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
The Catholic Medical Mission Board (CMMB) is working in partnership with the Church Health Institutions
(CHIs) of the Church Health Association of Zambia (CHAZ) in the implementation of the Men Taking Action
Project (MTA). This objective of this activity is to increase the uptake of PMTCT through male involvement.
At the end of FY 2008, the MTA project will be operational at 31 CHIs as this three-year project, funded by
USAID under the New Partner's Initiative is concluded.
The funding for the MTA project for FY 2008 will go towards training CHI staff, community capacity-
building, and promotion of prevention of mother to child transmission (PMTCT) and counseling and testing
(CT). Through outreach programs CHIs will mobilize and educate community men, promoting positive
attitudes and behaviors so that men support their partners to enroll in PMTCT services and mother to child
transmission-Plus (MTCT- Plus) programs available in their catchment areas.
Building upon the MTA projects previous two years of successes, the project will continue addressing two
key factors to promote sustainability: integration and partnership. CMMB will promote sustainability by
encouraging the CHIs to continue integrating its project activities into their local health care system.
HIV/AIDS information, materials, and approaches developed under MTA will be integrated into routine
trainings of professional health staff (nurses, clinical officers and physicians at all CHIs), community health
workers (CHWs), network leaders, traditional healers and civic leaders. Further, it will also be integrated into
the regular outreach programs involving CHI staff and CHW.
CMMB will continue working closely with CHI management teams, to select MTA site coordinators and Men
Take Action Community Peer Educators (MTA- CPEs) to be trained as supervisors who will provide
frequent supervision for the implementation of the two-pronged approach in the execution of the MTA
program, as well as contribute significantly to monitoring and evaluation. CMMB shall gradually shift more
responsibility to the coordinators and community educators as part of their routine activities. By the end of
project, CHIs and MTA-CPEs will conduct a community education session with minimal CMMB support.
The MTA project will continue building and fostering strong partnerships with CHAZ, the CHIs, the District
Health Management Teams (DHMTs), and others to assure commitment to project activities and building of
local capacity is achieved. In addition, on a regular basis, the CMMB MTA team will continue sharing
lessons learned, literature, materials, and other resources with our partners with the aim of engaging them
in supporting the components of the MTA project.
With FY 2008 funding, CMMB will target ten CHI sites and respective catchment communities. Using the
results from the knowledge, attitudes, and practices study (KAP) which was executed in 2007 and
experience gained from implementing the MTA project in the previous two years, CMMB will train eight CHI
health staff at each of the ten targeted CHIs. As in the past, this training will be a review of the latest
HIV/AIDS information, the routine provision of PMTCT and general CT, and an orientation into the MTA
program.
CMMB will also train ten CHWs at each site as MTA-CPEs to mobilize and educate men to change
behaviors in order to increase PMTCT uptake and antenatal care (ANC) visits, testing, and counseling of
men. The selection of CHW to be trained as MTA-CPEs will follow the same pattern as in the past: the
CHWs to be trained will include traditional healers, chiefs, headmen, indunas, the clergy, civic leaders, and
other influential members in the various targeted communities.
CMMB will support CHI staff and CHWs to mobilize and conduct education sessions focused on men in the
communities and those with pregnant partners/wives attending ANC at CHIs to increase their support for
PMTCT services. With CMMB's support, each of the ten CHIs will conduct ten men's education sessions to
approximately 100 men per each session in the general population. In addition, each CHI will conduct ten
education sessions to approximately 50 men per session who are partners to pregnant women attending
ANC. Concurrently the previous 21 CHIs where the MTA program is active will conduct the MTA education
sessions in the general population once per quarter and on a monthly basis to husbands of pregnant
women attending ANC. At these 21 sites most of the men would already have been exposed to MTA
education campaigns; it is expected that only about 25 men who are husbands to pregnant women
attending ANC will be totally ignorant about MTA.
A total of 33,100 adult men will be reached in FY 2008. These activities will accomplish the following: A total
of 14,080 pregnant women will test for HIV and receive their test results due to influence from their
husbands, and 98% of those who will test positive will be supported by their husbands to obtain ARVs and
adhere to the PMTCT package.
The CMMB MTA team will continue conducting performance assessment and providing the technical
support to both old and new sites. During this fiscal year, we shall also conduct the final project evaluation,
and disseminate the lessons learnt, challenges, and way forward to the stakeholders.
It is expected that $15,390 will be spent in the area of Human Capacity Development.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16828
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16828 16828.08 U.S. Agency for Catholic Medical 7555 7555.08 Men Taking $0
International Mission Board Action
Development
Emphasis Areas
Gender
* Addressing male norms and behaviors
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
The Catholic Medical Mission Board (CMMB), in collaboration with the Churches Health Association of
Zambia's (CHAZ) member institutions, the Church Health Institutions (CHIs), is implementing a male
involvement program in PMTCT and VCT, entitled: Men Taking Action (MTA). This narrative refers to the
component of MTA regarding HIV Voluntary Counseling and Testing (HVCT).
HVCT can significantly contribute to reducing the transmission of HIV. However, in male-dominated
societies, such as Zambia, where men are largely responsible for fueling the stigma related to HIV/AIDS;
few men test for HIV and receive results, compared to women. According to the 2007 Zambia Demographic
and Health Survey preliminary results, the proportion of young people aged 15-49, in the general
population, who received an HIV test in the last 12 months and knew their result is quite low at the rate of
11.7% and 18.5% for males and females respectively. The MTA program targets men, motivating them to
know their status, and encouraging them to change the sexual behaviors that impact HIV transmission and
to adapt behaviors that will enhance uptake of the PMTCT services available in their communities.
During FY 2009, MTA program will be extended from the current 21 CHIs to 10 additional CHIs and their
catchment communities. This will bring the total of active MTA sites to 31 in accordance with the
cooperative agreement. The activities will include the following:
1.Orientation of CHI management team at 10 sites.
2.Training of 10 professional health workers as MTA coordinators.
3.Training of 80 community leaders (chiefs, headmen, the clergy, active community leaders, traditional
healers/herbalists, and civic leaders) in MTA to provide leadership and conduct Education and Behavioral
Change Communication (EBCC) sessions to men in the general community. The MTA EBCC
methodologies were developed during FY 2007 with some revisions during FY 2008 based on the
Knowledge, Attitude and Practice Survey (KAP) which was part of baseline assessment conducted at the
start of project implementation in July 2007.
4.Community mobilization of men and conducting of MTA EBCC sessions to men on a regular basis. The
10 CHIs that will be activated in FY 2009 will hold 120 of these sessions. The 21 CHIs which were activated
in FY 2007 and 2008 will continue holding regular MTA EBCC sessions, and it is anticipate that these sites
will conduct a total of 147 during FY 2009. Therefore in FY 2009, 31 CHIs implementing MTA will conduct a
total of 267 MTA EBCC sessions at different sites within their catchment areas. Assuming that 100 men will
attend each of these sessions, a total of 26,700 men will be exposed to MTA EBCC sessions. After every
MTA EBCC session men will be offered "opt out" testing and counseling. It is anticipated that 60% of these
men will test for HIV and receive the results. HVCT will be provided by the CHI as outreach services.
Alternatively, partners with mobile VCT services working in the catchment area of a CHI will provide mobile
HVCT services. Special precautions have been taken into consideration to assure that a man who attends
an MTA EBCC session whether in the community or at the CHI is counted only once. All the men who test
positive will be referred to antiretroviral therapy (ART) department at their local CHI by the providers of
HVCT services
5.Quarterly support supervision to all sites participating in the MTA program.
In line with the mission of CMMB, MTA is implemented collaboratively with partners (CHIs, community
leaders, and CHAZ) with the purpose of building sustainable individual and community capacity in the fight
against HIV. Therefore, sustainability includes efforts focused on encouraging CHIs to integrate MTA
activities into their existing PMTCT and VCT outreach programs, as well as forming partnerships with other
projects and organizations working on HIV at or near the sites where MTA is being implemented or
targeted. We envision that by the end of the project life span (November 2009), CHIs will be implementing
MTA as part of their routine outreach services and will be included in their annual action plans and budgets
as part of the overall strategic initiative by the Zambian Ministry of Health (MOH).
During the close-out period (October - November 2009), CMMB will focus on administrative activities and
provide technical assistance to CHIs as they complete their action plans and budgets in a way that can
ensure that MTA activities are maintained.
It is estimated that $15,390 will be used for Human Capacity Development activities.
Continuing Activity: 16844
16844 16844.08 U.S. Agency for Catholic Medical 7555 7555.08 Men Taking $0
Table 3.3.14:
