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 HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
•Update on current activities
•Plans for fiscal year (FY) 2009 funds
•Increased targets for condom service outlets
This activity will be linked to the CDC activity with Southern Province Health Office for Palliative care
TB/HIV, activity 9017.
From FY 2005 to FY 2007, a public health evaluation was conducted among migrant and non-migrant farm
workers in Southern Province to estimate HIV prevalence and incidence and sexual behaviors that are
associated with HIV infections. Preliminary results show that migrant workers, the family they leave behind
in their hometowns, and the temporary families they are likely to establish in their place of work are in need
of targeted HIV prevention interventions. Additionally, people living in the area that cater for large influx of
migrant workers need to be targeted with specific HIV interventions. The complete results from the baseline
survey will be available in time to inform the tailoring of appropriate prevention activities.
Migrant workers, mobile populations, their families, and the people they live among while they are working
are prone to experience social environments that cultivate risky behaviors for HIV and sexually transmitted
infection (STI) transmission and acquisition. Activities through this funding mechanism focus on
encouraging behavior change by producing materials and targeted messages, working with peer educators
and/or trained clinical providers to educate the target populations about the risks of STIs, creating a
personal awareness of one's risks for becoming infected with HIV, understanding the importance of
attending counseling and testing (CT) regularly, the importance of correct and consistent condom use, and
the importance of reducing the number of sexual partners. By the end of FY 2008, approximately 5,000
individuals will be reached through community outreach that promotes HIV/AIDS prevention through other
behavior change practices beyond abstinence and/or being faithful. In addition, 75 people will be trained to
promote HIV/AIDS prevention through other behavior change practices beyond abstinence and/or being
faithful. Fifteen (15) condom outlets will be established to distribute condoms to migrant workers and their
partners in conjunction with education sessions.
The majority of people are reached through education sessions for adult men and women that cover a
range of topics including: basic facts about HIV and STIs, understanding the CD4 count, Antiretroviral
Therapy (ART), couples counseling, and immune-suppression, practice talking with a spouse about sex,
STIs, attending couples counseling, and ways to seek out friends and families who are living with HIV to be
open to them and encourage them to have good nutrition, adhere to treatment regimens, and prevention of
further transmission of HIV. This will be done through collaborating with the USAID supported New
Partners Initiative program, Men Taking Action and other partners in the district. These activities promote
behavior change and combat stigma. An additional important component of the activities is to establish
condom outlets and procure condoms for distribution at major access points for migrant workers and their
partners and train them on consistent and correct use of condoms. People who engage in transactional sex
and exchange sex for money and/or goods with multiple or concurrent sex partners are known to frequent
areas where migrant workers live and activities are needed to empower them to use condoms with their
clients. STI testing and treatment for genital ulcers and syphilis will be carried out in order to reduce the risk
of HIV transmission for workers at an established site within the district for easy access by referred clients.
Additional activities include organizing recreational activities to provide workers with alternative meeting
places rather than at bars, working with widows to ensure that they are tested for HIV and receive
appropriate care, and support.
In FY 2009, DAPP will continue implementing this activity to expand HIV prevention, care, and treatment
programs among migrant and non-migrant farm workers in Southern Province.
In order to ensure sustainability of the program and to promote lasting behavior change, Total Control of the
Epidemic (TCE) program will recruit Passionates, which are volunteers who will continue with the activities
in the workplaces after the program has finished and will work with the Provincial and District Health Offices
in Southern Province and work within their Zambia National HIV and AIDS Strategic Framework (ZASF) for
activities in FY 2009. Additionally, many large farms in Southern Province have established basic HIV
programs for their workers and the total control of the epidemic will work through these programs to create
the capacity for their expansion and get support from DAPP in Zambia head offices. The project will also
work with Ministry of Health in dissemination of prevention of mother-to-child transmission of HIV, CT, ARV,
and tuberculosis (TB) information. Other partners will be invited to give lessons in workshops with the
target group. The Passionates who have been trained as TB treatment supporters will mobilize TB patients
within the farms to seek and adhere to treatment.
Targets set for this activity cover a period ending September 30, 2009.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17575
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17575 17575.08 HHS/Centers for Development Aid 7170 2994.08 DAPP - 1 U2G $200,000
Disease Control & People to People PS000588
Prevention Zambia
Table 3.3.03:
THIS ACTIVTY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
•FY 2009 plans to include a larger coverage area and increased targets in the same district
Activity Narrative
This activity also relates to activities in counselling and testing (HVCT # 3667.08 and #8814.08) and sexual
prevention (HVOP # 17575.08)
Development Aid People to People (DAPP) has been operating in Zambia since 1986. The mission of
DAPP is to implement projects that give people knowledge, skills, and tools that will empower them and
their families to face the challenges of everyday life and improve quality of life. Through this funding
mechanism, DAPP, operating under the Total Control of the Epidemic (TCE) model, will continue with their
collaboration with the Ministry of Health since inception in FY 2006. DAPP program design and
implementation is innovative, at grassroots level, offering a one-on-one communication, and mobilization
strategy for HIV prevention and behavior change. These program implements a personalized community
oriented house-to-house counseling and testing (CT) with emphasis on prevention and behavior change,
and referrals to care and treatment services.
The project, to date, has reached 20,087 people with counseling and testing services. Sixty-nine people
including 55 field officers have been trained in CT following the national training manual. By the end of the
fiscal year 2008 half of Mazabuka district will be covered with door to door approach and an anticipated 125
000 people will be reached with CT and prevention messages.
In FY 2009, DAPP will work closely with the Mazabuka District Health Team (DHMT) to scale up the house-
to-house CT services to the rest of Mazabuka district to ensure full coverage of the whole district. An
additional 50 local residents will be trained as field officers to cover the new half of the district. It is
anticipated that 15,000 people will be tested for HIV/AIDS and receive results by the end of FY 2009. Links
to referrals for care, treatment and support which include PMTCT, TB, STI and pediatric CT/ART services
have been established and will continue working. In close collaboration with the district health management
team DAPP will run an integrated model of mobile clinic that is inclusive of CT, PMTCT, and ART services.
DAPP has a history of building effective community partnerships allowing for referral from CT to community
networks and initiatives, including income generating activities.
DAPP TCE works with community volunteers (passionates) that are trained in psychosocial CT. All
volunteers trained in previous years will carry on the program in the initial half of the district where these
activities began even as we move to cover the rest of the district in FY 2009. These will be working under
the supervision of the health centers and the hospitals. The passionates will carry on with monitoring the
established activities during the three years of activities.
In FY 2009 a total of 40 support groups will be running that were established in the previous years. DAPP
programs initiate income generating activities that are designed to be self sustaining because they are
initiated and implemented by communities. An example is the piggery that was successfully started with
contributions from community members to buy a male and female pig. This set gave rise to eight piglets
that where further distributed to PLWHA/members as a male and female set. This multiplier effect has
helped many PLWHA and their families to support on-going costs. The passionates are involved with
implementation of income generating projects and ensuring sustainable outcomes.
TCE programs are gradually sustainable following the three years of formal implementation by DAPP. The
formal program has finished in the first three years ending in FY 2008 and capacity has been built on
individuals for sustainability of the program. The program in FY 2009 will continue implementing house-to-
house prevention and CT activities, link to mobile ART and community income generating activities to reach
the second half of the district, ensuring full coverage of the whole of Mazabuka.
In the first three years of implementation, over 150 people were trained in HIV CT and behavior change
communication through the training community volunteers or "passionates" and these will continue to reach
150,000 people with communication programs. These individuals who are trained are from within the
community where they are working and they will continue to impart their knowledge and experiences to
members of their communities after the formal program is ended. It is anticipated that the income
generating activities started in the program will help sustain some of the minimal costs of running programs
at community level. The community volunteers will be seen as role models and experts in HIV/AIDS in their
communities and are often approached by community members for support regarding HIV/AIDS. With any
additional plus up funds DAPP would like to carry out some evaluations of their program in Mazabuka.
Continuing Activity: 15516
15516 3675.08 HHS/Centers for Development Aid 7170 2994.08 DAPP - 1 U2G $450,000
8998 3675.07 HHS/Centers for Development Aid 5005 2994.07 DAPP - 1 U2G $350,000
3675 3675.06 HHS/Centers for Development Aid 2994 2994.06 DAPP $250,000
Disease Control & People to People,
Prevention Namibia
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $50,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.14:
