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.
Reducing Gender Based Violence
The 2005 EDHS indicated that violence against girls and women in Ethiopia is a common phenomenon and
tolerated in both urban and rural families. A sizeable majority (81%) of women believe that a husband is
justified in beating his wife for one of the following situations: if she argues with him; is she goes out without
telling him; if she neglects the children; if she burns the food; and if she refuses to have sexual relations
with him. Whereas only 51.5% of men agreed with one of these reasons, indicating that interventions must
be directed at both women and men to change acceptance of gender-based violence (GBV). In 2007,
CARE conducted a situation analysis to better understand the gender-based violence, especially impacts on
OVC, in target intervention sites of Addis Ababa, Oromiya, and Amhara regions. Information was gathered
on attitudes, prevalence of GBV, and efforts to combat it. Findings indicate the need for increasing
community awareness on the causes of GBV and ways to reduce its occurrence.
Men, women, girls and boys will be targeted to raise awareness and mobilize preventative and responsive
actions to address GBV. Men and boys in particular will be addressed with assistance from the Male Norms
Initiative. Community leaders, religious leaders, teachers, health professionals and other stakeholders will
also be engaged as major players in the community in the fight against gender-based violence. The direct
beneficiaries of the project will be vulnerable girls, adolescents and young women with a special focus on
children affected by HIV/AIDS and persons living with HIV who have been exposed to physical, sexual or
psychological violence. An estimated 20,000 OVC will be served in COP08 with protection services to
prevent GBV and provide support to victims. The main objective of the program is to reduce the incidents of
GBV against orphans and vulnerable children by raising the communities' awareness of the issue and
changing the attitudes and behaviors of targeted communities.
The results of CARE's GBV situational assessment will be used to tailor interventions to educate and
protect OVC and their families from GBV. This program will adapt existing GBV materials into a trainer of
trainer's manual for application by local Ethiopian and international partners working in the areas of gender,
OVC and HIV prevention. The project focuses on community sensitization, capacity building of stakeholders
against GBV, strengthening appropriate health service delivery for victims of violence, facilitating linkages
and referrals for counselling and legal aid for survivors, conducting life skills training, and promoting
educational and economic opportunities for OVC. All the stakeholders (e.g. law-enforcement entities, legal
organizations, community organizations, elders, etc.) will work collaboratively together to enforce and
implement the existing government policies and laws pertaining to GBV.
The project implementation is in partnership with two local nongovernmental organizations (NGO), Amhara
Women's Association in Amhara Regional State and Hundee in Addis Ababa City Administration and
Oromiya Regional State. With the idea of scaling up and the application of innovative activities gleaned from
the first year, there are a number of new activities planned for 2008. CARE will work to strengthen the
collaborative efforts between civil society organizations and government bodies to play pro-active roles in
the formulation and implementation of anti-GBV policies and practices in the three target communities.
Technical assistance will be provided to the two local NGO to develop community-based support
mechanisms, networks and advocacy alliances to increase the reporting of abuses, support for the victims,
legal prosecution for the perpetrators and prevention efforts to raise awareness of GBV laws and OVC's
The Reducing GBV Among OVC project will aim to establish systems, referral mechanisms and services for
confidential reporting and handling of victims of gender-based violence including linkages to appropriate
services offered by other PEPFAR funded projects. CARE will use materials developed in other African
countries to adapt GBV Guidelines for use by communities, law enforcement agencies, and other PEPFAR-
funded programs. The project will establish model gender-based violence protection units at district and
ward levels and monitor the support being provided. It is important to establish centers at the local level
where the survivors of GBV can receive supportive services. Currently there is only one safe haven for
women in Addis Ababa and the demand for services far outstrips the shelter's capacity. The new protection
units will be run by the local NGO partners - Hundee and Amhara Women's Association with support from
local government offices, community members, and CARE International. These stakeholders will be
responsible to look for sustainable ways of running the centers.
CARE will work with the surrounding health facilities and PEPFAR clinical partners in the three target areas
to raise awareness of GBV and how they can identify and assist victims, especially adolescent girls. CARE
will take lessons learned from the Rwanda study done by the IntraHealth Twubakane Project which looked
at the feasibility of screening for GBV as part of PMTCT services. The GBV program will pilot post-exposure
prophylaxis (PEP) at three health facilities in urban settings for cases at risk of HIV infection. Health
providers trained in maternal and child health will be trained on how to counsel young girls and women and
will ensure their access to counselling and testing (CT), PEP, sexually transmitted infections (STI),
antenatal care, PMTCT, and ART services as needed. Health providers will also be given information about
where to refer the patients for further assistance from the community and PEPFAR-funded programs. These
pilot programs will be in the same areas as PC3 and other PEPFAR partners to ensure a linkage to OVC
and PLWH care services.
Another important component of the GBV program will be to work with men and boys to actively engage
them in activities that address the attitudes and behaviors that perpetuate gender-based violence. CARE
will work with EngenderHealth to provide a tailored Men as Partners training for young boys and men in the
three communities to create role-models and advocates on the issue. CARE will prioritize community
leaders, male caregivers/volunteers, and older OVC boys participating in the PC3 project to receive this
training. In the process of changing attitudes, the training will build on positive male norms while challenging
practices such as female genital cutting, abduction and early marriage, wife beating, child abuse, rape, and
sexual harassment. By working with men and boys the project will strive to have responsible community
members who can positively influence their society. CARE will work with community members to establish a
system for tracking changes in the incidence of early marriage, abuse, rape, and sexual harassment.
The emphasis area of this project is on gender - reducing violence, increasing gender equity in HIV
services, addressing male norms and increasing OVC's access to legal protection and income. A key
element of this will be working with men and boys to create a commitment of their responsibility for the well-
being of their wives, children, mothers and sisters. Under this project, OVC and their guardians, especially
Activity Narrative: female headed households, will receive small business training and livelihoods support to address their
economic needs. While the overall effort of the project is to reduce GBV, project beneficiaries will receive
multiple services following an individual needs assessment. CARE will work closely with PC3 activities in
the same areas in order to provide comprehensive care to OVC. As CARE is a partner in the PC3 program,
the organization is well-placed to use the existing PC3 M&E tools to report who is receiving what type of
services and to avoid double-counting. Through the local partners, this activity plans to train a total of 240
caregivers and volunteers and reach 20,000 OVC.
Following nine months of implementation, CARE will conduct an evaluation of the interventions - including
the protection units, the BCC activities, and the clinic-based services to compare data from the situational
analysis to see how the program influenced the knowledge, behavior and incidence of GBV in the three
target areas. The results of this evaluation will be shared with PEPFAR OVC partners to help improve
protection services for OVC.