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: 2010 2011 2012 2013 2014 2015 2016 2017 2018
Modelling and Reinforcement to Combat HIV/AIDS (MARCH) in Zambia promotes behaviour change in supportof HIV prevention, treatment and positive living in the reproductive age group (15-49 yrs). MARCH uses twostrategies: 1) showing people how to change (modelling) through the Radio Serial Dramas (RSD), 2) interpersonalReinforcement, which supports community members to adopt and maintain safe behaviour through communitytheatre, peer education, traditional teaching, interactive forums (i.e., radio call-in shows) and linking people to services.
In FY 2011, MARCH Zambia incorporated Families Matter! Program(FMP), which promotes communication amongparents/caregivers and their 9-12 year old children on sex, sexuality and HIV/AIDS.To accelerate and intensify prevention strategy, MARCH will address the following objectives:
Reduce multiple and concurrent sexual partners (MCP)Increase uptake of male circumcisionIncrease effective parent-child communication on issues of sexuality.Reduce underage drinkingIncrease uptake of PMTCT including promoting couple CTIncrease delayed sexual debut among youthsIncrease uptake and adherence to ART
MARCH, including FMP will continue to operate in the Southern and Western Provinces of Zambia.The program will provide feedback from the community to various stakeholders and increase capacity throughtrainings and strengthen referrals for services:In order to be more efficient in FY 2012, the program will continue developing capacity building initiatives such as:Strengthen the use of local infrastructure and community networks to reinforce program goals and promotelistenership to the RSD. The Monitoring and Evaluation plans for FY 2012 will be designed to strengtheneffective tracking of the program.
In FY 2012, MARCH Zambia will continue producing the RSDs and implementing RAs in Southern (4 Districts)) and Western (3 Districts) Provinces. The program will also continue implementing the Families Matter! Program (FMP).
MARCH (RSD and RA) will focus on changing behavior and social norms around the following objectives:To reduce multiple and concurrent sexual partners and be faithful to one partner after counseling and testing and disclosure (increase risk perception of MCP, increase skills for partner communication (disclosure) and confidence in testing)To promote the uptake of male circumcision (MC) by dispelling myths, increasing perception of positive outcomes and positive attitudes, providing accurate information, and conducting referrals for MC services.(including mobilizing for outreach services in conjunction with service providers)To promote abstinence with an emphasis on delaying sexual debut among teenagers. (increase risk perception (or sexual debut and alcohol), positive attitudes, reduce access to alcohol, increase parent-child communication)To promote adherence to PMTCT with an emphasis on the adherence to the new guidelines by sero-discordant couples including couple counselling (increase accurate information, skills for adherence, perceived positive outcomes).To promote adherence to ART, specifically addressing barriers regarding treatment fatigue(increase accurate information, skills for adherence, perceived positive outcomes).Through the RSD and community RAs, communities will be encouraged to seek HIV counseling and testing and be linked to appropriate treatment, care and support services. MARCH will strengthen linkages with other USG partners that provide care services and work closely with New Start for MC services, Corridors of Hope 3 (CoH3) for VCT and STI services and Center for Infectious Disease Research in Zambia (CIDRZ) for outreach VCT services.
The MARCH project intends to reach a total of 26,000 people with Abstinence and be faithful (AB) messages through community theater and peer education group meetings.
FMP is guided by the belief that parents are in a right position to positively shape their childrens health and behavior and that their voices often must compete with the messages sent to children by the media, peers, and society at large. Thus the main aim of this program is to equip parents/caregivers with skills and knowledge of how to communicate with their children on issues of sex, early pregnancies and HIV/AIDS. FMP will reach 2040 families in Southern and Western Province.
MARCH will aim to change sexual behavior through a peer education approach for condom promotion and strengthen referrals for CT services and STI treatment. In FY 2012, through the RSD and community Reinforcement Activities, communities will continue to be encouraged to focus on changing social norms that indirectly fuel the spread of HIV/AIDS, such as alcohol abuse. MARCH will continue working closely with partners like MOH, New Start, Corridors of Hope 3, DAPP TCE, CIDRZ, and Adolescent Reproductive Health Association (ARHA) to increase awareness and promote other behavior change beyond abstinence and/or being faithful while providing CT and ART services.
Community peer educators have been empowered to be able to increase listenership to the RSD by the provision of radios which will strengthen coordination of RA and RSD. In addition, Peer Educators and Traditional teachers will focus on skills-building for correct condom use and condom negotiation, among others. The key behavior change objectives will be:
To increase consistent and correct condom use by decreasing barriers specifically strengthening condom skills and access as well as positive attitudes towards condom use among men and women.To reduce alcohol abuse among minors, specifically through increasing awareness of dangers of underage drinking and strengthening strategies and linkages to reduce access and support law enforcement.To reduce sexual abuse by increasing proper reporting of sexual abuse of a minor
The program intends to reach 39,000 people through community level activities that promote HIV/AIDS prevention through other behavior changes beyond abstinence and/or being faithful.
