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 activity relates to the RAPIDS HKID (#8947) and other Track 1.0 OVC projects.
Breaking Barriers is a Track 1.0 orphans and vulnerable children (OVC) Project that began in 2006. PLAN USA is the prime partner on behalf of the Hope for African Children Initiative (HACI). HACI is a pan-African effort that focuses on providing care and support to African children orphaned and/or made vulnerable by AIDS and other conditions. In Zambia HACI is made up of CARE, Family Health Trust, PLAN, and the Society for Women and AIDS in Africa-Zambia (SWAA), World Vision International, and the Zambia Interfaith Networking Group on HIV/AIDS.
The goal of Breaking Barriers over a four-year period is to enable communities affected by HIV/AIDS to expand compassionate, comprehensive, and sustainable care that meets the needs of OVC for quality care and support through a strategic partnership that mobilizes resources and builds technical skills to strengthen local initiatives. This goal will be achieved by expanding sustainable, effective, quality OVC programs in education, psychosocial support, and community-based care for children and families affected by HIV/AIDS and other vices, using an extensive network of schools (both formal and non formal) and religious institutions as a coordinated platform for rapid scale-up.
Breaking Barriers is working to equip the school aged OVC with education and life skills. Further emphasis is placed on the provision of physical and emotional support to the parents and guardians of OVC. The program also provides a platform for identified indigenous community-based organizations both secular and faith-based working with women, widows, OVC, and youth on which they can initiate, strengthen, and scale-up existing interventions to mitigate the impact of HIV/ADS.
The start of Breaking Barriers was delayed and was not in full implementation mode until February 2006. By the end of March 2006, Breaking Barriers reached 542 OVC with educational support such as fees, exercise, and text books, and uniforms. Under home-based care (HBC), 69 individuals were trained and reached 392 households of which 30 had chronically ill children. Breaking Barriers reached 1,688 OVC with home care services. The HBC providers encouraged people to go for CT and referred some to health centers for clinical management. Thirty-three Parent Community School Committees (PCSC) members including teachers were trained in Psychosocial Support (PSS). Teachers referred children who needed further PSS to home care providers for psychological counseling and other community structures such as the Neighborhood Watch Committees.
In FY 2007, Breaking Barriers will reach 10,000 (56% female and 44% male) OVC. Of these, 7,000 will be direct and 3,000 will be indirect beneficiaries of integrated program activities focusing on the improvement of community school infrastructure, provision of a comprehensive package of education, psychosocial support, HIV/AIDS prevention, and home care services who would otherwise not be able to participate in school. To ensure full participation of OVC in school, emphasis will also be placed on building capacity in home-based care to link chronically ill parents or guardians of OVC to palliative care and ART services. In FY 2007, 250 volunteers will be trained and 2,500 households served.
To ensure effective service delivery, Breaking Barriers will provide volunteers with non-cash incentives and tools for work (bicycles, umbrellas, rain apparel, and boots). For quick referrals and transportation of patients to health centers, each site will have three ambulance bicycles. Home-based caregivers will enable the OVC attend school instead of being primary care providers to the siblings. Breaking Barriers will train 120 community and local religious leaders in reduction of stigma and discrimination against OVC and PLWH. In collaboration with HCP and other OVC Projects, Breaking Barriers will produce and distribute IEC material in the above-mentioned districts including Lusaka during national events such as World AIDS Day and Day of the African Child.
Breaking Barriers also seeks to influence and change behavior patterns and cultural beliefs and practices that marginalize women affected by HIV/AIDS. This will be achieved by training 300 peer educators and empowering home care providers in will writing skills. Breaking Barriers will facilitate formation and strengthening of advocacy coalitions on OVC issues such as the Zambia Network Education Coalition, and networking with civil societies such as the Young Women's Christian Association, Young Men's Christian Association, and Justice for Widows and Orphans.
In order to promote sustainable OVC interventions, Breaking Barriers will form community groups such as Village OVC Management Committees and train them in needs assessments, resource mobilization, community organizing, program management, monitoring and evaluation. These community groups will facilitate linkages between OVC activities and home care with community schools, PLWHA support groups, existing government and civil society institutions (Zambia Community Schools Secretariat, Neighborhood Health Committees, and the Neighborhood Watch Committees) to assure sustainability beyond Breaking Barriers.
Breaking Barriers will leverage resources from non-PEPFAR sources to address childhood nutrition and food security. Agriculture inputs will be provided to vulnerable households. Communal fish farming and gardening will be promoted in communities situated near rivers. Other communities will be supported with livestock production.
Breaking Barriers will work with other USAID OVC partners through the USG Zambia OVC Forum to share lessons and prevent overlap of activities. Breaking Barriers will also work closely with the GRZ through district and provincial offices to ensure effective government communication and support services to the OVC.
Breaking Barriers will further strengthen its monitoring and evaluation (M&E) and capacity to collect data that helps assess progress towards program objectives. M&E data will be used to identify problems and find solutions as well as making decision about resources. Breaking Barriers M&E plan will track process, outputs, and outcomes to measure the success in education, psychosocial support, home-based care in OVC households, capacity building and in promoting an enabling environment for PLWHA and OVC. The M&E plan incorporates required PEPFAR OVC indicators. It also includes additional input, output, outcome and impact indicators, developed in consultation with local partners.
Breaking Barriers has formulated simple monitoring and tracking forms for data collection that is synthesized for reports. Name of beneficiary and the type of assistance rendered are filled on the form disaggregated by gender, orphan status (double orphan, single orphan; maternal or paternal), type of vulnerability (chronically ill or HIV positive), and age. The form also has a provision to track down new enrollments and drop-out cases. School and HBC registers will continue to be used. This helps reduce the risk of double counting a beneficiary. The information collected from the field will be sent to Breaking Barriers and stored in a database to be developed soon.
