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
In FY09, the new TWC curriculum will be rolled out with the completion of the adaptation and the training of
Field Managers and Peer Educators in the new content and its delivery. The new curriculum more
thoroughly addresses local risk and protective factors such as transactional sex, sexual coercion, cross-
generational sex, multiple concurrent partnerships, individual risk planning, and gender equity. The primary
target populations are primary and secondary students and out-of-school youth including orphan and
vulnerable children (OVC), restavec (marginalized domestic servants), and street youth ages 10-24 with a
focus on youth ages 15-19. TWC works through HRC branch offices in the following seven geographic
areas: Pétionville, Cité Soleil, Petite Goâve, Cap Haitian, Fort Liberté, Ounaminthe and Anse-à-Pitres.
TWC is a track 1 ABY program active in two other countries (Tanzania and Guyana) in addition to Haiti.
The project has been operational in Haiti since June 2004 and works in close collaboration with the Haitian
Ministry of Health and National AIDS Program (MSPP/UCC) and has recently established a partnership with
the Haitian Ministry of Youth. TWC is implemented in Haiti by the Haitian Red Cross which is a local
(indigenous) organization founded over 75 years ago. Curriculum and adult outreach interventions directly
address cross-generational sex, multiple sex partners and early sexual initiation norms and behaviors. The
project is currently seeking to improve female youth's access to life and job skills.
Activities and Expected Results:
generational sex, multiple concurrent partnerships, individual risk planning, and gender equity. The new
curriculum will also increase interaction between youth participants (of curriculum-based sessions) and their
peers through the curriculum's built-in series of four take home assignments which include sharing key
TWC messages, facts, and skills through the use of: a decision making tool; IEC materials identifying risk
factors for HIV infections; referrals and site-visits to local sexual and reproductive health services; and role-
playing to resist pressure and to communicate assertively. The TWC program will continue to enhance
efforts to conduct follow-up interventions (FUI) through the roll out of guidelines that provide direction on
shaping the the content of follow up activities to meet the needs of local communities based on analysis
from our pre/post test database system, qualitative feedback from youth, and other relevant research. In
FY09 and FY10, the project will reach 70% of all youth who completed the initial TWC curriculum with one
or more FUIs. The project will continue to emphasize a focus on non-traditional youth by reaching 15% of
youth from this category.
TWC will increase its training and oversight of Field Managers through quarterly supervision visits, and will
offer specific training to Field Managers to improve their outreach to Community Councils and Town Hall
Meetings and to better address the needs of stakeholders and community members. To date, TWC has
reached over 320,000 youth with AB messages, and trained over 310 individuals in Haiti. Volunteer
retention rates for Peer Educators exceed 80%.
In order to build the capacity of the HRC to manage and expand youth HIV prevention projects, the ARC will
continue to provide organizational development trainings and technical support for key areas including
volunteer management and training, project planning, finance and compliance, monitoring and evaluation
and curriculum adaptation. TWC uses partnership building as another main capacity building tool, allowing
the HRC to learn from and leverage each partner's expertise in the domain of HIV prevention, care and
treatment. Common goals, strategies and messages are established and duplication of efforts is reduced,
leading to a more efficient and rational use of project resources. The TWC project will maintain its existing
partnerships with MSPP/UCC, FOSREF, and PSI as well as the Emergency Plan BCC cluster group. In
addition, the project intends to forge new, multi-sectoral relationships with IDEJEN in order to provide TA on
HIV prevention, reach greater numbers of out-of-school youth and ensure TWC project beneficiaries obtain
better life and job skills and economic opportunities to better address economically driven risk factors.
To enhance the community environment for the adoption of safer sexual practices, the TWC project will hold
town hall meetings reaching over 1,000 adults and form at least one community council at each project site.
Community is defined here as adult stakeholders who influence directly or indirectly the environment in
which youth live and make safe or unsafe sexual decisions. These adult stakeholders include parents and
teachers as well as religious and secular community leaders from the public, non-governmental, informal,
faith based and private sectors. The project uses town hall meetings to inform, seek the permission to
conduct sexual education activities, and solicit direct involvement of these adult stakeholders in the fight
against HIV/AIDS and in the safer reproductive lives of youth. Project staff works with local community
councils and organizations such as school administrations on day to day project implementation. Examples
of direct community council engagement include help in planning TWC workshops in schools, consensus
building on appropriate messaging for younger youth, in-kind contributions to project activities, promoting
TWC sessions via letters to parents, and offering feedback after observing project activities- the greater the
community involvement and ownership, the greater the sustainability of the program.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19566
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19566 19566.08 U.S. Agency for American Red 8889 8889.08 $200,000
The activities in this country-funded concept paper are new, and represent both an expansion in geographic
and programmatic scope. Specifically, the three new activities entail scaling up core TWC activities
(curriculum based interventions, peer to peer outreach, and eductainment events as well as partnership
building, capacity building and the engagement of adult stakeholders) through expansion to two new sites in
Nippes and the North West; free condom distribution; and promoting adult-child communication. TWC's
emphasis area is gender (through outreach that addresses male norms and behaviors and increases
gender equity in HIV/AIDS programming). The primary target populations are primary and secondary
students and out-of-school youth including OVC, restavec (marginalized domestic servants) and street
youth ages 10-24 with a focus on youth ages 15-19. TWC will work through HRC branch offices in the two
new sites in Nippes and the North West, as it does already in seven current geographic areas which include
Pétionville, Cité Soleil, Petite Goâve, Cap Haitian, Fort Liberté, Ounaminthe and Anse-à-Pitres.
The project has been operational in Haiti since June 2004 and works in close collaboration the Haitian
(indigenous) organization founded over 75 years ago. The project addresses gender issues through
assuring that 50% of their staff from project coordinators to peer educators are female, and through
ensuring that outreach addresses both female and male norms, and resonates with both female and male
participants. Curriculum and adult outreach interventions directly address cross-generational sex, multiple
(concurrent) sex partners and early sexual initiation norms and behaviors.
ACTIVITIES AND EXPECTED RESULTS
Activity 1: Addition of 2 new TWC Project Sites in order to increase the protective knowledge, attitudes, and
skills among an additional 13,142 youth in FY09 and 10,877 in FY10.
Building on TWC's strong track record for success since 2004, exceeding its five year goal in year three
while continuing to improve program quality, TWC will expand into the North-West and Nippes regions.
Drawing on a base of branch offices with active youth an adult volunteer networks, HRC will recruit 2 FMs in
each region who will establish the TWC regional presence and programming through an existing branch
office. In turn, with support from the head office, the FMs will hire 20 PEs in each site to operate in the
larger vicinity spanning two of the four targeted cities in Nippes, and two of the five targeted cities in the
With the addition of these new sites, TWC will reach over 20,000 youth through curriculum, peer-to-peer,
and edutainment outreach activities over the 21 month period in FY09 and FY10. Due to ARC's strong
partnerships with organizations serving high risk youth such as IDEJEN, over 15% of these beneficiaries will
be non-traditional youth between the ages of 13-24, a category that includes high risk youth such as
orphans, restavek (marginalized domestic servants), street children, and out-of-school youth. The
remainder will be in-school youth.
Building on TWC's provision of complete information around condom use and negotiation to its youth
beneficiaries in accordance with Emergency Plan ABC guidance, including the recent new addition of a take
home activity in the new curriculum whereby beneficiaries locate and visit condom sales pints and other
reproductive and sexual health services, TWC plans to increase the demand for and access to condoms by:
increasing the reliable supply of condoms through supplying free condoms through Together We Can
(TWC) project activities as well as at Haitian Red Cross branch offices; and better integrating a Behavior
Change Communication (BCC) approach around condoms into TWC programming through disseminating
Haitian Red Cross (HRC) Information Communication & Education (IEC) materials in coordination and
harmonization with partner organizations
At the branch level, HRC will work with local partners to facilitate a planning process for the dissemination of
condoms and BCC materials (by conducting community meetings with the participation of community
councils, HRC branch staff, volunteers, and potential private sector and CSO partners who together can
determine the best approach for making condoms available to the community).
Additionally, Peer Educators (PE) will increase self-efficacy of TWC participants by providing reliable
sources for male condoms and BCC messages at TWC sessions follow up activities, community
mobilization and edutainment events. Where needed, condoms will be distributed as part of a knowledge
and skills-building activity that advocates the twin TWC messages of risk reduction and risk elimination
through promoting ABC approaches to prevent HIV, STIs, and unintended pregnancy/parenthood. By doing
so, PEs, while typically at least 3 years older than the youth they target, will be promoting positive peer
norms and support for condom and contraceptive use, a positive determinant for condom use, and a
protective factors against HIV, STIs, and unintended pregnancy and parenthood.
Consistent with these messages, PEs will give out BCC materials in the form of a newly produced brochure
that features leading Haitian singer Belo, and key messages designed to personalize risk and spur action
along the lines of A, B, or C.
The ARC and HRC will use their expertise in community mobilization and curriculum design to enhance
community based outreach to adults in order to improve adult-youth communication around sex and
contraceptives. In FY10, the ARC and HRC will train 1500 youth and 1500 adults/parents in a new three-
day adult-youth communication curriculum recently rolled out by the ARC in Tanzania which features a mix
of youth-only sessions, adult-only sessions, as well as combined intergenerational activities — all which
Activity Narrative: complement and build on one another. Participants include youth who have completed TWC workshops,
who then in turn invite an influential adult in their lives to attend the workshop. These adults can be parents,
aunts or uncles, teachers, or older brothers and sisters.
In addition to providing the means for protection (condoms), promoting parent (or trusted adult)-youth
communication aims to enhance the protective factor of prevention of HIV, other STIs, and unintended
pregnancy by strengthening parents/adults' ability to communicate adequately with their children about
these topics. In each branch, FMs will be trained in the merits of parent/adult-youth communication and the
specific strategies for encouraging effective communication. Specifically, FMs - representing the generation
between the parent/trusted adult and child - will be trained in delivering a two to three day curriculum to a
group of 10-20 parent/trusted adults and youth (with youth and parents/trusted adults coming together for a
joint activity on the second/third day) on a monthly basis. Curriculum content addresses the following topics:
raising awareness among adults about the sexual risks youth face; encouraging general effective mentoring
practices; improving adult-youth communication; and promoting beneficial social and gender norms.
Key areas of legislative interest addressed under these three activities are: stigma and discrimination; and
gender through addressing male norms and behaviors, increasing gender equity, and reducing violence and
coercion particularly as it relates to inter-generational and transactional sex. These results contribute to the
Emergency Plan 2-7-10 goals by preventing new HIV infections among Haitian youth through the
improvement of knowledge, attitudes and skills pertaining to HIV/AIDS, as well as access to commodities
New/Continuing Activity: Continuing Activity
Continuing Activity: 19569
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19569 19569.08 U.S. Agency for American Red 8889 8889.08 $150,000
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities