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.
The Corridors of Hope III (COH III) is a new contract and a follow-on activity to the original Corridors of
Hope Cross Border Initiative (COH) and the Corridors of Hope II (COH II). COH III will continue the
activities of COH and COH II and expand the program to ensure a more comprehensive and balanced
prevention program. COH III will have three basic objectives focusing on prevention of sexual transmission
- condoms and other prevention, abstinence and being faithful (AB) activities, and counseling and testing
(CT) services. These three program areas will fit together and be integrated as a cohesive prevention
program.
In the three year life of project, COH II trained 750 outreach workers and high risk women, such as queen
mothers and sex workers, as peer educators; reached over 500,000 men and women with other prevention
behavior change messages through interpersonal counseling and group discussions. COH II had over 90
condom outlets that were socially marketing condoms to high risk groups, including sex workers and their
clients. COH II is ended in FY 2009.
Based on Zambia-specific HIV/AIDS epidemiological data, findings of the Priorities for Local AIDS Control
Efforts (PLACE) study and the Zambia Sexual Behavior Study, other behavioral and biological data, and
lessons learned from COH I and II services, COH III also focuses on reducing sexual networks, providing
sexually active youth with contextually appropriate intervention alternatives, addressing gender disparities,
sexual violence, and transactional sex, providing services and activities for CT, AB, and other prevention,
and facilitating linkages to other program areas such as care and treatment. To accomplish this, COH III
will implement a range of appropriate outreach services in bars, clubs, truckstops, and other key gathering
places. COH III will continue to have a strong focus on sustainability through building the capacity of three
national non-governmental organization (NGO) partners and, through them, of other local partners,
including faith-based organizations (FBOs), community-based organizations (CBOs), and other non-
governmental organizations (NGOs), to provide other prevention services.
In FY 2009, the new COH III contract will continue to reduce HIV/AIDS transmission among most at risk
populations (MARPs) and most vulnerable populations within seven border and high transit corridor areas:
1. Livingstone, 2. Kazungula, 3. Chipata, 4. Kapiri Mposhi, 5. Nakonde, 6. Solwezi, and 7. Siavonga
(Chirundu). In addition, COH III will continue to provide mobile services to reach targeted groups who do
not have easy access to the static sites. The services to be provided at both static and mobile sites will
include treatment for sexually transmitted infections, counseling and testing for HIV, and delivery of
prevention messages for behavior change through one-on-one and group discussions. These locations
represent populations that have the highest HIV prevalence and number of people living with HIV/AIDS
(PLWHAs) in the country. These communities are characterized by highly mobile populations, including sex
workers, truckers, traders, customs officials and other uniformed personnel, in addition to the permanent
community members, in particular adolescents and youth, who are most vulnerable to HIV transmission by
virtue of their residence in these high risk locations. COH III anticipates reaching 250,000 persons in these
areas with AB interventions, of which 100,000 will be adolescents and youth for abstinence only activities.
To reach these individuals, COH III will use the cadre of 600 previously trained outreach workers to
implement AB prevention activities and programs.
COH III will continue to ensure a continuum of prevention interventions that reach not only the most at risk
populations (MARPs) but also the wider community and will significantly increase AB activities in these very
high prevalent locations. In particular, this program will continue to address the influence of gender norms
and practices on sexual behavior, multiple and concurrent partnerships, how perceptions of masculinity and
femininity affect sexual behavior and HIV/AIDS service seeking, sexual violence, early debut of sex among
females and males, influence of alcohol abuse on sexual behavior, and the common practice of
transactional and inter-generational sex.
COH III through community-based programs will continue to use the participatory research methods
developed in COH II to identify determinants of the HIV/AIDS transmission among corridor communities,
engage the community fully in selecting and implementing appropriate interventions to promote abstinence
and faithfulness, leverage resources, and link to education and economic activities.
COH III will continue to focus on sustainability by building the capacity of communities, and local religious,
traditional and civic leadership to ignite social and behavioral change, engage them in programming, and
increase program ownership. Through its national NGO partners, COH III will subcontract with local
organizations to implement AB and other prevention activities specifically focused on eliminating
transactional and intergenerational sex, increasing abstinence/secondary abstinence and preventing early
sexual debut, changing gender norms that lead to high risk sex, preventing sexual violence, reducing
alcohol intake, promoting faithfulness and reducing multiple and concurrent sexual partnerships. To
promote abstinence and prevent transactional and intergenerational sex and sexual violence, local partners
will work with adolescents aged 10-14 and youth 15-24 along with their parents and guardians to instill
healthy social norms and values early on and encourage parent-child communication and protection.
COH III's mandate is to increase the sustainability of these programs and thereby work with local
subcontractors and other selected local organizations to build their capacity to conduct participatory
planning, implement effective programs addressing AB, and increase linkages to other services such as
most at risk prevention programs, counseling and testing services and treatment services. COH III will
continue to provide technical assistance to strengthen all facets of the local implementing partners by
helping to improve their technical approaches, financial management systems, human resource
management, strategic planning capabilities, networking capabilities, monitoring and evaluation (M&E) and
quality assurance and commodity/equipment logistics management. In conjunction with its local
subcontractors, COH III will develop a timeline for the phase-out of technical assistance (exit strategy) and
implement the full graduation plan that identifies the technical and capacity building needs of each local
partner. COH III will continue to work in close collaboration with other USG and other donor funded projects
working in the specified locations, and will continue to network and link to economic development programs,
education and vocational training programs, police sexual violence prevention programs, and Ministry of
Health (MOH) HIV/AIDS services. COH III will continue to collaborate in planning sessions to support and
Activity Narrative: eliminate redundancy with the work of the other USG partners, the National HIV/AIDS/STI/TB Council
(NAC) and other donors.
COH III will align its HIV prevention strategies and activities with the National HIV/AIDS Strategic
Framework 2006-2010, National Prevention Strategy as well as with the current National Communication
Strategy. COH II will actively participate in the planning processes and campaigns of the DHMTs and
DATFs in those districts where the project operates as well as in the planning and campaign activities of the
NAC.
COH III will use the COH II final evaluation results for its baseline A and AB activities. All FY 2009 targets
will be reached by September 30, 2010.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's legal rights
* 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 3.3.02:
This activity relates to COH III - HVAB (# ) and HVCT (# ).
- condoms and other prevention, AB activities, and CT services. These three program areas will fit together
and be integrated as a cohesive prevention program.
sexual violence, and transactional sex, providing services and activities for counseling and testing (CT),
abstinence and being faithful (AB), and other prevention, and facilitating linkages to other program areas
such as care and treatment. To accomplish this, COH III will implement a range of appropriate outreach
services in bars, clubs, truckstops, and other key gathering places. COH III will continue to have a strong
focus on sustainability through building the capacity of three national non-governmental organization (NGO)
partners and, through them, of other local partners, including faith-based organizations (FBOs), community-
based organizations (CBOs), and other NGOs, to provide other prevention services.
(Chirundu). In addition, COH III will continue to provide mobile services to reach targeted groups who do not
have easy access to the static sites. The services to be provided at both static and mobile sites will include
treatment for sexually transmitted infections, counseling and testing for HIV, and delivery of prevention
messages for behavior change through one-on-one and group discussions. These locations represent
populations that have the highest HIV prevalence and number of people living with HIV/AIDS (PLWHAs) in
the country. These communities are characterized by highly mobile populations, including sex workers,
truckers, traders, customs officials and other uniformed personnel, in addition to the permanent community
members, in particular adolescents and youth, who are most vulnerable to HIV transmission by virtue of
their residence in these high risk locations. It is anticipated that 200,000 persons will be reached with other
prevention services and community outreach activities and 100 targeted condom service outlets will be
established. To reach these individuals, COH III will work through the over 600 individuals the COH II
project trained in inter-personal behavior change communication for partner reduction and correct and
consistent condom use. COH III will continue to expand the current scope of HIV/AIDS other prevention
activities along the corridor areas beyond the limited targeting of sex workers and long distance truck
drivers and their partners to include border on-site services and condom social marketing. COH III will
continue to target women and men engaged in transactional sex and intergenerational sex, sexually active
youth, individuals involved in concurrent and multiple sexual partnerships, HIV+ persons, discordant
couples, victims of gender-based sexual violence, migrant workers, cross-border traders, border uniformed
personnel, customs agents, and money changers.
COH III activities will be geared toward all members of border communities and will continue to include
individual and community risk assessments, interpersonal counseling for behavior change, with an
emphasis on partner reduction, condom promotion and distribution for consistent and correct use, HIV
counseling and testing services, management of sexually transmitted infections (STI), referrals for post-
exposure prophylaxis (PEP) for victims of sexual violence, referrals for medical care and treatment, and
links to economic and education programs, which included partnering with the private sector to create
income-generation activities. COH III will continue to provide interpersonal counseling to address the social
and behavioral sexual norms that lead to HIV transmission. COH III will strengthen services and counseling
services related to sexual violence, multiple and concurrent partnerships, drug and alcohol abuse, and
transactional sex. COH III will use an integrated approach and link with local legal institutions and women's
groups to ensure women's legal rights are protected. Condom promotion and distribution will continue to be
targeted at spots frequented by MARPs. COH III will continue to work with law enforcement and health
facilities to ensure PEP provision and counseling for victims of sexual violence.
COH III will continue to address the issue of HIV and alcohol at COH III sites. It is a well known fact that
excessive alcohol use not only increases vulnerability to risky sexual behaviors and impairs efficacy of HIV
medications, reduces compliance to treatment and generally contributes to poorer HIV treatment outcomes.
COH III will develop key messages in collaboration with USG partners, the National HIV/AIDS/STI/TB
Council (NAC), and district AIDS task forces (DATFs), COH III will use interpersonal counseling and
communications tools, mass media spots for local television and radio, pamphlets, and posters to raise
awareness on the ill effects of alcohol abuse on HIV transmission. The project will support trained outreach
workers, local partners, and district health management team (DHMT) staff to give out specific information
on alcohol and its close association with HIV/AIDS transmission and the health of PLWHAs.
Framework 2006-2010, Nation Prevention Strategy as well as with the current National Communication
Strategy. COH III will take an active role in the planning processes and prevention campaigns of the NAC
and of DHMTs and DATFs in the districts where the project operates.
COH III's mandate is to sustain the prevention of sexual transmission services and activities beyond the
Activity Narrative: project period. COH III will continue to work with subcontracted national NGO partners and other selected
local organizations to build their capacities to conduct participatory research, implement effective programs
addressing MARPs, and provide comprehensive prevention services such as CT, STI diagnosis and
treatment, and link to other services including PEP, antiretroviral therapy (ART), prevention of mother-to-
child transmission (PMTCT), and palliative care. DHMTs will continue to provide periodic quality assurance
supervision for project STI diagnosis and treatment activities. COH II through technical assistance will
continue to strengthen local implementing partners by helping to improve their technical approaches,
financial management systems, human resource management, strategic planning capabilities, networking
capabilities, monitoring and evaluation (M&E), quality assurance, and commodity/equipment logistics
management.
COH II will continue the strong focus on support for program managers, health care providers, counselors,
and peer educators in inter-personal behavior change communication for partner reduction and correct and
consistent condom use. Health care providers and lab technicians will be trained in STI management using
national guidelines and will link with those providing PEP counseling for victims of sexual violence. In
conjunction with its NGO partners, COH III will develop a timeline for the phase-out of technical assistance
(exit strategy) and implement the full graduation plan that identifies the technical and capacity building
needs of each local partner leading up to graduation. COH III will work in close collaboration with other
USG and other donor funded projects working in the COH III locations and will network and collaborate with
Ministry of Health (MOH) HIV/AIDS services. COH III will collaborate with the Prevention of Sexual
Transmission Group and participate in the USG Prevention group to eliminate redundancy with the work of
other USG partners, NAC, and other donors.
COH III will use results of the 2007/8 behavioral surveillance survey (BSS) that focused on sex workers,
truck drivers, and youth for its baseline indicators in order to measure changes in behavior at mid-term and
the end of the project.
All FY 2009 targets will be reached by September 30, 2010.
Table 3.3.03:
will implement a range of appropriate outreach services in bars, clubs, truck stops, and other key gathering
including faith-based organizations (FBOs), community-based organizations (CBOs), and other NGOs, to
provide other prevention services.
With the advent of PEPFAR phase I, the original COH introduced static HIV testing into their services at
border and high transit sites for the first time. By the end of COH II in FY 2008, the project had trained 20
HIV counselors and 20 health care workers to provide CT services to high risk women and men and
reached nearly 15,000 men and women, including sex workers and their clients, with CT services. The test
results were shocking with prevalence rates from 50%-70% among female sex workers. These data
reinforces the importance of expanding CT services and linkages to care and treatment services in the new
COH III project.
In FY 2009, COH III will build on the lessons learned and the experiences of COH I and II, and will continue
to provide CT services in seven static facilities and mobile services in: 1. Livingstone, 2. Kazungula, 3.
Chipata, 4. Kapiri Mposhi, 5. Nakonde, 6. Solwezi, and 7. Siavonga (Chirundu). These locations represent
truckers, traders, customs officials and other uniformed personnel, in addition to the community members,
in particular adolescents and youth, who are most vulnerable to HIV transmission by virtue of their
residence in these high risk locations.
In FY 2009, 20,000 individuals will access CT services and receive their test results through COH III. COH
III will train 20 HIV counselors and 20 health care workers to provide CT services to high risk women and
men. COH III will continue to promote universal CT and community prevalence findings will continue to be
utilized to inform community members of the real risk of HIV transmission in their area, to reduce denial,
increase personal risk perception, ensure gender equity in service delivery, address male behavior and
norms in relation to accessing CT, and provide CT to victims of sexual/gender based violence. COH II will
continue to provide static and mobile community-based CT services. CT will be an entry point to
prevention, care, and treatment services and linkages for referrals will be strengthened. COH III and their
local partners will continue to work closely with communities to establish post-test clubs and support
activities.
COH III will leverage local resources from the MOH and the DHMTs. The MOH will continue providing HIV
test kits for COH II static and mobile testing services and the DHMTs will continue to provide periodic quality
assurance supervision for project CT activities.
COH III's mandate is to increase the capacity of local partner organizations to provide and sustain a
continuum of prevention services. COH III will continue to build local capacity to conduct CT services,
integrate CT with AB and other prevention activities, and establish effective and comprehensive referral
networks that are easily accessible and acceptable to Most-at-Risk Populations. COH III will continue to
strengthen all facets of its subcontracted national non-governmental organization (NGO) partners and other
local implementing partners by providing technical assistance and training to improve their technical
approaches, financial management systems, human resource management, strategic planning capabilities,
networking capabilities, M&E, quality assurance, and commodity/equipment logistics management. In
conjunction with its subcontracted local partners, COH III will develop an exit strategy along with the
graduation plan that identifies the technical and capacity building needs of each local partner and the
timeline for the phase-out of technical assistance leading up to their graduation.
Sustainability and comprehensiveness will be addressed by ensuring that all CT services will be linked to
existing health centers, hospitals, and community services such as PMTCT, prevention and clinical
management of HIV-related illnesses and opportunistic infections, ART, tuberculosis control, and
psychosocial support. COH III will continue to collaborate with the District AIDS task forces (DATFs) and
the DHMTs in planning sessions to support and eliminate redundancy and build a strong referral system to
existing local government and private sector HIV/AIDS services and other USG supported programs. All FY
200(targets will be reached by September 30, 2010.
Table 3.3.14:
