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: 2010
Pact is implementing a 5-year Cooperative Agreement which seeks to provide a mechanism for implementing a grants management program that includes targeted technical assistance and capacity development for HIV/AIDS programs. The program is aimed contributing to the achievement of the goals of the Lesotho Partnership Framework (2009-2014); PEPFAR Strategy and the Lesothos National AIDS Strategy (2006-2011). In collaboration with partner organizations, Pacts program specifically contributes to the realization of goals 1, 2, and 4 of the partnership framework. The overall goal sought is to Reduce the impact of HIV and AIDS and improve health care for Lesotho. Pacts primary objectives are:
1. To prevent HIV transmission through multiple strategies that promote abstinence, faithfulness, partner reduction and other prevention activities including promotion of condom use
2. To provide quality, comprehensive and compassionate care and support services for orphans and other vulnerable children
Pacts partners are awarded PEPFAR funding through a competitive process to implement programs in Sexual Prevention; Orphans and Vulnerable Children (OVC) services and Health System Strengthening (HSS). Through the sub-granting mechanism, Pact will continue to build capacities of community based organizations to provide HIV services to the communities. To ensure adequate and quality technical support to the grantees, Pact will provide on-going technical support to implementing partners through training, mentoring and supportive supervision. In addition, technical input to strengthen national HIV/AIDS strategies and policies will be provided.
Pacts program shall include cross cutting mechanisms for economic strengthening, and education. With regard to gender-based violence, Pa
Pacts overall goal and strategies is to prevent HIV transmission through multiple strategies aimed at changing behavioral and social structural characteristics related to increased risk for HIV infection by influencing attitudes, skills, normative perceptions, and other mediators that promote abstinence, mutual faithfulness, partner reduction and other prevention activities including promotion of condom use
Pact partners to implement sexual prevention activities include: ADAAL, ALAAFA, Kick4Life, LENEPWHA and PHELA. Target population include; factory workers, youth aged 10-24 years, adults aged 25 & above, PLWHAs and individuals in relationships. The prevention program will cover 6 districts of Lesotho including; Mafeteng, Butha Buthe, Quthing, Leribe, Maseru and Mohales hoek.
Pact will focus on providing program beneficiaries with a comprehensive package and will link all its partners with PSI LETLAMA that will be providing sevices beyond abstinence and being faithful but also other prevention such as HIV prevention services which include:
1) Abstinence through BCC messages focusing on delayed sexual debut for youth 10-18 years old and abstinence/mutual fidelity and/or partner reduction messages for youth aged 15-24 years old; Pact will use an HIV/AIDS peer education model to provide information on HIV risks, benefits of behaviors promoted and life skills to build self-esteem and self-efficacy; OneLove campaign on partner reduction and use of power of sports in HIV prevention programs will be promoted, reduction in transactional, inter-generational sex and addressing related social norms influencing risky behaviors as well.
2) Behavior change counseling to supplement HIV/AIDS education i.e one-on-one risk reduction counseling and community/school-based alcohol counseling to individuals understand the need for behavior change.
3) Provision of information on correct and consistent condom use and linking people to other relevant services to increase access to condoms, HTC, prevention and treatment of STIs.
4) Strengthening capacity of HIV prevention service provision structure through improved community infrastructure, and personnel training to deliver quality HIV prevention services. ie training personnel on BCC message design and development for production of more accurate and critical information to support behavioral change
5) Assessing GBV-related activities and improve them according to the context
6) Strengthening PMTC referrals from communities to health facilities
Pact implements a multifaceted HIV prevention program in nine out of the ten districts of Lesotho. Through five partners (ADAAL, ALAAFA, Kick4Life, LENEPWHA and PHELA), it implements tailored interventions for specific target audiences including, youth aged 10-24 years, adults 25years+, and the most at risk population of immigrant factory workers. The program targets a total of approximately 53,308 individuals with 37,000 of them being youths and community individuals reached with individual and/or small group level preventive interventions primarily focused on abstinence and/or being faithful; while 16, 308 are MARPs.
Pacts program provides beneficiaries with a comprehensive HIV sexual prevention services on promotion of Abstinence and faithfulness, reduction in Multiple Concurrent Partnerships (MCP), and provision of correct information on condom use and its distribution. Additionally, Pact implements structural interventions to cause social change aimed at addressing reduction in transactional, inter-generational sex and related social norms that influence risky behaviors such as gender-based violence, reduction of stigma and discrimination, and drug and alcohol abuse. Beneficiaries especially the in-school youth are also provided with individual behavior counseling services to supplement HIV/AIDS education and community dialogues on MCP reduction.
Pact is not the direct implementer of programs at the community but works through the five CBOs above. As part of this grant, Pact provides organizational and technical capacity development services matched with grants to local partners to promote HIV prevention. Pact conducts in-depth organizational capacity assessments of each local partner and develops an institutional capacity building plan that targets each organizations weaknesses. The assessments are followed by training, mentoring, and oversight through site visits, technical assistance, and reporting and performance evaluations in order to improve their data quality management skills, program evaluation and financial management.