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
NEW/REPLACEMENT NARRATIVE
Namibia is suffering from a generalized HIV epidemic. The USG is committed to ensuring that targeted,
most at risk populations (MARPs) are able to access the minimum prevention package, including behavior
change communication (BCC) for abstinence and/or being faithful (AB) interventions integrated into the
program responses of implementing partners in schools, churches, community groups and workplaces and
through outreach to in-and-out of school youth, and supported by mass media, links to CT, condom
distribution, STI screening and treatment, male circumcision, prevention for positives, prevention of medical
transmission (PEP, PMTCT, Safe Injection), and supporting policy and advocacy. Hotspots in Namibia
include the northern regions, land and water borders, areas with high levels of migrant workers and transit
corridors will be a focus for AB BCC. MARPs targeted include the military, prison officers and prisoners and
police, border populations, young women and girls engaged in commercial and informal transactional sex,
and HIV positive individuals. BCC messages will include principal epidemic drivers: multiple current
partnering including cross generational and informal sexual relationships, social norms that exacerbate risk
behaviors including gender norms and alcohol abuse, and the consistent and correct use of condoms.
Communication for Change (C-Change) is a 5 year effort with a worldwide scope. The purpose of
USG/Namibia funding to C-Change in COP09 is to strengthen the technical organizational capacity of
partners to provide quality, effective, sustainable BCC programs in HIV and AIDS in Namibia.
C-Change Namibia has 3 objectives:
1. To strengthen the BCC capacity of PEPFAR implementing partners,
2. To strengthen the BCC capacity of USG partners as requested and national HIV and AIDS programs and
structures as appropriate and as requested, and
3. To increase the number of individuals in Namibia trained in quality BCC interventions for HIV and AIDS.
In order to achieve all three objectives, C-Change will work in close coordination with USAID and other USG
collaborating agencies, host-country programs and line ministries such as the MoHSS, Directorate for
Special Programs (DSP) and for Primary Health Care (PMTCT, community care and nutrition), The Ministry
of Gender Equality and Child Welfare, the Ministry of Information and Communications, Technology and the
Ministry of Education, and liaise with other development partners such as UNAIDS, UNDP, UNICEF, key
civil society organizations and the private sector.
Under its first objective, in COP09, C-Change will continue to provide support as needed to the PEPFAR
implementing partners who received BCC strengthening in COP08, Change of Life Styles (COLS), the
Rhenish AIDS Program (RAP), Sam Nujoma Multipurpose Center (SNMPC), Walvis Bay Multipurpose
Center (WBMPC), Catholic AIDS Action (CAA), Namibian Association of Community Based Natural
Resource Management Support Organizations HIV and AIDS Program (NACSO), the Council of Mines
(COM), and 5 others proposed to include the Social Marketing Association (SMA), Development AID People
to People (DAPP), Life Line/Child Line, and the new prevention sub-grantees under PACT or graduate as
appropriate, and expand the C-Change national BCC capacity building/mentoring program to additional
partners as appropriate and as agreed with USAID mission.
The capacity building/mentoring program will continue to strengthen these 12 partners through a blended
approach that will include ongoing participatory assessments of BCC skills of those partners that currently
implement community-and-facility-based BCC programs against a set of BCC standards, and application of
results to their prevention programs to improve BCC planning and design, program implementation and
M&E; intensive on-site skill building with senior and field-level staff to convey in-depth understanding of
BCC models, theories, and their application in the form of concrete interventions; intensive post training, on-
the-job mentoring, and supportive supervision for designing and testing interventions by appropriately
applying theories/models for already trained staff; and increased technical support/guidance during
programming planning, such as with annual work planning, and M&E and quality assurance plans. C-
Change will assist partners to develop BCC strategies for their programs that meet the BCC standards of
quality and take gender equity into account.
As each partner has multiple programs, C-Change will strengthen at least 24 BCC programs incorporating
new messages and materials related to the drivers of the epidemic including but not limited to multiple
concurrent partners, alcohol and gender. Partner programs are implemented in schools, churches,
communities and workplaces and through outreach to out-of-school youth, and supported by mass media.
Programs strengthened in BCC will include those located in hotspots such as the northern region, land and
water borders, areas with high levels of migrants (mines, and ports, nature conservancies), and transit
corridors.
Partners with strengthened programs that meet the BCC standards will be assisted in COP09 to incorporate
new materials and messages into their programs. The new methods and materials will be identified and
adapted and/or developed in conjunction with USG partners and coordination with the GRN guidelines.
C-Change will directly train 18 individuals in BCC and indirectly train 60 volunteers and other BCC
implementers through partner support. All capacity building inputs provided to implementing partners will be
in the form of training of trainers (TOT), and these inputs are counted as direct targets. Each organization's
TOT will then train their volunteers, which is captured in this submission as indirect targets, but reported
directly by each partner.
Under its second objective, technical assistance to strengthen BCC interventions of national HIV programs
and structures, as requested, C-Change will work with USG partners and line ministries to provide
complementary support in BCC. Support might include assistance in developing national BCC standards
for prevention programs, and/or assistance in identifying/developing national BCC materials and curricula
related to the drivers of the epidemic for mainstreaming into strengthened partner programs.
Under its third objective, to increase the number of individuals in Namibia trained in quality BCC for HIV and
Activity Narrative: AIDS, in COP09, C-Change will offer an online HIV and AIDS BCC certificate course to interested
individuals, including OP programming. It is expected that 10 individuals will enroll. C-Change will also
explore opportunities to develop a diploma or degree course in BCC for HIV and AIDS within a local
educational institution such as the University of Namibia or Polytechnic. In addition, C-Change will continue
to improve capacities in mass media through external technical support to Nawa Life Trust (NLT). NLT
provides TA to the Ministry of Information, Communications, and Technology for the national HIV/AIDS
communications campaign, Take Control.
The program will coordinate closely with special initiatives, including gender, alcohol, Prevention with
Positives and male circumcision (Activities 12342.08, 17057.08, 4737.08. 16762.08 in COP08) to offer
support to ensure that BCC strategies are consistent in quality and messages are sufficiently adapted to the
Namibian context. The strong behavior change elements involved in programs focused on changing male
norms and increasing male involvement in aspects of prevention, care and treatment, as well as reducing
violence, sexual coercion and cross-generational sex will be important emphasis areas of this BCC
component.
The program will liaise closely with the USG/SI team in Namibia to ensure that there is optimum
understanding, adaptation, and integration of results and recommendations into service delivery and
communications programs from program evaluations, PHEs, the BSS+, and KAP studies as appropriate.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16501
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16501 16501.08 U.S. Agency for Academy for 7651 7651.08 Partnership for $200,000
International Educational Health and
Development Development Development
Communication
(PHDC) GP0-A-
00-07-00004
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Workplace Programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $316,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
change communication (BCC) for condoms and other prevention (OP) interventions integrated into the
corridors will be a focus for OP BCC. MARPs targeted include the military, prison officers and prisoners
and police, border populations, young women and girls engaged in commercial and informal transactional
sex, and HIV positive individuals. BCC messages will include principal epidemic drivers: multiple current
Continuing Activity: 19395
19395 19395.08 U.S. Agency for Academy for 7651 7651.08 Partnership for $150,000
Estimated amount of funding that is planned for Human Capacity Development $449,500
Table 3.3.03:
