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 is linked to Boston University (BU), Centre for Infectious Disease Research in Zambia (CIDRZ)
and Zambia Prevention, Care and Treatment Partnership (ZPCT).
Mothers2mothers (m2m) funding through the PEPFAR New Partners Initiative (NPI) is scheduled to
conclude November 30, 2009. Activities for FY2010 will be limited to the project close out and transition of
clients and employees to other programs.
Throughout the life of the program, activities have focused on improving the effectiveness of prevention of
mother-to-child transmission of HIV (PMTCT) services through facility and community based peer-to-peer
education, psychosocial support programs for pregnant women, and new mothers and caregivers living with
HIV/AIDS in Zambia. There have been four components to these activities: curriculum-based training and
education programs; psychosocial support and empowerment services; programs to increase uptake for
counseling and testing; and bridging services linking PMTCT treatment and care to anti-retroviral treatment
(ARV) and other health services.
The primary emphases areas for these activities and their related close out are: Local Organization
Capacity Development and Sustainability. Specific target populations include Pregnant Women; People
Living with HIV/AIDS (PLWHA); HIV+ Pregnant Women; and HIV+ Infants.
Mothers2mothers approaches sustainability in its programs primarily through developing the organizational
and technical capacity of our local partner organization and project staff. All program sustainability
planning and close-out activities are coordinated with our sub-grantee and local partner, Development AID
from People to People (DAPP). m2m and DAPP will negotiate the transition of clients and, where possible,
project employees in collaboration with healthcare workers at m2m sites and the PEPFAR-funded PMTCT
partners of: BU in Southern Province, CIDRZ in Lusaka Province, and Zambia Prevention, ZPCT in the
Copperbelt Province. Program close-out and transition will be facilitated at 50 health care facilities in
conjunction with central, provincial, and district Ministry of Health (MOH) authorities in the 11 m2m districts
of Southern, Lusaka and Copperbelt.
Mothers2mothers will build DAPP's capacity to implement identified sustainability and exit strategies.
Specific strategies include: formalizing linkages with other projects or partners to employ the capacity and
skills of Mentor Mothers in related areas of HIV education, peer support, and adherence counseling;
collaborating with existing community education groups to provide ongoing support to HIV+ mothers (e.g.
traditional birth attendants, adherence counselors, PMTCT volunteers); and strengthening linkages with
PLWHA support groups at community level to provide ongoing support for m2m clients.
Perhaps the most important way m2m ensures that program benefits are sustained is through the
partnership with, and empowerment of, mothers living with HIV. All Mentor Mothers and Site Coordinators
are trained according to a rigorous multi-week curriculum and receive ongoing mentorship at work
thereafter. In addition to supporting PMTCT services in health facilities, these HIV+ mothers serve as role
models and contribute to a change in attitudes at community level. Even after the conclusion of their
contracts as Mentor Mothers, these mothers continue to individually and collectively contribute to fighting
stigma, educating their peers, facilitating critical linkages to HIV care and treatment, and expanding relevant
services.
As part of the final stage of the project, m2m will provide information on the project close-out process to
DAPP and offer guidance and support throughout. The m2m Program Development Manager will work
alongside the DAPP project management team to implement detailed close-out action plans including the
following core activities: The project management team will prepare financial and narrative reports for the
institutional memory of project, facilitate the audit process and close the financial books, execute plans for
project equipment and supplies, make staffing decisions, debrief project stakeholders, submit final reports,
and update and store important records.
Although NPI funding is expected to come to a close in November 2009, mothers2mothers is actively
exploring options to mobilize additional funds for the program in Zambia. Additional funding is being sought
from a range of sources, including US Government and private foundations, to sustain the 50
Mothers2mothers sites and potentially further scale up the program where resources permit.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16906
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16906 16906.08 U.S. Agency for Mothers 2 Mothers 7616 7616.08 Mothers 2 $0
International Mothers
Development
Table 3.3.01: