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 narrative is a draft and will be revised upon the award of the new United States Agency for
International Development (USAID) clinical activity in FY 2010. Targets will be adjusted based on the actual
starting date of the new project. It is envisioned that there will be an overlap between the current and new
project so that services continue to be provided to new and existing clients.
A new partner will be selected in 2009 to implement behavior change communication (BCC) activities
focusing on abstaining or delaying the age of first sex and being faithful to a single partner. This activity
links with other sexual prevention, biomedical prevention (male circumcision), counseling and testing, and
pediatric and adult treatment activities. Abstinence/be faithful activities also support both Zambian and the
PEPFAR goals through a comprehensive approach that promotes better health seeking behavior. The new
partner will work in all nine provinces in close partnership with USG partners and the Zambian government
(GRZ).
All BCC activities related to HVAB will be based on research and in support of the National Prevention
Strategy (NPS). In 2008, the Ministry of Health (MOH) in collaboration with the National HIV/AIDS/STI/TB
Council (NAC) and other local partners developed the NPS to reverse the tide of HIV/AIDS by intensifying
prevention activities nationwide. The new BCC partner will carry out community and mass media
campaigns targeting young people to inform them about abstinence and being faithful as means to prevent
HIV/AIDS transmission. Messages will be pre-tested for effectiveness and translated into local languages.
At the same time, the new partner will engage traditional, religious, and community leaders including
teachers, musicians, artists, and other role models who will assist in reaching out to youth and spread
appropriate AB messages.
At the community level, activities will include dramas, music, and peer education programs for in- and out-of
-school youth. Special efforts will be made to reach out-of-school youth, who are generally more likely to
engage in risky behavior. All of these interventions consider existing gender roles with the goals of reducing
violence, empowering young women to negotiate healthier choices, promoting partner communication and
mutual decision making, and male responsibility.
Technical assistance will continue to be provided to the NAC in the dissemination of the NPS which focuses
on scaling-up behavioral change efforts including abstinence and being faithful. The new partner will
ensure that its activities are also integrated into district and provincial plans ensuring ownership and
sustainability.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.02:
This activity narrative is a draft and will be revised upon the award of the new USAID clinical activity in FY
2009. Targets will be adjusted based on the actual starting date of the new project. It is envisioned that
there will be an overlap between the current and new project so that services continue to be provided to
new and existing clients.
focusing on the main drivers of the epidemic. These include multiple or concurrent sex partners, in which
consistent condom use tends to be low, transactional sex practices, and cultural practices that impact health
negatively including alcohol consumption. This activity links with abstinence/be faithful, male circumcision,
counseling and testing, and adult treatment activities. It also supports both the Zambian and PEPFAR goals
for appropriately targeting most at-risk populations (MARPs) with interventions promoting partner-reduction
and condom use. The new partner will work in all nine provinces in close partnership with USG partners
and the Zambian government (GRZ).
All BCC activities related to HVOP will be based on research and in support of the National Prevention
prevention activities nationwide. The new partner will develop mass media campaigns which will promote
reduction of concurrent partnerships and transactional sex through raising risk awareness. Messages will
be pre-tested for effectiveness and translated into local languages. Community dramas will also be used to
facilitate discussions on partner reduction, knowledge of HIV status, and stigma reduction.
Furthermore, messages on correct and consistent condom use, will be complemented with in-depth
information on behavior change and the development of respectful, gender-equitable relationships between
men and women. Traditional, religious, and community leaders will be encouraged to serve as role models
for men in order to affect change in the male norms and behaviors that undermine risk avoidance efforts.
These leaders will also assist in creating awareness on the negative health impact of traditional practices
such as sexual cleansing, dry sex, and initiation ceremonies through radio and community outreach efforts.
The new BCC partner will continue to ensure that issues related to alcohol abuse are integrated in all
communication interventions including gender issues to reduce violence, empower women to negotiate for
healthier choices, promote partner communication, mutual decision-making, and male responsibility.
on scaling-up behavioral change efforts. The new partner will ensure that its activities are also integrated
into district and provincial plans ensuring ownership and sustainability.
Emphasis Areas
Gender
* Reducing violence and coercion
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.03:
The new partner will be selected in 2009 to implement behavior change communications (BCC) activities
which include male circumcision (MC). This activity links with other sexual prevention, counseling and
testing (CT), and adult treatment activities. The new partner will work in all nine provinces in close
partnership with United States Government (USG) partners and the Zambian government (GRZ).
Zambia has been a leader in the roll-out of MC and the Ministry of Health (MOH) is committed to supporting
MC services nationwide. As a result, the MOH has created an MC sub-committee under the National
HIV/AIDS/STI/TB Council's (NAC) prevention theme group whose membership includes diverse
stakeholders including the USG. In 2008, the Ministry of Health (MOH) in collaboration with the NAC and
other local partners developed the National Prevention Strategy (NPS) to reverse the tide of HIV/AIDS by
intensifying prevention activities nationwide.
The new BCC partner will assist the NAC and all MC service delivery partners in implementing a national
MC awareness campaign that includes messages regarding counseling and testing (CT) and
stigma/discrimination reduction. These will include radio and TV spots and BCC materials focusing on
disinhibition; the need to use a trained service provider; post-procedural care; importance of knowing one's
HIV status; and the advisability of MC for men who have tested negative. Messages will be pre-tested for
effectiveness and translated into local languages.
Traditional and community leaders will play a key role in all community-based activities by raising
awareness and correctly conveying information about MC, including the importance of continuing safer sex,
being faithful, and knowing one's HIV status. In provinces that implement MC as a traditional practice, the
new BCC partner will actively engage traditional initiators in promotion of CT and safe and sterile service
delivery, complementing training efforts of JHPIEGO, the new social marketing partner, and the MOH.
Technical assistance will be provided to the NAC in the dissemination of the NPS which focuses on scaling-
up behavioral change efforts including MC services. The new partner will ensure that its activities are also
integrated into district and provincial plans ensuring ownership and sustainability.
Table 3.3.07:
focusing on adult treatment. This activity links with sexual prevention, counseling and testing (CT), and
male circumcision activities; and addresses both Zambian and the President's Emergency Plan For AIDS
Relief (PEPFAR) goals of scaling-up ART services by providing quality information on treatment,
adherence, and positive living. The new partner will work in all nine provinces in close partnership with
USG partners and the Zambian government (GRZ) and will use a comprehensive BCC approach that
promotes better health-seeking behavior through the support for and promotion of ART services.
All BCC activities related to HTXS will be based on research and in support of the National Prevention
prevention activities nationwide. Building also on the national ART communication strategy which was
developed with technical assistance from the USG, the new partner will continue to assist the NAC in
producing quality communications relating to ART. Messages will be pre-tested for effectiveness and
translated into local languages.
With financial support from PEPFAR, outreach materials have already been developed such as the Positive
Living Handbook, a three-part PMTCT video issued in five languages entitled "Mwana Wanga", an
antiretroviral video entitled "The Road to Hope", and a family planning video for PLWHA entitled "Our
Family, Our Choice." Where appropriate, the new BCC partner will develop new or utilize existing materials
to promote messages of knowing one's HIV status, ART adherence, prevention for positives, PMTCT, and
promotion of proper nutrition for PLWHA. This will be done in close collaboration with NAC and other key
stakeholders.
All communications materials support greater gender equity with a goal of empowering women to negotiate
for healthier choices and promote partner communication, mutual decision-making, and male responsibility.
up behavioral change efforts including ART adherence. The new partner will ensure that its activities are
also integrated into district and provincial plans ensuring ownership and sustainability.
Table 3.3.09:
focusing on pediatric treatment. This activity links with abstinence/be faithful and counseling and testing
(CT) activities; and addresses both Zambian and the President's Emergency Fund For AIDS Relief
(PEPFAR) goals of providing quality care for children. The new partner will work in all nine provinces in
close partnership with USG partners and the Zambian government (GRZ).
Many parents/caregivers face difficult decisions after finding out a child's HIV status. With support from the
USG, the Ministry of Health (MOH) and key stakeholders have identified communication interventions to
address the gaps in pediatric HIV education, which later resulted in the development of a National Pediatric
HIV/AIDS Communications Framework. The new partner will continue to support the MOH's efforts by
improving parents/caregiver's knowledge of treatment adherence and treatment programs available;
assisting parents to disclose their children's positive status in an age-appropriate way; and helping children
to cope with knowledge of their own HIV positive status.
The new partner will continue to assist older children and adolescents cope after learning their HIV status
through materials that have been produced for children's support groups. Communications geared for older
children and adolescents help children and adolescents talk about their feelings more openly in support
group settings. These materials address managing medications, growing up with HIV (with age appropriate
information on sex and sexuality). If needed, new materials will be developed based on research and at the
request of the MOH.
At the same time, service providers need support on how best to counsel parents to get their children tested
and on treatment; counsel on adherence; prevent opportunistic illnesses; promote positive living; and how
to disclose positive status to their children. These types of materials have already been developed in
collaboration with the MOH and other key stakeholders. The new partner will build on these materials or
create new ones (if appropriate and at the request of the MOH) to ensure these are available nationwide.
Technical assistance will continue to be provided to the National HIV/AIDS/STI/TB Council (NAC)in the
dissemination of the NPS which focuses on scaling-up behavioral change efforts including pediatric
treatment. The new partner will ensure that its activities are also integrated into district and provincial plans
ensuring ownership and sustainability.
* Increasing gender equity in HIV/AIDS programs
Table 3.3.11:
2010. Targets will be adjusted based on the actual starting date of the new project. It is envisioned that
focusing on expanding access to counseling and testing (CT) services. This activity supports all USG
partners providing CT services nationwide, and addresses both Zambia and PEPFAR's goals for increasing
the number of people who know their status and the provision of quality CT information.
CT is the entry point into treatment and care programs. In order to expand the use of CT, the new partner
will implement a comprehensive BCC approach that is based on research and complements the National
Prevention Strategy (NPS). Activities will include developing outreach materials for and training of lay
counselors and peer educators; involving people living with HIV/AIDS in the design and dissemination of
mass-media messages; and promoting couple, family, and community counseling involving adult and
pediatric treatment. All messages and materials will be pre-tested for effectiveness and translated into local
languages.
At the same time, the new partner will engage traditional, religious, and community leaders to encourage
Zambians to seek testing and know their HIV status and attract more men as CT counselors.
All communications materials consider existing gender roles with the goal of reducing violence, empowering
women to negotiate for healthier choices, promoting partner communication/mutual decision-making, and
male responsibility.
on scaling-up behavioral change efforts including CT. The new partner will ensure that its activities are also
Table 3.3.14:
