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.
This is a Track 1.0 multi-country Abstinence Behavior Change for Youth (ABY) activity that links with other USG ABY partners, including International Youth Foundation/Empowering Africa's Young People Initiative (#8899), Children's AIDS Fund/Preserving the African Family in the Face of HIV/AIDS (#9519), Health Communication Partnership (HCP) (#8905), RAPIDS (#8945), and CHANGES2 (#8851). This activity supports both the Zambia National HIV and AIDS Strategic Framework and the President's Emergency Plan for AIDS Relief (PEPFAR) goals of abstinence and behavior change for youth as a means of preventing the transmission and spread of HIV.
The focus of the Y-Choices HIV/AIDS prevention program is to promote Abstinence and Being Faithful (AB) behavior among in-school and out-of-school young people aged 10-24 through peer education. The program is being implemented through sub-grantees including non-governmental organizations (NGOs), community-based organizations (CBOs), and faith-based organizations (FBOs) in five critical rural provinces: Central, Luapula, North-Western, Southern, and Western. By the end of the five years, the program is anticipated to cover 38 districts of the five provinces. The program is currently in 11 districts.
Y-Choices ABY activities are conducted mostly through the schools and community Anti-AIDS clubs at district/community level and are guided by the Anti-AIDS school matrons and patrons who are themselves trained as adult mentors.
The schools and community-based ABY sites are identified by the sub-grantees in consultation with stakeholders who include District AIDS Task Forces (DATFs), District Education Boards, District Health Management Teams (DHMTs), and community, traditional, and civic leadership. Site selection is based on need.
The sub-grantees carry out the daily program management and provide technical support to community activities through their trained peer educators, adult mentors, and program staff, including officers responsible for program monitoring, evaluation, and reporting. The sub-grantees often communicate amongst themselves to share experiences, strategies, materials, and approaches to AB messaging.
In FY 2005, sub-grantees were first identified through a consultative process with district local leadership including DATFs, DHMTs, and district Commissioners' offices. Sub-grantees were trained in program and grants management, as well as reporting and monitoring and evaluation. In FY 2006, the program had 17 sub-grantees and by mid year reached about 31,422 youth with AB messages and 16,422 youth with Abstinence-only messages. Over 900 persons were trained to reach out to the youth and their guardians/parents with AB messages in 90 sites.
In FY 2007, the major thrust of the program is the support of peer-to-peer education and child mentoring outreach by peer educators and adult mentors. The peer educators will provide age appropriate AB messages to fellow peers through outreach activities. The adult mentors, including parents and teachers, will provide guidance to peer educators in their planning and implementation of peer education activities and promote parent/adult/child dialogue on sexuality issues, with an emphasis on abstinence and fidelity as key HIV preventive measures among youth. Both peer and adult educators will be trained in effective AB messaging and community mobilization.
To ensure program sustainability, Pact Zambia will also build capacity and skills for sub-partner organizations in sub-grant management, program management and implementation, monitoring and evaluation, and AB message development and dissemination. These capacity building efforts, including the training of peer educators and adult mentors in effective AB messaging, will result in transfer of program management and information dissemination skills of health-impacting AB messages. Sub-grantees will also encourage traditional, civic, religious, and political leadership to participate in community mobilization activities in addition to their participation in the program. Pact's partner organizations will ensure linkages and synergy of their ABY activities to existing government structures, such as the Provincial AIDS Task Forces, District AIDS Task Forces, and the Neighborhood Health Committees. PACT will also continue its membership on the newly formed Prevention of Sexual Transmission working group supported by the National HIV/AIDS/STI/TB Council (NAC). To enhance
coordination, standardization, and learning, Pact will be in constant communication with other ABY partners. The ABY partner meetings initiated by PACT in FY 2006 will continue in FY 2007 and will expand to include representatives from other USG partners and agencies involved in ABY.
Gender will be a focus for partners in the implementation of the program. The messaging and program evaluation and reporting will incorporate gender concerns, as HIV/AIDS affects boys and girls differently. The communication strategy will ensure that HIV concerns for boys and girls (such as multiple sexual partners, sexual abuse and violence, male norms, and transactional sex) are adequately addressed. Peer education and mentoring outreach will be complemented by AB messaging through folk media and radio programming in provinces with community radio stations in North-western, Western, Southern, and Luapula Provinces. Pact will encourage its sub-grantees to adapt any existing and approved AB radio programs developed by other partners, such as Society for Family Health (#8925) and Health Communication Partnership (8905), and Pact's sub-partners will in addition develop need-specific programs to fill missing gaps. These programs will be broadcast on existing community radio stations. To standardize the AB messages reaching the young people and maintain positive behavior, PACT sub-grantees will continue using approved and available information, education, and communication materials that have been developed by NAC, HCP and other organizations in the country.
Utilizing the networking approach to HIV/AIDS programming, ABY partners will closely collaborate with other stakeholders in the field to ensure quality services for youth and to avoid duplication of similar activities. Referrals will be encouraged to ensure that sexually active young people who require counseling and testing (CT) and condom services are directed to partner organizations providing the required services within the coverage area.
FY 2007 funds will be used to provide ABY sub-grants to 20 sub-grantees, 10 of which will be new organizations. Ten sub-grantees who proved efficient in both program and financial compliance will be selected from the 17 organizations funded during the FY 2005 and FY 2006 period. Each of the organizations will implement its own ABY activities in at least five schools and five surrounding communities, making a total of 200 sites. A total of 4,000 peer educators and 2,000 adult mentors will be trained in these sites.
Pact Zambia's Y-Choices will conduct monthly field compliance visits to the sub-grantees in order to provide program and financial backstopping. The program will also continue tracking results from each sub-grantee through the reporting template submitted monthly. The template helps tracking the key program data as well as challenges and success stories.
It is estimated that an average of 400 out of school youth in each of the 200 community sites (80,000 youth in total) will be reached with AB messages and an average of 250 in each of the 200 school Anti-AIDS clubs (50,000 youth in total) will be reached with abstinence-only messages. Of the total youth to be reached, about 60% will be girls.
