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
This is a continuing activity under COP09.
ACTIVITY UNCHANGED FROM FY2008
This is a new activity in COP08 which refers to field funded activities under the "PEPFAR Gender Initiative
on Girls' Vulnerability to HIV". Vulnerable Girls Initiative activities in Mozambique will include services in
AB, C&OP, OVC, HBC and PMTCT to provide a holistic program aimed at adolescent girls especially high
risk of HIV. These combined funds will target cohorts of girls in Nampula, the third USG focus province,
supporting a model program whose effectiveness and sustainability can be measured for potential scale-up
and replicability in other areas.
The PEPFAR Gender Initiative on Girls' Vulnerability to HIV has been developed as part of a set of
PEPFAR special gender initiatives. The program aims to prevent HIV infection among 13- to 19-year-old
girls, by developing innovative program interventions to successfully modify contextual factors associated
with increased sexual risk behavior and rates of HIV infection among these adolescents and assessing the
feasibility and effectiveness of these interventions and their potential for sustainability, scale-up, and
transferability to other settings. Botswana, Malawi and Mozambique are the three countries selected for this
Initiative.
Many PEPFAR programs reach adolescent girls through broad-reaching prevention activities that focus on
HIV education in church and school settings. However, these programs often do not reach those at highest
risk, who are commonly found outside of these settings. Those at highest risk need to be reached with a
package of comprehensive services, including economic strengthening activities, to meet their unique
needs.
This Initiative seeks to address these programming gaps in PMTCT services by implementing and
evaluating promising integrated models to reach highly vulnerable adolescent girls with comprehensive
services tailored to their particular needs.
A multi-component approach with a focus on the most vulnerable girls will be undertaken to address the
antecedents of risk. Age-segmentation and targeting based on different types of risks girls face will be
utilized to prevent girls from adopting risky behaviors as well as addressing the needs of girls already
engaged in risky behaviors. This activity will target adolescent girls who are receiving PMTCT services and
may not be reached through broad-reaching AB prevention activities.
The PMTCT site is an excellent point of contact for outreach and linkages with HIV-related health services,
as such this activity will ensure that the PMTCT clients in the target group are referred to and have access
to the following services/activities: wrap-around or direct support for training in sustainable livelihoods
and/or improved access to economic resources such as development of appropriate age- and gender-
specific financial literacy, development of savings products and related social support mechanisms,
sustainable livelihoods and/or improved access to economic resources, including government-provided
entitlements and health services; for adolescents without parents, developing mentoring programs to ensure
all adolescents have support on a continuing basis from a caring mentor/community member;
empowerment and interpersonal skills to enable girls to adopt and/or maintain healthy sexual behaviors,
including promotion of decision-making power of young girls within relationships, families and communities;
addressing peer influence by promoting positive group norms and behaviors; and addressing community
social norms that help to reduce sexual coercion and exploitation and other harmful practices contributing to
girls' vulnerability.
This activity will focus on the unique needs and increased vulnerabilities of younger, pregnant and lactating
girls ages 13-19 for targeted PMTCT services. An illustrative activity might be the establishment of Mothers-
to Mothers groups targeting 15-19 year-olds, creating a safe space for the young mothers to discuss their
challenges and concerns.
Specific activities are TBD, pending selection of the Task Order contractor and development of the workplan
which is anticipated to begin October 2008.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15877
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15877 15877.08 U.S. Agency for To Be Determined 7232 7232.08 Vulnerable Girls
International Initiative Local
Development
Table 3.3.01:
This is continuing activity under COP09.
Vulnerable Girls Initiative: Field Support, AB
This activity narrative refers to field support to augment the central Gender Initiative, "PEPFAR Gender
Initiative on Girls' Vulnerability to HIV". Vulnerable Girls Initiative activities in Mozambique will include
services in AB, C&OP, OVC, HBC and PMTCT to provide a holistic program aimed at adolescent girls at
especially high risk of HIV. The Vulnerable Girls Initiative activities will target cohorts of girls in Nampula,
the third focus province, supporting a model program whose effectiveness and sustainability can be
measured for potential scale-up and replicability in other areas.
Many PEPFAR programs reach adolescent girls through broad-reaching AB prevention activities that focus
on HIV education in church and school settings. However, these programs often do not reach those at
highest risk, who are commonly found outside of these settings. Those at highest risk need to be reached
with a package of comprehensive services, including economic strengthening activities, to meet their unique
needs. In addition, many OVC programs focus on younger children and overlook the needs of adolescent
orphans, even though this latter group represents a significant proportion of all orphans. This Initiative
seeks to address these programming gaps by implementing and evaluating promising integrated models to
reach highly vulnerable adolescent girls with comprehensive services tailored to their particular needs.
The goal of the Initiative is to prevent HIV infection in the most vulnerable adolescent girls. The objectives
are: 1) To identify and expand promising new and existing program approaches for addressing the
contextual factors which place some adolescent girls at especially high risk of HIV; and 2) To evaluate the
feasibility, sustainability and effectiveness of these interventions and their potential for adaptation and scale-
up to other settings. Initiative activities will be closely linked with other prevention and OVC activities, as
well as relevant wrap-around programming.
engaged in risky behaviors. Program components may include the following: HIV prevention education
focused on the "ABC" approach; non-material support for girls' continuation in, or return to, school;
outreach and linkages with HIV-related health services as well as RH services such as pregnancy
prevention; wrap-around or direct support for training in sustainable livelihoods and/or improved access to
economic resources such as development of appropriate age- and gender-specific financial literacy,
development of savings products and related social support mechanisms, sustainable livelihoods and/or
improved access to economic resources, including government-provided entitlements and health services;
parenting skills among parents and guardians of adolescents; for those adolescents without parents,
developing mentoring programs to ensure all adolescents have support on a continuing basis from a caring
mentor/community member; empowerment and interpersonal skills to enable girls to adopt and/or maintain
healthy sexual behaviors, including promotion of decision-making power of young girls within relationships,
families and communities; addressing peer influence by promoting positive group norms and behaviors; and
addressing community social norms that help to reduce sexual coercion and exploitation and other harmful
practices contributing to girls' vulnerability.
Continuing Activity: 15878
15878 15878.08 U.S. Agency for To Be Determined 7232 7232.08 Vulnerable Girls
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
* Reducing violence and coercion
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
Vulnerable Girls Initiative Field Support - C&OP
This activity narrative refers to the central Gender Initiative, "PEPFAR Gender Initiative on Girls'
Vulnerability to HIV".
Vulnerable Girls Initiative activities in Mozambique will provide services in AB, C&OP, OVC, HBC and
PMTCT to provide a holistic program aimed at adolescent girls at especially high risk of HIV. The
Vulnerable Girls Initiative activities will target cohorts of girls in Nampula, the third focus province,
utilized to prevent them from adopting risky behaviors as well as addressing the needs of girls already
Activities include:
-- A radio program
-- A youth festival
-- Adaptation of the African transformation toolkit for community use
-- implementation of the stepping stones methodology for community use
-- implementation of community counselling sites
-- A youth center with various activities
Continuing Activity: 15847
15847 15847.08 U.S. Agency for To Be Determined 7232 7232.08 Vulnerable Girls
Estimated amount of funding that is planned for Human Capacity Development $5,000
Estimated amount of funding that is planned for Economic Strengthening $3,000
Table 3.3.03:
