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 new activity/mechanism in FY 2009.
In FY 2009, the Community HIV/AIDS Mobilization Program (CHAMP) will come to an end and be replaced
by follow on mechanism(s). The follow on will be designed later this year and will seek to build on CHAMP's
activities and ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities.
The CHAMP follow on mechanism will continue the institutional capacity building of Rwandan partner
organizations working to ensure access to high quality, sustainable HIV and AIDS care services. The
CHAMP follow on mechanism(s) will support the provision of community services in all PEPFAR-supported
districts, especially around PEPFAR-supported health facilities.
Currently, CHAMP partners are training members of various community and faith-based organizations to
promote PMTCT services in their communities by encouraging early ANC attendance, delivery in facilities,
use of appropriate infant feeding practices, use of early infant diagnosis and male involvement in ANC and
PMTCT. Like CHAMP, the follow on mechanism(s) will focus on building services and capacity at the
community level. Recently, the MOH rolled out a new community health policy and will develop a cadre of
approximately 27,000 additional community health workers (CHW) who will require training in a number of
health topics. These CHWs will serve as the entry point into the health system.
The CHAMP follow on mechanism(s) will train CHW volunteers to promote and support exclusive
breastfeeding for HIV-positive lactating mothers, support mothers during the cessation period, and provide
information about appropriate weaning foods and nutrition counseling. In FY 2009, the follow on mechanism
will also continue to provide training for community volunteers to promote PMTCT as part of their provision
of care to OVC and PLHIV. The follow on (TBD) mechanism will work with PEPFAR-supported clinical
partners to strengthen the referral system to ensure pregnant women access PMTCT services and assist
the clinic-based case managers to ensure proper treatment adherence. The follow on to CHAMP will also
link women in PMTCT and their families to other key community services, including PLHIV associations,
income generating activities, community gardens, malaria prevention and treatment, child survival and
health programs, and food assistance. The follow on mechanism will also promote positive male norms and
encourage couples to test together, share their results and constructively address serodiscordance as
appropriate. Finally, the follow on will seek to collaborate with Mothers 2 Mothers and ensure follow up of
HIV pregnant women and their children in the community to prevent loss to follow up of both of these
populations. As with CHAMP, the follow on mechanism will not have any direct targets in this area, but will
contribute to increasing the number of women receiving PMTCT services by PEPFAR clinical partners by
training community volunteers to promote the use of PMTCT services.
In the transition period from CHAMP to the follow on mechanism, CHAMP will work closely with current
partners and the follow-on project to ensure a smooth transition of support for these activities. The follow
on mechanism will learn from CHAMP's documentation of best practices and lessons and consult with all
key stakeholders in the development of the new program. Based on these consultations, the follow on
mechanism may include other activities designed to strengthen community knowledge and access to
PMTCT services.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
success and ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities. The
CHAMP follow on mechanism(s) will build the institutional capacity of community health workers and
Rwandan partner organizations to ensure access to high quality, sustainable HIV and AIDS care services.
The CHAMP follow on mechanism(s) will support the provision of community services in all PEPFAR-
supported districts, especially around PEPFAR -supported health facilities. This follow-on activity will be
informed by an evaluation of the current community services project as well as an assessment of IGA
supported by PEPFAR.
The MOH has recently rolled out a new community health policy and will develop a cadre of approximately
27,000 community health workers (CHW) who require training in various health areas. These CHWs will
serve as the entry point into the health system and will serve to relieve much of the burden of services at
the health facility by offering basic preventative and curative services at the community level. The follow on
mechanism(s) will support the community health roll out, and will train CHW volunteers to promote age-
appropriate abstinence messages as well as partner reduction to youth and members of the community.
The follow on mechanism(s) will also provide technical and financial assistance to Rwandan CBOs and
FBOs to incorporate prevention messages into their programs. These activities will complement the
behavior change communication activities under the Behavior Change Social Marketing (BCSM).
In FY 2009, the follow-on mechanism(s) will reach 45,000 OVC and PLHIV in the community with
comprehensive AB messaging. The follow on mechanism(s) will support activities which will enable
individuals to practice abstinence and/or faithfulness, such as life skills and income generating activities and
will address the societal norms surrounding cross-generational and transactional sex. Messages will be
delivered using a family-centered approach through face-to-face interactions. These messages will address
the linkages between alcohol use; violence and HIV; stigma reduction and the importance of knowing your
HIV status. The follow on mechanism(s) will seek to reinforce the norms of Rwandan society which have led
to a relatively late age of sexual debut (20.3 among women and 20.8 among men). It will also address male
norms and behaviors that are linked to risky behaviors.
mechanism may include other activities designed to strengthen community knowledge and access to AB
services.
* Addressing male norms and behaviors
* Increasing women's access to income and productive resources
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
* Safe Motherhood
Table 3.3.02:
* Reducing violence and coercion
* TB
Table 3.3.03:
ACTIVITY UNCHANGED FROM FY 2008:
by TBD follow-on mechanism. The follow on will be designed in January 2009 and will seek to build on
CHAMP's current activities and best practices. The follow on mechanism to CHAMP will also ensure a
smooth transition of services for PLHIV, OVC, their caretakers and communities. Chief among its activities,
the CHAMP follow on mechanism will continue to build the institutional capacity building of the MOH and its
institutions as well as Rwandan organizations working to ensure access to high quality, sustainable HIV and
AIDS care services. The CHAMP follow on mechanism(s) will also build on the provision of community
services in all PEPFAR-supported districts, especially around health facilities, in order to strengthen
linkages between facility and community-based services.
Like CHAMP, the follow on mechanism is expected to provide PLHIV with HIV-related basic care and
support services, including income generating activities, psychosocial and spiritual support, improved
nutrition and links to food assistance, community gardens, HIV prevention, HBC, and legal and human
rights support. Also, basic care and support services for PLHIV will continue to include: provision of
nutrition support by liaising with MOH, TRAC and districts to effectively implement community-based
nutrition programs; nutrition counseling and education; nutrition needs assessment and surveillance for
malnourished individuals; support for household production of high-nutrient local staples; HBC for bedridden
patients; provision of business development services for PLHIV families and associations; technical and
financial support for viable and marketable services by PLHIV cooperatives; and linkages to health facilities,
especially for testing and care. The program has historically found it difficult to establish a strong continuum
of care from the health facility to the community. Consequently, the CHAMP follow on mechanism will also
ensure that communities are aware of and have access to other PEPFAR supported clinical services.
In 2007, the MOH rolled out a new community health policy and will develop a cadre of approximately
27,000 community health workers (CHW) who require training in a number of health topics. These CHWs
will serve as the entry point into the health system and link clinical and community initiatives such as PMI,
child survival and health programs, and food assistance. The CHAMP follow on mechanism will provide
targeted support to enhance the services of CHWs and is projected to reach over 22,000 individuals with a
comprehensive menu of services in FY 2009. The CHAMP follow on will also train or offer refresher training
to community health workers and caregivers. The CHAMP follow on mechanism will also promote MOH
modules and tools to strengthen the systems, skills and attitudes of community health workers, upgrade
their psychosocial, pastoral, grief and bereavement counseling skills and support for CHW associations.
In order to ensure sustainability of these programs, the CHAMP follow on may also use a TOT or other
approach in line with GOR policy to further standardize training for community health workers and
caregivers. These community health workers and caregivers will take a family-centered approach during
home visits to PLHIV, monitoring and referring the children of HIV-affected households to OVC community
services as necessary and encouraging parents and guardians to test their children. In this way, volunteers
will help identify more HIV-infected children and family members and link them to appropriate care and
treatment.
The CHAMP follow on will also work to increase male involvement in providing care as well as support
women and girls as they tend to be the majority of primary care givers. The follow on mechanism to CHAMP
is also expected to provide continued support to the PCAR to build its capacity to ensure the future of
quality care services in Rwanda. The follow on mechanism will also work with GOR and other implementing
partners in the roll out of community PBF and other measures to strengthen the quality of clinical and non-
clinical services at the community level. The CHAMP follow on mechanism will work PEPFAR implementing
partners and the GOR to conduct appropriate M&E, data collection and use, and management of resources
in order to improve the quality of HIV care and support services at the community level.
mechanism may include other activities designed to strengthen community knowledge and access basic
care and support services.
This activity supports the PEPFAR five-year strategy and the new GOR national strategy on HIV/AIDS to
integrate HIV prevention, care and treatment, expand pediatric HIV care, and mobilize community
coordinated action.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16960
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16960 16960.08 U.S. Agency for To Be Determined 7556 7556.08 CSP II
International
Development
Table 3.3.08:
ACTIVITY UNCHANGED FROM FY 2008, BUT A NEW AWARD WILL BE MADE IN FY 2009:
by a TBD follow-on mechanism. The follow-on will be designed in January 2009, and will seek to build on
CHAMP's current activities and best practices, to ensure a smooth transition of community-based services
for PLHIV, OVC, their caretakers and communities. These services will be provided in PEPFAR-supported
districts, especially around health facilities, in order to strengthen linkages between facility and community-
based services.
Like CHAMP, the follow-on mechanism is expected to provide PLHIV - including HIV-infected children -
with HIV-related basic care and support services, including income generating activities, psychosocial and
spiritual support, improved nutrition and links to food assistance, community gardens, HIV prevention, HBC,
and legal and human rights support. Basic care and support services for children will continue to include:
follow-up after initiation of cotrimoxizole, education on safe water and provision of water purification
products, provision of nutrition support by liaising with MOH, TRAC -Plus and districts to effectively
implement community-based nutrition programs; nutrition counseling and education; nutrition needs
assessment and surveillance for malnourished children; technical and financial support to households for
production of high-nutrient local foods and linkages to health facilities, especially for OI and TB screening,
ARV staging and ART enrollment (as needed). The program has historically found it difficult to establish a
strong continuum of care from the health facility to the community. Consequently, the CHAMP follow-on
mechanism will also ensure that communities are aware of and have access to other PEPFAR supported
clinical services.
child survival, health programs, and food assistance. The CHAMP follow-on mechanism will provide
targeted support to enhance the services of CHWs. The CHAMP follow-on will also train or offer refresher
training to community health workers and caregivers. The CHAMP follow-on mechanism will also promote
MOH modules and tools to strengthen the systems, skills and attitudes of community health workers,
upgrade their psychosocial, pastoral, grief and bereavement counseling skills, and provide support for CHW
associations.
Trained community health workers and caregivers will take a family-centered approach during home visits
to PLHIV, monitoring and referring the children of HIV-affected households to OVC community services as
necessary and encouraging parents and guardians to test their children and to ensure follow-up of HIV
exposed infants. In this way, volunteers will help identify more HIV-infected children and family members
and link them to appropriate care and treatment.
In the transition period from CHAMP to the follow-on mechanism, CHAMP will work closely with current
on mechanism will learn from CHAMP's documentation of best practices and lessons, and consult with all
key stakeholders in the development of the new program. Based on these consultations, the follow-on
Table 3.3.10:
ACTIVITY UNCHANGED FROM FY 2008.
In FY 2008, the Community HIV/AIDS Mobilization Program (CHAMP) currently providing financial and
technical support to 12 Rwandan Partner Organizations (RPOs) in 20 districts to reach over 43,774 OVC
with a menu of services and train 5,600 caregivers will come to an end and be replaced by TBD follow-on
mechanism(s). The follow-on will be designed later this year and will seek to build on CHAMP's activities
and ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities. This
mechanism will also consider the end of the Track 1 OVC agreements to ensure a smooth transition for
those beneficiaries as well. The follow-on will build the institutional capacity of Rwandan partner
organizations working to ensure access to high quality, sustainable HIV and AIDS care services and will
support the provision of community services in PEPFAR-supported districts, especially around PEPFAR-
supported health facilities.
The CHAMP follow-on will serve as the main coordinating mechanism for PEPFAR-supported OVC
activities by providing TA, training and financial support to local partners to support and strengthen their
capacity to directly provide care and by supporting GOR programs and policies for OVC by seconding
technical staff at the central level.
The follow-on will continue to advance the network model by linking HIV/AIDS clinical and community
partners, and by connecting community members with wrap arounds and with non-HIV/AIDS services that
are supported by other funding streams to ensure that OVC and PLHIV receive a comprehensive package
of services tailored to their needs. To ensure sustainable change, the follow-on mechanism will support and
strengthen existing natural social linkages in the community for child protection, care and support, work
closely with RPOs and districts to strengthen OVC identification, assess the needs of individual OVC, and
offer multiple services and/or refer OVC to other services in the community, based on these needs. The
child status index tool will be utilized and all information reported to the GOR's National OVC M&E system.
Like its predecessor, the follow-on will give special attention to child-headed households and take a family-
centered approach to providing care, linking closely with community-based care activities for PLHIV. In FY
2006, CHAMP participated in the development and finalization of the National OVC Strategic Plan. The
CHAMP follow-on will continue to support the implementation of the OVC policy through participation on the
OVC TWG, and secondment of a technical advisor in the MIGEPROF, the GOR entity charged with
coordination of OVC services.
In FY 2009, this activity is projected to reach 45,000 OVC with a comprehensive menu of services as
outlined in the national strategic plan of action for OVC and will train 6,000 OVC caregivers in psychosocial
support, protection, HIV prevention and ways to link to other services such as education, healthcare, food
and vocational training. Caregivers trained previously will receive follow-up support and refresher training as
needed. This mechanism will continue to wrap around other USG-funded programs and activities where
appropriate, including food assistance, the Ambassador's Girls Scholarship program, PMI, and other
general health services for children supported by USG's child survival and health program, such as vitamin
A distribution and immunization.
partners and the follow-on project to ensure a smooth transition of support for these activities and will
ensure documentation of best practices and lessons learned.
Continuing Activity: 16829
16829 16829.08 U.S. Agency for To Be Determined 7556 7556.08 CSP II
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools
and Service Delivery
Estimated amount of funding that is planned for Economic Strengthening
Estimated amount of funding that is planned for Education
Table 3.3.13:
The Community HIV/AIDS Mobilization Program (CHAMP), through financial support and technical and
institutional capacity building for Rwandan partner organizations, is working to ensure access to high
quality, sustainable HIV and AIDS care services. CHAMP partners support the provision of community
services in all PEPFAR-supported districts, especially around PEPFAR-supported health facilities. FY 2008
was the final year of funding for this four-year, $40 million program. PEPFAR has begun work on a follow-
on activity in FY 2008 to ensure a smooth transition of services for PLHIV, OVC, their caretakers and
communities.
CHAMP partners are training volunteers/members from various community and faith-based organizations to
promote TC services among OVC, PLHIV, their families and caregivers through home visits and group
talks. In FY 2008, CHAMP partners are continuing to support the promotion of TC among OVC and PLHIV
and their families. This targeted promotion of TC services will identify those most likely to be infected and
ensure they are referred to appropriate sites to receive care and treatment. CHAMP partners will not have
any direct targets in this area, but will contribute to increasing the number of people served by clinical
partners and mobile TC activities. In FY 2009, the CHAMP follow-on mechanism(s) will continue to promote
TC activities and services.
partners and the follow-on project to ensure a smooth transition and support for these activities. The follow
counseling and testing services.
Table 3.3.14:
by TBD follow-on mechanism(s). The follow-on will be designed later this year and will seek to build on
CHAMP's activities and ensure a smooth transition of services for PLHIV, OVC, their caretakers and
communities. The CHAMP follow-on mechanism will continue to build the institutional capacity of Rwandan
partner organizations (RPOs) working to ensure access to high quality, sustainable HIV and AIDS care
services. This new mechanism will also work collaboratively with clinical partners to ensure the provision of
community services in USG-supported districts, especially around PEPFAR-supported health facilities.
PEPFAR is committed to sustainability and strengthening the overall health system by integrating services
and by standardizing processes related to both individual and organizational capacity development.
Consequently, the follow-on mechanism will include measurable activities and tools designed to strengthen
the ability of RPOs to become prime partners.
In FY 2008, CHAMP continues to provide financial and technical support to 12 RPOs to reach over 39,000
OVC and 22,000 PLHIV with various support services. In addition, these RPOs are delivering prevention
messages to 13,000 individuals and are training over 2,000 volunteers in the promotion of abstinence,
fidelity, condom use, TC, PMTCT, and a menu of services for OVC and PLHIV. Of these organizations,
three are considered "umbrella" organizations that collectively support over 1,000 community associations
representing women, PLHIV and the religious community.
CHAMP works with these local organizations to build their capacity to manage programs, finances, and
human resources with the goal of directly receiving donor funding in the future. As part of its efforts to
strengthen civil society organizations, CHAMP initially conducts a brief assessment of each organization's
management capacities, including financial, human resources, strategic planning, M&E, QA, and
fundraising, and then develops individual capacity building plans to address issues not already covered in
the required trainings. It then tailors support to each organization depending on its identified needs. CHAMP
provides specific training to RPO staff in the following: human resource procedures; monitoring and
evaluation, business development; project financial and grant management; organizational and good
governance; program management and ethics; and community mobilization and participation. CHAMP also
builds the organizations technical capacity by training RPO staff in a number of technical topics related to
HIV prevention, care and treatment including child rights and protection against abuse; BCC; adolescent
reproductive health; psycho-social support in OVC programs; and mainstreaming gender. In addition to
organizational capacity building and training RPO staff on technical topics, CHAMP provides TA to these
sub-grantees and their members to provide comprehensive quality services by supporting the training of
community health workers in data collection; prevention on AB and methods beyond AB; and spiritual and
psychosocial counseling skills. Finally, CHAMP continues to provide technical assistance on an as needed
basis to the National AIDS Control Commission (CNLS), MOH, the Ministry of Gender and Family
Promotion (MIGEPROF), the Ministry of Local Government and Social Affairs (MINILOC) and other GOR
stakeholders in HIV related policy development and has updated training modules and tools.
While the CHAMP follow -on has not yet been designed, the type of capacity building that CHAMP currently
provides to these faith and community-based organizations (F/CBOs) has been identified as a priority by the
GOR and is closely linked to the Rwanda program's strategy for sustainability during the next five years of
the PEPFAR program. The follow on mechanism will likely continue these activities after assessing
CHAMP's work and best practices. The follow on mechanism may also explore other innovative strategies
to address organizational capacity of F/CBOs in FY 2009 with an emphasis on using measurable outcomes
and tools.
In addition, the MOH recently rolled out a new community health policy and will develop a cadre of
approximately 27,000 community health workers (CHW) who require training in a number of health topics.
These CHWs will serve as the entry point into the health system. The CHAMP follow-on mechanism(s) will
continue to train and support, whenever possible, these CHW volunteers with a standardized set of curricula
and tools developed by the GOR. The follow-on mechanism will also focus on improving the quality of care
at the community level and will ensure linkages with efforts to promote quality such as the forthcoming
community PBF model.
partners and the follow-on project to ensure a smooth transition of support for these activities. The follow-
mechanism may include other activities designed to strengthen the ability of RPOs to become prime
partners.
Continuing Activity: 16961
16961 16961.08 U.S. Agency for To Be Determined 7556 7556.08 CSP II
Table 3.3.18:
