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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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
INTEGRATED ACTIVITY FLAG: This activity relates to AERDO's Activity Narratives for Orphans and
Vulnerable Children (OVC) and Palliative Care (PC) for Cooperative Agreement # 521-A-00-06-00013-00.
This activity is linked to activity ID 10111.08, 5411.08.
The proposed activities are to: 1) train community leaders, religious leaders and other influential persons to
clearly articulate traditional, community and faith-based values regarding HIV-prevention and 2) establish
preventative HIV education programs for children and youth. Trainings and prevention education programs
based on abstinence and being faithful will raise awareness, reduce stigma, and empower beneficiaries to
make good life choices. The emphasis areas are training (major: 60%), community mobilization (minor:
25%), linkage with other sectors (minor: 15%), information/education/communication (minor: 10%), quality
assurance (minor: 10%) and strategic information (minor: 10%). The primary target populations are children
and youth, community leaders, NGOs/PVOs, volunteers, men and women (including those of reproductive
age), out-of-school youth, religious leaders, public and private health care workers, and HIV-positive
children (5-14 years). Coverage area includes West, Northwest, North, South, Central Plateaue, Southeast,
This activity is expanding on the current PEPFAR-funded COP 07 ABY activities carried out by AERDO in
Haiti. Each partner agency will work with the Haiti Ministry of Health (MOH) at the community level, and
WCDO will also coordinate with the MOH at the national level. Implementing the program are WCDO (lead
agency), SA, FOCAS and World Hope. FH will be a technical consultant. All are NGOs. WCDO and all sub
partners will disseminate accurate information regarding prevention, which we believe to be efficacious
toward behavioral changes. Religious leaders, community leaders and other influential persons will also be
mobilized and trained to provide support in making important life choices. All these activities will be
channeled through each agency's church and community-based networks. AB activities will be gender
balanced with at least 50% of the beneficiaries being female. Ensuring access to AB activities for females
will help to reinforce their capacity to manage and negotiate their sexuality. Women trained through Activity
1 will be encouraged to serve as mentors to younger girls.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Enable community leaders, religious leaders and other influential persons to clearly articulate
traditional, community and faith-based values regarding HIV-prevention. This target group will attend
training conferences designed to build their capacity using FH's "Abstain, Be Faithful," and as appropriate,
correct and consistent use of condoms (ABC), use of AIDS awareness curriculum, educational methods and
counseling techniques. AERDO will include all elements of ABC teaching in the adult education model, with
an emphasis on AB. Booklets summarizing the key concepts will be distributed to training participants.
Influential persons--teachers, community health workers, parents etc.--will be mobilized to refer youth,
including sex workers, for Voluntary Counseling and Testing (VCT) services. PEPFAR funds will be used to
recruit and train local leaders. This includes the print and distribution of the booklet summarizing key
concepts. During the current funding year, AERDO has been able to reach 1,353 individuals through this
ACTIVITY 2: Community and Religious Leaders trained in activity 1 will form Men's clubs and Couples clubs
within their church and local community network. This new activity will utilize the leader's ability to
implement the ABC curriculum using the adult education model. Groups will meet monthly and will focus on
messages of fidelity, partner reduction, appropriate messages to build skills in personal risk assessment,
improve couples communication, and referrals to CT. Each leader will form one group of 4 men or 3 couples
for a total of 300 groups formed, and 1500 reached.
ACTIVITY 3: Establish preventative HIV behavior change programs for children and youth. Drama and
music will be used to emphasize abstinence and behavior change for children and youth. Working with local
churches, promoters will train youth leaders in preventative HIV education using the World Relief "Choose
Life" manual. These youth leaders will, in turn, train other youth group members. Upon the successful
completion of the preventative education program, pledge cards will be provided, offering the youth
participants the opportunity to commit to abstinence. Youth leaders and youth group members will also be
encouraged to share the lessons learned with their parents and caregivers. In addition, promoters will give
prevention messages at youth camps and special community events--marches will be organized during
carnival, Memorial Day and International AIDS day to reach additional beneficiaries with messages about
HIV transmission and prevention. PEPFAR funds will be used to recruit youth into Youth-2-Youth (Y2Y)
groups and to conduct ABY programming. Funds will also be used for community events that will further
disseminate accurate information about HIV prevention. During the current funding year, AERDO has been
able to reach 18,193 individuals through this activity.
Training (major: 60%), community mobilization (minor: 25%), linkage with other sectors (minor: 15%),
information/education/communication (minor: 10%), quality assurance (minor: 10%) and strategic
information (minor: 10%)
Number of individuals reached through community outreach that promotes HIV/AIDS prevention through
abstinence (a subset of total reached with AB):
abstinence and/or being faithful: 10,000
Number of individuals trained to promote HIV/AIDS prevention through abstinence and/or being faithful:
KEY LEGILATIVE AREAS:
In regard to the issues of U.S. Legislative interest, please note that for every activity, AERDO will track the
number of beneficiaries who are female so that at least 50% are girls, preferably higher. Male norms and
behaviors are addressed in the A and B trainings, using peer educators. Stigma and discrimination will be
Activity Narrative: reduced through the HIV/AIDS training on transmission and prevention which will demystify and
destigmatize the disease.
West, Northwest, North, South, Central Plateaue, Southeast, and Artibonite.
This activity is linked to activity ID 5238.08, 5411.08.
World Concern Development Organization (WCDO) will continue to establish and strengthen referral
systems for People Living with HIV/AIDS (PLWHA) in the West Department of Haiti to increase access to
services, expand current community situational analysis, scale-up community services available to PLWHA,
strengthen PLWHA associations, provide preventative care packages to PLWHA households, and
strengthen the economic coping capacities of households affected by HIV/AIDS. The emphasis areas are
community mobilization (major: 55%), development of network/linkages/referral systems (minor: 45%),
training (minor: 30%), food and nutrition (minor: 20%), local organization capacity development (minor:
30%), quality assurance (minor: 10%), and linkages with other sector initiatives (minor: 35%). The primary
target populations are PLWHA, HIV/AIDS-affected families, public sector hospitals and clinics, community-
based organizations, volunteers, women (including those of reproductive age), religious leaders, and public
and private health care workers. The coverage area is the West Department.
In Fiscal Year (FY) 2007, the United States Government expanded the package of community palliative
care to PLWHA by channeling resources to each of the 10 departments through one community based
organization (CBO) that is in charge of planning and implementing this program in coordination with the
Ministry of Health (MOH) departmental directorate, local CBOs and grassroots organizations. The overall
strategy is to refer all PLWHAs enrolled in care at all HIV sites to the points of service put in place by the
CBOs in order to provide them with community and socio-economic support. World Concern Development
Organization (WCDO), the lead agency of the Association of Evangelical Relief and Development
Organizations (AERDO) HIV/AIDS Alliance (AHA) was given FY 2007 resources to serve as the central
CBO for the West Department where they expect to target about 10,000 PLWHA. WCDO has chosen to
channel resources and implement its activities primarily through three partners: CRWRC (spell out), SA
(spell out), and FOCAS (spell out) affiliated to AERDO.
Although the program has yet to be implemented because of FY 2007 funding delays, WCDO has worked
with the MOH, its three partners, and other key stakeholders to broaden guidelines which define the
package of community palliative care. They have also worked with different HIV sites in the West
Department where PLWHAs are being enrolled in care to establish the best strategies and mechanisms to
deliver the community care package. Based on these strategies, three points of services established
through WCDO and its partners will start providing community services soon.
With FY 2008 resources, WCDO will expand current activities to provide all PLWHA enrolled at the
voluntary counseling and testing (VCT), tuberculosis (TB)/HIV, preventing mother to child transmission
(PMTCT), clinical and anti-retroviral (ARV) services in the West Department with a more substantial
package of community support as defined by the guidelines. These activities will be implemented in a
manner complimentary to current OVC programming for a family centered approach. WCDO will continue
to work in coordination with its partners to focus on improving linkages with HIV sites where PLWHA are
enrolled in care, identifying other local CBOs, grassroots organizations, and PLWHA associations through
which resources could be channeled to expand services and on connecting PLWHA to Title II food and
economic growth partners. Additionally, WCDO will work to link PLWHA with church groups to provide them
with food, job and income generating activities, and spiritual support based on needs assessment.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: WCDO and its partners will continue to link PLWHA and infected/affected children living with
HIV/AIDS who have been detected and enrolled in VCT, PMTCT, clinical care and treatment sites
(particularly public hospitals and clinics), with local CBOs and other community resources through which
PLWHA and their children can access community services. They will build on referral tools and systems
that they are being developed with existing resources. FY 2008 funding will be used to continue
strengthening this referral system by allocating resources to cover transport fees for PLWHAs and their
families to go to the CBO points of services and to organize regular departmental coordination meetings
Activity 2: Funding will be used to reinforce WCDO and its co-partners (CRWRC, SA and FOCAS) capacity
to continue strengthening their main points of direct delivery of community services throughout the West
Department. These points of services will be adequately staffed with trained support and psycho-social
staff, as well as with facilitators who will continue to work with their counterpart at the sites to recruit
PLWHAs, establish their needs and those of their families, including nutrition and socio-economic needs
and to provide them with community services. The community based information system which is being
developed and rolled out through WCDO and its co-partners this year will be reinforced next year to
establish a good track record of patients enrolled and services offered.
Activity 3: Next year WCDO will identify around its sites other local CBOs through which the community
palliative care package could be expanded. Emphasis will be put on identifying PLWHA support groups and
associations that are being expanded and reinforced and on grassroots organizations with relevant
experience in providing support to PLWHA or involved in other social support services. WCDO will use
funding to provide the aforementioned organizations with financial, training, and technical assistance to
upgrade them and make them capable of offering community support services in networking with the HIV
sites and other key stakeholders.
Activity 4: WCDO will use funding to make available to PLWHA through the different points of services a
package of prevention, social support, and education services as directed by the guidelines. WCDO will
distribute to PLWHA safe water products, including drinking water bottles, they will procure through the
Supply Chain Management System. WDCO will also work with the Global Fund to fight AIDS, Tuberculosis
and Malaria and MOH partners to distribute treated bed nets to PLWHA, pregnant women, and children
under five for malaria prevention according to national guidelines. Resources will used to cover school fees
for infected and affected children, and a transit house for PLWHA lodging (should resources permit) based
on needs assessment. Staff from the points of services will be trained through Institute Haitien de Santé
Communautaire (INSHAC) to provide counseling on HIV prevention, including couple and family
counseling, in order to promote HIV testing within the family, reduce stigma, and to promote positive
attitudes toward infected person in the family.
Activity 5: WCDO and its partners will continue to establish strong linkages with the Title II food partners to
make food available to PLWHA and their families based on nutrition needs assessment established at the
sites and the CBO points of services. This will complement efforts being made at the sites to assess
nutritional needs of PLWHA and to provide food as a prescription to those that are malnourished. WDCO
and its partners will link their points of service with church groups to provide spiritual care to patients,
particularly those enrolled in end of life care. They will also establish linkages with partners involved in
economic growth programs to enroll PLWHA in micro-credit and job creation activities. Funding will be used
Activity Narrative: to cover transportation and logistic costs to make the food available at the points of services. Funding will
be used to train religious leaders and church groups to support PLWHA and their families and to cover their
transportation costs to visit PLWHA. Resources will also be used to provide guaranteed funds to make
micro-credit funds accessible to PLWHA.
Community mobilization (major: 55%), development of network/linkages/referral systems (minor: 20%),
training (minor: 20%), food and nutrition (minor: 15%), local organization capacity development (minor:
15%), and quality assurance (minor: 10%) linkages with other sector initiatives (minor: 25%)
For the year ending September 30, 2008, AERDO seeks to reach the following targets: six service outlets
providing HIV-related palliative care; 10,000 individuals provided with HIV-related palliative care and 112
individuals trained to provide HIV-related palliative care.
The proposed activities in this narrative will enable households, families, churches and communities to
provide support to children orphaned or made vulnerable by HIV/AIDS. The Association of Evangelical
Relief and Development Organizations (AERDO) will work closely with local partners (including assigned
health centers) to develop community-based OVC support interventions that respond to their psychosocial
needs, strengthens the economic coping capacities of caregivers, links children and families to available
health and social services, provides food contributions, and trains caregivers and children in basic hygiene
and disease prevention. Trainings in and the use of curricula such as "Our Children" will serve to raise
awareness of OVC issues, reduce stigma, and empower communities to support and nurture OVC. The
emphasis areas include: community mobilization (major: 55%), training (minor: 20%), linkages with other
sectors and initiatives (minor: 20%), needs assessment (minor: 10%), quality assurance (minor: 10%),
strategic information (minor: 10%), local organizational capacity development (minor: 15%), and
food/nutrition (minor: 10%). The primary target populations are OVC, caregivers, people living with HIV and
AIDS, street children, faith-based organizations (FBOs), community-based organizations (CBOs),
volunteers, community leaders and religious leaders. The coverage area is the West Department.
This activity is expanding on the current President's Emergency Program for AIDS Relief (PEPFAR)-funded
COP 2007 OVC activities carried out by AERDO in Haiti. Each partner agency will work with the Haiti
Ministry of Health (MOH) at the community level and WCDO will coordinate with the MOH at the national
level. Implementing the program are WCDO (lead agency), SA, WH, CRWRC, and FOCAS. WCDO and
implementing sub partners will bolster the economic abilities of OVC households through micro-credit and
activities will be monitored to ensure females are at least 50% of the beneficiaries. In addition, sensitization
trainings will highlight the unique needs and vulnerabilities of female OVC.
ACTIVITY 1: Enable community organizations (churches, FBOs and CBOs) to develop and maintain their
own OVC support programs. AERDO will identify the most appropriate churches, CBOs, and PLWHA
associations located around the PEPFAR-supported sites in the West to work as local partners. These
organizations, with mentoring by AERDO's technical staff, will visit the sites and make joint assessments of
the OVC at each site. The sites targeted in the West Department will include six (to be determined) from
the following list: Groupe Haitien d'etudes du Sarcome de Kaposi et des infections Opportunistes
(GHESKIO), Hopital de l'Universite d'Etat (HUEH), Hopital de Carrefour, Hopital Petits Freres et Soeurs,
International Child Care (ICC), Institute of Infectious Disease & Reproductive Health (IMIS), Grace
Children's Hospital and two other undetermined hospitals. PEPFAR funds will be used to recruit and train
local partners. During the current funding year, AERDO has enabled 80 local organizations to develop and
maintain their own OVC support programs.
ACTIVITY 2: Link children and families to essential health and social services where available. Select
essential health and social services, based on an assessment of need, will be provided to OVC. These may
include: psychosocial support for OVC, their families and caregivers; educational and nutritional support;
transportation costs for access to health care, schools or other basic services and; support for birth
registration. Additional services may be provided based on an assessment of specific needs within the
community and the capacity of the local partners. Funding will also be used to support fees for health
services and drugs when necessary. AERDO will link counseling and testing (CT), PMTCT and anti-
retroviral (ARV) sites to orphanages and OVC households through a community-based network. Caregiver,
OVC, and parent of people living with HIV/AIDS (PLWHAs) will be supported to increase treatment
adherence. Mobile clinics in remote areas and rally posts will provide care and support to OVC.
ACTIVITY 3: Provide contributions of food to OVC. Local churches, CBOs, and FBOs will use local
contributions to meet the identified OVC's food needs to the extent possible. With FANTA guidance, OVC
will have routine clinical assessment of nutritional status especially children under five years, and dietary
assessments will be conducted to determine which OVC are most in need and explore ways to provide
them with nutritional support. Food by prescription at the clinics will address the needs of malnourished
ACTIVITY 4: Train local volunteers to provide support and home visits to OVC. Three hundred trained
volunteers will visit HIV-affected caregiver and child-headed households on a regular basis to check on their
status. Efforts will be made to ensure that all pregnant women are referred for HIV testing and that the HIV-
positive women are enrolled in PMTCT services, including postpartum care. Newborns from the sero-
positive mothers will be referred to HIV/AIDS service delivery sites for testing, general pediatric care and
follow up, and enrolled in the OVC program. AERDO will document the visits made, the status of the OVC
households, and any resulting interventions. Family members not already tested for AIDS will be
encouraged to get tested. Midwives, as available, will be involved in the process of community based care.
Three hundred volunteers and 25 field staff will be trained in grief and trauma counseling to provide
psychosocial care during the home visits to OVC. During the current funding year, AERDO has reached
417 volunteers through this activity.
ACTIVITY 5: Train and support OVC caregivers. Community health issues such as prevention of HIV/AIDS,
malaria and cholera; clean water; sanitation; bed nets and personal hygiene will be addressed. Micro-
finance training will be provided, based on existing programs. Once selected for the program, caregivers
will participate in an intensive, two-day training session which will be followed-up by monthly meetings,
monitoring and retraining as needed. Caregivers will be encouraged to create cooperative activities. Start-
up capital will be provided on a pilot basis to those groups presenting the most viable ideas for an income-
generating initiative. This would include economic strengthening through trainings in basic business and
provisions of start-up capital to selected families. During the current funding period, AERDO has reached
1,455 caregivers through this activity.
ACTIVITY 6: Partner with Salesian to support Lakay, a program for street children. This partnership started
in FY 07 will: i) reinforce the training program, strengthen the behavior change and risk reduction of those
children, organize HIV-AIDS oriented entertainment activities at the school facility and outside of school to
reach street children not enrolled in school, provide psycho-social, access to health care and material
support to those vulnerable children. AERDO will link the children to collaborating ARV sites and ensure
that agreements reached with food programs will cover the Salesian Congregation.
As a gender issue, OVC female caregivers will have access to income and productive resources through
the availability of microfinance and income generation in the form of goat loans. Stigma and discrimination
will be reduced through sensitivity trainings provided to local organizations working with OVC, as well as
HIV/AIDS training on transmission and prevention which will demystify and destigmatize the disease.
[Legislative interest: note--for every activity, we will track the number of OVC who are female so that at least
Activity Narrative: 50% of the beneficiaries are girls].
A public/private partnership is possible because MedPharm is providing anti-parasite medications (valued at
US$5.288 per tablet) and Vitamin A supplements, so that OVC and their caregivers can receive this
treatment to boost their nutrition. In total, AERDO is providing a cost share of 52% for OVC activities.
These activities relate to the PEPFAR 2-7-10 goals by providing care and support to OVC and their
households. These activities will expand upon the Fiscal Year 2007 targets of 4,500 OVC served by OVC
programs and 900 providers/caretakers trained in caring for OVC. AERDO fully expects to reach these
targets by September 30, 2008.
Community mobilization (major: 55%), training (minor: 20%), linkages with other sectors and initiatives
(minor: 20%), needs assessment (minor: 10%), quality assurance (minor: 10%), strategic information
(minor: 10%), local organizational capacity development (minor: 15%) and food/nutrition (minor: 10%)
For the year ending September 30, 2009, AERDO plans on reaching the following targets: 1,700 caregivers
strengthened to support 5,000 OVC (50/50 male/female) affected by HIV/AIDS.