families through community-based support groups
and home-based care (HBC) programs. Activities will use a family-centered approach and HWSA will
receive support from HPCA to strengthen clinical care services provided to its clients. The target
populations are PLHIV and their families and the emphasis area is increasing women's access to income
and productive resources, and human capacity development through in-service training.
The activities described below are part of an ongoing Basic Care and Support program of HWSA, funded by
PEPFAR since FY 2004. HWSA and their community partners will implement all activities. The HWSA
project is managed through an umbrella agreement with PACT, Inc.
HWSA collaborates with over 52 local government clinics to provide care and support services. HWSA has
established 52 support groups for PLHIV, most of which are integrated into the existing health care system.
In FY 2006, HWSA provided 5520 clients and 734 family members with palliative care services. Through a
sub-grant to the Soweto Hospice, HWSA has provided 609 home-based care (HBC) clients palliative care
services through HBC visits. HWSA has three separate activities in this program area. A family-centered
approach will be implemented to ensure that both clinical and supportive needs of HIV-infected adults,
children and family members, including OVC, are addressed. Care and support field staff will work in
tandem with OVC staff and volunteers. Both care and support and OVC activities at site level will be
centralized and managed by the site coordinator.
ACTIVITY 1: Support Groups
The first activity is to provide and strengthen comprehensive care and support of PLHIV through community
support groups. HWSA has reached over 6000 PLHIV through its 52 support groups to date. HWSA will
continue to facilitate 52 support groups in disadvantaged communities covering 5 national sites located in
the Gauteng province, Mthatha and Port Elizabeth in the Eastern Cape province, in Durban in KwaZulu-
Natal and in Cape Town in the Western Cape.
PLHIV support groups operate primarily out of local health facilities. The integration into DOH facilities will
help ensure government collaboration and facilitate access to appropriate clinical services for clients,
including ARV services. At clinics that do not provide ARVs the clients will be referred to appropriate SAG
hospitals or clinics. Facility staff will be trained to provide basic clinical services including screening for
symptoms and pain management. In addition, HWSA will work closely with provincial government to
collaborate and report on progress. New PLHIV referred to support groups will attend HWSA's basic HIV
and AIDS education course 'Living with Hope' in which clients meet with facilitators weekly over a period of
10-weeks.The course will be revised and updated to strengthen topics such as prevention with positives,
ARVs and adherence, and nutrition. Addressing prevention with HIV-infected individuals is an important part
of a comprehensive care strategy. Through healthy living and reduction of risk behaviors, these prevention
with positives interventions can substantially improve quality of life and reduce rates of HIV transmission.
The course will be disseminated as a training resource to key stakeholders, allowing for the scale-up of
community support groups. Selected PLHIV graduates of the course will be invited to assist with facilitation
of support groups as well as the course.
ACTIVITY 2: Home-based care services
The second activity is providing HBC for PLHIV. HWSA at all its sites will provide a range of HBC services
to clients, including psychosocial support, nutritional support, spiritual support, referrals, clinical support and
integrated prevention services. Levels of clinical support include screening for pain and symptoms,
screening for STIs and OIs with appropriate referral including referral for cotrimoxazole. HWSA will work
closely with government HBC efforts for necessary referrals and follow up.
Ongoing psychosocial and spiritual support will be offered to all clients and their family members with a
special focus on elderly female caregivers. Through wraparound programming, non-USG funded food
parcels sourced from partners such as Tiger Brands and supermarket outlets will be provided to needy
clients identified by staff and volunteers.
Activity Narrative: Income generation activities, supported by organizations such as Golden Cloud/Tiger brands, will support
livelihood strengthening and job creation. These activities will principally target HIV-infected and affected
women. Human capacity development at community level will be strengthened through training PLHIV in
facilitation of support groups, peer education, ART, facilitation skills and counseling. As a result, trained
PLHIV will facilitate support groups and other services to members. This will promote GIPA (Greater
Involvement of People Living with HIV and AIDS).
Home-based care sites will be strengthened with Nursing staff in all the sites. Nurses will then train staff,
volunteers and caregivers on pain, screening and basic symptoms management. HWSA will also
collaborate with hospices that are not PEPFAR funded to ensure greater reach, especially with clinical
services
Home-based carers will be trained by SAG-approved service providers in the government HBC training
program. The HBC program will continue to collaborate with a host of community partnerships in Hospices
and other HBC and community support organizations.
Ongoing training of staff on nutrition will be conducted by partners such as AED and Nestle. AED will also
train HWSA staff to conduct nutritional assessments of their clients and educate caregivers and their clients
on good nutrition and hygiene practices.
All HIV-infected individuals will receive at least one clinical service and one other category of palliative care
services. All family members of HIV-infected individuals and OVC will receive palliative care from at least
two of the five categories of service.
ACTIVITY 3: Providing care for caregivers
HWSA will train and educate caregivers on new developments in relation to HIV and AIDS. HWSA will
facilitate workshops, in partnership with HWSA's prevention program. HWSA will also strengthen referrals to
organizations providing debriefing sessions of caregivers. This activity will be facilitated through camps
and /or one-on-one counseling. Using non-PEPFAR funding, HWSA will also help to set up and strengthen
Income Generating Activities such as food gardening and sewing.
Through these activities, HWSA contributes to the PEPFAR goal of providing care to 10 million HIV-infected
and affected individuals. These activities also support the PEPFAR vision in South Africa as outlined in the
Five-Year Strategy by expanding local communities' capacity to deliver quality care for PLHIV in their
communities. In addition, HWSA will increase PLHIV access to government support systems and
strengthen linkages and referral systems with other social services such as Health and Social Development.
Continuing Activity: 13961
13961 3303.08 U.S. Agency for Olive Leaf 6669 2803.08 $727,500
7608 3303.07 U.S. Agency for Olive Leaf 4485 2803.07 $750,000
3303 3303.06 U.S. Agency for Olive Leaf 2803 2803.06 $450,000
Health-related Wraparound Programs
* TB
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $21,000
and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Commodities $18,680
Estimated amount of funding that is planned for Education $102,857
Table 3.3.08:
ACTIVITY 1: The curricula on the Peer Education and Structured Group Therapy will include an Adolescent
Sexual Reproductive Health component, which will address prevention messages, education on rights to
access healthcare, and contraception options for the 14-18 year olds. HwwSA will review the best models of
youth-friendly clinics and implement lessons learned at five pilot government clinics. HwwSA will facilitate
training, work with clinics to strengthen the implementation of Youth Friendly Services guidelines and
continued monitoring to ensure quality services.
ACTIVITY 2: HwwSA will pay attention to Food and Nutrition Policy informed by the Hearth Model and
guidelines derived from the quality assurance program for child care centers. Upon the completion of the
internal policy, HwwSA will engage communities to draw up guidelines which will inform the training
curriculum. A toolkit will be developed in partnership with Save the Children who has implemented this
model in reducing malnutrition in Asia. HwwSA aims to train 400 people on the implementation of Food &
Nutrition guidelines.
ACTIVITY 3: HwwSA will change focus from sub-grant support to focus on capacity building, training and
mentoring of other NGOs, and Community Child Care Forums (CCCF). One of the tools that will be used in
providing capacity building targeting these groups is the Community Capacity Enhancement Program
(CCEP). The aim of the CCEP is to ensure that ownership is successfully transferred from the implementing
partner to the community. HwwSA will implement this by enhancing existing CCCF to be equipped to form
new CCCF in the community through training in governance, fundraising, event organizing and mapping to
examine areas of need. This will ensure sustainability by capacitating the communities to replicate the
CCCF models without external support. The goal is to train 649 people from the above mentioned groups.
ACTIVITY 4: HwwSA will link older OVC (15-18yrs) to vocational skills training programs and gender
sensitization. Activities will include:
(A) Introduction of the 'Umzi Wethu' Model, which links OVC to industry specific vocational skills training and
mentoring. The program is sponsored by the Department of Tourism and has links to other PEPFAR
partners. Corporate partnerships will be pursued to ensure sustainability. The pilot program will be
duplicated in all 5 provinces to benefit an estimated 200 OVC.
(B) Refinement of the current strategy to include an exit plan for older OVC by replicating the Youth
Empowerment Project (YEP), which was initiated by an 18-year old OVC who exited the program in the
KwaZulu-Natal province. HwwSA will strengthen networks with other NGOs that have young adult specific
interventions. These OVC will be linked to career guidance/counseling, training on grant/loan applications
for tertiary education, how to access services for grants and housing, political involvement and community
leadership.
HwwSA plans to integrate training on Youth Adult Partnership, which encourages greater involvement of
OVC in decision making. 400 OVC will benefit from this activity.
ACTIVITY 5: Introduction of training sessions targeting pregnant OVC in: the Prevention of Mother to Child
Transmission, parenting, health, food/nutrition education. Findings from the field indicated that pregnancy
among OVC is escalating and this necessitates a need to encourage behavior change which can be
facilitated by using tools such as the Hearth Model for the OVC "mothers" and mentors. The synergy
between OVC and Abalingani Gender Program focuses on addressing the harmful impact of gender
imbalance on the implementation of OVC-centered interventions. Enhancements to the secondary cross-
cutting budget attributions are as follows: HwwSA will develop human capacity through 3 levels (child,
family and community) that will ensure quality service delivery through training and mentoring. Food and
nutrition policy tools and delivery will be addressed through the development of an internal food security
policy, a consultative process with all stakeholders to develop guidelines that will inform the training
curricula. For Food and Nutrition commodities, HwwSA will establish food gardens to augment food items
handed out at Kids Clubs to assist OVC and their families with nutritional supplements. This will be done in
partnership with the Rock Angel foundation, Nestle and Tiger Brands.
-------------------------
Hope worldwide South Africa (HWSA) will continue to strengthen and develop community orphans and
vulnerable Children (OVC) support groups, facilitate kids clubs, strengthen community child care forums,
train partner organizations and provide small sub-grants to community-based organizations (CBOs).
Primary target populations reached include OVC, youth, and people living with HIV and AIDS. The major
emphasis area for the program is training. There will also be a strong focus on educating boys and girls on
gender issues. HWSA will also embark on a strong prevention program for older OVC. Older OVC and their
families will also be assisted with income generating activities development through public-private
partnerships (PPPs).
The OVC program is one of the five focus areas funded by PEPFAR since 2004. The program's main
objective is to strengthen and scale-up community-based interventions to provide comprehensive care and
improve the quality of life of OVC in areas where HWSA operates. The three activities described below
began in 2004 and will be strengthened and scaled-up in FY 2008. HWSA has a PPP with Coca Cola which
started in the Western Cape. HWSA will increase care and support of OVC and their families as outlined in
the South African Government (SAG) OVC National Plan of Action and National Strategic Plan. HWSA is an
active member of the National Action Committee for Children affected by Aids (NACCA) implemented
through Department of Social Development (DOSD) in collaboration with other departments to address the
OVC National Plan of Action. In FY 2006, HWSA reached almost 14,000 OVC across 4 provinces.
ACTIVITY 1: Training and Capacity Building
Activity Narrative: HWSA in partnership with ROSI (Regional OVC Support initiative), will continue to provide training to
NGOs, CBOs and FBOs in working with children and Psychosocial Support, Kids Clubs, Community Child
Care Forums, Basic Play skills, Basic Counseling for Children and support groups to partner organizations.
This partnership will enhance HWSA's capacity to offer quality training, enhance capacity of communities to
provide comprehensive care and support to orphans and help scale up the OVC reach across the country.
In FY 2008 ROSI will train HWSA site coordinators and fieldworkers who will then conduct training of other
organizations, Caregivers, Community Child Care Forums and Kids Club Leaders. ROSI trainers will follow
up on trained organizations and staff to observe implementation. HWSA continues to emphasize the
importance of youth participation in all its activities, and a key component of the Kids Clubs is that the
children themselves lead the discussions. To encourage child and youth participation, Kids Club leaders will
be trained on Basic HIV/AIDS and knowledge on how to run Kids Clubs (e.g. facilitation skills, lesson plans,
games etc.). During Kids Club Activities the HWSA fieldworkers observe, and then organize workshops to
help Kids Club Leaders improve their skills.
ROSI's expert on Child protection has sensitized HWSA managers on the need for the organization to
adhere to Child Protection. HWSA is drafting a Child Protection Policy which will ensure that all staff and
Caregivers working with OVC have been checked and qualify to work with OVC.
Caregivers and family members will be trained on succession planning, children's rights, child participation
and child protection. The Children Commission, in collaboration with HWSA and local police, conduct
annual campaigns on Children's Rights and Child Protection. These campaigns will be held in schools and
community centers and will educate OVC on their rights and responsibilities and help them identify and
address physical and sexual abuse issues.
ACTIVITY 2: Comprehensive OVC support
The OVC program will continue to provide comprehensive care and support to OVC and their families. OVC
are identified by the program through schools, referrals from Community Child Care Forums, Adults from
HWSA's Care and Support program. All OVC referred are assessed and registered on HWSA's database,
HWSA conducts baseline surveys when entering communities and establishes networks of service
providers and NGOs to facilitate referrals. Services such as access to education, social security grants,
health care, legal aid, targeted food, nutrition and psychosocial support will be provided to OVC through
activities Kids Clubs lead by trained OVC, Home Visits will be done by Caregivers to ensure OVC receive
comprehensive care. OVC will be counseled will be done by trained HWSA field workers, coordinators and
trained caregivers either one on one in groups. HWSA field workers, coordinators and caregivers will
educate OVC and refer others for services not provided directly by HWSA. OVC will receive ART treatment
and adherence support at the closest SAG accredited treatment site. In the Soweto area abused children
will be supported and referred for special treatment to Harriet Shezi Clinic in Soweto, where they will receive
psychosocial support and ART treatment. In addition, through HWSA's partnership with Tiger Brands (the
largest cereal producer in South Africa), local markets, churches and schools. With non-PEPFAR funds,
OVC will receive food parcels at least once a month; others may receive more regular food parcels
depending on the need. HWSA will provide a meal to every OVC during activities like Kids Clubs and
Support groups on a weekly basis. Various other services will be provided in partnership with the local
schools, women's groups, community and youth centers, clinics and government departments. For
example, ABSA a major South African banking group, is supporting Kids Clubs with educational and life
skills material with funding raised from the public through Special Campaigns for the purpose of assisting
OVC educational needs. HWSA's caregivers who do home visits then identify educational needs and
provide educational material to OVC identified as in need. This is supervised by coordinators and tracked
through HWSA's procurement procedures. Through the Kids Clubs and support groups, HWSA conducts
life skill activities, organize leadership camps, and provides one-on-one and group counseling to children
with special needs.
ACTIVITY 3: Sub-grants
NGOs such as VUKA and Emthonjeni will assist in scaling-up OVC activities in the areas where they
operate. The objective is to expand programs in rural areas of Eastern and Western Cape provinces. Sub-
grants will be awarded for OVC support to provide nutritional, psychosocial and material support. Technical
assistance will be provided on organizational capacity development where necessary to improve the care
and support of OVC. In addition, regular mentoring and feedback sessions will be held to review progress.
ACTIVITY 4: Public-Private Partnership with Coca Cola
HWSA will pioneer a Vendor Employment Model for orphans and vulnerable children in South Africa.
Through a public-private partnership with Coca Cola, HWSA will explore a vendor economic support activity
for OVC/child-headed families and granny support groups. HWWSA has recruited 20 OVC and this number
will be increased in FY 2008. The children will be provided training in small business management, money
management and how to save and reinvest in their business. OVC will also be trained on basic business
skills, marketing and budgeting. In addition, psychosocial training, support and supervision will be provided
by HWSA. The necessary trolleys, uniforms, umbrellas and the first inventory of Coca-Cola will be provided
to the children. The Coca-Cola management assigned the children in the most appropriate areas where
they can sell Coca-Cola. This income generating activity will bring revenue autonomy and new skills into the
lives and homes of the OVC which will contribute to reducing the susceptibility of the OVC to HIV.
ACTIVITY 5: HIV Prevention and Gender Socialization
HWSA will use the funds as follows: a) To strengthen adolescent OVC program to focus on HIV Prevention
including reproductive health education. OVC face pressures to engage in risky sexual behavior like any
other adolescents, but their situation is magnified due to their increased vulnerability because of lack
adequate parental guidance. HWSA has undergone training on conducting prevention activities for
adolescent OVC to enhance their knowledge, skills and capacity to prevent HIV infection. HIV prevention
Activity Narrative: messages will be incorporated into Kids Clubs and Support group activities. Kids Club leaders, HWSA field
workers and coordinators who conduct Kids Clubs and support groups will all be trained on HIV prevention
messages for OVC. b) To integrate gender issues within the OVC program: While caregivers and
adolescent OVC (especially child-headed households) face serious challenges due to illnesses and
bereavement, the realities of gender inequalities and social norms contributes to their vulnerability. HWSA
Coordinators and fieldworkers, as well as Caregivers and members of CCFs will undergo training and
mentoring support on how to conducting gender socialization messages for adolescent OVC to enhance
their knowledge, skills and capacity and to build resilience to face gender related issues. Gender
socialization messages will be incorporated into Kids Clubs and Support group activities.
Continuing Activity: 13962
13962 3304.08 U.S. Agency for Olive Leaf 6669 2803.08 $2,667,500
7609 3304.07 U.S. Agency for Olive Leaf 4485 2803.07 $1,860,000
3304 3304.06 U.S. Agency for Olive Leaf 2803 2803.06 $1,260,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $21,340
Estimated amount of funding that is planned for Food and Nutrition: Commodities $20,000
Estimated amount of funding that is planned for Economic Strengthening $100,000
Table 3.3.13:
The Abalingani Gender Program (AGP) within HOPE worldwide South Africa (HwwSA) will be incorporated
into counseling and testing (CT) activities to achieve the specific objective of increasing the uptake of
voluntary counseling and testing (VCT) among men. The AGP focuses on achieving gender equality and
preventing HIV infections by increasing men's involvement in health seeking behaviour. Anecdotal evidence
suggests that a significant number of men report that they perceive clinics as unfriendly and claim that they
are told their (STI) results in a manner that does not respect confidentiality and is perceived as being
derogatory. Men are also perceived by female nurses as naughty and the cause of spreading HIV infection
to women. The results from the survey will be utilised to develop and conduct a three-day workshop
targeting men utilizing a curriculum developed in 2007 in partnership with the Department of Health (DOH),
which addresses broad topics related to the HIV/AIDS epidemic such as gender-based violence, violence in
general, and alcohol abuse. HwwSA will utilize street campaigns and soccer tournaments to attract more
men to take up VCT services. The findings of the survey will be used formally to advocate for more male
friendly clinics. HwwSA will reach 3,000 men through this activity.
HwwSA will offer CT services at the AGP workshops for men and provides information and referrals to
appropriate HIV/AIDS services. Men will also be encouraged to accompany their partners in attending
prevention of mother-to-child transmission (PMTCT) classes, to gain better understanding on feeding
options and providing support to their partners. CT counselors will assist participants of AGP workshops
through discussions addressing the benefits of supporting PMTCT and VCT along with the dangers of
activities related to risky sexual behaviour. Topics related to the spread of HIV infections are dealt with in
order to encourage people to get tested and know their status. Pre- and post-workshop assessments will be
conducted and willing participants will be encouraged to enroll as community action teams (CATS). CATS
are groups that have attended an AGP workshop and, from lessons learnt, are willing to change their
behaviour and help other people as well. They volunteer their time and resources to communicate what they
have learnt to their peers and the community at large. The CATS will become the custodian of ongoing
discussions and will be provided with skills and a toolkit by HwwSA.
Activity two has been modified as follows: The lack of male counselors in the program has impacted CT
negatively. It has been recognised that more males were tested at the HwwSA supported "Male Clinic" in
Khayelitsha township Cape Town in 2008 than any other site. Only male counselors are employed in this
clinic. 1,500 men were tested at the clinic compared with 590 women. This result is the opposite of what is
found at other clinics where HwwSA is providing services. These other clinics utilize primarily female
counselors. This suggests that men are more at ease with being counseled by other men. HwwSA will
select and train 60 additional male counselor volunteers from AGP workshop / CATs on the VCT Protocol.
In order to refine HwwSA's strategy to increase participation and buy-in of clinics and hospitals in the
communities targeted, HwwSA introduced the Community Capacity Enhancement Program (CCEP).
HwwSA will conduct community conversations with clinics and hospitals to bring out burning issues and
concerns about HIV/AIDS. This approach will help in formulating strategies that will address the underlying
concerns about the epidemic in public health sectors. The CCEP is an integral part of the United Nations
Development Program's Leadership for Results Program, and is based on a methodology known as
Community Conversations. CCEP deals with the underlying causes of HIV including power relations,
gender issues, stigma and discrimination. Most community methodologies focus on awareness-raising and
discussion, however, the CCEP focuses heavily on interactive dialogue on the epidemic's deeper causes
through a facilitated process which results in community decision-making and action.
Alignment with South African Government (SAG) Policies or Plans: The HIV & AIDS and STI Strategic Plan
for South Africa, 2007-2011 (NSP) seeks to establish a national culture in which all people in South Africa
regularly seek VCT. HwwSA will promote CT activities in communities and increase visibility through
community meetings, community gatherings and community campaigns. HwwSA aligns with the NSP by
educating communities on CT services, to increase accessibility of CT services to communities, engage
communities in reducing stigma and to promote individuals to know their status, access treatment and other
social services. Counselors have been placed in the public health centres in the four provinces serviced by
HwwSA..
Another NSP goal is strengthening the health and other systems to create the conditions for universal
access to a comprehensive package of treatment for HIV, including ART and the integration of HIV and TB
care. HwwSA aligns with the National Strategic Plan by providing pre-test counseling sessions, referring
clients for testing, providing results, and providing post-test counseling sessions. HwwSA will refer clients to
CD4 count testing and treatment.
------------------
HOPE worldwide SA (HWWSA) will use FY 2008 PEPFAR funds to continue its work in partnership with
local Departments of Health (DOH) to increase access to quality counseling and testing (CT) services at
public sites in the Eastern Cape, Gauteng, KwaZulu-Natal, and Western Cape provinces. Counseling and
testing targets adolescents from 15-24 years both in and out-of-school through the abstinence and being
faithful (AB) program, adults from 25 years and over and nurses in the public sector. The main emphasis
areas for this CT activity are to increase gender equity in HIV and AIDS programs and to build capacity at
local organizations.
CT is acknowledged within the international arena as an entry point to HIV prevention and AIDS care.
HWSA's CT strategies strengthen provincial government's capacity to manage counseling and testing
centers and so to create demand for the services. In addition, HWSA has developed 35 CT partner sites
Activity Narrative: around South Africa.HWSA plans to use FY 2008 funds to continue existing activities, but focusing on
increasing the uptake of CT services. Currently the uptake of CT services in South Africa is still
predominantly by women and HWSA will attempt to increase the number of males being tested and to
promote couple and family counseling. HWSA, in conjunction with Engender Health, developed the Men As
Partners (MAP) program to increase male involvement. HWSA's FY 2008 CT strategy is to educate and
sensitize men, women, and youth (in- and out-of-school) about HIV and AIDS to increase CT uptakes.
HWSA undertakes to train of male counselors. The continued mentoring of counselors to ensure a high
level of competency will remain imperative.HWSA, through PEPFAR-funded counseling activities, will, in FY
2008, build on successes achieved in FY 2006. HWSA provided CT services to 12,000 people in FY 2006,
and CT is integrally linked with all other programs at HWSA. If a client has tested HIV-infected, the client is
referred to care and support and the children are referred to the orphans and vulnerable children (OVC)
program. If the client has tested negative the risk reduction plan is repeate to the client to encourage
him/her to maintain their negative status. The following factors will be considered and addressed to counter
low male uptakes at CT sites: proxy testing (using partner status as theirs); gender socialization; an
unfriendly health care system; fear of dying; and stigma. The partnership between HWSA and the
departments of health has ensured the establishment of a male clinic and a CT/MAP program to ensure
education and sensitization on these factors.Although uptakes of men are steadily rising, they still show a
resistance to HIV testing. HWSA found that its male-targeted campaigns tended to increase demand for
testing by men.
ACTIVITY 1:
Provision of CTPre- and post-test counseling will continue to be rendered at 30 existing DOH CT sites as a
strategy for preventing the further spread of HIV infection. Part of the HWSA FY2007 strategy will be to
increase the number of CT visits by men. Strategies to promote couple-oriented CT will be enhanced and
referrals to antiretroviral treatment centers increased to encourage the CT demand. HWSA CT continues to
be implemented as part of integrated healthcare services, directly linked to existing HIV care and treatment
services. HWSA will continue to support referrals from OVC and prevention activities and will continue to
refer clients testing positive to HWSA's support groups. FY 2008 PEPFAR funding will be used to conduct,
workshops and campaigns addressing constructive male involvement in CT, gender-based violence and
HIV and AIDS. Reduction of HIV and AIDS stigmatization, staffing of new sites, and outreach to workplaces
will be a focus of this activity.
ACTIVITY 2:
Training CT Counselors Ongoing emphasis will be laid on training more male counselors, to further
capacitate CT counselors on MAP methodologies and to equip the latter with skills to pre- and post- test
counsel men. This supports HWSA's strategy to reach more men. There will be a two-week CT training and
orientation session to capacitate counselors to run CT/MAP workshops. For newly appointed peer
educators and CT counselors there will be a 5-day Peer Education training course and a 10-day counseling
course on CT protocols. In addition, a MAP facilitator/trainer will be hired to engage CT counselors on how
to involve men on HIV and AIDS issues. HWSA also aims to capacitate counselors with adherence and
couple counseling.Regular assessments and mentoring of participants will take place during and after
training. The latter group's reach will be tracked. HWSA will examine the CT protocol and solicit feedback
from the trainer/learner assessor after each training session. HWSA activities in FY 2008 will include further
training of existing and new CT counselors with an emphasis on couple counseling, CT protocol, and CT
training and technical support of other CT organizations. In FY 2006, HWSA capacitated 100 CT
counselors. HWSA CT trainers will continue to provide their services to partner organizations while the use
of international CT protocols to ensure standardization of services will be ensured.
ACTIVITY 3:
Expansion of CT ProvisionHWSA will conduct community campaigns to promote the uptake of CT services
and to reduce the stigma associated with HIV testing. Trained community volunteers will conduct activities
in workplaces, at community meetings, and through door-to-door visits. Strategies to promote the uptake of
CT services will include providing information on CT, awareness-raising on the benefits of HIV testing,
promoting couple counseling, and marketing CT as an entry point for ARV treatment.HWSA will use a
mobile CT truck to provide CT services at educational campaigns and to provide CT services in areas
and/or sites that lack CT provision. HWSA will also ensure that two-way referral systems between their
OVC, prevention, care and treatment support programs are strengthened to ensure that clients receive
appropriate services as determined by their HIV status. HWSA will also advocate for the provision of
confidential and voluntary CT in the public sector.HWSA has learnt that that counseling and testing works
best if you take the services to - and involve the communities. Activities like campaigns within the
communities have been one of the successful methods used to reach more community members, especially
men who feel that clinics are unfriendly and impersonal.HWSA will maintain the 35 public and private sites
from which HWSA CT program has been operating. Introducing the MAP program at these sites will
enhance the quality of the CT services provided, and consequently, HWSA will reach more men. Efforts to
engage private doctors as partners in the CT will continue. HWSA will identify areas without CT service and
attempt to extend HWSA coverage to these areas by establishing new partnerships. The PEPFAR program
contributed, through these partner sites, to reach over 11,000 people through the CT services. HWSA will
also work very closely with South African prisons to increase the uptake of males who are accessing CT
services. HWSA will initially start work with the Johannesburg prison, which has given approval for the
provision of CT and training (protocol). This activity will (a) promote the benefits of CT during peer education
in all the medium security centers within the prison, and (b) promote referral of inmates to counseling and
testing. If tested positive the client will be referred to support groups. Inmates will be identified and screened
for training. The counseling and testing protocol will be used for counseling. Inmates from Johannesburg
prison will be trained to become counselors and a refresher course will be done for those who were trained
by other organizations. Existing HWSA staff members will be trained on couple counseling and further
Activity Narrative: training will be extended to organizations that have already been trained by HWSA on counseling and
testing. These activities contribute to the PEPFAR goal of providing care and support to 10 million HIV-
affected individuals. Consistent with the USG Five Year Strategy for South Africa, these activities also
strengthen community demand for CT services; engaged communities on reducing the stigma associated
with low CT uptakes; strengthen partner capacities through training. Therefore, through these interventions
HWSA CT will strengthen community resolves on knowing their sero-status, promote and engage
communities on reducing the stigma associated with low uptakes at CT sites, promote and expand the
partner network with the goal of identifying additional resources for the sustainability of the program and
identify and strengthen partner capacities through training.
Continuing Activity: 13963
13963 3305.08 U.S. Agency for Olive Leaf 6669 2803.08 $242,500
7610 3305.07 U.S. Agency for Olive Leaf 4485 2803.07 $250,000
3305 3305.06 U.S. Agency for Olive Leaf 2803 2803.06 $250,000
Table 3.3.14: