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
The proposed project will take place in Kyaka II settlement of Kyenjonjo district. According to the UNHCR
August 2008 report, the refugee population in the area is currently 12, 115 however there are a group of
refugees known as "population on Hold" who are about 5,761. These are refugees who are not yet
documented by the UNHCR and have unrestricted movement within the settlement, thus they could leave
any time or stay for a longer period. The population of the host community within the 4 surrounding villages
who benefit directly from the services is about 4,500. The refugee population consists mainly of Congolese
origin that makes up about 80.7% of the total refugee population. The gender composition of the population
is distributed such that the female population including women of childbearing age makes up about 50.2%
of the total refugee population. Health services are provided by GTZ (German Development and Technical
Cooperation) with support from UNHCR out of the health center in the settlement. Services provided include
curative, preventive, VCT, PMTCT, palliative care and ART services. IMC supports the provision of these
services together with GTZ and its partners using trained nurses, laboratory technicians and other health
care personnel. In the FY 2009 FY, IMC will provide HIV counseling and testing services to 1,500 pregnant
women through its single service outlet. Community mobilization and awareness through use of information
campaigns, dramas & door to door visits etc to increase PMTCT uptake will be done including
encouragement of spouses to attend PMTCT services.
One service outlet at the Bujubuli Health Center was active and operational in providing a full package of
PMTCT services. In all over 1,538 pregnant women were counseled, tested and given the results during the
period. Of this amount 48 tested positive. In an effort to involve men, IMC undertook a campaign to raise
the awareness of men towards PMTCT and they were also tested in addition to their spouses. 307 men
were tested and 12 were found to be positive. It was not possible to match these positive men to their wives
as the testing was done individually. 13 mothers were provided with Niveprine medication as 28 weeks of
pregnancy and above and 4 mothers were enrolled in the HAART program. Due to migrations, some of the
mothers were not served with the Niveprine medications.
In FY 2009, IMC plans to expand PMTCT services to one other health center II in Mukondo as well as
improve the quality of PMTCT services outlined below. Antenatal care will continue to provide an entry into
the PMCT program. On antenatal clinic day, all expectant mothers will be sensitized on the benefits of
taking HIV test, mother to child HIV transmission, general HIV/AIDS prevention information, infant feeding
practices, and family planning. Group HIV pre-test counseling will be conducted and consenting mothers will
be provided with an HIV test and given results. Incentives like t-shirts and mosquito nets will be used to
motivate couples who attend antenatal care services as part of the process of increasing men's enrolment
into the PMTCT program. Couples will also be encouraged to attend on special antenatal days. Pregnant
mothers will be routinely tested and those found to be HIV positive will be informed about the PMTCT
services available in addition to other HIV care and support services. Expectant mothers will be given
specific services which will include HIV specific infant feeding education, provision of micro nutrient
supplements like iron, OI management, nutrition counseling, education on good hygiene practices, personal
and home care. Reproductive health services such as treatment of sexually transmitted disease, family
planning / child spacing, intermittent preventive treatment of malaria, postnatal care etc will be integrated
into PMTCT programs through education and provision of services. HIV positive mothers will also be
provided with preventive ARVs (basic regimen, combined regimen or HAART using MOH PMTCT
guidelines). In addition IMC will support HIV positive mothers by taking their blood samples to the JCRC in
Fort Portal where CD4 counts can be conducted. Follow up care and support for mother and baby will be
done after delivery in order to increase uptake of PMTCT services. IMC will conduct PMTCT campaigns
using films, IEC material and other methods of community sensitization. The campaigns will highlight the
benefits of PMTCT and help remove the stigma associated with the disease. As some mothers visit
Traditional Birth Attendants (TBAs) to deliver these health care workers will also be the target for awareness
training and the need to counsel mothers who are positive to attend a well equipped health care facility for
safer deliveries. TBAs will also ensure that ARV prophylaxis is administered for both the baby and the
mother since many women opt to deliver outside the health centers because of the distances involved. The
program will also establish home-based PMTCT program to follow up on expectant mothers who do not
attend ANC clinics due to distance with related information and drugs. These programs will also be linked to
the Basic Care Package Program currently being implemented by PSI. IMC will also link newly born babies
who have been exposed to HIV to other prevention, care and treatment services. This will be done through
the establishment of an early infant diagnosis (EID) and pediatric care program. IMC will also promote
counseling of mothers on specific infant feeding soon after delivery and at 5-6 months when babies are
expected to be weaned. HIV positive babies will be enrolled in the ART program. Awareness of the need for
early cessation of breast feeding and rapid weaning will be provided during home visits. Related supplies
and recruitment of relevant staff will also be undertaken to improve the services offered
New/Continuing Activity: Continuing Activity
Continuing Activity: 16078
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16078 4795.08 Department of International 7337 3834.08 Refugee $60,000
State / Population, Medical Corps HIV/AIDS
Refugees, and services in
Migration
Kyaka II
Settlement
8298 4795.07 Department of International 4801 3834.07 Refugee $51,514
4795 4795.06 Department of International 3834 3834.06 Refugee $44,531
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing women's access to income and productive resources
* Reducing violence and coercion
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
* Safe Motherhood
* TB
Refugees/Internally Displaced Persons
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $30,386
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Estimated amount of funding that is planned for Education $4,200
Water
Table 3.3.01:
care personnel. In the FY 2009 FY, under the effort to increase community awareness of HIV/AIDS
prevention through promoting Abstinence and Being Faithful, IMC will target 3,500 students with AB
messages through activities of community educators and peer counselors in 6 schools
In 2007 36 Community Educators and 14 peer counselors were trained on HIV/AIDS prevention through
ABC; Peer Counsellors educated 629 students on HIV/AIDS prevention through AB in 6 schools, a total of
270 female and 359 male students were trained; Seminars were held in schools to promote AD involving
1221 students out of which 463 were females and 758 were males. IMC also conducted recreation activities
together with Right to Play-Uganda targeting out of school youth. Football and other programs were held at
Zonal levels and involved 2,309 youth
In FY 2009 similar activities will be undertaken to involve more students and members of the host
communities. In the previous years some students were not targeted with education messages because
they were below the ages of 10 but a large number of them will attain the age of 10 this year and will now
be targeted. IMC will continue to implement the shift to translating existing HIV knowledge into the desired
behavioral change using the health beliefs model within the context of HIV/AIDS which was implemented
successfully last year. The model involves providing comprehensive HIV knowledge, assessing risk for HIV
and consequences, identifying alternatives to risky behavior and drawing action plans to reach desired
behavior. Life skills training for the youth (in and out of school) is also a key component of this model. This
model will be tailored to promote abstinence and marital fidelity. IMC will continue promoting the use of the
PIASCY (Presidential Initiative For AIDS Strategy on Communication to Youth) in order to provide
comprehensive HIV/AIDS knowledge for the youth. In each school, life skills clubs will be supported to set
up an HIV/AIDS garage which provides information on an ongoing basis to students as well as provide an
environment where students can be allowed to share experiences or ask any questions and seek answers.
In addition, door to door visits will be conducted by community educators targeting families to improve
communication between parents and children hence motivating positive and responsible behaviors.
Behavioral change campaigns will be conducted around World AIDS Day, Day of the African Child and
World refugee day. These campaigns will also provide avenues to provide public information about HCT,
OVC care and ART. IMC will continue to support establishment of groups of PHAs, and train them to carry
out HIV/AIDS awareness as peer educators. IMC will also continue to involve faith based institutions to
carry out activities aimed at creating awareness on abstinence and promoting marital fidelity. IMC will recruit
and train community educator to work among the host populations as well as the refugee community.
Abstinence and Be Faithful talks will be organized in schools, using guest speakers from churches, PHAs
volunteers, other health officers and district and NGO staff.
Continuing Activity: 16079
16079 4799.08 Department of International 7337 3834.08 Refugee $29,949
8299 4799.07 Department of International 4801 3834.07 Refugee $29,949
4799 4799.06 Department of International 3834 3834.06 Refugee $34,135
* Increasing gender equity in HIV/AIDS programs
Military Populations
Estimated amount of funding that is planned for Human Capacity Development $1,475
Estimated amount of funding that is planned for Education $9,839
Table 3.3.02:
care personnel. In the FY 2009, IMC will conduct promotion campaigns to improve condom use in 13
villages. Building on the success of the previous year, IMC will provide condom dispenser outlets, train
community educators and promotion campaign to targeting over 10,000 individuals.
During FY 2008, IMC conducted two condom promotion campaigns in 13 villages targeting over 7,400
individuals, additionally, through the work of the community educators another 9,027 individuals were
reached with messages on condom usage during social forums, public health shows, antenatal clinic days
and ART clinic days. 27 Condom outlets were maintained during the period and the outpatient centers were
also provided with condoms for distribution. About 533,277 condoms were distributed during the period. 35
individuals were trained in STI management through condom use which included 21 community educators
and 14 community health workers
In FY 2009, IMC will continue with condom promotion, integration of RH and STI management, prevention
with positives activities and, promotion of HCT as a prevention strategy. IMC will continue its condom
promotion campaign in addition to ongoing door to door sensitization by community educators. The
condom outlets will be increased from 27 to 42 in an attempt to cover the host population as well. STI
prevention and treatment will be strengthened through outreach testing, community sensitization, training of
community workers, training of health staff in syndromic management of OIs, IEC materials and provision of
a broad spectrum of antibiotics will continue. Friendly reproductive services will be instituted at the health
center through the training of health staff, providing related supplies and materials, school talks and
providing straight talk newspapers. One group of PHAs will be formed and trained on positive living and
prevention of STIs including prevention of re-infection. They will also be encouraged and supported to carry
out HIV/AIDS awareness including condom use. During public information campaigns, HCT will be
promoted as a prevention strategy. During HCT and condom awareness, communities will be informed
about discordance and the need for discordant couples to use condoms consistently. Awareness on male
circumcision within the context of HIV will be continue through door to door sensitization by community
educators, IEC materials and routine health education. Those in need of the services will be referred to the
nearest HC III. Since there is a clear correlation between alcohol and other substance abuse and HIV risky
behavior, the project will continue to raise awareness of this linkage through drama, community meetings
and publication of IEC materials drawing attention to that linkage
Continuing Activity: 16080
16080 4803.08 Department of International 7337 3834.08 Refugee $24,506
8300 4803.07 Department of International 4801 3834.07 Refugee $24,506
4803 4803.06 Department of International 3834 3834.06 Refugee $17,784
Table 3.3.03:
Activity Narrative - maximum 15,000 characters
care personnel.
During the past year, one service outlet was operational in providing facility based palliative care and TB
diagnosis and treatment. 41 community health workers and community educators were also trained to
provide palliative care. The subjects included home based provision of palliative care and CB-DOTS (TB
management system). 3 health professional attended the palliative care training course organized by
Hospice and they also organized an in-house training for their peers and colleagues. 35 community
educators and community health workers were trained in TB and HIV identification and referral, in addition,
1,050 caregivers were trained in care and support for HIV/AIDs patients. Finally, 357 HIV+ individuals were
provided with related palliative care including Cotrimazol Prophylaxis and provided with kits with support
from PSI.
In FY 2009, IMC/GTZ will continue to provide TB/HIV interventions to Mukondo HCII increasing the service
outlets from one to two. IMC will also provide HIV Counseling and Testing (CT) for TB patients who attend
clinic. It is expected that more people will attend the CT when this is offered at the TB clinic. To ensure a
continuing high standard of care, IMC will provide a refresher training to 10 health professionals to provide
clinical prophylaxis (this will involve providing medications to TB patients during clinical visits over a period
of time to ensure that patients are actually taking the medications), TB diagnosis, treatment protocol and
elements of Community based Directly Observed Treatment Short-course (TB-DOTS) and Health Education
on TB Prevention. Training will be conducted by TB staff from the district that have substantial knowledge
on national TB and ACP programs. IMC will identify and train 18 community health workers as TB/HIV focal
persons on CB-DOTS using national TB/HIV collaborative guidelines and provide them with relevant
materials and logistical support to improve drug adherence and defaulter tracing. Communities will be
sensitised about respiratory tract infections in general & T.B in particular - issues related to over-crowding
in closed areas, adoption of good cough habits, and good ventilation. A TB campaign will be conducted on
World Tuberculosis Day (March 24) which will help to improve case finding, reduce stigma and defaulter
rates as well as promote preventive and care aspects of tuberculosis. TB reagents and prevention therapy
will continue to be accessed at Kyegegwa Health Sub district. However, IMC will procure TB related
supplies like pipettes, and microscope sputum slides for the Mukondo HCII. All new TB patients are
sensitized on TB/HIV integration, counseled and tested for HIV if they have not already been tested via the
RTC. All new TB/HIV patients will be enrolled in the HIV/AIDS care and support program including
nutritional support. Additional staff including a laboratory technician and a nurse will be required to initiate
TB/HIV services in Mukondo HCII. This activity will support 40 (based on number of TB clients registered at
the health centre in the last six months with an addition of 10%) individuals with TB/HIV care between
September 1, 2008 to September 1, 2009.
New/Continuing Activity: New Activity
Continuing Activity:
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $15,000
and Service Delivery
Table 3.3.12:
During the past year 10 individuals were identified and trained in child counseling to provide psychosocial
support to OVCs in their respective zones. A total of 508 OVC caregivers were trained in crop management
and agricultural production. A total of 75 families were supported with seedlings and farming equipments.
657 OVCs were supported with school uniforms.
In FY 2009 IMC will strengthen OVC programs using a family centered approach where OVC are targeted
within their families to ensure adequate monitoring, support and, ownership of program. To address the
psychosocial needs of these OVC and their families/caregivers, refresher training will be conducted for 10
volunteers trained in child counseling during the past year and IMC provide ongoing supportive supervision
to these individuals. The Counselor Trainer will be responsible for providing psychosocial care directly to
those OVC with particular needs when referred by the 10 trained counselors. Existing child rights
committees at zonal level will be trained to integrate OVC care in their child rights education programs in the
communities as well as monitor the conditions of OVC in their zones This activity will also continue to
improve the food security and ability of OVC and their caretakers to secure livelihoods through the provision
of seedlings, cultivation tools and training. A number of the neediest OVC families will be selected by IMC
together with the Community Services Office using an established assessment and selection criterion
developed by the Community Services Office and OVC Zonal Committees. IMC will also provide scholastic
materials to OVCs in school. However the materials will be distributed at household level to reduce stigma
associated with distribution in schools. This will be complemented by an awareness-raising campaign
coordinated by the Community Educators aimed at changing the attitudes of families/care givers to promote
children's right to education, particularly those younger girls currently undertaking traditional ‘female roles' in
the household. Through community dialogue with social forums, drama groups and door-to-door visits, this
campaign will also emphasize the negative affects of domestic violence, neglect and exploitation of
vulnerable children and will serve to reinforce IMC's ongoing campaign against under-age sex and early
marriages as part of the sexual and gender-based violence program and the abstinence/be faithful activity
in this program. This activity will also link up with other HIV/AIDS related services. For example the
Community Educators through the door to door visits will raise awareness on HIV, HCT, PMTCT and other
services available and will make any needed referrals.
Continuing Activity: 16083
16083 4810.08 Department of International 7337 3834.08 Refugee $52,191
8303 4810.07 Department of International 4801 3834.07 Refugee $52,191
4810 4810.06 Department of International 3834 3834.06 Refugee $22,471
Table 3.3.13:
women through its single service outlet while making plans to open up another outlet. Community
mobilization and awareness through use of information campaigns, dramas & door to door visits etc to
increase PMTCT uptake will be done including encouragement of spouses to attend PMTCT services.
During the past year one service outlet was operational in providing VCT services. There was a steady
access of VCT services to the target population through the Health centers and community outreach
programs. Three post-test clubs were organized and remained active in providing people living with
HIV/AIDS with support. The programs also helped in sensitizing people in the value of VCT. A total of 1640
refugees consisting of 875 males and 745 females were tested in addition to 2,482 host population,
consisting of 1,183 males and 1,299 females. Of the number tested 107 males and 133 females tested
positive.
In FY 2009, the project will continue to provide services at Mukondo HCII, thus providing adequate
coverage to the community. VCT services will continue to be the primary point for delivering HVCT
services although Routine Counseling and Testing (RCT) will continue to be used within the context of
PMTCT. RTC will be offered as part of clinical evaluation along with tests or investigations recommended by
health providers. Health staff will continue to receive refresher trainings on HIV counseling as well as
ethical issues associated with RTC and routine counseling and testing (RCT). Selected individuals will be
trained as Counseling Aides to support the HVCT unit to better the counselor-client ratio and improve the
quality of HVCT provided, especially at outreach sites where many people turn up demanding for
counseling and testing services. HIV test kits and related materials will be obtained from the health sub-
district but IMC and GTZ will procure some to prevent stock outs. In addition to promoting the available
services, periodic community awareness campaigns especially around key international events like World
AIDS Day, will address issues related to disclosure of status to partners and families and the need for
couple counseling and testing. Couple counseling will continue to be provided and health staff will be
provided with refresher trained to carry out couple counseling. In addition incentives such as T-shirts and
refreshments will be provided to couples that turn up for HVCT meetings and those who complete the full
program will also be giving a certificate of completion. Community Educators will emphasize the importance
of testing for children at risk of infection as part of this campaign. HVCT for children will be done mainly
within the PMTCT context where babies born to HIV positive mothers or those with symptoms of HIV/AIDS
will be tested at 18 months. GTZ will also explore the possibility of working with JCRC in Fort Portal to
provide PCR in the long run. Other children will be tested as part of clinical evaluations while those above
12 years will be sensitized in school or during community sensitizations. In addition those above 12 years
can access VCT at the different outlets or outreaches. Market days and church activities will continue to
provide an entry point to HVCT. Links between the ongoing SGBV program and market/church activities will
be key to the promotion of increased gender equity, challenging of male norms and behaviors conducive to
HIV and STIs transmission, and the reduction of violence and coercion. All individuals who test HIV positive
will be counseled and informed about available care and support services for PHAs including treatment for
OIs, ART, PMTCT and palliative care services and enrolled on to the care and support program. Expectant
mother who attend VCT will be referred to health centers for ANC and PMTCT services as well.
Continuing Activity: 16084
16084 4814.08 Department of International 7337 3834.08 Refugee $49,744
8304 4814.07 Department of International 4801 3834.07 Refugee $49,744
4814 4814.06 Department of International 3834 3834.06 Refugee $57,551
Table 3.3.14:
