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 relates to other track 1.0 OVC project, RAPIDS (8947), and HCP (8903).
The Breaking Barriers (BB) is a track 1.0 orphan and other vulnerable children (OVC) program, with
activities in adult care and treatment project implemented by PLAN. The goal of the BB project, over a four
year period, is to expand sustainable, effective, quality OVC programs in education, Psychosocial support
and care (PSS) and community-based care for children and families affected by HIV and AIDS, using an
extensive network of schools (both formal and informal) and religious institutions as a coordinated platform
for rapid scale up and scale out.
Plan International is a child-centered development organization with no religious or political affiliations which
has been in existence in Zambia since 1995. Plan envisages a world where all children realize their full
potential in societies which respect people's rights and dignity. The organization's work is focused on
working with the community to enable them meet the needs and rights of children.
BB is implemented in Mazabuka and Chibombo District. In these communities, between October 1 FY2009
and June 30 FY2010, BB will have at least 18,000 OVC (10, 080 girls and 7, 920 boys) benefit from
integrated program activities using The Circle of Hope framework, a Plan International right based program
response to HIV and AIDS.
This activity has several different sections all aimed at creating a supportive environment for OVC and their
families.
BB will support increased access to education, psychosocial support, and community based care for
children and families affected by HIV and AIDS. BB will repair 12 early childhood care and development
(ECCD) centers to create a conducive learning environment of younger children as they prepare to enter
primary school. In addition to school related activities, these ECCD centers will be used for other child
survival activities such as; monthly weighing of under-5 children, food and nutrition lessons and cooking
demonstrations for mothers whose children are under weight.
Ventilated improved pit latrines (VIP) will be constructed in six schools and 12 water tanks will be installed in
order to improve sanitary conditions and school hygiene, especially for girls. This intervention will also
promote hygienic practices of hand washing after using the toilet by children. Training of 60 Teachers, 120
elderly women and men and 90 members of school and community based children's clubs in adolescent
sexual reproductive health (ASRH) and youth development, is aimed at empowering children with life skills
that will motivate them to postpone sexual debut. The inclusion of youth development will help young
people develop self-esteem and other life skills that will serve them well in adulthood. Elderly women and
men will play an important role in the retention of the girl child in school. They will be trained to handle
challenges faced by girls in the school and community with the ultimate aim of keeping them in school
rather than marrying them off. The program will strengthen already existing children's groups which will
approach ASRH from a gender perspective knowing that girls are socially and biologically at greater risk of
HIV infection than boys.
BB will continue to strengthen psychosocial support in schools through teacher training, support of child
counseling, recreational activities and peer support groups. One hundred twenty ECCD centre caregivers
will be trained in teaching, parenting skills and PSS to enable them help both in and out of school children
who are going through difficulties in life. Children will participate in structured recreational activities such as
art fairs and modeling organized by the ECCD center parent committees. Sixty teachers will be trained in
facilitating making of hero books.
BB will facilitate the formation of peer support sub committees within already existing children's groups and
train 90 children in order to strengthen PSS among peer group members. These peer groups will also
engage in structured recreational activities that will be organized at the school level.
BB will train 100 home based care providers to provide support to PMTCT mothers, provide pediatric care
and support as well as basic nursing care. These caregivers will work with traditional birth attendants and
will be attached to health facilities for dual referral of children. This will also help fight stigma, denial and
discrimination surrounding expecting and breast feeding HIV positive mothers.
BB will support the 250 home based caregivers trained in FY2008 with a nursing kit and replenishing the
contents on a semi-annual basis. They will continue to strengthen the link between the school and other
community based service providers such as; (i) health facilities for STI, VCT, PMTCT and ART services; (ii)
religious organizations for spiritual counsel and support; and (iii) schools for school based PSS activities
and peer support. The HBC caregivers will also facilitate the process of HIV disclosure of parents to their
children and disclosure of the status of children living with HIV.
BB will facilitate and strengthen 88 PMTCT and general PLWHA support groups with livelihood activities
such as savings and loan schemes, income generation activities and training in business skills and
entrepreneurship. Plan has over the years constructed a lot of dams for multipurpose uses and it has been
noted that youths are not utilizing them. Out of school female and male youths will be identified and trained
in income generation activities and other livelihood skills such as fish farming and marketing. This funding
will support training of 82 Home Based Care (HBC) providers in food value and food processing and will
provide them with an assortment of seed to start nutrition gardens.
In order to improve the food security situation in OVC household, 460 households will receive seed for field
crop. A portion of the harvest will be contributed to an ECCD centre in the community for nutritional
supplements of children attending these centers. Eight hundred and forty eight (848) OVC households will
receive small livestock which will include goats and indigenous poultry. When the animals have
reproduced, beneficiaries will pass on goat and poultry offsprings to their peers. This promotes solidarity
among group members. This will enable the OVC parents/guardians meet the basic need of the children
through sale of chickens or goat milk.
Activity Narrative: BB will identify, document and share 2 best practices of OVC care and support.
BB aims at creating a supportive environment in which children, families and communities working with
government, faith based organizations and civil society advocate for the provision of essential services, and
reduce stigma and discrimination related to HIV/AIDS. 90 individuals comprising traditional leaders, youths
and PLWHA will train in stigma, denial and discrimination reduction using the stepping stone methods.
Twenty four PLWHA support groups will be sensitized on the benefits of a written will to the surviving
spouse and children, and will receive training in will writing. They will also receive training in memory
works. Memory works not only opens up discussions between parents and children about the illness of one
or both parents but also establishes the record of the family history as well as storing memories of the child
for use in later life.
ACTIVITY UNCHANGED FROM FY2008
Four thousand various IEC materials with advocacy messages advocating for the rights of children will be
reprinted and distributed. BB will air 24 advocacy radio spots on national and community radio station on
various issues affecting children and the role of duty bearers.
BB will increase the capacity of vulnerable children, families and communities to mobilize and manage
internal and external resources needed for quality care and support for children and families affected by
HIV/AIDS. The program will build the capacity of 26 school improvement program (SIP) committees in
school management, OVC care and support, and resource mobilization. The composition of SIP
committees which includes children allows the views of children to be heard and form the basis for future
child centered programming. This approach is also designed to ensure that programs are sustainable at the
community level.
Review meetings with district and community based stakeholders will be held every quarter.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAY:
BB works with children, community groups such as PLWHA support groups, area development committees,
traditional and government structures in the implementation of the activities. Children participate, while
other community members are involved throughout the life of the project from problem identification to
phase out. Activities implemented are proposed by the children and wider community. This encourages
sustainability of the project after BB phases out.
The end line evaluation will be conducted by external consultants and will review how far the BB has been
able to achieve the goal of the project.
Plan will continue networking with civil societies such as the Regional Psychosocial Support Initiative
(REPSSI), Law and Development in Africa (LADA), Dackana Home Based Care, Christian Children's Fund,
Young Women's Christian Association (YWCA), Global Movement for Children Zambia Chapter, and the
Interagency Coordinating Committee chaired by the Ministry of Health on advocacy related activities and
collaboration. This will ensure that the rights of children will continue to be protected. Plan will also work
with other USAID OVC partners through the USG Zambia OVC Forum including bilateral OVC projects to
share lessons and prevent overlap of activities. Plan will also work closely with the Government of the
Republic of Zambia through the Ministry of Community Development and Social Services, Ministry of
Education and Ministry of Health.
M&E plan will continue to track process, outputs and outcomes to measure the success of the BB Program
in education, psychosocial support, home based care in OVC households, capacity building and in
promoting an enabling environment for OVC. M&E will be coordinated by a team that will include the HIV
and AIDS Advisor, M & E Manager, and other sector Advisors, Program Unit Managers, Program
Coordinators, BB Project Coordinator and the Participatory Monitoring and Evaluation teams and other
partners. This team will meet quarterly to review progress towards program objectives and share best
practices.
All proposed targets will be reached by September 30, 2010.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14422
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14422 3736.08 U.S. Agency for PLAN International 6829 3038.08 Track 1 OVC: $641,240
International Breaking
Development Barriers
8923 3736.07 U.S. Agency for PLAN International 4988 3038.07 Track 1 OVC: $402,134
3736 3736.06 U.S. Agency for PLAN International 3038 3038.06 Breaking $214,492
International Barriers
Development
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 $10,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities $165,200
Economic Strengthening
Estimated amount of funding that is planned for Economic Strengthening $15,000
Education
Estimated amount of funding that is planned for Education $70,000
Water
Estimated amount of funding that is planned for Water $50,000
Table 3.3.13: