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
Pact's primary mandate is to provide guidance and follow-up for capacity building in civil society to help
indigenous organizations develop & become sustainable. Pact uses participatory approaches to ensure
local ownership, financial and program accountability, and continuous quality improvement. In FY 2008,
Pact will support AB interventions in all 13 regions using a combination of grants & assistance to at least 7
non-governmental organizations (including 4 faith-based organizations & 2 multi-purpose centers) as
described here. Overall, Pact will collaborate with prime partners such as EngenderHealth (activity
12342.08) & the new Partnership for Health & Development Communications activity 16501.08) to provide
technical assistance & ensure that each grantee delivers an appropriate minimum package of prevention
services including but not limited to: harmonizing AB messages (including mass media messages), ensuring
behavior change communications that encourage the transfer of knowledge to action, tackling gender
norms & male involvement (including make circumcision), addressing alcohol & drugs, & ensuring referrals
to VCT & other services. Pact will regularly assess whether each subgrantee has the support it needs for
continuous quality improvement, and respond with addition support if needed.
1) As part of its integrated community care program (activity 6471.08), Catholic AIDS Action (CAA) will use
participatory learning strategies to empower youth in all 13 regions to understand more about HIV & AIDS,
& develop personal strategies & skills to prevent HIV. CAA will target 3080 OVC age 8-13 with its
abstinence curriculum "Adventure Unlimited" & 4620 OVC age 14-25 with its Stepping Stones curriculum.
The curricula cover co-factors for positive community health: effective communication skills, gender issues,
the role of alcohol & AIDS, relationship & intimacy skills, & cultural norms & practices, particularly male
norms & behaviors. CAA provides this education & routine follow up through peer educators with plans to
recruit 250 new peer educators in FY 2008. New for 2008, 100 senior experienced peer educators will be
supervisors. Also new, & a collaboration with EngenderHealth, CAA will significantly expand its Men As
Partners pilot program to reach 800 men.
2) Change of Life Styles (COLS) will contribute to the reduction of HIV among youth age 8-18 in 3 towns
(Windhoek, Walvisbay & Swakopmund) in Khomas & Erongo regions by employing evidence-based
HIV/AIDS prevention methods through an expanded program in 18 churches, 6 schools including a special
needs institution, & the SOS Children's Village. COLS aims to improve youth self-esteem & build their
capacity to make informed choices, postpone sex, choose secondary virginity & remain faithful to one tested
partner. Using a revised Christian Life Family Education (CLFE) curriculum that incorporates appropriate
behavior change methodologies, COLS will train & support 45 peer educators, employ a participatory
edutainment model, establish CLFE clubs at schools, & conduct holiday learning camps to reach 600 youth
age 8-14 with activities focused on delaying sexual debut (A) & an additional 1800 youth age 15-18 with
activities focused on A&B. COLS will collaborate with partners in achieving behavior change, including more
focus on gender norms, particularly male norms & behaviors that place boys & girls at risk.
3) The Walvis Bay Multi-Purpose Center (WBMPC) will continue its youth peer education program to
promote AB messages, preventive behaviors, & life skills, targeting 800 in-school youth & 600 out-of-school
youth. With Pact assistance, WBMPC will improve the quality of peer education including interpersonal
communication techniques; 50 peer educators will be trained.
4) The Sam Nujoma Multi-Purpose Center (SNMPC) will reach over 30% of the population in Ongwediva
with age-appropriate ABC programs (activity 4726.08). As part of the youth AB program, SNMPC aims to
reach 1,700 in- & out-of-school youth with AB messages through a peer education programs & videos. Of
those, 200 will be reached with abstinence only messages. SNMPC will also recruit 25 males to work in the
center to model increased male engagement & leadership across multiple program areas.
5) The Rhenish AIDS Program (RAP) works with youth from 16 church congregations in 4 rural regions
using age-appropriate curricula at learning camps & Sunday School. RAP uses the Ministry of Education's
Window of Hope curriculum to target 600 youth age 9-13 years to promote abstinence & delayed sexual
debut; RAP will use CAA's Stepping Stones curriculum to target 200 youth age 14-18 years. Peer educators
support the program & follow up.
6) The Namibia Association for Community Based Natural Resource Management (NACSO), an umbrella
organization whose HIV activities & financial management are supported by Namibia Nature Foundation
(NNF), will reach communities via its innovative workplace approach. It works closely with the Ministries of
Agriculture, Water & Forestry; Environment & Tourism; Lands & Resettlement plus 12 member NGOs & 40
conservancies (activity 8037.08). In FY 2008, the peer education program (balanced ABC messages, VCT
referrals, CT) will scale up (activity 726.08). The program will target over 5,000 community members. The
AB peer education component emphasizes male norms & behaviors, targets conservancy & community
leaders, & focuses on adopting norms that support abstinence until marriage, partner reduction, &
denouncement of forced sex in marriage & relationships. Age-appropriate messages to youth will focus on
delay of sexual debut and/or faithfulness to partners.
In addition, Pact-supported OVC & home-based care programs will integrate age- & status-appropriate
behavior change activities into their programs. (activity 4727.08 & activity 6471.08). For example, Philippi
Trust has integrated prevention into its existing OVC program: 2360 OVC receive prevention interventions
in line with the newly-developed Quality Standards for HIV Prevention for OVC.
Pact's results reach beyond PEPFAR-funded programs to strengthen organizational capacity &
sustainability by addressing leadership, management, governance, & strategic direction (activity 8037.08 &
indigenous organizations develop & become sustainable. Pact uses participatory approaches to ensure
local ownership, financial and program accountability, and continuous quality improvement. During FY
2008, Pact will support 5 local prevention programs targeting older youth and adults with balanced ABC
interventions and workplace programs. Overall, Pact will collaborate with prime partners such as
EngenderHealth (activity 12342.08) & the new Partnership for Health & Development Communications
(activity 16501.08) to provide technical assistance & ensure that each grantee delivers an appropriate
minimum package of prevention services targeted to the persons who are the focus of this activity including
but not limited to: harmonizing balanced ABC messages (including working with mass media for media
promotions that coincide with scheduled activities), ensuring behavior change communications that
encourage the transfer of knowledge to action, tackling gender norms & male involvement (including make
circumcision), addressing alcohol & drugs, & ensuring referrals to VCT & other services. Pact will regularly
assess whether each subgrantee has the support it needs for continuous quality improvement, and respond
with addition support if needed. Specific program targets, populations, & activities are described below for
In 1998, the Chamber of Mines (COM) initiated the Occupational Health Education Awareness Programme
(OHEAP), which has evolved into a well-maintained peer education program that includes HIV awareness
and prevention, condom promotion, condom distribution, and STI treatment at 18 mining and non-mining
companies. In FY 2008, OHEAP's grant will focus on reducing STI/HIV/AIDS by reaching 8520 workers,
their spouses and families, & community members. COM hosts workshops to mobilize workers within mines
to participate in events and the peer education program. COM distributes quarterly briefing sheets, and
conducts a series of informational meetings for middle managers as decision makers to ensure they are
supportive and able to approve the time for peer educators to conduct sessions with other miners. OHEAP
will recruit 50 new peer educators, provide refresher training to 100 peer educators, and provide more
advanced training to 50 more experienced peer educators on advanced priority topics such as male
circumcision, symptom screening and referrals. COM conducts quarterly mentoring sessions, regular site
visits, and support meetings for peer educators for quality control. Peer educators host Information,
Education, and Communication events and HIV/AIDS awareness sessions, conduct one-on-one
interpersonal communications, provide education & information on correct & consistent condom use, &
make condoms available to employees & their families. COM will continue to mainstream its workplace
program for peer education & community outreach to employees' families & communities within its overall
Occupational Health & Safety Program.
The Walvis Bay Multipurpose Centre Trust (WBMPC) works in collaboration with its local government
authority and other partners in and around the Erongo region to reduce the incidence of HIV by
implementing ABC interventions and workplace HIV prevention programs. WBMPC will target over 40
companies to scale up workplace programs, particularly among fishing companies in Walvis Bay. The
program engages company management and support for implementing comprehensive workplace
programs-requests for WBMPC's assistance have increased substantially. Targeting over 3000 workers
with FY 2008 resources, WBMPC will work with companies to establish workplace peer education programs
that encourage workers, usually men in the fishing industry, to be more responsible (including
understanding the dangers of alcohol in increasing risky behavior), reduce multiple and concurrent partners,
use condoms consistently and correctly, cease to participate in transactional sex particularly with young
girls, and consider circumcision. WBMPC regularly distributes MOHSS-supplied condoms to companies.
The 160 peer educators participate in supervisory sessions and seminars once a month. In its outreach
program, WBMPC targets over 6,000 community members in shebeens, taxi ranks, and car washes.
Regular community outreach activities focus on fidelity, partner reduction and condom use. The program
also targets churches, and will focus on increasing male involvement in FY 2008. Together with COLS (with
experience in juvenile justice activities) and the Ministry of Safety and Security, WBMPC reaches over 400
Walvis Bay prison inmates through peer educators. Linkages to services beyond prevention are embedded
within all WBMPC prevention programs: WBMPC houses a New Start Counseling and Testing center. In
conjunction with the Ministry of Health and Social Services (MOHSS), the center provides ongoing
information sessions on HIV/AIDS issues such as positive living, ART, treatment adherence and support,
The Sam Nujoma Multi-Purpose Center (SNMPC) will target 30% of the population in Ongwediva with age-
appropriate ABC programs (See also Pact AB 6470.08). With workplace and community outreach activities
similar to the WBMPC, SNMPC will reach 2368 individuals ages 14-80: of those, 448 reached through
monthly centre-based events, 1500 community members reached with outreach programs 4 times a year,
320 reached through workplace peer educators, and 100 reached with video at the center.
The Namibia Association for Community Based Natural Resource Management (NACSO) is an umbrella
organization whose HIV activities & financial management are supported through the help of a member
NGO, Namibia Nature Foundation (NNF). Working closely with 3 line ministries (the Ministry of Agriculture,
Water & Forestry; the Ministry of Environment & Tourism; & the Ministry of Lands & Resettlement), NASCO
assists conservancies to reach communities through its 12 member NGOs and 40 conservancies (see Pact
OHPS Activity 8037.08). Through this innovative workplace policy approach, FY08 funds will scale up the
peer education program while providing a balanced ABC approach (see also Pact AB 6470.08) as well as
referrals to VCT, care, & treatment. The program will target over 10,000 community members with
messages about correct and consistent condom use and condom distribution while also addressing male
norms & behaviors.
In FY 2007, Pact provided small initial support to the male-dominated Ministry of Safety and Security
(MOSS) to address male involvement. With FY08 resources, Pact proposes to work with MOSS to
mainstream male involvement prevention activities and to introduce the topic of how alcohol leads to risky
behavior choices. Messages will be targeted to workers, such as police, and men in the communities they
serve. Pact proposes to support the development of workplace policies within the MOSS based on existing
models carried out by the multipurpose centers, ensuring also a focus on consistent and correct condom
use, VCT, and male circumcision.
Motivated by the overwhelming needs of persons living with HIV/AIDS (PLWHA) & their families, Namibia's
strong faith-based sector continues to mobilize communities; 75% of Namibians are church members &
almost all community-level care is organized through churches, especially the Lutheran & Catholic
denominations with which most Namibians affiliate. During COP 2007, USG continued its community-home
based palliative care (CHBC) program through PACT, an umbrella NGO that integrates capacity building of
local faith-based organizations (FBOs) and NGOs, including targeted technical assistance (TA), into a
grants management cycle. Covering all 13 regions, PACT develops local ownership & provides capacity
building in financial & programmatic accountability, including M&E & financial management, while providing
support & guidance to improve the overall quality of programs. PACT will source and/or network
experienced TA to subgrantees & foster networking through communities of practice to address & resolve
bottlenecks in implementation. PACT efforts through PEPFAR extend beyond PEPFAR-funded programs to
create sustainable, capacitated organizations by addressing gaps in leadership, management, governance,
& strategic direction.
At the national level, in COP 2008, PACT will work closely with the Ministry of Health and Human Services
(MOHSS) (16153), the African Palliative Care Association (APCA) (16183), subgrantees & other
stakeholders to develop CHBC quality standards in training. PACT supported the MoHSS to initiate this
process in COP2007. Standards will focus on family-centered HIV-related care in the 5 key areas:
clinical/physical care, psychological care, social care, spiritual care, and integrated prevention. It will also
include stronger linkages with the TB community DOTS program (ITECH/TB: 16219), ART adherence
strategies and Prevention with Positives (NLT/Basic Care:16142). PACT will engage subgrantees in
developing the standards while also ensuring the development of appropriate tools & methods to measure
impact. PACT will work with grantees to ensure integration of clinical care into other services. Currently,
only 3,500 PLWHA are reached with a clinical care component in within this program (primarily screening
and referral for opportunistic infections, symptoms and pain) in addition to psychological, spiritual, social
and integrated prevention services they may receive.
In COP 2007, PACT worked with grantees to identify and strengthen existing activities under the 5 service
delivery areas of palliative care, focusing particularly on sensitizing grantees on clinical service delivery with
emphasis on symptom screening, referrals, and cotrimoxizole use. PACT also worked closely with grantees
on structured supervision of caregivers and quality improvement. Based on gaps routinely identified with
subgrantees, focus areas for targeted TA with COP 2008 resources include: 1) addressing volunteer
retention, incentives, supervision, & impacts of pending labor law changes; 2) expanding male involvement;
3) addressing needs of caregivers "Caring for Caregivers"; 4) improving delivery of psychosocial support at
the community level; 5) greater involvement of PLWHA in quality improvement of services; 6) food and
nutrition counseling; 7) improving bi-directional referrals, referral follow-up, & documentation; 8) addressing
barriers to transportation; 9) addressing M&E challenges of monitoring community based services; and 10)
further improvements in delivering services within the preventive care package that are feasible and
appropriate to community care: such as referrals to VCT , referrals to/from facilities for care and
medications, adherence to ARVs, TB drugs, & cotrimoxizole, safe water, ITNs in malarial areas, nutrition &
specific integrated prevention messages.
COP08 resources will support the following specific activities of subgrantees:
1) With a target of 1700 volunteers for FY 2008 resources, Catholic AIDS Action (CAA) is the largest FBO
network providing community and home-based care program to 7500 clients & their families. The family-
centered program involves assessment of PLWHA family needs, provision of family-based health education,
advocacy & referral, stigma reduction, counseling & emotional support, spiritual care, practical support, &
referrals to CAA services for OVC (see PACT CAA: OVC 16180). In FY08, a comprehensive preventive
care package will be incorporated into the existing HBC service covering education, referrals for VCT,
mobilization for cotrimoxizole prophylaxis, improved ARV adherence, safe water, hygiene, malaria
prevention & treatment, TB screening & referrals, promotion of good nutritional practices for adults and
children and promotion of child immunizations & family planning. Additionally, CAA will enhance the quality
of its HBC program by mainstreaming male involvement by targeting 500 male partners of female
volunteers, advocating for more men as volunteers, creating safe environments for male-only dialogues, &
targeting more male clients. Lastly, CAA, in collaboration with the African Palliative Care Association
(APCA), is successfully piloting its palliative care program, offering direct essential clinical services,
including appropriate pain management, through staff supervised by skilled nurses integrated into
community/home care levels (16183). CAA will dramatically scale up community-based palliative care
services by mainstreaming the program from 2 to 5 regions. APCA, CAA and MOHSS (16116) will work
together to develop and strengthen the clinical supervision of volunteers who screen for HIV-related
conditions. To support the volunteers, CAA, with support from PACT, will use existing materials from the
Southern African region on "caring for the caregivers" which will deliver one-on-one sessions with
community caregivers to ensure HIV services for infected caregivers and emotional and spiritual care for all
volunteers to renew and sustain caregiver motivation.
2) Working within 40 communities in 4 regions, the CBO TKMOAMS will add 200 new volunteers & provide
refresher training to existing 700 volunteers to provide physical (wound care, cleaning, and bathing),
psychological & spiritual care to over 5000 PLWHA & their families. TKMOAMS already provide
documented referrals, which will be strengthened. Elements of the preventive care package will be
championed including malarial nets which will be provided in one region where malaria is prevalent. Five
support groups for PLWHA will continue to be supported, focusing on psychological support, prevention with
positives, professional development opportunities, and income-generating activities.
3) Apostolic Faith Mission AIDS Action (AFM) implements a family-centered HBC intervention in its network
of congregations in four under-served rural northern regions targeting 900 clients & family members.
Support twice a week includes adherence counseling, physical support, spiritual counseling, & referrals
and/or transport to hospital. With FY 2008 resources, AFM will use the CAA HBC curriculum to increase its
volunteers from 100 to 150 (60 additional volunteers are supported by other funding). AFM will focus on
incorporating preventive messages with positives while moving more toward providing appropriate services
in a comprehensive preventive care package.
4) The Evangelical Lutheran Church of the Republic of Namibia's (ELCRN) AIDS program (ELCAP) uses it
church's wide network to improve the quality of life of PLWHAs & their families, targeting 800 support group
Activity Narrative: members, 435 volunteers, & reaching over 1,200 HBC clients & their families. ELCAP's HBC program will
focus on increasing quality of service delivery, with particular attention on improving access to elements of
the preventive care package, improved referrals and integrated prevention & ARV treatment literacy.
Support groups will encourage positive living, develop buddy programs, provide adherence support, &
initiate income generating activities. ELCAP will expand a pilot program of Men's Leagues into its existing
HBC program by empowering local male leaders to participate in caring for PLWHA in communities. ELCAP
will work closely with CAA & RAP to coordinate activities & quality of service.
5) With COP 2007 funds, Sam Nujoma Multipurpose Centre (SNMPC) expanded activities to include a
community home-based care initiative. Targeting communities in 2 regions in the north, SNMPC will expand
from 6 to 12 HBC volunteers reaching at least 50 clients & families in need. HBC services focus on
symptom diagnosis & relief, ART and OI prophylaxis adherence, psychological support, social support,
integrated prevention messages, referrals to government health services, & identification & referral of OVC
to the OVC program (OVC SNMPC 16180). PACT will ensure SNMPC has access to improved training
opportunities for HBC caregivers. SNMPC currently operates a support group of 50 with plans to expand to
more groups targeting 120 PLWHA. In addition to supporting ARV adherence, SNMPC will encourage more
involvement of men the support group through a PLWHA support group for "professionals" to address the
common challenges experienced by PLWHA.
PACT will link ensure linkages with interventions in other program areas, such as male involvement across
all program areas, identification of OVC in households & referral to OVC programs (PACT OVC 16180),
community prevention programs focusing on risk reduction including alcohol use (PACT AB 16177),
screening for violence against women & children & referrals to Women & Child protection Units (PACT OVC
16180) and improved integrated screening and referral for TB (ITECH/TB 16219; TB CAP 16210). PACT
will also work closely with SCMS to ensure an uninterrupted supply of home based care kits (and
replenishment) through appropriate ministerial channels (16185).
Motivated by the overwhelming needs of PLWHA & their families, Pact continues to support CBOs and
FBO in delivering services at community level (community and home based care). During FY07, USG
continued its community-home based palliative care (CHBC) program through Pact, an umbrella NGO that
integrates capacity building of local FBOs and NGOs, including targeted technical assistance, into a grants
management cycle. Covering all 13 regions, Pact develops local ownership & provides capacity building in
financial & programmatic accountability, including M&E & financial management, while providing support &
guidance to improving the overall quality of programs. PACT will source and/or network experienced
technical assistance (i.e. consultants or appropriate local/regional organizations) to subgrantees & foster
networking through communities of practice to address & resolve bottlenecks in implementation. Pact efforts
through PEPFAR extend beyond PEPFAR-funded programs to create sustainable, capacitated
organizations by addressing gaps in leadership, management, governance, & strategic direction.
At the national level, in FY 2008, Pact will work closely with the Ministry of Health and Social Services
(MOHSS) Community and Home Based Care Directorate to ensure that TB is integrated into the CHBC
quality standards. Integration includes routine screening and referral of both patients and family members.
At the community level, Pact will engage subgrantees to provide TB education to community based
programs, emphasizing the different between TB infection and TB disease, screening for symptoms of all
persons in household, referral, and DOTS adherence support. Pact will also ensure that TB screening and
referrals are integrated into CHBC programming with partner FBOs and NGO, such as Catholic AIDS Action
(CAA) and Walvis Bay Multipurpose Center (WBMPC). Pact will develop vastly needed simplified tools in
picture format to help community members screen, identify, and refer both CHBC patients and those living
in the household to available TB services for treatment. As part of the community home base care program,
CAA will train 1700 volunteers in TB education, screening and referral, and integrate programming to reach
7500 clients with home based care services that include HIV/TB. WBMPC will train their 50 support group
members and 10 palliative care providers in integrated TB programming. WBMPC will also reach 2000
clinic clients with TB education, and DOTS adherence messages through informational sessions run by
PLWHA in the ART clinic.
In FY07, USG continued its OVC support to local organizations & relevant line ministries through Pact, an
umbrella NGO that integrates local capacity building through grants. Pact's efforts reach beyond PEPFAR-
funded programs to strengthen organizational capacity, local ownership, & sustainability by addressing
financial & programmatic accountability, including M&E & financial management, leadership, management,
governance & strategic direction. PACT will source targeted technical assistance to organizations & foster
networking & communities of practice to assist in implementation. Key focus areas for FY08 funds include:
1) Rights-based programming & protection of OVC 2) involving children in quality improvement 3) further
collaboration on the draft OVC quality standards 4) development and implementation of tools to measure
standards 5) integration of prevention into OVC programs through technical assistance linkages with
NawaLife (4048.08), Partnership for Health & Development Communications (16501.08), and others 6)
improving M&E & linkages into national systems 7) leveraging the private sector for supporting OVC with
nutritional support & access to business skills training for OVC through PPPs.
In conjunction with UNICEF, Pact will support the MGECW's Child Welfare Directorate to improve the
functionality of the OVC Permanent Task Force (PTF) and the newly established M&E unit. Pact will provide
similar managerial & financial support to regional development committees and their OVC forums in 8
regions not covered by UNICEF. Requested and led by the OVC PTF's Technical Subcommittee with FY06
and FY07 funds, a national OVC database was created to assist the government in registering, tracking &
supporting services rendered to OVC, including social welfare grants. With FY08 funds, Pact will assist the
MGECW extend use of the database to lower levels and NGOs with emphasis on routine use & feedback of
information. PACT will fund key positions recommended by a USAID-UNICEF Human Resource and
Capacity Gap Analysis that are approved by the MGECW.
Established to assist victims of sexual assault, Women & Child Protection Units lack appropriate staff to
work with victims of violence to launch appropriate investigations & link with needed services. Pact will
continue support to the Units and ensure involvement by MGECW, Ministry of Safety and Security (MOSS),
MOHSS, UNICEF, Legal Assistance Center (LAC) & others working with OVC victims of violence. This
activity will support removal of OVC from abusive situations and assist with placement into protection
services. FY08 resources will improve victims counseling, the referral system, follow-up support and
promote community-based violence prevention of OVC.
Local NGO plans for FY08 resources include:
1. Catholic Aids Action (CAA) is Namibia's largest provider of community-based OVC support. CAA's 1730
community volunteers will deliver quality services to 18,000 OVC; of those, half (9000) will receive at least 3
focused interventions for vocational training & educational support, HIV prevention (6470.08) basic health
care, & psychosocial support including grief counseling. After-school nutrition programs will target 1380
OVC. Supervised by fulltime staff, volunteers provide psychosocial support, supervision, & advocacy and
routinely receive refresher training. HBC volunteers (see Pact CAA Pall Care) will identify & refer OVC to
CAA's OVC program and other public health services. Along with other USG partners, CAA will continue to
implement & improve on minimum quality standards for OVC services. CAA provides scholarships to
selected OVC in "Saving Remnants", a program further supported by private resources. Because WFP is
ending food support in December of 2007, other and private sector donors will be sought to continue food
donations to continue wrap around programs for food assistance.
2. Reaching communities in 8 of 13 regions, the Evangelical Lutheran Church's AIDS program (ELCAP)
utilizes existing church structures to target over 200 OVCs ages 6-18 with primary direct support while 805
receive supplementary support meeting quality standards in food/nutrition, education & psychosocial
support. Specific activities include experiential learning camps, after-school programs, kids clubs, referrals
to vocational training & economic assistance. ELCAP will train caregivers to recognize symptoms & make
effective referrals for health & protection services & to assist OVC in registration and accessing government
3. Building on the Regional Psycho-social Support Initiative (REPSSI) models, Philippi Trust has become
the country's leader in psychosocial support for OVC; Philippi staff regularly provide trainings and technical
assistance in psychosocial support to other PEPFAR-funded OVC and care programs. Though its own
programs, Philippi will support 2360 OVC to increase self-esteem, self-reliance & address loss/bereavement
through experiential learning camps & Kids Clubs. With FY08 funds, Philippi will expand the pilot community
-based empowerment program, Phoenix, from 2 to 5 regions, benefiting 800 OVC in 20 Kids Clubs; this
child-driven program focuses on building responsibility & self-reliance through micro-grants to address
issues identified by OVC. Philippi ensures communities are developed as supportive environments: the
Journey of Life curriculum empowers local communities to be responsible for the care & support of OVC
through influential leaders while following up with youth group leaders.
4. The Church Alliance for Orphans (CAFO) will graduate and transition fully under NPI award in FY08
thanks to Pact's capacity building assistance in FY 06 and FY07 (18235.08)
5. TKMOAMS uses their existing HBC program to reach OVC in 4 north central regions. About 1/4 (200) of
HBC volunteers & community counselors will be trained in psychosocial support & caring for OVC to reach
1,500 OVC with emotional support, referrals to care & food support. TKMOAMS will expand their services at
2 of their 6 food distribution sites to provide 200 OVC with life skills education including HIV prevention,
social protection & psychosocial support.
6. The Rhenish Church AIDS Program (RAP) covers 16 congregations in 4 regions. RAP will support 400
OVC with school uniforms, school & exam fees, experiential learning camps & an after school club assisting
with homework & emotional support. RAP will link OVC with their prevention program (6470.08) 100
Caregivers will be trained. RAP will also ensure that 150 of their rural OVC exercise their right to a social
7. In 4 northern regions, Apostolic Faith Mission AIDS Action (AFM) will improve quality of its OVC program
for 300 OVC aged 5-18 by focusing on psychosocial support, basic life skills, leadership skills, spiritual
support & referrals for basic health care in 5 Hope Clubs for Children. Hope Club staff supervise activities
and are trained in psychosocial support by Philippi Trust. In a wrap-around program, AFM works with Africa
Inland Mission & local primary school teachers to assist OVC with after-school tutoring at the Hope Clubs.
8. Sam Nujoma Multipurpose Centre (SNMPC) will target 200 OVC aged 5-18 in the "Bright Future After
School Program" with focused & structured age/sex segmented educational & life skills sessions & meals.
SNMPC will assist OVC with access to social grants, improve the quality of psychosocial support
interventions, & focus on life skills, health/hygiene, & training of caretakers to provide OVC with basic
9. Legal Assistance Center's (LAC) Aids LAW Unit will reduce the vulnerability of OVC by addressing
discrimination & advocating for OVC rights. LAC will advocate for the reform of policies & laws that
negatively impact OVC rights. With a "Voices of Children" advocacy tool, LAC will promote & protect
children's rights by empowering OVC and 826 principals & stakeholders in 8 regions. LAC will scale up is
Community Child Rights Watch program & provide legal assistance & protection for 350 OVC. This partner
will link to the FY07 activities with the Women and Child Protection Units.
Overall OVC targets reflect reductions for double counting among subgrantees.
The USG goal of building institutional capacity in Namibia is to increase the effectiveness and capacity of
indigenous partners to achieve expanded, quality, and sustainable services while managing their own
financial and human resources. Pact's comprehensive capacity building package of support will place a
premium on interventions that improve organizational and institutional sustainability, which includes
programmatic accountability and using programmatic data for effective decision making (i.e. good M&E). In
FY08, Pact will work with at least 14 local non-governmental, faith-based, and community-based partners to
improve programmatic accountability, evidence-based management, target planning, and the
implementation of (and development of, if necessary) quality assurance tools based on sound evidence.
To improve programmatic accountability, management, and planning, Pact provides monitoring and
evaluation assistance to subgrantees both through direct technical support as well as through identified
M&E activities built within subgrants. Direct support to subgrantees includes: 1) assistance with developing
M&E plans through participatory approaches, 2) regular review and use of tools for M&E reporting, data
collection, data quality improvement, data analysis, presentation, and feedback, 3) comprehensive M&E
trainings, 4) communities of practice (collaboratives) to share M&E tools and to address common M&E
challenges through peer approaches, 5) substantial one-on-one support for partners on M&E plans, tools,
and use of information to strengthen programmatic accountability and management of their own programs
through documented evidence and information and 6) feedback and sharing meetings for cross-learning,
sharing of successes, and linking among partners. Trainings planned for FY08 include basic M&E training
for any new subgrantee organizations and new subgrant M&E staff. Higher-level areas of technical support
among grantees with more advanced M&E skills and resources include: data quality management,
database management, evaluation tools and methodologies, beneficiary involvement and input in
monitoring service quality, and community-based monitoring. Support through subgrants cover tailored M&E
activities from development of tools to collection, analysis, use, and feedback. Pact also continually
advocates for increased M&E skills and an appropriate level of human resources dedicated to M&E among
Pact will also contribute substantially to USG efforts to develop and apply quality assurance tools across all
program areas covered by subgrantees. Various areas of assistance for quality assurance and quality
improvement include peer education programs, palliative and home-based care service delivery, and
improvement based on OVC service standards. For example, in FY07, African Palliative Care Association
(APCA) (funded by Pact Regional: conducted an initial assessment of palliative care and together with
Catholic AIDS Action (funded by Pact Namibia) developed a pilot program to document the effectiveness of
palliative care activities and to develop program tools for improving quality and measuring results. Pact
Namibia will assist its home based care grantees to apply these tools to inform and improve quality of
existing programs. This specific activity will be undertaken in consultation with APCA and all USG-
supported palliative care partners, including the Ministry of Health and Social Services (MOHSS), which has
also expressed the need for better information about all forms of palliative care provision. With FY08 funds,
Pact will work with key partners such as APCA to 1) implement and improve the inventory of PEPFAR-
supported palliative care activities and 2) implement the process indicators for evaluating the quantity,
quality and levels of palliative care provided by subgrantees. During FY07 Pact and Pact subgrantees also
participated in the development of quality standards for OVC services. Pact will work with subgrantees and
other partners to develop and implement monitoring tools for capturing service areas according to OVC
standards, evaluating quality of services, and reporting to appropriate reporting bodies (e.g. MGECW's OVC
database). Pact will also ensure progress in linkages, referrals to other services, and follow-up while
strengthening the documentation of referrals and follow up.
Assistance in strategic information for subgrantees must also be supported by Ministry engagement and
ownership. In collaboration with other key partners, Pact will assist key line ministries to nationalize the
quality assurance tools and reporting standards. Pact will particularly focus on the Ministry of Gender
Equality and Child Welfare (MGECW); SI activities with the MGECW are integrated into ongoing support to
the Ministry for strengthening the country's OVC programs (See Pact OVC). Among these are: continued
support to the MGECW, the OVC Permanent Task Force and the database subcommittee, and NGO
partners regarding the implementation and use of the national OVC database (see OVC). Pact will directly
assist further establishment of MGECW's nascent M&E unit, including continued technical support to
monitoring OVC results against the national M&E plan. As this requires participation by the civil society,
Pact will work closely with all partners on the linkages. In addition, conditional on MGECW approval, Pact
plans to employ a full-time M&E specialist starting with FY07 resources and second this position to the
MGECW. This position is based on the recommendation of a recent gap analysis conducted jointly by USG,
UNICEF, and MGECW. If approved, the M&E specialist would focus on: 1) building the capacity of the M&E
unit, 2) ensuring the National OVC M&E plan is appropriately implemented at all levels, 3) providing
guidance to the MGECW on M&E capacity, reporting, and feedback at various levels, 4) addressing
evidence-based quality standards and lead the nationalization of OVC quality improvement tools, 5)
ensuring only necessary OVC data are collected at appropriate levels and as such support the national
OVC database system to streamline data and its use, 6) developing new reports from the OVC database
system, 6) assisting the MGECW improve their information dissemination (an identified gap in the Gap
Analysis) and 7) ensuring appropriate linkages and building on existing systems such as the MOHSS's
HMIS system and Ministry of Education's (MOE) EMIS (supported by AED).
During FY07, GRN's multi-sectoral Response M&E Unit (RM&E) selected Pact's basic M&E training
program and materials as the basis for a national M&E curriculum, one of 3 focused curricula to be taken to
scale for different audiences, including community based organizations. With FY07 funds, Pact, in
collaboration with USG SI technical staff, will work with RM&E to adapt the basic Pact M&E curriculum for
Namibia and assist with the foundations for trainings. During FY08, Pact will continue to support the RM&E
unit and provide support in the planning and implementation of longer term sustainable solutions for
ensuring the availability of M&E training across the whole country.
Lastly, Pact will work closely with USG, the MGECW, the MOHSS, RM&E unit, Global Fund, and all
partners to ensure harmonization across reporting requirements and formats in order to streamline the
burden of reporting to multiple donors.
The USG goal of building local institutional capacity in Namibia is to increase the effectiveness and capacity
of indigenous partners to achieve expanded and quality services while improving management capacity of
their own financial and human resources and improving overall accountability.
In FY2008, Pact will continue to work with at least 14 local non-governmental, faith-based, and community
based partners on two important levels: improving organizational effectiveness and strengthening technical
capacity for implementation of prevention, care and support activities. The substantial organizational
support provided by Pact results in capacity that goes beyond the PEPFAR-supported services to serve the
organizational as a whole. Pact's approach emphasizes participatory processes, local ownership,
transparency and accountability for continued sustainability and growth after PEPFAR funding ends.
Overall organizational support:
The vision for organizational capacity building is that local partners will eventually "graduate" by meeting
criteria to receive direct funding by improving their capacity to function independently as an organization. To
do this, Pact will strengthen many foundational areas of organizational effectiveness including financial
systems and accountability, program planning and accountability, overall program management,
organizational policies, procedures and systems, strategic direction, leadership and governance, fund
raising, advocacy skills, networking, basic USG Emergency Plan technical guidance, M&E, and quality
For each subgrantee, every 12-18 months, Pact conducts initial and routine organizational capacity
assessments and management control assessments to ascertain the level of financial risk and to analyze
strengths, weaknesses, and most importantly improvements over the year in organizational capacity and
financial controls. These assessments and regularly reviews further identify outstanding areas for
organizational strengthening; several recommendations are built into the partners' subgrants and workplans
over the course of the year, strengthening local ownership in the organizational capacity development
PACT provides comprehensive M&E trainings, communities of practice for M&E, and substantial one-on-
one support for partners to manage, implement, and strengthen the programmatic accountability and
management of their own programs though documented evidence and information. (See Pact SI)
Indigenous organizations that are currently not funded by USG but who have the capacity to deliver quality
HIV services are limited in Namibia. As a result, several other prime partners also subcontract/subgrant to
similar organizations for difference services. As a result, Pact will work closely with Capacity Project (See
Capacity VCT and SS) and other primes to strengthen organizational capacity for grantees funded in
common for separate services (e.g. common between Pact HBHC/OVC/Prevention and Capacity VCT:
CAA, Walvis Bay Multipurpose Center, ELCAP). This collaboration between prime partners will also
substantially strengthen linkages and referrals across the services provided by local organizations.
Programmatic capacity building of organizations:
Similarly, routine programmatic and technical reviews will occur at least once a quarter (further explained in
OVC, HBHC, AB, OP narratives). Pact's participatory approach will ensure that appropriate solutions and
support are identified and that local ownership is cultivated while arriving at solutions. Through direct
technical workshops, subgranting for technical support or workshop participation, one-on-one assistance
and follow-up, and communities of practice (collaboratives), Pact will work with each subgrantee to
strengthen the technical and programmatic aspects of their programs based upon the programs strengths
and weaknesses. Pact will work closely with grantees to ensure quality assurance tools and processes are
implemented as part of overall capacity building (see Pact SI). As needed, Pact will further access technical
assistance from selected local, regional and international partners to support subgrantees in expanding their
To help strengthen the civil society's contribution to the National Plan of Action and Medium Term Plan
(MTP-III) goals, Pact will also liaise closely with key government ministries to ensure a strong linked
response down to the community level and including the umbrella organizations. Key line ministries include
the Ministry of Gender Equity and Child Welfare (MGECW) (e.g. See Pact OVC), the Ministry of Health and
Social Services (MOHSS) (e.g. See Pact HBHC), and the Office of the Prime Minister (OPM) (e.g. See Pact
AB) along with other ministries. With FY07 funds, Pact also will have seconded a Change Management
Specialist to the Ministry of Gender Equality and Child Welfare, focusing on human resources. In FY2008, it
is anticipated that this position will transfer to the Capacity Project's Regional HR Coalition. At the
subgrantee level, PACT will work closely with subgrantees and other partners (PEPFAR- and non-PEPFAR-
funded) to foster networking & communities of practice to address & resolve bottlenecks in implementation
and to share experiences, resources, materials, and tools. Pact will also ensure progress in linkages,
referrals, referral follow-up and documentation to other services, whether it be to public governmental health
or social services, non-governmental or community-based organizations, or private services.
Pact's comprehensive package of capacity building support will place a premium on interventions that
improve upon organizational and institutional sustainability. In addition to these interventions, individual
partner activities under this program area are as follows:
The Namibia Association for Community Based Natural Resource Management (NACSO) is an umbrella
organization whose HIV activities and financial management are supported through the help of a member
NGO, Namibia Nature Foundation (NNF). The umbrella body assists conservancies to secure their own
livelihoods through the sustainable use and management of their natural resources. Because of the impact
of HIV on the conservancies' human resources (more than 300 000 Namibians) the umbrella body, 12
member NGOs, conservancies and communities have rolled out a comprehensive HIV program since 2003.
The overall population reached will increase significantly with FY2008 resources, requiring additional
technical support from NASCO and NNF. Through an innovative workplace policy and implementation
approach targeting conservancies, FY2008 funds will also scale up prevention activities focused on a
balanced ABC approach (see Pact AB and OP) through a community peer education program with
emphasis on referrals to VCT, care, and treatment. To reach communities, 12 NGOs, 40 conservancies,
and 3 line ministries will be trained in policy development and institutional capacity building, training a total
Both multipurpose centers (Walvis Bay and Sam Nujoma) support workplace policy development with local
companies. With FY2008 resources, at least 10 new companies will have workplace policies established,
supported by at least 2 peer educators per company (funded under Pact AB and OP).
The largest grantee, Catholic AIDS Action (CAA) (see Pact AB, HBHC, OVC) has an integrated program
across multiple program areas. CAA will train 800 volunteers in community mobilization, with a strong focus
on male involvement. Additionally CAA will explore options for creating public private partnerships to
support OVC in areas of economic sustainability.
In FY07, AIDS Law Unit of the Legal Assistance Center (LAC) focused on policy formulation and law reform.
Subsequently, LAC will ensure that these policies and laws are enforced through a program to inform
regions and communities and directly support OVC with legal assistance. As a direct result of the policy
implementation and service provision to OVC, this activity has been moved appropriately to OVC services in
FY2008, (See Pact OVC). LAC will continue to provide support and technical assistance to policy
development and implementation for OVC across multiple PEPFAR-funded partners.
New in FY2008, Pact will target 3 key but nascent umbrella organizations who currently are Global Fund
sub-recipients, namely: the Namibia Business Coalition on AIDS (NABCOA), the Namibia Network of AIDS
Service Organizations (NANASO), and Lironga Eparu (LE). USG, through Pact, will target these
organizations with organizational and programmatic capacity building with the aim of strengthening them to
be become principle recipients in Namibia's Round Eight Global Fund proposal. NABCOA assists its over-
65 member organizations by providing on-site guidance and best practices to help their members develop
optimal HIV/AIDS workplace programs for some of the largest employers in Namibia. NANASO is the
national HIV/AIDS umbrella for civil society organizations with over 300 member organizations. LE
promotes active involvement of PLWHA in advocacy, stigma reduction, and civil rights at national and
regional levels. Pact will target these umbrella organizations with opportunities for institutional strengthening
tailored toward the umbrellas' overall longer-term strategies, including future Global Fund goals. Pact will
foster linkages between umbrella groups and USG-funded HIV/AIDS service organizations, providing
immediate opportunities for greater involvement and further extending the reach of the umbrella groups.
This activity dramatically leverages Global Fund investments by providing the capacity building
opportunities that are lacking under the current Global Fund subgrants.