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
SUMMARY: Recent data from the DHS 2005-2006 indicates consistent low condom use in Haiti. In
addition, findings from the Measuring Access and Performance (MAP) study conducted by PSI in 2006
revealed distinct disparities in condom coverage and accessibility among the geographic regions. In the
past, the PSI/Haiti program has used this evidence to develop a strategy to ensure condoms are widely
available across different geographical regions of the country, specifically to high-risk groups. PSI used
behavior change communication (BCC) messages that will positively influence underlying barriers to
condom use. The funding awarded for this program will build on PSI's work promote improved social
marketing and distribution capacity, as well as enhance Haiti's support and coordination with commercial
and public sector distributors of condoms. To evaluate progress, a follow-up MAP study will be required in
2009. The specific groups targeted under this program will include: Commercial Sex Workers; youth (15-
24yrs); and sexually active men in the general population (25-49yrs).
BACKGROUND: PSI/Haiti has a condom social marketing and distribution program previously funded by
PEPFAR. PSI provided affordable, high-quality condoms to segments of the population that were not
effectively served by public and commercial sector sources. These condoms were branded and sold at
highly-subsidized prices using commercial distribution systems across the country. This strategy is
supported by the Ministry of Health as a means of ensuring condom availability throughout Haiti. PSI
partnered with UNFPA and other partners to support the Ministry of Health in developing a national condom
distribution system for targeted populations. The partner awarded this funding will continue to work with the
Ministry of Health and with other donors to reinforce branded communications campaigns aimed at
increasing demand, addressing barriers to condom use, and emphasizing the dual use of condoms for
HIV/AIDS protection and avoiding unwanted pregnancies among young, high risk women through linkages
with USAID's population program.
Table 1: MAP Study Regions and Coverage of Pantè, Reyalite condoms by PSI region
RegionsDepartmentsPopulation
(2003)%
population%
of Total AreaDensity
hab/km2Coverage of PantéCoverage of Reyalité
REGION I/ IIWest2 810 72633.614.768975%25%
REGION IIIArtibonite1 706 54920.427.222570%30%
Centre
REGION IVNorth1 131 42813.513.929450%<20%
North-East
REGION VArtibonite705 5528.411.622045%25%
North-West
REGION VISouth-East997 90911.914.724545%25%
West
Nippes
REGION VIISouth1 021 58612.217.920675%20%
Grand'Anse
TOTAL8 373 750
100
1 879
52.1%9.7%
ACTIVITY 1: According to the MAP 2008 study (a GPS distribution study) conducted by PSI, nationally
Pantè is available in 73% of sampled areas, and increase of about 20% from 2006. Male condoms of any
type are available to three quarters of the general population. Even though the gap between rural and
urban areas is much lower in the 2008 study compared to the 2006 study, rural access continues to be
lower. When analyzed by type of area, it appears that rural coverage increased from 39 % in 2006 to 50%
in 2008, whereas urban coverage increased from 67% to 97%. In the COP09 the grantee will focus its
sales efforts in regions where coverage is low, specifically in the North West, Nippes and South East
geographical departments. The MAP to be conducted in 2009 will also be used to guide programmatic
decisions in terms of better covering the most underserved areas.
During promotional events, agents will conduct condom demonstration sessions where messages about
condom efficacy, risk reduction, and correct and consistent condom use will be emphasized. The brand
campaign will be reinvigorated taking into account the 2006 TRaC study results on brand appeal. TV and
radio spots will be broadcast over at least 4 stations in each department. Billboards and murals also will be
designed and selectively placed for increased visibility. Messages will be coordinated at the PEPFAR BCC
Task Working Group with other BCC prevention partners to ensure consistent messages from all partners.
In addition, the grantee will scale up the distribution of condoms through NGOs and other institutional
partners who have access to Most at Risk Persons (MARPS) who are otherwise difficult to reach. A solid
partnership will be developed through trainings on behavior change social marketing and regular
supervision visits of those partners who assist the grantee in referring people to condom points of sale and
creating new outlets.
ACTIVITY 2: Support and technical assistance will be provided to improve coordination with public sector
condom distribution. This assistance will improve the coordination of condom distribution with the public
sector and ensure that all market segments - including people living with HIV/AIDS (PLWHA) - have access
to condoms from the appropriate source. PEPFAR will support the development of networks and linkages
between condom social marketing, the private sector, and the public sector (primarily UNFPA and the
Ministry of Health) to increase condom distribution coverage and efficiency throughout Haiti.
Activity Narrative: ACTIVITY 3: The grantee of this funding will use the results of the 2008 and 2009 CSW and Youth
population-based studies, called TRaC (Tracking Results Continuously) to develop appropriate behavior
change messages for these two target groups. Materials will be created for both IPC and mass media
distribution. The PEPFAR partner will link this HIV activity with its family planning activities by emphasizing
messages surrounding the dual protection of condoms.
Community Leaders: The PEPFAR grantee will also use COP09 funds to organize community mobilization
activities reaching community leaders. These leaders are very influential in their communities therefore
reaching them and sensitizing them on the importance of using condoms, adopting safer sexual behaviors
as well as on the importance of getting tested for VCT is crucial. It is estimated that 60 community leaders
will be reached.
CSWs: For CSWs, PSI/Haiti used a network of 20 peer educators and supervisors in the greater
metropolitan areas of Grande Anse and Artibonite through support from KFW and the Global Fund. In FY08,
PSI trained 10 new peer educators and reaching 3000 CSWs through IPC activities. In FY09 the grantee
will build on PSI's work and train 40 additional CSW peer educators in the North, Nippes, and Artibonite
departments and reach at least 3,000 CSWs through IPC. The grantee will also work with CSWs that are
interested in building their own businesses to become condom vendors within their communities; and as
above, will develop linkages with its mobile VCT program. Peer education activities will focus efforts on self-
efficacy, risk perception and attitudes towards condoms. The grantee will continue to partner with FOSREF
as a referral service to CSWs for medical services such as HIV/AIDS testing and IST treatment.
Youth:
Working in collaboration with FOSREF, PSI currently has 100 peer educators working with in-school and
out-of-school youth in FY08. This program is funded by KfW and the Global Fund. The grantee will use
COP09 funds to continue this work and train 100 new in-school youth peer educators in the North and
Nippes departments, and reach 8,000 youth through IPC activities focused on the importance of delayed
sexual debut, adopting safe sexual behaviors such as condom use and personal risk assessment. The
grantee will also develop linkages with its PEPFAR-funded mobile VCT activities, by encouraging youth to
get tested and by holding C&T special events for youth.Support will be provided to assist in organizing
education and entertainment activities as well as promotion activities during special events (i.e World AIDS
Day, World Youth Day, Carnaval, etc) that draw large crowds teeming with youth. These activities will be
supported by youth-friendly mass media campaigns.
Men and the General Population: Given that Haiti has a "mixed" epidemic, the social marketing program
will strategically target condom prevention messages to both men and the general population. This year,
the social marketing component will continue to increase condom use among most at risk populations,
especially men with multiple partners. In FY08, PEPFAR will satisfy the need to better target men and
young boys with messages to increase the correct and consistent condom use and reduce high risk sex.
Prevention messages will include personal risk assessment, partner reduction, condom use,
intergenerational sex, gender based violence and women empowerment issues. The grantee will broadcast
selected mass media (TV, radio, wall painting) campaigns and organize mass events (i.e Carnival, Patron
Saints Days and Music Festivals) targeted to men in the general population. It is anticipated that over
20,000 men will be reach through this activity.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17224
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17224 5296.08 U.S. Agency for Population 7696 52.08 Condom Social $750,000
International Services Marketing
Development International
9322 5296.07 U.S. Agency for Population 5139 52.07 USAID/GAC/HQ $625,000
International Services
5296 5296.06 U.S. Agency for Population 3405 52.06 USAID/GAC/HQ $675,000
Table 3.3.03:
