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
This activity is a continuation from FY2007 and has been updated for targets and budgets only. IYF is
implementing the empowering Africa's young people initiative (EAYPI) project whose goal is to scale up
evidence-based programs that promote healthy behaviors to prevent the spread of HIV/AIDS among youth,
aged 10 to 24 years in Uganda. Activities comprise training of trainers, and peer educators to promote
abstinence, fidelity and address issues such as partner reduction, stigma, and discrimination while
simultaneously engaging parents, communities and trusted adults in supporting individual behavior change
among the youth. The project is implemented through five youth-serving sub-grantee organizations namely:
The Uganda Red Cross Society; Uganda Scouts Association; Uganda Girl Guides Association; Young
Women's Christian Association, and the Source of the Nile Award. In FY2007, 2,668 unique individuals
were trained and 58,835 people reached with AB messages. During the FY2008 period, 2,606 unique
individuals will be trained to promote AB and 57,190 people (45,105 young people and 12,085 adults) will
be reached with AB messages through four integrated and reinforcing strategic objectives in the 10 districts
of Kampala, Iganga, Kabale, Hoima, Lira, Kayunga, Kamuli, Budaka, Tororo, and Wakiso.
i) Scaling up skills based HIV prevention education, especially for younger youth and girls: At least 2,510
peer educators will be trained using the cascade peer training model and workshop training setting. The
purpose of the training is to equip peer educators with facilitation and communication skills for disseminating
accurate and correct AB messages, and to provide life skills necessary for practicing AB. The training will
also equip peer educators with skills to pass on to the peers on how to deal with peer pressure, and to refer
young people that need other services like VCT, STI management, and social services that address issues
of sexual violence. The trained peer educators will reach a total of 45,105 young people, in and out of
school, through a series of one-to-one contacts, guided group peer education interactions, community
outreaches and enter-education youth activities, all focused on abstinence and behavior change for the
youth (ABY) topics. Other topics to be covered will include VCT, vulnerability of girls to sexual exploitation
and coercion as well as male norms and behavior. The young people will be reached through existing sub-
grantee youth forums like youth clubs, school debates, sports activities, blood donor clubs, jamborees and
expeditions. Resource materials will be provided to the peer educators to help them carry out their work
satisfactorily. These will include activity kits containing games, reference materials and real life stories.
ii) Stimulating broad based community discourse on health norms and risky behavior: In FY2008, a total of
6,360 adults and other community members will be reached through community outreaches. These will
include 40 district level and 120 sub-county level meetings. Working through established sub-grantee adult
and community networks, community participatory dialogue and action planning outreaches will be
conducted with a focus on identifying and recognizing prevailing youth health norms, gender issues, youth
risky behaviors, advocacy issues related to stigma and discrimination, and ways that communities can use
the information to address the identified risk behaviors predisposing young people to HIV. Target audience
includes adult members and volunteers of the sub-grantees, parents, teachers, cultural leaders, scouts and
girl guides masters in schools, civic leaders, politicians, women and youth leaders, community resource
persons, and other volunteer groups. The target audience will be reached through forums such as, the
YWCA adult clubs that comprise parents, influential leaders, and community members; Red Cross
community blood donor clubs; Scouts and girl guides open troops in the communities. These will be
provided with accurate information and AB BCC materials to dispel misinformation, and they will draw up
action plans to address the identified issues. A cadre of community facilitators will be recruited from existing
sub-grantee volunteer staff and equipped with facilitation skills to conduct adult and community meetings.
iii) Re-enforcing the role of parents and other influential adults: A core team of 60 new community facilitators
will be trained in parent to child communication (PTC), who will in turn reach 5,725 parents and other
influential adults through some of the existing forums described above. They will mainly focus on PTC, and
the role of the family. The training of trainers and facilitators in PTC and interpersonal communication skills
will be done using the materials adopted from Safe from Harm curriculum developed by Population Services
International's (PSI) AIDSMark program. Other PSI reference materials will also be used. The trainers and
community facilitators will in turn reach other parents and responsible adults to mitigate the difficulty many
parents, teachers, leaders and other key gatekeepers face in communicating with teens and young people
regarding sexuality and the role of the family in providing an enabling environment for young people to delay
sexual debut or be faithful. The existing sub-grantees structures such as teacher guiders, scout rangers,
YWCA adult clubs, youth mentor, role models and other parent-elder programs will be utilized as forums to
strengthen communication skills, mentoring and role modeling. Furthermore, the adults and the influential
people will be provided with knowledge and skills that will increase their self-esteem and capacity to talk
about youth sexuality, abstinence, fidelity and monogamy, and define parental responsibilities to help young
people practice AB behaviors.
iv) Reducing the incidence of sexual coercion and exploitation for younger people: A total of 6,360 adults
and other community members targeted to be reached with outreaches in ii) above will also be reached with
interventions under this objective by the trained community facilitators and older peer educators. This will
build on activities already implemented in FY2007 that included identification of key influential leaders within
the communities, and risky behaviors and areas for young people. Community advocacy and sensitization
meetings will be conducted for younger and older males. For younger males, the focus will be on
challenging gender norms about masculinity, the acceptance of early sexual activity, multiple sexual
partners and transactional sex, which are among the drivers of the epidemic in Uganda. These interactions
will be a deliberate effort to impart positive gender sensitive attitudes, practices and behaviors in young
males at an early age as a long term strategy to address sexual violence and exploitation of their female
counterparts. For older males, the focus will be to support counseling, peer education, and community
interventions. These two reinforcing approaches are aimed at addressing equitable gender norms in ABY
HIV/AIDS prevention and addressing high risk sex. In partnership with the young, empowered, and healthy
(YEAH) project, the sub-grantees will be oriented in the promotion, use and dissemination of the ‘Be a Man'
media and print materials during community sensitization and advocacy outreaches that promote male
participation to address transactional and intergenerational sex. New networks will be established at
community levels for referral services to augment on the existing ones. All the four strategies and the
activities identified under each one of them are carefully designed to contribute to the overall goal of
behavior change among the youth through abstinence and being faithful.
EAYPI has produced a synergistic alliance of organizations that possess a combined HIV/AIDS prevention
expertise, life skills and peer-to-peer education programming as well as expertise in youth development,
and capacity building. This combination of expertise has enabled EAYPI to scale -up culturally appropriate
Activity Narrative: and technically sound behavior change programs that are contributing to a reduction in HIV prevalence
among the youth in Uganda. The added value of the alliance lies in its ability to support the scale-up of
program activities, to generate program results through the provision and coordination of technical
assistance, leveraging resources and ensuring quality of A and B approaches and messages in the
communities where the affiliates work. EAYPI supports USAID/Uganda strategic objective (SO) #8:
Improved human capacity, the Uganda HIV/AIDS National Strategic Plan 2007/08- 2011/2012, and the
Health Sector Strategic Plan 2005/6-2009/10, through prevention of HIV infection among the youth by
influencing sexual behavior to postpone first sex among young people who have not yet initiated sexual
activity, promoting partner reduction strategies and fidelity in youth who are sexually active and to
encourage secondary abstinence. EAYPI plans to reach 198,800 youth with AB messages by the end of the
five year period, thus contributing significantly to the PEPFAR's five year target.
EAYPI will continue to collaborate with the other track 1 ABY partners, the YEAH campaign, Students
Partnership Worldwide (SPW), Walter Reed project, sectoral ministries especially the Ministry of Gender,
Labor and Social Development, and the Uganda Aids Commission. These linkages together with district and
community linkages with the district health office and the health services outlets will ensure that young
people reached by the ABY program can be referred for specialized services like VCT, OVC, family
planning, adolescent friendly health services, and other clinical services. Data from the field will be shared
with the communities and the districts through the regular monthly meetings at those levels.