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
This PHE activity, Changing Gender Norms that Support HIV Risk Behaviors, Among Men in Namibia, was
approved for inclusion in the COP. The PHE tracking ID associated with this activity is NA.07.0214.
New/Continuing Activity: New Activity
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
In COP09, EngenderHealth will work with its local partner, LL/CL, in the following ways:
1. Selecting the partners who have most effectively integrated ME in their programs and work with them
more intensively to ensure that they can "graduate" and serve as in-country resources.
2. Identify the next tier of 8-10 partners who are most interested in focusing on ME and ensure that they
receive the TA and support to integrate ME in their current programs. These would be programs that would
have the best chance to "graduate" in the coming year. Another important criterion for selecting these
organizations would be that they are specifically focusing on one or more MARP or other categories.
3. Identify partners working with girls/women on gender issues and develop a joint, pilot project testing
"gender-alignment" strategies (working with both men and women jointly on gender issues).
4. Ensuring that male engagement and gender are mainstreamed into existing PEPFAR HIV and AIDS
prevention, care, and treatment programs through the provision of technical assistance, mentoring, and
Please review the activity narrative from COP08:
Noted April 22, 2008: This funding will be allocated to USAID Namibia SOAG.
This activity is a continuation of a program of activities initiated under the FY07 COP (ref: FY074442.08)
and supports the OGAC global initiative on gender. Harmful male norms and behaviors and a lack of
positive, societal and family roles for boys and men were identified by USG/Namibia implementing partners
during the development of the FY07 COP and for follow-on activities under the FY08 COP as some of the
leading challenges in dealing with long-term behavior change in Namibia. Specific issues include
widespread prevalence of intimate partner violence, sexual assault, and child abuse throughout the country
as well as widespread abuse of alcohol which fuels violence and sexual coercion. Masculine norms support
and perpetuate male infidelity, transactional sex and cross generational sex and between older men and
younger girls is common. Lower rates of male participation in HIV/AIDS care and treatment services,
especially in PMTCT, C&T and ART, mean that men do not receive much needed services. The Namibia
National Medium Term Plan (MTPIII) 2004-2009 acknowledges these challenges and includes interventions
targeting gender inequality and violence and alcohol abuse.
In FY07, the Ministry of Health and Social Service (MOHSS), Ministry of Gender Equity and Child Welfare
(MGECW), Ministry of Safety and Security (MOSS), and Ministry of Defense (MOD) formed a Men and
HIV/AIDS steering committee, and took a leadership role in the mainstreaming of gender throughout their
sectors and for USG-supported clinical, community-based and media-driven interventions. This signaled a
strong start for the Men and HIV/AIDS initiative, and a unique opportunity for inter-ministerial ownership and
engagement in a movement which will influence in a sustainable manner deeply rooted Namibian male
norms and behaviors impacting HIV/AIDS. The Men and HIV/AIDS initiative in Namibia had three
components: a national strategy that employs an intensive and coordinated approach to addressing male
norms and behaviors that can increase HIV/STI risk; the provision of technical assistance (TA) to
implementing partners applying evidence-based approaches to integrate into existing programs and to
develop innovative programs; and an evaluation component that investigates the effect of gender
mainstreaming programming on self-reported behaviors. EngenderHealth (Engender) and Instituto
Promundo (IP) will facilitate the first two components; PATH the evaluation component. An interagency
USG gender task force in Namibia supports and coordinates all of these activities and the program receive
valuable support from the OGAC gender team.
The Men and HIV/AIDS technical approach is based on the evidence-based best practice program, Men as
Partners (MAP), developed and tested by Engender in sub-Saharan Africa and the Indian subcontinent.
MAP employs group and community education, and service delivery and advocacy approaches to promote
the constructive role men can play in preventing HIV, and improving care and treatment if they understand
the importance of gender equity issues and safe health practices via behavior modeling in their families and
communities. MAP programmatic approaches have been evaluated and have shown an increase in men
accessing services, supporting their partners' health choices, increased condom use and decrease in
reported STI symptoms.
To date, the Men and HIV/AIDS initiative has had a strong start. In collaboration with the inter-Ministerial
task force, Engender and IP developed a TA support plan and have initiated gender mainstreaming capacity
building activities within prevention, care and treatment activities with more than 30 PEPFAR-implementing
partners. Several partners were designated as key in-country resources in different areas (information,
education, communication (IEC) development, group education, training, and service delivery). The partners
are diverse, including FBOs and CBOs, and these partners engage many different groups of men, including
young men, religious leaders, teachers and soldiers. In addition, PATH has finalized the evaluation protocol
and is initiating the baseline study.
With FY07 re-programmed and plus up funds, additional monies were allocated to support a number of Men
and HIV/AIDS activities: to the MOHSS for a national Men and HIV/AIDS conference, to the MOD and
MOSS for mainstreaming gender throughout the uniformed services peer education programs; and to the
Ministry of Information and Broadcasting (MIB) to weave supporting messages throughout its national
HIV/AIDS mass media campaign, Take Control. Engender/IP received additional country funding for TA and
to hire a gender expert to coordinate the initiative in country.
In FY08, USG will strengthen and expand the Men and HIV/AIDS initiative. Engender and IP will continue to
focus on the providing TA to in-country partners. One of the USG's top priorities in strategic planning and
Activity Narrative: TA for implementation will be assisting partners to make choices based on optimizing the feasibility and
effectiveness of interventions and their potential for sustainability and scale-up. Another priority will be
strengthening the national and regional networks to discuss challenges and lessons learned in gender
mainstreaming. The initiative will support selected networks to implement joint activities at the local and
regional levels to advocate for male involvement in HIV. As feasible, these will be linked to global events
that focus on issues related to gender and HIV and AIDS: e.g., 16 days of activism, Father's Day, and World
Issues and behaviors to be targeted in FY08 include alcohol use and abuse, multiple concurrent partners,
transactional sex, condom use, and male violence. Building on partnerships with private and public sector
organizations, the initiative will continue to mobilize social capital to focus on the issue of male involvement
in HIV. This year, a specific focus will be on identifying ways that additional private sector organizations
including workplace programs can
be mobilized to work with the network of partners already involved in Namibia's Men and HIV/AIDS
initiative. In addition, advocacy work will be continued with the government to ensure that male engagement
principles and approaches are integrated into government initiatives related to HIV/AIDS.
Overall during FY 2008-09, the USG/Namibia will ensure that a male engagement lens is applied to all
aspects of programming from program design and implementation to monitoring and evaluation. Technical
assistance will focus on further building the capacity of in-country partners including those listed above to
serve as resources through ongoing mentoring and supervision to ensure that male engagement is
mainstreamed into existing HIV and AIDS prevention, care, and treatment programs. Ongoing supervision
and monitoring will be provided in a variety of ways: through joint program design, implementation, and
training; in-country field visits and discussions on ways to address challenges, and feedback through email
and phone discussions with a core group of partners and in-country resources. One key area of focus will
be TA related to Behavior Change Communication (BCC) (activity 12342.08) with the aim of making sure
that partners not only effectively transfer knowledge to men about risky behaviors and safer behaviors, but
that the men are equipped to change their behaviors and are supported to do so by environmental factors.
BCC TA to USG partners will take the form of mentoring and on-the-job learning, and will be aimed at
strengthening the overall quality of their BCC programming, including design, implementation, quality
assurance and monitoring and evaluation (activity 16501.08). Another key area will be addressing alcohol
use and its relationship to unsafe health practices, and the Men and HIV/AIDS initiative will drawn on TA
and support from the comprehensive alcohol program (activity 17057.08).
The initiative will reinforce existing mass media activities such as the Take Control campaign by working
closely with Nawa Life Trust (NLT), which has been the key IEC partner during FY 2007 under the Men and
HIV/AIDS initiative and has ensured that all materials that are developed are consistent with the Take
Control campaigns. Gender partners will incorporate the Take Control guide packs developed by NLT into
gender mainstreaming activities (activity 5690.08, 4048.08).
The Men and HIV/AIDS quality assurance plan is designed to remain effective and relevant if needs evolve.
Each project staff person will be responsible for working with, following up and providing feedback to a small
group of in-country partners. This allows the provision quality, timely feedback and TA to a large group of
PEPFAR partners. The staff person seconded to this project during FY08 will continue to play a key role in
making sure that quality assurance and supervision at the country level and on the project team is strong.
This staffer will receive continued supervisory and on-the-job support to ensure that the PEPFAR partners
are getting the assistance they require for impacting male norms and behaviors.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16123
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16123 8030.08 U.S. Agency for Engender Health 7649 7649.08 TBD $0
8030 8030.07 U.S. Agency for Engender Health 4442 4442.07 ACQUIRE $315,582
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $250,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities