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
Children First (CF) is USG Zimbabwe's lead mechanism to improve the lives of orphans and vulnerable children (OVC) affected by and infected with HIV and AIDS by increasing OVC access to a range of comprehensive care services and the capacity of communities to provide these services. In addition to PEPFAR funding, USG provides annual wraparound Population funding for training, referrals to care and establishment of service networks for OVC reproductive health.
The goal of the CF project is to mitigate the impact of HIV/AIDS on children in Zimbabwe by improving OVC access to quality care and support services. There are 3 objectives: 1) increased access to and quality of OVC services through community initiatives; 2)strengthened human capacity and performance of local communities to meet needs of OVC; 3) improved community and national-level advocacy for the social protection of OVC. The CF project was specifically designed to support Zimbabwe's National Action Plan for OVC (NAP-OVC) and to complement and fill gaps not addressed by the multi-donor $70 million Program of Support (POS) for OVC. CF is identifying new models, undertaking advocacy, and targeting highly vulnerable children such as those in child-headed households, abused children, disabled children, and children outside of family care. CF works closely with public and private sector providers to promote networking and complementarity of services to assure that OVC services are as cost-efficient as possible.
Given high levels of need and difficult security conditions in the country during much of 2008, CF initially focused on such children in underserved areas of Harare City. In early 2009 CF undertook a baseline and launched operations in Matebeleland South (Umzingwane district) province, an underserved province recommended by the OVC secretariat. As of June 2009, CF partners were providing a minimum of one care service to 57,922 (47 % male, % 53 female) OVC in all areas.
CF works primarily through direct grants to local NGOs, CBOs, and FBOs that work with OVC, and also provides referrals and linkages with other programs and service providers. As of June 2009, CF had given out grants to 19 NGO partners who sub-granted to 43 CBOs (24 FBOs). CF also works with District AIDS Committees in Harare and Umzingwane to improve their ability to monitor and respond to the needs of OVC in their communities, thus improving linkages between communities and the district and national AIDS response.
In terms of Human Resources for Health, during the first three quarters of FY 2009, CF trained 1,329 community-based providers/caregivers from 6 partner organizations. CF has initiated a system of placements with NGO/CBO partners for day to day mentoring. In 2009, CF conducted training of trainers in human rights and child protection for community-based volunteers working in 14 partner organizations.
In terms of Child Survival activities, CF is collaborating with Clinton HIV/AIDS Initiative to increase access to pediatric ART through a home based care program, and with city council clinics to provide primary health care assessments. For Advocacy and Child Protection, CF has a joint initiative with PEPFAR partner Population Services International (PSI) to develop and produce a national radio drama on child rights issues, and is working on modules on child legislation and children's rights.
With supplemental FY2009 funding CF will focus on improving quality as opposed to increasing the number of children or expanding the current geographic area. In FY 2010, the CF project plans to: 1) Select the strongest and most cost-effective of the current NGO grantees to provide the basic package of services. NGOs partners will be selected that provide the greatest beneficiary coverage, and have the organizational capacity to ensure that each CF-supported child has access to at least 3 services. 2) Develop and refine a standard comprehensive package of services that will deliver at least 3 services. Each partner NGO will provide a minimum 3 services, and by creating standards of care developed by CF and its partners, quality assurance will be achieved. 3) Continue to support NGOs with interventions which serve the specific needs of highly vulnerable children. 4) Increase efficiency, achieve cost effectiveness and streamline operations by:
a) Awarding NGO grants for a longer duration (2-3 years instead of 1) to reduce staff attrition and to promote long-term planning;
b) Extending school block grants for additional school terms to increase efficiency and cost effectiveness;
c) Refining and scaling up the recently-introduced school-based Primary Health Care (PHC) package so that OVC will have access to PHC screening, school-based care, and referral for more complicated cases;
d) Integrating reproductive health and livelihood programs for youth;
e) Launching school-based psychosocial support programs in CF- supported schools to standardize psychosocial support.
f) Initiating economic strengthening programs focused on nutritional support and Village Savings and Loans.
In FY2010, CF will administer direct CBO "challenge grants" ranging from $1,000 - $10,000 to enable community groups to accomplish narrowly-defined, small-scale activities.These community groups include Parent-Teacher Associations, mothers' groups and self-formed PLHA support groups. By supporting CBOs directly, CF will ensure quality improvement and facilitate access to resources by CBOs to enable them to carry out services that reach OVC directly.
