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 will be implemented in combination with the counseling and testing (CT) and palliative care
activities so that a mix of Workplace services reach targeted individuals.
Teacher deaths have been decreasing each year since 2005. According to the 2005, 2006 and 2007
Ministry of Education (MOE) statistical bulletins, 909, 872 and 593 teachers died in the respective years.
The decline may be explained by a range of factors including nationwide access to general health services
and ARTs, improved awareness and access to VCT through the MOE's workplace program. AED/EQUIP II
support to the MOE has leveraged the World Bank Zambia National Response to HIV/AIDS (ZANARA)
Project funding and the Department for International Development (DFID) support for workplace activities.
The teaching force in Zambia is critically important in continuing education efforts, and includes over 71,000
teachers in more than 8,500 schools across the country. Some of these schools are in remote, rural areas
with fewer than five staff. While CT and AB efforts in the urban areas continue to be pursued, EQUIP II has
the unique ability to reach MOE staff in rural areas through innovative workplace initiatives.
.
From FY 2006, EQUIP II reached teachers through implementation of AB prevention activities. With the
lessons learned from previous years' activities, the MOE, with EQUIP II's support, initiated Teacher Health
Days (THDs), which are attended by between 1200 and 3000 people, in July 2006 to increase both
HIV/AIDS awareness as well as the uptake of CT services. THDs, which offer a broad range of health
services (testing for diabetes, blood pressure, nutrition guidelines), are designed to reduce HIV-related
stigma by emphasizing general health. This initiative continued in FY 2007 and will expand during the FY
2008 period. In FY 2008, it is expected that EQUIP II will meet or exceed its targets.
With funds for COP 09, AED/EQUIP II will maintain the level of THDs proposed under COP 08 while at the
same time expanding coverage to rural districts. EQUIP II will carry out four THDs in FY 2009 with a focus
on conducting THD's in most hard to reach areas. Again, in order to ensure the sustainability of this
intervention beyond the life of the EQUIP II program AED will work with the MOE to have THDs integrated
into the MOE's 2008-2015 Strategic Plan. This effort will promote the establishment of HIV/AIDS workplace
programs and facilitation of related services at the province, district and school levels. It is expected that
10,000 people will be reached through these events.
As mentioned under the CT submission, VCT will be made available at THDs. In addition, group
counseling, individual counseling which addresses several psychosocial and health issues including
multiple and concurrent partners,, distribution of IEC materials and education efforts related to AB will be
conducted at the events. PEPFAR funds will be used exclusively for the HIV/AIDS related activities, with
other funds and resources from the World Bank Zambia National Response to HIV/AIDS (ZANARA) Project,
MOE, and Ministry of Health leveraged to address broader health issues.
The THD communications sent out before the events will come from high-level MOE officials and stress the
AB message and principals and other community leaders will be engaged to reinforce these messages at
the events.
EQUIP II will also build on partnerships it created between the three unions in FY 06 and FY 07, and MOE
to bring HIV-prevention sessions and rallies to unions. In FY 2008, a total of 58 educators (45 men and 13
women) from the unions, out of the targeted 350, were trained on providing information and counseling
related to AB prevention to serve as peer-educators and on-going prevention supporters. Additional training
for the remainder of the educators will be implemented in FY 2009. All individuals will also be supplied with
IEC materials related to AB prevention for distribution at Union Events. Capacity needs of the unions are
great, but supporting them will establish a sustainable HIV/AIDS response.
EQUIP II will continue its partnership with The Comprehensive HIV/AIDS Management Programme
(CHAMP) and Society for Family Health to specifically bring AB education, HIV-sensitization, and testing to
schools in urban and rural areas where many teachers can be reached at a single school.
One of the new initiatives that EQUIP II and MOE proposes is the Pre and Post-Assessment of Knowledge,
Attitudes, Practices and Behaviors (KAPB) among Teachers that would match the program to the current
knowledge and behavioral practices of teachers and form education and support efforts to teachers. The
KAPB study, costing approximately $100 000 USD, will be conducted with the view to increasing the
program's scope by initiating new initiatives that would help to achieve substantial impact on the overall
MOE HIV/AIDS program. This Pre-Assessment KAPB survey is proposed by MOE and EQUIP II to be
conducted in the first half of FY 2009 and will cover 2,000 teachers as a random sampling of the 20,000
teachers nationwide and shall serve as a baseline upon which behavior change can be assessed and
compared toward the end of this program. As such, the assessment will be done twice (one pre and one
post) during the two remaining years of this program.
As we see capacity building for MOE to be critical for ensuring a sustained and effective response, our data
collection efforts described above for the KAPB shall be done in close coordination with EMIS. This will be
done to help identify data variables that EMIS may want to incorporate into their own annual data collection
efforts for an on-going means of monitoring the MOE's response to HIV and AIDS.
EQUIP II integrates gender in its HIV/AIDS activities and takes into account related gender considerations.
The program recognizes that HIV and AIDS affects women and men differently and thus attempts to
address specific gender considerations such as: the social roles of males and females in mitigating the
impact of and their vulnerability to HIV/AIDS. The MOE has observed that in general terms, many HIV
positive women adopt positive-living lifestyles than their male counterparts. This has inevitably resulted in
HIV positive men falling ill and dying more often than HIV positive women. The 2005, 2006 and 2007
Ministry of Education (MOE) statistical bulletins indicate that the number of male teachers who die each
year is higher than that of female teachers. Fifty five percent of the teachers who were reported to have died
in 2005 and 2006 were male. And in 2007, 57 percent of the teachers reported to have died were male. At
MOE HQ alone, 5 males died of AIDS related complications between August 2007 and August 2008
compared to only one female staff during the same period.
Activity Narrative: EQUIP II expects this activity together with CT and HBC to encourage more HIV positive men to adopt
positive-living lifestyles than is the case now. If they are less likely to adopt positive-living lifestyles, EQUIP2
hopes that the KAPB survey will provide greater insights into this issue and corresponding activities will be
initiated.
Generally, women are more vulnerable to HIV/AIDS than men, mainly due to their biological deposition and
low bargaining power in sexual issues. Also, the burden of care for People Living with HIV/AIDS (PLWHA)
in households lies mostly on women. Both 2006 and 2007 MOE statistics indicates that of the 66,145
teachers in 2006 and 71,612 teachers in 2007 in all schools in countrywide, 46 percent of them were
female. This correlates with both the FY 2006 and FY 2007 statistics indicated that 46 percent of those that
accessed CT and AB were female. Of the 2,126 teachers that accessed CT in 2006, 1,101 were female and
of the 9,232 that accessed AB, 4,216 were female. Similarly, of 20,140 that assessed CT, 9285 were female
and of the 22,933 that accessed AB, 10,598 were female. AB services are provided to both men and
women at schools, union events and THDs.
The program tracks sex disaggregated data of males and females accessing VCT and HIV sensitization and
compares this data to teacher populations to determine whether there are gender considerations in uptake
of services. In addition, we will use date collected from FY2008's planned KAP survey to inform future
planning in regards to uptake of services. Analysis of this data will provide us with necessary information to
determine whether the EQUIP2 HIV/AIDS activities are responsive to the different needs of men and
women and, boys and girls.
As the EQUIP II program approaches the end of its agreement, a focus on sustainability of interventions is
paramount. As such, EQUIP II will work with the Ministry of Education in the final year of the program to
develop a sustainability program that will prioritize interventions and link them to the 2008-2015 MOE
Strategic Plan. This effort will promote the establishment of HIV/AIDS workplace programs and facilitation of
related services at the province, district and school levels. Thus, AED will work to ensure that MOE funds
HIV/AIDS interventions beyond the life of the EQUIP II project. The MOE's financial support for the roll out
of Teacher's Health Days has shown by its funding of the MOE HQ Health Day during the World AIDS day
in 2007. EQUIP II hopes to build on this commitment in other HIV/AIDS program areas.
EQUIP II's commitment to sustainability is further evidenced by the fact our some activities are being
budgeted by MOE and by ensuring that HIV/AIDS activities are integrated and mainstreamed within the
MOE. Our staff members will seek not only to ensure tracking of services, but training of MOE HIV/AIDS
unit staff and HIV/AIDS National committee members in relation to PEPFAR indicators and methods for
tracking them. IEC materials, lesson plans, and strategies will be well documented and housed within
MOE's Directorate of Human Resource and Administration file systems and the Education Management
Information system. While some outside partners will be engaged, the primary partners working on this
effort are the unions and the MOE itself, thereby ensuring the activities are supported by organizations that
can continue providing similar services long-after funding under PEPFAR has ceased.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14492
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14492 9712.08 U.S. Agency for Academy for 6852 600.08 EQUIP II $800,000
International Educational
Development Development
9712 9712.07 U.S. Agency for Academy for 4956 600.07 EQUIP II $400,000
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Workplace Programs
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
Estimated amount of funding that is planned for Education $200,000
Water
Table 3.3.02:
This activity will be implemented in combination with the counseling and testing (CT) and Abstinence and
Be faithful (AB) activities so that a mix of Workplace services will be provided to individuals targeted and
reached for CT.
the unique ability to reach MOE staff in rural areas through innovative workplace initiatives
From FY 2006 to the third quarter of FY 2008, EQUIP II has been providing CT to 37,233 individuals and
AB messages to a total of 49,398 people at schools, as well as Teachers' Health Days (THDs) and union
events countrywide. In addition, EQUIP II has provided HIV/AIDS training to teachers and MOE staff and
union officials.
In FY 2006, EQUIP II expanded its program into rural provinces (Central and Southern). A total of 9,232
MOE staff attended HIV/AIDS sensitization workshops during this period with a total of 2,126 MOE staff
undertaking CT. The Comprehensive HIV/AIDS Management Programme (CHAMP), a local CT and AB
provider, was the only subcontractor in FY 2006.
In FY 2007, EQUIP II subcontracted CHAMP and the Society for Family Health (SFH) to provide mobile CT
and HIV sensitization. In addition, all three teachers' Unions, namely, Basic School Teachers' Union of
Zambia (BETUZ), Secondary School Teachers' Union of Zambia (SESTUZ) and Zambia National Union for
Teachers (ZNUT) were subcontracted to mobilize teachers for CT. The EQUIP2 FY 2007 target was to
reach 6,000 teachers and MoE staff for CT and 9,000 for AB. EQUIP II exceeded its targets by far as
20,140 MOE staff and their family members were reached for CT and 22,993 were provided with AB
messages
The MOE, with support of EQUIP II, initiated THDs in June 2007 as a result of lessons learned from
previous years' activities to increase both HIV/AIDS awareness as well as the uptake of CT services. THDs,
which offer a broad range of health services (testing for diabetes, blood pressure, nutrition guidelines), are
designed to reduce HIV-related stigma by emphasizing general health. This new initiative continued in FY
2007 and FY 2008 and will be expanded in FY 2009 period.
The MOE and EQUIP II recognize that CT is the first step towards accessing HIV/AIDS treatment, care and
support. With national HIV prevalence rate of 14.3 percent, it is expected that there are a significant number
of teachers in need of care and support. As a result, the MOE/EQUIP II Workplace Program team will, in
FY 2009, collaborate with Kara Counseling and expand its VCT program to include Palliative and Home
Based Care (HBC). The Palliative and Home Based Care program will involve training of Care Givers in
palliative care and provision of Home-based Palliative Care (PC) to People Living with HIV/AIDS (PLWHA)
in the education sector in Southern, Central and Lusaka provinces. A total of 110 Caregivers who will
include teachers and MOE staff will be trained in Antiretroviral Treatment (ART), ART adherence,
psychosocial counseling and basic palliative nursing skills to enable them to provide HBC and treatment
support for ART adherence to PLWHA. Nine Caregivers support groups will formed, supported and linked
to local hospices and PC and HBC programs.
The main focus of the training will be to increase the capacity of caregivers of PLWHA within MOE in
providing quality palliative care. Amongst several initiatives, the training will enable caregivers to identify
HIV/AIDS disease progression in a timely fashion in order for them to provide services to clients who need
to start treatment. In order to ensure that teachers on ART adhere to treatment, identified household/ family
members will be trained in ART adherence and psychosocial support for PLWHA.
In addition, EQUIP II would like to partner with Anti-AIDS Teachers Association in Zambia (AATAZ), a non-
governmental and non-profit making teacher organization, to provide capacity building and assistance to
Support groups for PLWHA. AATAZ's objectives are provision of HIV&AIDS sensitization to teachers and
addressing of teachers' HIV&AIDS related health problems.
EQUIP II will subcontract AATAZ to provide training to a total of 60 PLWHA support group members in
Lusaka, Southern and North Western Provinces. Twenty PLWHA will be trained in each of the three
provinces. The trainings are meant to increase the number of support groups providing care and support to
PLWHA and to provide knowledge of making referrals for chronically ill PLWHA to MOE and other local
palliative care providers. In addition, AATAZ will write and produce HIV and AIDS teachers'
memory/testimony books that will help to create positive change and raise awareness about HIV&AIDS now
and for future generations of teachers and pupils. Training of PLWHA will help to increase greater
involvement in all aspects of the MOE's response to HIV/AIDS and improve their access to HIV&AIDS
positive living information and information on multiple and concurrent partners, referral systems for free ART
and improved quality of life. Positive living information will include prevention with positives messages that
promote correct and consistent use of condoms for HIV positive couples and abstinence.
Activity Narrative: HIV positive men falling ill and dying more often than HIV positive women. The 2005, 2006 and 2007
EQUIP II expects this activity together with CT and AB to encourage more HIV positive men to adopt
teachers in 2006 and 71,612 teachers in 2007 in all schools countrywide, 46 percent of them were female.
This correlates with both the FY 2006 and FY 2007 statistics indicated that 46 percent of those that
and of the 22,933 that accessed AB, 10,598 were female.
New/Continuing Activity: New Activity
Continuing Activity:
Estimated amount of funding that is planned for Human Capacity Development $120,000
Table 3.3.08:
This activity will be implemented in combination with the EQUIP II AB and palliative care activities so that a
mix of Workplace services reach targeted individuals.
In FY 2006, EQUIP II expanded its program into the rural provinces (Central and Southern). A total of
9,232 MOE staff attended HIV/AIDS sensitization workshops during this period with a total of 2,126 MOE
staff undertaking CT. While these numbers are encouraging, they are less than those achieved in urban
areas during the first year of implementation. In rural areas, geographical coverage is extensive and
transportation challenges in the rainy season increased implementation costs. Due to this constraint, EQUIP
II has worked with the MOE to revise the strategy in order to reach more staff with CT and ensure linkages
for a comprehensive approach. In FY 2007, EQUIP II reached 20,140 individuals with counseling and
22,993 with HIV sensitization in 67 service outlets. By end of the third quarter of FY08, 14,967 individuals
were reached with counseling and testing and 17,173 were provided with HIV sensitization.
With the lessons learned from FY 2006 activities, the MOE, with EQUIP II's support, initiated Teacher
Health Days (THD) in June 2007 to increase both HIV/AIDS awareness as well as the uptake of CT
services. Teacher Health Days, which offer a broad range of health services (testing for diabetes, blood
pressure, nutrition guidelines), are designed to reduce HIV-related stigma by emphasizing general health.
This initiative continued in FY 2007 and FY 2008 and will expand during the FY 2009 period.
To achieve targets, the program will implement quarterly Teachers Health Days for teachers and their
families. HIV VCT will be offered in tents and mobile settings outside clinics in conjunction with the health
days. This approach will be integrated in the ongoing formation of the Provincial Committees (PC) under
the MOE. In FY 2008, the PCs will play a crucial role in the planning of the Teacher Health Days in urban
and rural areas. This approach will ensure that these activities are supported in a sustainable way from
within the current MOE structure (PEPFAR funds will be used exclusively for the HIV/AIDS related activities,
with other funds and resources from ZANARA, MoE, and Ministry of Health leveraged to address broader
the health agenda). Tents and mobile sites posted outside the health clinics are proposed as a way of
increasing confidentiality.
EQUIP II will continue its ongoing partnership established in past years with the three unions and MOE to
help mobilize teachers in accessing the Teachers Health Days, as well as in bringing VCT via mobile
services to union events. THDs began in FY 2006 and were specifically proposed as a means for reaching
more MOE staff in less densely populated districts where it would be impossible to bring such services to
remote schools. During FY 2008, only one Teachers' Health Day was implemented, instead of 28. The
unions and the MOE managed to mobilize 2,000 people to access CT and AB messages and other health
services during the FY 2008 THD. FY2008 plans of implementing Teachers' Health Days will be continued
in FY2009 as follows: four during the first quarter, six during the second quarter, eight during the third
quarter, and 10 during the last quarter. EQUIP II will carry out four THDs in 2009. In addition, and under the
separate submission for EQUIP II's AB activities, prevention and education activities will be supported at
these events As such, by the end of FY 2009, more than 65 percent of the districts in six provinces will
implement at least one THD.
To increase testing among MOE employees, EQUIP II will work through a sub-contract with Comprehensive
HIV/AIDS Management Programme (CHAMP), a local NGO, and Society for Family Health (SFH) to bring
mobile testing to both urban and rural schools and, where possible, union events. As in FY 2008, the
EQUIP II program will partner with SFH and New Start program to offer VCT vouchers to staff of the MOE,
as well as to utilize New Start Mobile sites in conjunction with the THDs, and union events. At all times
where CT is offered, AB information including information on multiple and concurrent partners, will also be
provided. EQUIP II will reach 10,000 individuals with CT accessible through mobile testing in urban and
rural schools and union events.
EQUIP II expects this activity together with HBC and AB to encourage more HIV positive men to adopt
Activity Narrative: low bargaining power in sexual issues. Also, the burden of care for People Living with HIV/AIDS (PLWHA)
All FY 2008 targets will be reached by September 30, 2009.
Continuing Activity: 14493
14493 3364.08 U.S. Agency for Academy for 6852 600.08 EQUIP II $300,000
8848 3364.07 U.S. Agency for Academy for 4956 600.07 EQUIP II $100,000
3364 3364.06 U.S. Agency for Academy for 2829 600.06 EQUIP II $350,000
Table 3.3.14:
