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
Integrated Community based Initiatives (ICOBI), is an indigenous NGO formed in 1994 with a mission to
improve the quality of life of people living in rural communities. Its headquarters are located in Kabwohe-
Itendero Town Council, Bushenyi District with a liaison office in Kampala. ICOBI has been involved in
implementation of Health programs with community bias since its inception. Programs which ICOBI has
implemented include: World Bank supported STI project (1995-2000), MAP Project (2001-2006) and
Nutritional and Early Childhood Development Project (1999-2003); EGPAF supported facility based PMTCT
in 15 health units in Bushenyi District (2002-2005); and CDC supported Full-access Door-to door Home
based VCT in Bushenyi District (2004-2007). In April 2008, ICOBI started implementing the three year NPI
supported OVC project in Bushenyi and Mbarara districts and in July 2008 it received two five year awards
from CDC to implement a Home Based VCT project in 6 districts in Central Uganda and a national level
Community PMTCT project with a special focus on 6 districts in South Western Uganda. The Community
PMTCT project is entitled: Expanding Uptake For Interventions To Prevent The Transmission of HIV From
Mothers To Their Children (PMTCT) In The Republic of Uganda by using Community Based Strategies
Under The President's Emergency Plan For AIDS Relief. The overarching goal of the project is to contribute
towards the improvement of child survival through increasing the uptake of prevention of mother to child HIV
transmission services and providing care & support to HIV infected parents and children using
home/community based approaches. The project intends to achieve the following strategic objectives;
1.To promote innovative community based primary prevention of HIV through community mobilization and
sensitization of pregnant women and their spouses for HIV counseling and testing at health facilities.
2.To prevent un-intended pregnancies among women living with HIV by promoting use of modern
contraceptives and other family planning strategies.
3.To reduce HIV transmission from pregnant or lactating women living with HIV to their babies by referring
them to health facilities for appropriate ART for PMTCT as well as other strategies.
4.To enhance advocacy, capacity building and behavior change communication for community PMTCT
interventions.
In the Community PMTCT program, ICOBI intends to work with the community and health facility based
structures and various partners including civil society organizations, faith based organizations, the district
directorates of health services and EGPAF, the major partner in PMTCT in South Western Uganda. This
project will be implemented at two levels:1) in collaboration with the MOH, will conduct some national
aspects of community involvement in general, 2) with a special focus on 6 districts in South Western
Uganda. The districts are Bushenyi, Ntungamo, Mbarara, Ibanda, Isingiro and Kiruhuura; with a total
population of 2,446,600 people. The expected pregnancies are 122,330 and the expected HIV pregnant
women are 7,360. There are 183 health facilities in this region which are disproportionately distributed
within the districts. There are 94 sub-counties and 512 parishes in this region. The geographic coverage of
PMTCT services varies from district to district; with Ntungamo being the most under served with 4 health
facilities providing PMTCT services and yet has the highest HIV prevalence among pregnant women
attending the antenatal clinics of 9.3% compared to 6.7% in Bushenyi district with 41 health facilities
providing PMTCT services. The project will take advantage of the expansion of PMTCT services by EGPAF
in this region and mobilise the community to utilise the available PMTCT services. Implementation of the
project will be phased, beginning with Bushenyi and Ntungamo in the first year, Mbarara and Ibanda
districts in the second year, Isingiro and Kiruhuura districts in the third year. The final two years of the
project will experience a consolidation of community PMTCT services across the Ankole region and the
nation at large. The project will be implemented under the auspices of the national PMTCT strategy with a
regional character as well as national outlook whereby this project will contribute to awareness creation
through well designed and targeted strategies including, among others, promotional and motivational
activities for PMTCT through mass media, local language information, education and communication (IEC)
campaigns including using music and drama, interpersonal channels and community dialogue. In addition,
professional linkages and family based (Home-based) out-reaches will support community based PMTCT
with referrals and counter referrals between the community based structures and the health facilities. The
sub-county based counselors (CPO) and the resident parish mobilisers (RPM)/mentor mothers working
together with other community based groups like Village health teams and other community owned
resource persons, will link the pregnant women in the community with the health facilities where PMTCT
services will be offered and vice-versa for follow up of the PMTCT women in the community. Some of the
trained CPOs and RPMs will augment the health unit staff in provision of PMTCT services on busy days.
The project will be launched at the national level and in the districts to create a forum for key stakeholders.
The project will concurrently implement other HIV preventive programs including abstinence and being
faithful (AB); and other prevention. During the first year of the project, a total of 44 sub-counties and 258
parishes of Bushenyi and Ntungamo will be covered; with a total population of 1,210,400 with 60,520
expected pregnancies and 3,632 expected HIV positive pregnant women in the two districts.
New/Continuing Activity: Continuing Activity
Continuing Activity: 21112
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
21112 21112.08 HHS/Centers for Integrated 9212 9212.08 Integrated $750,000
Disease Control & Community Based Community-
Prevention Initiatives based Initiatives
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
* Safe Motherhood
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
Itendero Town Council, Bushenyi district with a liaison office in Kampala. ICOBI has been involved in
PMTCT project is entitled: Expanding Uptake For Interventions To Prevent The Transmission Of HIV From
Mothers To Their Children (PMTCT) In The Republic Of Uganda By Using Community Based Strategies
1. To promote innovative community based primary prevention of HIV through community mobilization and
sensitization of pregnant women and their spouses for HIV counseling and testing at health facilities
2. To prevent un-intended pregnancies among women living with HIV by promoting use of modern
contraceptives and other family planning strategies
3. To reduce HIV transmission from pregnant or lactating women living with HIV to their babies by referring
them to health facilities for appropriate ART for PMTCT as well as other strategies
4. To enhance advocacy, capacity building and behavior change communication for community PMTCT
interventions
Objective 1. To accelerate the prevention of sexual transmission of HIV through behavioural change
communication
Activity 1.1. Provide HIV/AIDS education with emphasis on Abstinence and Being faithful (AB) to persons
aged 15-49 in the project area through radio programs and drama and Production of IEC materials targeting
60% of 15-49 year olds in 258 parishes of Bushenyi and Ntungamo.
In Uganda, radio is a strong medium of communication. The talk is mainly targeting to educate listeners on
prevention of sexually transmitted diseases, HIV, condom use, hygiene etc. We intend to use this platform
to pass on tailored community PMTCT and AB messages as well as mobilize communities to access and
own these services. Weekly hourly live-phone-in programs will be held in Runyakitara on a local FM station
based in Mbarara and provide radio spots in different languages and occasional talk shows at a radio
station with national coverage based in Kampala. Radio talk shows will last thirty weeks in this budget
period.
Activity 1.2. Promoting behavioural change through staging drama
Drama shows are one of the most cost-effective ways of community mobilization and information
dissemination. ICOBI will train and support drama groups to stage drama shows in each of the 258 parishes
in the two districts of Bushenyi and Ntungamo with key messages on PMTCT and AB.
ICOBI is in the initial stages of project implementation. The organization has responded to the issues raise
Activity Narrative: in the technical review of the application including revising the project narrative, budget and work-plan.
Meetings have been held with CDC staff and there are ongoing consultations with key stakeholders
including Ministry of Health STD/AIDS Control Program. Offices have been established and some key
project staff recruited. The staff has embarked on the harmonization of the organization's communication
strategy with the national HIV communication strategy. Everything is being set for full scale project
implementation as soon as project funds are disbursed.
ICOBI will design and produce information, education, and communication (IEC) tool kit specially packaged
to reach all leaders. The tool kit will include a PMTCT and AB information booklet (in different major
languages) giving key information on how to increase PMTCT uptake including need for antenatal care, HIV
testing & disclosure, delivery in health units, male involvement and above all how to achieve an HIV free
generation. It will emphasize the role of abstinence and being faithful as primary prevention strategies. The
tool kit will also include a T-Shirt because it has been shown that a T-shirt is one of the best IEC material as
many people will wear and go with them at parties, funerals, markets, churches, drinking places etc and
people will be reading and internalizing the message written on. Sometimes what is written attracts debate.
Where possible, we might add re-prints of other available AB leaflets/posters.
ICOBI will increase awareness on all elements indispensable for the attainment of all the objectives of this
program. ICOBI will develop and implement a systematic approach of local language community education
and participation that will ensure information about AB strategy on primary prevention of HIV reaches over
50% of women in the reproductive age-group and other people in the community in South Western and
Central Uganda and beyond. The key strategies to achieve this will include, among others, promotional and
motivational activities for AB through mass media, local language information, education and
communication (IEC) or behavior change campaigns (BCC) including use of drama shows, interpersonal
channels and community dialogue. As part of mass media, ICOBI will use radio stations to disseminate
information and allow for community participation through calling in or writing. ICOBI has experience using
radio as a means of information sharing. There will be two approaches, one will be a radio talk show to be
held once every week for 30 weeks in the first year; and the other being using various radio spots promoting
AB. In Uganda, Radio is the major source of HIV/AIDS related information to the public as 65% of Ugandan
households own a radio set and only 33% get information by word of mouth according to the 2002 National
Census. ICOBI in collaboration with its sister organizations has been having reserved radio air time (Sunday
4.00-5.00PM) since November 1999 on the Radio West FM station based in Mbarara and intends to use
this time for this program. The listenership is over 10 million and it can be heard in ¾ of the country. We
used the same radio station during the implementation of the HBVCT program and it helped to significantly
increase uptake of VCT to over 95%. For national coverage, ICOBI will produce radio spots in different
languages and air them on various radios in different parts of the country or use one or two radio stations
that cover the entire country as will be advised by the stakeholders. The general prevention messages will
include: remaining faithful to your partner and endeavor to know each other's HIV status; practice safer sex
within a discordant couple, young people remain abstaining sex before marriage,etc.
In year one, ICOBI will build capacity of the community resource persons through training of 258 RPMs and
44 Community PMTCT Officers from Bushenyi and Ntungamo and another 119 RPMs and 25 CPOs from
Mbarara and Ibanda in year two; in sexual prevention using Abstinence and being faithful (AB). The training
will be organised in 5 groups/sessions. Each training workshop will last for 7 days. The project will identify
and recruit sub-county based counselors and the resident parish mobilisers/mentor mothers who will
provide preventive counseling to the PMTCT pregnant women and their spouses for long term risk reduction
of HIV transmission; promotion and facilitation of disclosure of HIV status to their male partners; promotion
of faithfulness in marriage (zero grazing); promotion of correct and consistent use of condoms; promote
ongoing follow-up counseling and education through established community and peer psycho-social support
groups such as post test clubs (Family support groups), mothers' union and various assorted women
groups. A strategy to use couples to reach other couples with behavior change communication will be
explored (The model of ‘Couple-Couple influence in HIV prevention).
Targeted health education will be given to the community on condom use. The RPM will supply condoms in
the community to ease the access in order to reduce the risks of persons engaged in risk behaviours like
bar maids, multiple or concurrent sex partners, negative partners in long-term sero-discordant relationships,
widows and divorcees and young people especially out of school youth. ICOBI will out source for free
condoms from the Ministry of Health and the district departments of health. Linkages will also be
strengthened with the USAID supported AFFORD (social-marketing) to make condoms available in private
sector at subsidized price. The COPs will conduct on-going counseling on issues like avoidance of Home
violence, alcohol consumption and its risks and other gender norms that need modification.
New/Continuing Activity: New Activity
Continuing Activity:
Estimated amount of funding that is planned for Human Capacity Development $15,000
Table 3.3.02:
population of 2,446,600 people. The expected pregnancies are 122,330 and the expected HIV pregnant w
Table 3.3.03:
