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 linked to PMTCT activities of Boston University, CIDRZ, and ZPCT.
Activities to improve the effectiveness of prevention of mother to child transmission of HIV (PMTCT)
services are carried out through facility-based, peer-to-peer education and psychosocial support programs
for pregnant women, new mothers and caregivers, all living with HIV/AIDS. There are four components to
these activities: curriculum-based training and education programs; psychosocial support and
empowerment services; programs to increase uptake for counseling and testing; and bridging services
linking PMTCT treatment and care to anti-retroviral treatment (ARV) and other health services.
With PEPFAR New Partners Initiative support, mothers2mothers (M2M) will increase the effectiveness of
PMTCT services through a comprehensive program of facility-based, peer-to-peer education and
psychosocial support for pregnant women, new mothers and caregivers living with HIV/AIDS in Rwanda,
Kenya and Zambia. All activities have been and will continue to be coordinated with local PMTCT service
providers and their partners and will also be carried out in conjunction with provincial, district and municipal
health authorities. In Zambia, m2m has the active support of the Ministry of Health (MOH) for Zambia, the
Provincial Department of Health for the Southern Province (SPHO), and of the Livingstone District Health
Office. Support from the Provincial Departments of Health for Lusaka and Copperbelt Provinces is
anticipated. Support from respective District Health Management Boards (DHMB) will be gained as specific
sites are selected in each district.
Current M2M programs are located in over 90 health care facilities in four provinces in South Africa as well
as in Lesotho, Ethiopia and Botswana. In FY 2008, M2M will sustain programs in ten districts of the
Southern, Lusaka, and Copperbelt Provinces in Zambia.
The program partners will be Development AID for People to People (DAPP), a local, Zambian NGO, for in-
country program implementation. As a provider of indirect support to local PMTCT programs, m2m and
DAPP will support the PEPFAR funded PMTCT activities of Boston University (BU) in Southern Province,
Center for Infectious Disease Research-Zambia (CIDRZ) in Lusaka Province, and Zambia Prevention, Care
and Treatment Partnership (ZPCT) in the Copperbelt Province.
PEPFAR funding will be used to support the delivery of a cascade of curriculum-based training and
education programs designed to improve PMTCT outcomes through education and training of pregnant
women and new mothers with HIV/AIDS. The training curriculum provides guidance about PMTCT and
ARV treatment tied to maternal and new baby health, with the objective of encouraging these women living
with HIV/AIDS to take responsibility for their own health, their child's health, and the health of their partners.
Additional critical subjects covered in the training include family planning, couples counseling, and
prevention guidance for these PLWHA and their partners ("Prevention with Positives".).
Training begins with mothers2mothers' site co-coordinators (SC) and Mentor Mothers (MM), all of whom are
PLWHA. They, in turn, provide curriculum-guided education and support (individual and group) to mothers
in PMTCT programs during antenatal care, post-delivery recovery, and their return to clinics after delivery.
In addition, working in collaboration with local and provincial government health authorities, indigenous staff
(including nurses, lay counselors and other related health providers) also receives this training on PMTCT
interventions and wellness care.
With PEPFAR funding, the program will add a complement of trained PMTCT care providers (SC's and
MM's) to supplement the resources of frequently overburdened local healthcare providers. Simultaneously,
the program will also hone the skills and knowledge of existing indigenous staff. The lasting impact of these
activities will make a significant contribution to the sustainable development of the capacity of local
organizations.
PEPFAR funding will be used to provide individual and group psychosocial support and empowerment
programs for pregnant women and new mothers with HIV/AIDS in order to help them with issues including
stigma and discrimination; disclosure; reducing risky behavior among positives and pediatric support.
Nutritional support and guidance is also a part of the program. A related activity focuses on providing
specific support programs for the MM's and SC's ("Care for Caregivers"), contributing to their own physical
and emotional well being as well as that of their clients.
One objective of both group and individual support is specific knowledge transfer around the many issues a
women living with HIV/AIDS faces in navigating the PMTCT process. Another outcome is empowering the
women to focus on and take responsibility for the health of their babies, and, importantly, their own health
as well. By encouraging behaviors that can help mothers sustain their well being, the programs aim to
reduce the potential that their children could become orphans and/or vulnerable children (OVC).
Similarly, the programs address the reality of the high rates of violence against women in the communities
served, as well as the specific ties between HIV and domestic violence. They provide tactical as well as
emotional support aimed at helping women confront this issue and reduce their likelihood of becoming
targets and victims.
Working in close partnership with local health and government programs, MM's and SC's become part of
the antenatal intake process. In this role, they focus on increasing counseling and testing uptake by serving
as committed advocates, working with women like themselves and drawing on their training and their own
personal experience. Through this program, the MM's and SC's also provide significant support for Pediatric
Counseling and Testing by advocating for pregnant women to return to clinics post-delivery to test their
infants, supporting the women in the post-delivery period, and providing referrals of babies to testing and
treatment programs.
This activity provides linkages and referrals, specifically by acting as a bridge between PMTCT services and
other health services. In active collaboration with local and provincial health officials, m2m will link women
and infants with AIDS defining conditions to ARV therapy programs, and refer all ante/post natal women to
clinics providing wellness care for themselves and their infants.
M2M will thus contribute to increasing the number of women cared for by PMTCT programs; by improving
prevention (PMTCT) outcomes, thus reducing the number of infected children; and by increasing the
Activity Narrative: number of pregnant women, new mothers, and infants receiving treatment by providing a referral system
from PMTCT to ARV services.
M2M will be reporting on indirect targets only as they will be working with other PEPFAR supported PMTCT
programs in each of the three provinces where they will be providing services. Specific targets will be
derived when program sites are selected in each district in consultation and collaboration with respective
DHMBs, PMTCT program partners (BU, CIDRZ and ZPCT) and DAPP. Correct tabulation of targets will be
completed to ensure that no double-counting results.
