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: 2010 2011 2012
The Channeling Mens Positive Involvement in the National HIV/AIDS Response (CHAMPION) project seeks to promote a national dialogue about gender roles, increase gender equitable beliefs and behaviors, and reduce the vulnerability of men, women, and families to HIV/AIDS. CHAMPION addresses key components of USG/Ts GHI strategy, specifically the third Intermediate Result of adopting healthy behaviors, including healthcare seeking behaviors with a focus on women and girls.
The project focuses on comprehensive programming targeted at high-risk adult men and their partners. Activities are in the ten regions with highest HIV prevalence in the country. With workplace HIV prevention programs being conducted through MCC/MCA-T funds, the project will now extend to Unguja, Pemba, Dodoma, and Tanga. For the first time, the project will receive funding to improve referrals/linkages to VMMC and HTC services. Given the projects access to a population that has poor health-seeking behaviors, CHAMPION will play an increasingly important role in linking its clients to these critical clinical services.
CHAMPIONs community action model engages district voluntary community action teams to plan and execute locally appropriate and cost-effective activities. CHAMPION builds capacity of local entities to implement gender transformative HIV and RH programs. The project works with eight local NGOs to build their technical/programmatic capacity and financial/administrative systems. By working collaboratively with various entities within URT, CHAMPION is able to influence national policies.
For COP 2012, the project will emphasize documentation of the effectiveness of its "Men as Partners" curriculum as well as prepare for an evaluation of the overall CHAMPION approach.
CHAMPIONs target population, men aged 25 years and above, mirrors the key population that VMMC activities are intending to reach in the coming year. Despite large numbers of circumcisions since the program began, a significant portion (40%) of the procedures have been done on men under 15 years of age and the vast majority (>85%) under 25 years of age. A USG/T partner conducted an assessment to better understand the barriers to VMMC among older men and will begin implementing new strategies to encourage greater clinic attendance.
CHAMPIONs access to older men makes it a well-placed partner to increase its focus on linking clients to VMMC services. Community action teams, lead NGOs, and workplace-based peer educators will strengthen their VMMC knowledge and will be expected to work closely with VMMC clinic staff to ensure coherent and consistent messaging and promotion of services. Community-level discussions and activities will be monitored for VMMC components and USG/T VMMC implementing partners will provide feedback and input on how to best utilize CHAMPIONs unique access to this key target population. Moving forward, CHAMPION will be both a norms changing behavioral intervention and health promotion project and a community-to-facility linkage/referral project.
(See CHAMPION's HVAB budget code narrative)
The CHAMPION project continues to promote reduction in risk behaviors for HIV, including transactional sex and unsafe sexual practices, with a focus on men ages 25 years and above. Secondary audiences include women and young men that are likely to be in the same sexual networks. Sexual prevention interventions are mainly focused on transport corridors for all CHAMPION regions and at particular workplace sites, including MCC/MCA-T projects (see below). Key behavioral messages for the target population include partner reduction, faithfulness, and condom promotion.
In an effort to leverage PEPFAR resources, CHAMPIONs MCC/MCA-T project funding ($1.5M over three years) will allow for program expansion into sites served with energy, water, and road projects covering seven regions, namely Zanzibar (Unguja and Pemba), Dodoma, Mwanza, Coast (Mafia), Iringa, and Tanga. To ensure evidence-based programming, CHAMPION will conduct a community mapping/assessment in the MCC transport sites and a baseline mini-KAP for MCC project sites, and also implement the standards of performance in CHAMPION worksites and MCC energy, water, and transport sites.
CHAMPIONs target population, men aged 25 years and above, represents an under-represented group in HTC programming. CHAMPIONs access to older men makes it a well-placed partner to increase its focus on linking clients to HTC services. Community action teams, lead NGOs, and workplace-based peer educators will strengthen their HTC knowledge and will be expected to work closely with HTC partners to ensure coherent and consistent messaging and promotion of services. Community-level discussions and activities will be monitored for HTC components and USG/T HTC implementing partners will provide feedback and input on how to best utilize CHAMPIONs unique access to this key population. Moving forward, CHAMPION project will be both a norms changing behavioral intervention project and a community-to-facility linkage/referral project
In Year 4, CHAMPION will continue scaling up the "Men as Partners" curriculum that focuses on the reduction of multiple concurrent partners, correct/consistent condom use, referral to HIV and RH services, and GBV prevention. Harmful gender norms that drive these behaviors are a common theme throughout the curriculum and related community engagement work.
CHAMPION workplace programs operate in Dar es Salaam, Coast, Morogoro, Iringa, Mbeya, Dodoma, Tanga, Mwanza, Shinyanga, Mtwara, Tabora, Unguja, and Pemba. Their primary target audience is migrant laborers, although mobile populations and vulnerable groups (food venders, bar maids, guesthouse attendants, and CSWs) in selected hotspots in MCC/MCA-T sites and surrounding communities will also be reached.
The project will also introduce "CoupleConnect: A Gender-Transformative HIV Prevention Curriculum for Tanzanian Couples," a tool designed to prevent HIV among Tanzanian couples by addressing key sexual behaviors, including reduction of multiple concurrent partners, condom use, and referrals to VMMC and HTC services.
In Year 4, CHAMPION will support existing community action teams and newly formed community change clubs to carry out community engagement activities on various thematic areas, including promotion of critical HIV services (VMMC and HCT), GBV prevention, male involvement in RH services, alcohol use, and multiple concurrent partnerships. The teams will receive training to enhance their capacity in carrying out effective interventions.
In promoting participation of men in health services, CHAMPION will continue improving the quality of male friendly services at the facility level. Besides capacity building and training of health workers, CHAMPION will develop a male engagement quality improvement tool. CHAMPION@Work programming will extend to individual worksites that will receive technical support on comprehensive workplace HIV programming. In an effort to integrate across sectors, CHAMPION received $1.5M for FY2011-2013 to carry out gender transformative HIV programming in MCC/MCA-T project sites and surrounding communities.
Through its policy and advocacy initiative, CHAMPION will continue working with MenEngage, a network of organizations that strengthens the accessibility of health services by promoting men as partners in gender equity, HIV prevention, and improved RH outcomes for men, couples, and families.
CHAMPION will use GBV funding to leverage its work through mapping of GBV services, training of clinical and non-clinical staff on GBV, strengthening of referral systems, strengthening the integration of GBV in existing prevention activities, expanding the reach of norm-changing interventions to couples (e.g., CoupleConnect curriculum, mass media campaign), and improving coordination of the national GBV response.
In Year 4 of implementation, the project plans to document more evidence for effectiveness of its approaches. Planned outcome evaluations for this year include: MAP curriculum/approach, CoupleConnect curriculum, and endline CHAMPION evaluation.
