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 is linked to the other State activities with UNHCR, sexual prevention: other (HVOP) (#9469)
and care: counseling and testing (HVCT) (#9470).
ACTIVITIES HAVE BEEN MODIFIED IN THE FOLLOWING WAYS:
•The budget has reduced from the previous year's allocation of $175,000 to 125,000 to cater for inclusion of
voluntary counseling and testing for HIV (VCT) activities in Mayukwayukwa and Meheba settlements.
$50,000 has been moved to HVCT (#9470).
•The population of Maheba and mayukwayukwa camps has gone up from 20,000 to 26,000 while the
population for Kala and Mwange camps has reduced from 40,000 to 31,000.
This activity is a continued partnership between the United States Government (USG) and the (UNHCR) to
strengthen HIV/AIDS prevention programs for refugees residing in Zambia. The budget has reduced from
the previous year's allocation of $175,000 to $125,000 to cater for inclusion of VCT activities in
Mayukwayukwa and Meheba settlements. UNHCR and its implementing partners began strengthening
HIV/AIDS programs for refugees in Zambia in 2003. HIV/AIDS prevention and education campaigns
conducted by host country governments often need to be adapted to refugees, who speak different
languages and have different cultural backgrounds. Many refugees have suffered trauma and violence,
including sexual violence, during conflict and flight which destroys traditional community support structure
and renders them vulnerable. Therefore, comprehensive HIV/AIDS prevention and care programs need to
be tailored to this unique, high-risk population.
A consultant has been hired to serve as UNHCR's HIV/AIDS Technical Officer for all PEPFAR programs.
The consultant assists all implementing partners to collect monthly data about their HIV/AIDS activities and
monitor their progress towards reaching their targets. Quarterly meetings are held in Lusaka between
implementing partners to allow for exchange of experience and new ideas.
In FY 2009, UNHCR will coordinate HIV/AIDS abstinence and be faithful activities with two implementing
partners: 1) Ministry of Community Development and Social Services (MCDSS) in Northwestern and
Western provinces at Meheba and Mayukwayukwa camps; and 2) World Vision International (WVI) in
Luapula, Northern provinces at Kala, and Mwange camps. Meheba and Mayukwayukwa camps host about
26,000 refugees from Angola, Rwanda, Burundi, and the Democratic Republic of the Congo (DRC). Kala
and Mwange camps host about 31,000 Congolese refugees.
In Meheba and Mayukwayukwa camps activities will focus on enabling both refugees and the surrounding
community population work and interact with all young people by supporting youth activities such as Anti-
AIDS Clubs in schools and holding sports camps. Within the schools, support will be provided to the Anti-
AIDS clubs through the purchase of stationary and the provision of small prizes for various competitions that
include poetry and essay writing and art contests on AIDS specific themes. Additionally, the many existing
sporting clubs and leagues will be supported by providing equipment and supplies for activities that
incorporate a focus on HIV prevention. These sporting events provide a medium to enhance leadership and
teamwork skills and build self-esteem among young people. These skills often lead youth to make healthy
choices and reduce their chances of contracting HIV. FY 2009 will host 4-day youth camps targeting 200
adolescent girls. This will focus on vulnerability of the girls to HIV infection in view of gender and
prevention. The girls will reach 1800 more girls of the same age group with a comprehensive abstinence
and be faithful messages. This will include the fact that in Zambia HIV transmission is primarily through
heterosexual relationships. The most vulnerable are those in stable relationships - the married. It will also
cover relationship types - age disparity, acknowledgement of limited trust in marriages and the reality and
impact of concurrent partners.
A Youth Sports Camp, an activity that has been successful in the past at integrating refugees and the
surrounding community as well as providing an opportunity to promote HIV/AIDS awareness messages to a
broader public, will be organized. The camp will be facilitated by the Youth Activities Organization, a local
non-governmental organization (NGO), and it is expected that 100 youth will take part in sports activities
that include coaching and teaching football, volleyball, and netball. One element of the program includes
holding public matches in which hundreds of adults watch and receive HIV/AIDS awareness messages
through drama and other performances during the breaks.
Life Skills Training to school age youth through a three part series of 3-day workshops will also be
conducted. These trainings are aimed at prominent school age youth and youth opinion leaders that can
positively influence their peers to make healthy decisions when confronting and addressing matters of
HIV/AIDS. Topics covered in the training include the nature and causes of HIV/AIDS, positive living with
HIV/AIDS, addressing stigma, relationship skills, goal setting and future planning, problem solving, decision
making and communication skills. Between the two camps, 100 school age youth will participate in the
training and these youth will reach 3,600 school age youth in a year with HIV/AIDS abstinence and be
faithful messages.
Traditional village communication methods, such as drama troupes, will be employed to travel to
communities in order to reinforce HIV/AIDS prevention messages and behavior change. This project will
allow for the retraining of such troupes.
Activities will also continue in Kala and Mwange camps in FY 2009. Already developed information,
education, communication (IEC) materials will be revised where necessary and reproduced for both camps
in French, Swahili, and other Congolese local languages. These materials will spark discussion among
youth and lead them to access the HIV/AIDS prevention services that are available in the camps. Refugee
camps also have unique opportunities to reaching many refugees at one time with prevention messages,
such as during bi-weekly food distribution.
In addition, 50 school age youth will be trained in assertiveness and decision making using the Stepping
Stones approach. Stepping Stones is an innovative training program which has already been introduced in
the refugee camps. The training draws on a range of participatory approaches including Participatory Rural
Activity Narrative: Appraisal (PRA), Theatre for Development (TfD) and peer group process work. A detailed training manual,
designed specifically for less experienced facilitators, provides a comprehensive sequence of participatory
activities. The manual is complemented by a video, consisting of a number of short clips to be used with
specific sessions. Between the two camps, 50 school age youth will participate in the training who in turn
will reach 1,800 school age youth in a year with HIV/AIDS abstinence and be faithful messages.
By strengthening the existing activities, programs will extend outside the camps anti-AIDS activities to the
neighboring Zambian villages and communities, including anti-AIDS and sporting events. It is anticipated
that 7,200 people will be reached with HIV/AIDS prevention programs that promote abstinence and/or being
faithful and 200 people will be trained to provide these programs. Until refugees are resettled, the refugee
camps involvement in the design, implementation, and monitoring of the program will help to ensure
ownership of the program. Building the necessary HIV prevention skills in the youth and general population
is particularly important in the refugee population, as these skills are transferable when refugees return to
their countries of origin.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16493
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16493 9851.08 Department of United Nations 7447 3046.08 United Nations $175,000
State / Population, High High
Refugees, and Commissioner for Commissioner
Migration Refugees
for
Refugees/PRM
9851 9851.07 Department of United Nations 5199 3046.07 United Nations $175,000
Table 3.3.02:
This activity is a continued partnership between the USG and the United Nations High Commissioner for
Refugees (UNHCR) to strengthen HIV/AIDS prevention programs for refugees residing in Zambia. UNHCR
and its implementing partners began strengthening HIV/AIDS programs for refugees in Zambia in 2003.
HIV/AIDS prevention and education campaigns conducted by host country governments often need to be
adapted to refugees, who speak different languages and have different cultural backgrounds. Many
refugees have suffered trauma and violence, including sexual violence, during conflict and flight which
destroys traditional community support structure and renders them vulnerable. Therefore, comprehensive
HIV/AIDS prevention and care programs need to be tailored to this unique, high-risk population.
Through a new partnership established between UNHCR/Geneva and Peace Corps/Zambia in FY 2006, a
Peace Corps Volunteer (supported by PEPFAR) will continue to serve as UNHCR's program officer for all
PEPFAR programs. In FY 2007, this position will continue to be filled by a Peace Corps Volunteer. The
volunteer assists all implementing partners to collect monthly data about their HIV/AIDS activities and
In FY 2006, UNHCR will implement activities to reach 50,000 people with messages about HIV prevention
through other behavior change beyond abstinence and/or being faithful. Additionally, it is anticipated that
more than 50 people will be trained to promote other behavior change beyond abstinence and/or being
faithful. Finally, 70 condom outlets will be supported. Funding for FY 2006 is anticipated to arrive in
September and activities will start immediately.
In FY 2007, UNHCR will continue to work to promote HIV/AIDS prevention behavior change that is beyond
abstinence and /or being faithful. UNHCR works with HIV/AIDS Interagency Task Forces that have been
established at each camp and are comprised of members from UNHCR, refugee leaders and camp
administration. UNHCR also works with district and national HIV/AIDS programs to ensure they are
operating under guidelines established for Zambia.
In FY 2007, HIV/AIDS training and community mobilization will continue in Meheba and Mayukwayukwa
camps that began in FY 2006. These camps host 20,000 refugees from Angola, Burundi, Rwanda and the
Democratic Republic of the Congo (DRC). Peer education training activities will be conducted to encourage
safer sexual practices through abstinence, being faithful, and correct and consistent use of condoms and
teach peers how to hold discussions with their peers and advocate these behaviors. Prevention messages
for sexually active youth and adults will focus on being faithful and using condoms consistently and correctly
while abstinence messages will be the focus for youth. Drama troupes that were trained in FY 2006 will
participate in training revisions to reinforce the messages of behavior change that were presented and
enhance their communication skills. In addition, key community leaders will be trained to promote
appropriate messages; information, education, and communication (IEC) materials will be developed; and
drama, debate and awareness sessions will be conducted.
In an effort to improve the capacity of refugee communities to mitigate HIV/AIDS in their communities and
ensure sustainability of activities, support will be provided to community groups and other relevant
stakeholders within the camp, in developing effective community responses to HIV/AIDS. These groups will
be assisted with training in HIV/AIDS information, prevention, care, support, fundraising and community
outreach. This will ensure that refugee communities will be more capable of developing effective responses
to combat HIV/AIDS. Awareness programs will also include a call for communities to show compassion and
support to people living with AIDS through community response.
Work will continue in Kala (Luapula province) and Mwange (Northern province) camps, where 40,000
Congolese refugees have been displaced due to continuing conflict and tensions in the DRC. Community
services in both northern camps are proposed. IEC material that has been developed in FY 2006 and
tailored to the target audience and translated into multiple languages to reach refugees from many different
language backgrounds, including French, Swahili, Portuguese, and other Congolese, Angolan, Burundian,
and Rwandan local languages will be available.
Due to the sensitivities involved in condom distribution, it is expected that condoms will be made available in
culturally appropriate outlets that include the clinic in each camp, counseling centers, toilet facilities and
individual distribution through key community relations personnel.
It is anticipated that 12,500 individuals will be reached with community outreach HIV/AIDS prevention
programs that are not focused on abstinence and/or being faithful and 70 individuals will be trained to
provide HIV/AIDS prevention programs that are not focused on abstinence and/or being faithful.
In order to combat sexual and gender based violence (SGBV), reproductive health and HIV/AIDS education
especially for refugee women and girls will be one of the core prevention strategies applied. Work will also
continue to sensitize community groups to make them aware of SGBV and offer psycho-social support to
survivors of violence. SGBV are important components of all activities that occur in the camps. Difficult
social and economic conditions in refugee camps often compel women to exchange sex for money, gifts
and other favors. The camps also have an elite group of actively mobile people who are exposed to risks of
getting HIV infection as they frequent border areas like Nakonde which has a very high HIV infection rate.
Adolescent girls in schools and women in various social groups will be especially targeted. These programs
work in collaboration with the Zambian police force that enforces refugee protection in the camps.
Stigma and discrimination associated with HIV/AIDS will be incorporated into all training and outreach
messages through discussions and role plays. Messages combating stigma are crucial for refugees, as they
have experienced discrimination during their flight. Poor living conditions for PLWHA, tuberculosis, chronic
malaria and other HIV related infections contribute to the vulnerability of refugees.
Continuing Activity: 16494
16494 3756.08 Department of United Nations 7447 3046.08 United Nations $25,000
9469 3756.07 Department of United Nations 5199 3046.07 United Nations $25,000
3756 3756.06 Department of United Nations 3046 3046.06 PRM/UNHCR $150,000
State / Population, High
Refugees, and Commissioner for
Table 3.3.03:
This activity is linked to the State Department activities for UNHCR in Other Prevention (#9469) and HVAB
(#9851).
The budget has increased from the $50,000 previously allocated to $100,000 as it includes new VCT
activities in Maheba and Mayukwayukwa settlements. The additional $50,000 is from the HVAB (#9851)
The number of Refugees in Kala and Mwange has reduced from 40,000 to 30,994
Number of service outlets providing CT has increased from 2 to 11
Number of people to receive CT has increased from 2,300 to 4,600
Number of individual to be trained in CT up from 45 to 92
The activity is a continued partnership between the USG and the United Nations High Commissioner for
Refugees (UNHCR) to strengthen HIV/AIDS prevention programs for refugees residing in Zambia. The
budget has increased from $50,000 allocated the previous year to $100,000 as it includes new VCT
activities in Meheba and Mayukwayukwa settlements. UNHCR and its implementing partners began
strengthening HIV/AIDS programs for refugees in Zambia in 2003. HIV/AIDS prevention and education
campaigns conducted by host country governments often need to be adapted to refugees, who speak
different languages and have different cultural backgrounds. Many refugees have suffered trauma and
violence, including sexual violence, during conflict and flight which destroys traditional community support
structure and renders them vulnerable. Therefore, comprehensive HIV/AIDS prevention and care programs
need to be tailored to this unique, high-risk population.
There are currently approximately 30,994 Congolese refugees residing in Kala and Mwange camps.
HIV/AIDS Interagency Task Forces have been established in the camps and are comprised of members
from UNHCR, implementing partners, refugee leaders and camp administration. The implementing partners
also work with district and national HIV/AIDS programs to ensure they are operating under guidelines
established for Zambia.
UNCHR, through one of its implementing partners, Aktion Afrika Hilfe, (AAH) established a confidential
testing room within the clinic at Kala camp in Luapula Province, trained 23 people in government certified
counseling and testing (CT) programs, and tested 1,150 people for HIV. In FY 2009, AAH will continue to
expand on these services and reach more people. Training will focus on couple counseling
In FY 2009, UNHCR will work with another implementing partner, the Zambia Red Cross Society (ZRCS) at
Mwange camp in Northern Province to coordinate CT activities. Uptake of CT is very low and there is little
knowledge among refugees about the services at Mwange camp. As a sub partner to UNHCR, ZRCS is
providing health services for the over 16,000 refugees in Mwange Camp. All sectors are strictly managed
within the humanitarian and project standards of the United Nations High Commissioner for Refugees
(UNHCR) who closely monitor the level of service delivery for refugees and ZRCS.
This activity builds on established comprehensive HIV/AIDS services at Mwange camp. These services
include: 1) planning, monitoring and promoting VCT through the VCT center; 2) monitoring and supervising
information, education, and communications (IEC) program through peer education; 3) promoting condom
distribution; 4) promoting Prevention of Mother to Child Transmission (PMTCT) of HIV infection; and, 5)
planning and encouraging community participation through the HIV/AIDS task force. CT staff will participate
in skill enhancing training. This training will target 15 counselors who have previously successfully
completed government certified CT training programs and aims to build on skills already learned.
Counselors will learn higher level counseling techniques that will enable them to be better equipped to
provide client centered one-on-one HIV test counseling.
FY2009 will see Implementing Partner, Ministry of Community Development and Social Services, (MCDSS)
take an active role in facilitating VCT activities in Meheba and Mayukwayukwa settlements in North Western
and Western Provinces respectively. Of the six clinics in Meheba, only two are currently offering VCT
services. This is a disincentive for those further from these clinics to access the services. The plan is to
have all clinics in the two settlements offering the service. 3 Staff at each of the clinics will be trained in VCT
and the clinics equipped to offer privacy for counseling and HIV testing. Mayukwayukwa will also be
conducting mobile clinic for VCT. Currently Ministry of Health and CHAZ are focusing on those on ARVs.
As the refugee camp facilities do not currently receive laboratory supplies from the national distribution
system, in FY 2009, laboratory supplies and equipment essential for CT services will be procured for one
site at each camp and the 9 clinics in the settlements. The supplies include test kits, needles, syringes and
gloves. The camp will offer services to the surrounding Zambian community in addition to serving the
refugee population.
Large-scale sensitization programs will continue to be undertaken in the camps and the settlements to
ensure that all refugees are aware of the CT services available and the advantages to knowing one's status
for HIV. The demand for CT services is expected to increase rapidly from the current rate following these
communication campaigns. The current program aims to provide CT services for 4,600 people in both
camps and settlements.
Thirty Eight (38) people trained with FY 2008 PEPFAR funds as VCT HIV/AIDS counselors in Kala (23) and
Mwange (15) camps will participate in skill enhancing training to maintain and update their skills and
knowledge. In addition, 54 new counselors will be trained in Mayukwayukwa (18) and Meheba (36)
settlements in FY 2009, building capacity and sustainability that can be used after return to their country of
Activity Narrative: origin.
UNHCR has established a referral system for HIV care and treatment in the camps and settlements for
those who require further access to HIV/AIDS care and support outside of the provisions that are available
in the camps. This system ensures the refugees and host community beneficiaries are able to access more
comprehensive services in nearby towns where services for STI treatment, psycho-social counseling, and
nutrition are available. In FY 2009, the camps will continue to build a broader network among the
organizations providing these services in nearby towns and a training session will be held for all
camp/settlement staff to become aware of the referral services that are available for refugees.
Continuing Activity: 16495
16495 5396.08 Department of United Nations 7447 3046.08 United Nations $50,000
9470 5396.07 Department of United Nations 5199 3046.07 United Nations $50,000
5396 5396.06 Department of United Nations 3046 3046.06 PRM/UNHCR $24,000
Table 3.3.14:
