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.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
TITLE: Implementation of the Families Matter Intervention in Dar es Salaam, Mtwara and Ruvuma to
Increase Parent-Child Communication of AB and HIV
NEED and COMPARATIVE ADVANTAGE: Risk among youth in Tanzania is difficult to assess, but
available data indicates that youth behaviors place them at increased risk for HIV infection. The Tanzania
HIV/AIDS indicator survey (THIS) found that the sexual debut of 50% of adolescents was at age 15, while
33% of women and almost 40% of men in the same age group had sex with multiple partners. Girls are
more vulnerable than boys because they may be forced to sleep with older men in exchange for money or
gifts, making them seven times more likely to contract HIV than boys of the same age. Inadequate and
inaccurate information on sexual and reproductive health among pupils and teachers increases this
vulnerability. Evidence of unsafe sex in two of the projects' target regions (Ruvuma and Mtwara) is indicated
by the high rates of pregnancies and abortions in schoolgirls. In Dar es Salaam, a new implementation
region in COP 09, research studies have found that transactional and transgenerational sex are common
among youth. One strategy for addressing the risks faced by youth is strengthening activities that promote
abstinence and delay of sexual debut. Both abstinence and delay of sexual debut in young people have
been key in a multi-component intervention program to improve adolescents' sexual and reproductive
health.
ACCOMPLISHMENTS: In a community forum facilitated by the Ministry of Education and Vocational
Training (MOEVT), parents and community leaders in Mtwara and Ruvuma expressed support for an
approach like Families Matter to enable parents to take a more active role in HIV prevention for their
adolescent children. T-MARC was awarded the funds to conduct "Families Matter" and formative work will
soon begin to culturally adapt and pilot test the program materials that are currently being used in Kisumu,
Kenya for three regions in Tanzania.
ACTIVITIES: "Families Matter" is an evidence-based, parent focused intervention designed to promote
positive parenting and effective parent-child communication about abstinence, sexuality, decision-making
and sexual risk reduction for parents or guardians of 9-12 year olds. This intervention is an adaptation of the
US-based "Parents Matter" curriculum which CDC has evaluated in the US. The ultimate goal of this
community-based family prevention program is to support sexual abstinence and reduce sexual risk
behaviors among adolescents, including delayed onset of sexual debut, by giving parents tools to deliver
primary prevention to their children. Although these discussions will largely focus on abstinence, the training
provides an opportunity to address partner reduction and faithfulness with parents and guardians. "Families
Matter" has been implemented in Kisumu, Kenya and preliminary analysis of a recent assessment
conducted 15 months post-intervention, seems to indicate a sustained positive effect in terms of parenting
and communication skills reported by participants and their children separately. The intervention will be
implemented in the Dar es Salaam, Mtwara and Ruvuma regions, where early sexual debut and high rates
of pregnancies and abortions among adolescents are common.
T-MARC will begin implementing program activities building upon the training of facilitators, which was
funded in FY 2008. Program staff will identify parents of primary school students where the MOEVT is or will
be supporting life planning skills education. Trained facilitators will deliver the five consecutive three-hour
sessions to the identified parents and caregivers. The intervention curriculum focuses on: raising awareness
about the sexual risks many youth face today; encouraging general parenting practices (e.g., relationship
building, monitoring) that increase the likelihood that children will not engage in risky sexual behaviors; and
improving parents' ability to effectively communicate with their children about abstinence, sexuality, sexual
risk reduction, and increased age of sexual debut. The "Families Matter" program in Dar es Salaam, Mtwara
and Ruvuma will have a strong gender component, which will include improving communication between
parents or guardians and their young girls to increase awareness of the risks associated with
transgenerational sex. Furthermore, program content will address cultural and male norms and behaviors
that are associated with early sexual debut and HIV risk behaviors. These elements are important
contextual influences and mediating factors found in the target regions.
*END ACTIVITY MODIFICATION*
TITLE: Implementation of the Families Matter Intervention in Mtwara and Ruvuma to Increase Parent-Child
Communication of AB and HIV
vulnerability. Evidence of unsafe sex in the projects' target regions (Ruvuma and Mtwara) is indicated by the
high rates of pregnancies and abortions in schoolgirls.
One strategy for addressing the risks faced by youth is strengthening activities that promote abstinence and
delay of sexual debut. Both abstinence and delay of sexual debut in young people have been key in a multi
-component intervention program to improve adolescents' sexual and reproductive health.
adolescent children. A potential partner has been identified for "Families Matter" and pending official
reprogramming approval from OGAC and CDC, formative work will soon begin to culturally adapt and pilot
test the program materials that are currently being used in Kisumu, Kenya for two regions in Tanzania.
Activity Narrative: ACTIVITIES: "Families Matter" is an evidence-based, parent focused intervention designed to promote
and sexual risk reduction for parents or guardians of 9-12 year olds. This intervention is an adaptation of
the US-based "Parents Matter" curriculum which CDC has evaluated in the US. The ultimate goal of this
primary prevention to their children. "Families Matter" has been implemented in Kisumu, Kenya and
preliminary analysis of a recent assessment conducted 15 months post-intervention, seems to indicate a
sustained positive effect in terms of parenting and communication skills reported by participants and their
children separately.
The intervention will be implemented in the Mtwara and Ruvuma regions, where early sexual debut and
high rates of pregnancies and abortions among adolescents are common.
The TBD partner for "Families Matter" will begin implementing program activities building upon the training
of facilitators, which was funded in FY 2007. Program staff will identify parents of primary school students
where the MOEVT is or will be supporting life planning skills education. Trained facilitators will deliver the
five consecutive three-hour sessions to the identified parents and caregivers. The intervention curriculum
focuses on: raising awareness about the sexual risks many youth face today; encouraging general
parenting practices (e.g., relationship building, monitoring) that increase the likelihood that children will not
engage in risky sexual behaviors; and improving parents' ability to effectively communicate with their
children about abstinence, sexuality, sexual risk reduction, and increased age of sexual debut. The
"Families Matter" program in Mtwara and Ruvuma will have a strong gender component, which will include
improving communication between parents or guardians and their young girls to increase awareness of the
risks associated with transgenerational sex. Furthermore, program content will address cultural and male
norms and behaviors that are associated with early sexual debut and HIV risk behaviors. These elements
are important contextual influences and mediating factors found in Mtwara and Ruvuma.
LINKAGES: "Families Matter" activities for parents and guardians will compliment the life planning skills
education that the MOEVT is beginning in Mtwara and Ruvuma primary schools. Primary schools will be
chosen based on the existence and stage of implementation of life planning skills activities in order to
compliment existing programs. As trained parents and guardians become more aware of HIV, there may be
a chance to link them with other USG supported services such as counseling and testing, and treatment
programs. The adapted materials also will be available to other USG partners interested in implementing
"Families Matter" and adhering to the intervention's core components.
CHECK BOXES: Adults (men and women 25 and over); Adolescents (boys and girls 10-14); Children (boys
and girls 5-9)
M&E: Monitoring of the implementation of "Families Matter" will be done using tools developed by "Parents
Matter". These tools will be adapted for the local context and will capture process measures for the
individual components of the intervention.
An evaluation will be structured in collaboration with the TBD partner to assess the impact of the program
on parent-child communication in Mtwara and Ruvuma. Pre- and post-intervention surveys will be
administered to parent-child pairs at baseline, at the conclusion of the five-week intervention, and 15-month
post-intervention. Prior to the initiation of these evaluation activities, appropriate human subjects review will
be obtained.
SUSTAINABILITY: "Families Matter" has a low implementation cost which will facilitate the program's
sustainability. This program will also be implemented in collaboration with the MOEVT to promote buy-in
and ownership within the education sector. Finally, "Families Matter" equips parents with skills that they can
use throughout their lifetimes and with their other children. This helps to promote and establish a cultural
norm of open communication about sexuality and HIV.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13388
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13388 12383.08 HHS/Centers for Tanzania 12091 12091.08 $400,000
Disease Control & Marketing and
Prevention Communications
Project
12383 12383.07 HHS/Centers for To Be Determined 6160 6160.07 Families Matter
Disease Control &
Prevention
Table 3.3.02:
