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
SUMMARY:
USAID/South Africa (USAID/SA) supports institutional capacity building of indigenous organizations that
implement PEPFAR programs, including prevention of mother-to-child transmission (PMTCT) programs,
through three competitively selected Umbrella Grants Management (UGM) partners: Pact, the Academy for
Educational Development (AED) and Family Health International (FHI). The main purposes of these UGM
projects are to (1) facilitate further scale-up of PMTCT services in the short term; and (2) develop
indigenous capability, thereby creating a more sustainable program. The emphasis area is local
organizational capacity development. Primary target populations are indigenous organizations, including
non-governmental, faith-based, and community-based organizations. The current UGM with FHI will support
ten sub-partners. The activity described below refers only to the USAID/SA UGM PMTCT project managed
by FHI.
BACKGROUND:
USAID's Health and HIV/AIDS strategy responds to the overwhelming challenges posed by the HIV and
AIDS epidemic on individuals, communities and society in South Africa. In response, the U.S. Mission has
obligated funds to many partners and sub-partners in South Africa, who play valuable roles in the response
to HIV and AIDS, including organizations that provide comprehensive services for PMTCT. Through this
UGM, FHI is responsible for managing sub-grants to ten of USAID's partners (all of whom submit their own
COPs directly to USAID). As USAID's prime partner and the managing umbrella organization, FHI will not
directly implement program activities, but rather act as a grants management partner to manage and mentor
sub-recipients who, in turn, carry out the assistance programs. Thus, FHI functions primarily as a sub-grant
making entity, and a relatively small percentage of overall funds is used for administrative purposes. Given
that grant recipients require significant technical assistance and management support to grant recipients,
FHI will devote a reasonable percentage of overall funding to provide this support.
USAID closely collaborates and coordinates with the South African government (SAG) in supporting
PEPFAR partners through the umbrella grant mechanism. Although some of the partners work closely with
various SAG departments at national or local (i.e., provincial and district) levels, the umbrella grant's primary
interface with the SAG is through the Senior Management Team, which includes key staff from USAID,
National Departments of Health and Social Development (NDOH, DOSD), and representatives from the
provincial departments.
Under this UGM with FHI USAID supports one international private voluntary organization: Medical Care
Development International - South Africa (MCDI-SA) that provides PMTCT services to communities in
KwaZulu-Natal. MCDI-SA seeks to prevent mother-to-child transmission (MTCT) through a comprehensive
training and support program. The grant to this PMTCT partner supports a range of locally driven best
practices for MTCT services consistent with the South African Government's mission of preventing the
spread of HIV. Activities in this area will provide the means to empower women of reproductive age in
general to protect their health and well-being of their children, and will provide pregnant women and HIV-
infected pregnant women and mothers expanded access to counseling and testing (CT), PMTCT and
antiretroviral (ARV) services. This scale-up will require adequate financial, monitoring and evaluation, and
management systems to accommodate growth and maximize sustainability.
ACTIVITIES AND EXPECTED RESULTS:
In FY 2009, USAID will continue to support the current PMTCT partner through this UGM with FHI. Funds
budgeted under this narrative will support costs for administering and managing the PMTCT sub-partner.
Separate COP entries describe the PMTCT activities implemented by the sub-partner under FHI.
Institutional capacity building of indigenous organizations is a key feature of the umbrella grant mechanism
and an important strategy for achieving prevention, care and treatment goals of PEPFAR to ensure long-
term sustainability of programs and organizations.
ACTIVITY 1: Grants Management
The umbrella mechanism will award and administer grants to partners selected through PEPFAR's Annual
Program Statement, a competitive process to recruit new partners. The current PMTCT sub-partner is MCDI
-SA. This activity involves an array of activities including award and administration of grants, monitoring of
grant progress, meeting reporting requirements, and grant closeout. The umbrella mechanisms will monitor
the PMTCT partners' program implementation and adherence to financial regulations. This involves
provision of extensive technical assistance to partners on project development and implementation,
financial management, monitoring and evaluation, and reporting.
ACTIVITY 2: Capacity Building
The umbrella mechanism will support institutional capacity building of indigenous organizations; this is
defined as activities that strengthen the skills of indigenous organizations to implement HIV and AIDS
programs efficiently, with diminishing reliance on internationally-based technical assistance and support.
The umbrella partner will support activities that improve the financial management, program management,
quality assurance, strategic information, monitoring and evaluation (M&E) and reporting, and leadership and
coordination of partner organizations implementing PMTCT activities.
FHI will also provide technical assistance to the USAID partners, as needed, to improve technical
approaches used for PMTCT activities and to enable quality assurance/quality improvement (QA/QI) of
activities falling within this technical area. All these functions provide key support to organizations that
enable better implementation of care activities. FHI will conduct PMTCT quality assessments to identify
issues and allow partners to address issues related to training, counseling, adherence to ART and infant
feeding, maternal-child health (MCH) care and linkages to PMTCT care services. FHI will further assist the
partner to support the scale up of the revised national PMTCT policy through training provided by FHI.
Activity Narrative: FHI will also work with the sub-partner to develop and strengthen referral networks. Referral is necessary
for comprehensive service provision (e.g., linkages with MCH, sexually transmitted infections services,
family planning and other prevention-with-positives initiatives. FHI will ensure that the PMTCT program
includes a prevention component, specifically to encourage partner testing and disclosure support. FHI will
also work with sub-partners to promote and motivate increased infant follow-up of HIV-exposed infants.
ACTIVITY 3: Monitoring and Evaluation (& Reporting)
The umbrella grants mechanism will provide support to USAID's PMTCT partners in M&E, in order to
strengthen measurement of the implementation and impact of PMTCT program activities, and eventual
achievement of PEPFAR goals. M&E support of PMTCT partners include measurement of program
progress; provision of feedback for accountability and quality; surveillance; and implementation of
information management systems. In addition, the umbrella mechanism will provide supportive supervision
to provide guidance, monitoring, mentoring and oversight through site visits, technical assistance, and
performance evaluation. FHI will follow up on some of the findings that were made during the sub-partner
quarterly reviews and ensure that these are factored into the workplans that sub-partners will develop with
the assistance of FHI.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $9,173
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:
Modifications to Activity 3:
Monitoring and Evaluation training and technical assistance will continue to be systematically provided to all
Family Health International's (FHI) sub-partners under the umbrella grant mechanism during FY 2009.
New Activities:
FHI will work with its abstinence and being faithful (AB) partners to ensure that messaging that promotes
the reduction of multiple and concurrent partners are included in all activities. These messages will be
aimed at the older target groups (i.e., those that fall into the "B" group).
FHI will pay particular attention to partners' selection criteria when recruiting peer educators for their
programs. FHI will request to see and review the selection criteria to encourage selection of suitable
candidates for peer educators/role models.
FHI will work with those partners providing training as a service, to get their training accredited.
---------------------
USAID/South Africa (SA) supports institutional capacity building of indigenous organizations that implement
PEPFAR programs, including abstinence and fidelity focused prevention programs, through three
competitively-selected Umbrella Grants Mechanism (UGM) partners: Pact, the Academy for Educational
Development (AED) and Family Health International (FHI).The main purposes of these UGM projects are to:
(1) facilitate further scale-up of HIV and AIDS prevention services through local and international
implementing partners in the short term; and (2) develop indigenous capability thus creating a more
sustainable program. The major emphasis area is local organizational capacity development. Primary target
populations are indigenous organizations, including non-governmental organizations (NGOs), faith-based
organizations (FBOs) and community-based organizations (CBOs). The current UGM with FHI will support
five sub-partners who have transitioned over from Pact and five new sub-partners. The activity described
below refers only to the USAID/SA UGM project managed by FHI.
Currently, USAID/ SA's Health and HIV and AIDS strategy responds to the overwhelming challenges posed
by the HIV and AIDS epidemic on individuals, families, communities and society in South Africa. Through
this UGM, FHI is responsible for managing sub-grants to ten of USAID's partners (all of whom submit their
own COPs directly to USAID). As USAID's prime partner and the managing umbrella organization, FHI will
not directly implement program activities, but rather act as a grants management partner to manage and
mentor its ten sub-recipients who, in turn, will carry out the assistance programs. Thus, FHI functions
primarily as a sub-grant making entity and a relatively small percentage of overall funds are used for
administrative purposes. Given that grant recipients require significant technical assistance and
management support, FHI will devote a reasonable percentage of overall funding to providing this support.
USAID closely collaborates and coordinates with the South African Government (SAG) in supporting
various SAG Departments at national and/or local (i.e. provincial and district) levels, the umbrella grant's
primary interface with the SAG is through the Senior Management Team (SMT), which includes key staff
from USAID, the National Departments of Health and Social Development (NDOH, DOSD), and
representatives from the provincial departments.
Under this UGM with FHI, USAID is supporting four indigenous and international FBOs and NGOs providing
abstinence and be faithful-focused (AB) prevention services to communities in the provinces. These are:
GoLD Peer Education Agency; Humana People to People; LifeLine; and Mpilonhle. Grants to prevention
partners support the delivery of AB programs in a variety of settings including schools, churches, and
outreach to communities. Services are delivered in accordance with the PEPFAR ABC guidance.
Approaches include capacitating community volunteers to conduct age-appropriate youth activities, working
with religious leaders to reach congregations with value-based prevention for men and women, conducting
participatory personal risk assessments, and promoting VCT and use of other HIV services.
In the FY 2008, USAID will continue to support AB prevention activities through this UGM with FHI. Funds
budgeted under this narrative will support costs for administering and managing these AB prevention sub-
partners of FHI. The subpartners conducting Prevention activities are: GoLD Peer Education Agency;
Humana People to People; LifeLine; and Mpilonhle. Separate COP entries describe the prevention activities
implemented by each sub-partner under FHI. Institutional capacity building of indigenous organizations is a
key feature of the umbrella grant mechanism and an important strategy for achieving prevention, care, and
treatment goals of PEPFAR to ensure long-term sustainability of programs and organizations.
ACTIVITY 1: Grant Management
Through this UGM, FHI will award and administer grants to partners selected through the PEPFAR APS
competitive process to implement HIV and AIDS AB prevention activities. This involves an array of related
activities including award and administration of grants, monitoring of grant progress, meeting reporting
requirements, and grant closeout. FHI will continue to monitor prevention program implementation and
adherence to financial regulations, both within FHI itself and by its sub-partners (e.g., USAID's partners).
Activity Narrative: This involves provision of extensive technical assistance to partners on project development and
implementation, financial management, and reporting. All these functions provide key support to
organizations so they better implement AB activities.
This umbrella mechanism will support institutional and technical capacity building of indigenous
organizations, a key strategy for PEPFAR prevention goal, thus promoting more sustainable programs and
organizations. (Capacity building activities are defined as activities that strengthen the skills of indigenous
organizations to implement HIV and AIDS programs efficiently, with diminishing reliance on external
technical assistance and support). FHI will support activities to improve the financial management, program
management, quality assurance, strategic information and reporting (including monitoring and evaluation),
and leadership and coordination of its sub-partner organizations implementing prevention activities. FHI will
also provide technical assistance to the USAID partners, as needed, to improve the technical approaches
used for AB prevention activities and to enable quality assurance/quality improvement (QA/QI) of activities
falling within this technical area. All these functions provide key support to organizations so they better
implement AB activities.
ACTIVITY 3: Monitoring and Evaluation (M&E) and Reporting
The UGM will ensure that support is provided to USAID's prevention partners in M&E, in order to strengthen
measurement of the implementation and impact of program activities, an eventual achievement of PEPFAR
goals. FY 2007 featured an initial intensive training workshop with the partners to address data collection,
data analysis, and data use and to develop their annual M&E Plans and data collection tools. Training and
technical assistance will continue to be systematically provided to all of FHI's sub-partners under the UGM
during FY 2008, as well. M&E support of prevention partners will include revision/updates to data collection
tools, as needed; measurement of program progress; provision of feedback for accountability and quality;
and implementation of information management systems. In addition, the UGM will provide supportive
supervision including guidance, monitoring, mentoring and oversight through site visits, virtual and direct
technical assistance, and QA/QI initiatives. All these functions provide key support to organizations so they
better implement AB activities.
The FHI UGM will contribute to the PEPFAR goals of providing treatment to two million HIV-infected people;
prevent seven million HIV infections; and provide care to ten million people infected by HIV and AIDS,
including orphans and vulnerable children (OVC).
New/Continuing Activity: Continuing Activity
Continuing Activity: 16087
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16087 16087.08 U.S. Agency for Family Health 7338 7338.08 UGM $485,000
International International SA
Development
Estimated amount of funding that is planned for Human Capacity Development $105,485
Table 3.3.02:
President's Emergency Plan for AIDS Relief (PEPFAR) programs, including abstinence and fidelity focused
prevention programs, through three competitively-selected umbrella grants mechanism (UGM) partners:
Pact, the Academy for Educational Development (AED) and Family Health International (FHI).The main
purposes of these UGM projects are to: (1) facilitate further scale-up of HIV/AIDS prevention services
through local and international implementing partners in the short term; and (2) develop indigenous
capability thus creating a more sustainable program. The major emphasis area is local organizational
capacity development. Primary target populations are indigenous organizations, including non-
governmental organizations (NGOs), faith-based organizations (FBOs) and community-based organizations
(CBOs). The current UGM with FHI will support ten sub-partners. The activity described below refers only to
the USAID/SA UGM project managed by FHI.
Currently, USAID/SA's Health and HIV/AIDS Strategy responds to the overwhelming challenges posed by
the HIV/AIDS epidemic on individuals, families, communities and society in South Africa. Through this
its ten sub-recipients who, in turn, will carry out the assistance programs. Thus, FHI functions primarily as a
sub-grant making entity and a relatively small percentage of overall funds are used for administrative
purposes. Given that grant recipients require significant technical assistance and management support, FHI
will devote a reasonable percentage of overall funding to providing this support.
PEPFAR partners through the umbrella grants mechanism. Although some of the partners work closely with
various SAG departments at national and/or local (i.e. provincial and district) levels, the umbrella grants
mechanism's primary interface with the SAG is through the senior management team (SMT), which includes
key staff from USAID, the National Departments of Health and Social Development (NDOH, DOSD), and
Under this UGM with FHI, USAID supports five indigenous and international FBOs and NGOs providing
other sexual prevention (OSP) services to communities in the provinces. These are: GoLD Peer Education
Agency; Humana People to People; LifeLine; Mpilonhle and Medical Care Development International South
Africa (MCDI-SA). Grants to prevention partners support the delivery of OSP programs in a variety of
settings including schools, churches, and outreach to communities. Services are delivered in accordance
with the PEPFAR ABC guidance. Approaches include capacitating community volunteers to conduct age-
appropriate youth activities, working with religious leaders to reach congregations with value-based
prevention for men and women, conducting participatory personal risk assessments, and promoting VCT
and use of other HIV services.
In FY 2009, USAID will continue to support OSP prevention activities through this UGM with FHI. Funds
budgeted under this narrative will support costs for administering and managing the FHI OSP prevention
sub-partners of FHI. The sub-partners conducting Prevention activities are: GoLD Peer Education Agency;
Humana People to People; LifeLine; Mpilonhle and MCDI. Separate COP entries describe the prevention
activities implemented by each sub-partner under FHI. Institutional capacity building of indigenous
organizations is a key feature of the umbrella grant mechanism and an important strategy for achieving
prevention, care, and treatment goals of PEPFAR to ensure long-term sustainability of programs and
organizations.
competitive process to implement HIV/AIDS OSP activities. This involves an array of related activities
including award and administration of grants, monitoring of grant progress, meeting reporting requirements,
and grant closeout. FHI will continue to monitor prevention program implementation and adherence to
financial regulations, both within FHI itself and by its sub-partners (e.g. USAID's partners). This involves
financial management, and reporting. All these functions provide key support to organizations so they better
implement OSP activities.
organizations, a key strategy for the PEPFAR prevention goal, thus promoting more sustainable programs
and organizations. Capacity building activities are defined as activities that strengthen the skills of
indigenous organizations to implement HIV/AIDS programs efficiently, with diminishing reliance on external
technical assistance and support. FHI will support activities to improve the financial management, program
also provide technical assistance to USAID partners, as needed, to improve the technical approaches used
for OSP activities and to enable quality assurance/quality improvement (QA/QI) of activities falling within
this technical area. All these functions provide key support to organizations so they better implement OSP
activities.
FHI will also work with partners to develop and/or strengthen referral networks which will enhance STI
Activity Narrative: screening and management, condom use, family planning, counseling and testing and substance abuse
counseling.
FHI will work together with its partners to ensure that their messages and strategies address general and
higher risk populations that are relevant in their geographic areas.
goals. M&E training and technical assistance will continue to be systematically provided to all of FHI's sub-
partners under the UGM during FY 2009. M&E support of prevention partners will include revision/updates
to data collection tools, as needed; measurement of program progress; provision of feedback for
accountability and quality; and implementation of information management systems. In addition, the UGM
will provide supportive supervision including guidance, monitoring, mentoring and oversight through site
visits, virtual and direct technical assistance, and QA/QI initiatives. All these functions provide key support
to organizations so they better implement OSP activities.
-----------
Estimated amount of funding that is planned for Human Capacity Development $45,863
Table 3.3.03:
New Areas:
Family Health International (FHI)'s Umbrella Grants Management (UGM) program will work with sub-
partners to develop and strengthen referral networks to ensure that comprehensive care is provided. FHI
will also ensure that emphasis is placed on supporting HIV-infected people to reduce the risk of HIV
transmission and re-infection.
FHI will work with sub-partners to ensure that all caregivers/volunteers are trained on the national training
program (59-day training) for home-based caregivers and community health workers.
FHI will work with those sub-partners providing training as a service, to get their training accredited. FHI will
also work with partners to ensure that there is provision of care and support for caregivers.
FHI will review project descriptions to ensure that OVC care is integrated into home-based care and
palliative care and will monitor this activity.
-----------------------------
Currently, USAID/South Africa (SA) supports institutional capacity building of indigenous organizations that
implement PEPFAR programs, including basic health care and support (BHCS) programs, through three
competitively-selected Umbrella Grants Management partners: Pact, the Academy for Educational
Development (AED) and Family Health International (FHI). The main purposes of these UGM projects are
to: (1) facilitate further scale-up of HIV and AIDS care services and (2) develop indigenous capability, thus
creating a more sustainable program. The emphasis area is local organizational capacity development.
Primary target populations are indigenous organizations, including non-governmental organizations
(NGOs), faith-based organizations (FBOs) and community-based organizations (CBOs). The current UGM
with FHI will support five sub-partners who have transitioned over from Pact and five new sub-partners. This
activity refers only to the USAID/SA UGM project managed by FHI.
USAID/SA's Health and HIV and AIDS strategy responds to the overwhelming challenges posed by the HIV
and AIDS epidemic on individuals, families, communities and society in South Africa. Through this UGM,
FHI is responsible for managing sub-grants to ten USAID partners (all of whom submit their COPs directly
to USAID). As USAID's prime partner and the managing umbrella organization, FHI will not directly
implement program activities, but rather act as a grants management partner to manage and mentor its ten
sub-recipients who, in turn, will carry out the assistance programs. Thus, FHI functions primarily as a sub-
grant making entity, and a relatively small percentage of overall funds are used for administrative purposes.
Given that recipients require significant technical assistance and management support to grant recipients,
FHI will devote a reasonable percentage of overall funding to providing this support. USAID closely
collaborates and coordinates with the South African Government (SAG) in supporting PEPFAR partners
through the umbrella grant mechanism. Although some of the partners work closely with various SAG
Departments, at national, and/or local (i.e., provincial and district) levels, the umbrella grant's primary
interface with the SAG is through the Senior Management Team (SMT), which includes key staff from
USAID, National Departments of Health and Social Development (NDOH, DOSD), and representatives from
the provincial departments. Under this UGM with FHI, USAID is supporting four indigenous and international
FBO and NGO partners who provide basic health care and support services such as palliative and home-
based care (HBC) to communities in the provinces. These are: Humana People to People; LifeLine; MCDI;
and PSA-SA. Grants to palliative care partners support government clinics and hospitals with human
resources including doctors, nurses, pharmacists, and counselors. These partners also work closely with
new and established hospices to ensure hospice accreditation in accordance with national and global
standards of palliative care. Palliative care services supported by partners include holistic; family-centered;
clinical, psychological, spiritual, social care and integrated prevention services for PLHIV and their families,
supported by multidisciplinary teams at facility and community levels. An emphasis will be placed on TB
screening, national guidelines for OI prophylaxis, identification of pediatric cases, and ART referral, as
services become available. Through their partnership with PEPFAR, these providers will increase their
reach two to three-fold. This scale-up requires strong financial, monitoring and evaluation, and management
systems to accommodate growth in reach and maximize sustainability.
In FY 2008, USAID/SA will continue to support existing palliative care partners through this UGM with FHI.
Funds budgeted under this narrative will support costs for administering, managing and facilitating technical
support for FHI's palliative care sub-partners. Separate COP entries describe the palliative activities
Through this UGM, FHI will award and administer care grants to partners selected through a
USAID/PEPFAR APS competitive process to implement HIV and AIDS activities. This involves an array of
related activities including award and administration of grants, monitoring of grant progress, meeting
reporting requirements, and grant closeout. FHI will continue to monitor palliative care program
implementation and adherence to financial regulations both within FHI and in its sub-partners (USAID's
partners). This involves provision of extensive technical assistance to partners on palliative care project
Activity Narrative: development and implementation, financial management, monitoring and evaluation, and reporting. All
these functions provide key support to organizations so they can better implement care activities.
This new umbrella mechanism will support institutional and technical capacity building of indigenous
organizations, defined as activities that strengthen the skills of indigenous organizations to implement HIV
and AIDS programs efficiently, with diminishing reliance on external technical assistance and support. FHI
will support activities to improve the financial management, program management, quality assurance,
strategic information (M&E) and reporting, and leadership and coordination of sub-partner organizations
implementing preventive activities. FHI will also provide technical assistance to the USAID partners, as
needed, to improve the technical approaches used for AB prevention activities and to enable quality
assurance/quality improvement (QA/QI) of activities falling within this technical area. All these functions
provide key support to organizations so they better implement care activities.
The umbrella grants mechanism will ensure support to USAID's care partners in M&E, in order to strengthen
measurement of the implementation and impact of palliative care program activities, an eventual
achievement of PEPFAR goals. M&E support of palliative care partners include: measurement of program
performance evaluation. The management of service delivery programs under the umbrella grant
mechanisms will contribute to the PEPFAR goals to provide treatment to 2 million HIV-infected people;
prevent 7 million HIV infections; and provide care to 10 million people infected by HIV and AIDS, including
orphans and vulnerable children.
Continuing Activity: 16088
16088 16088.08 U.S. Agency for Family Health 7338 7338.08 UGM $142,500
Estimated amount of funding that is planned for Human Capacity Development $45,683
Table 3.3.08:
NO FY 2009 FUNDING IS REQUESTED FOR THIS ACTIVITY:
This activity was approved in the FY 2008 COP, is funded with FY 2008 PEPFAR funds, and is included
here to provide complete information for reviewers. No FY 2009 funding is requested for these activities.
PEPFAR funds were allocated for Family Health International Umbrella Grants Manager (FHI UGM) to
manage sub-partners working in this program area, but in FY 2009, there are no sub-partners receiving
funding in this program area. Therefore there is no need to continue funding this activity with FY 2009 COP
funds.
Continuing Activity: 16091
16091 16091.08 U.S. Agency for Family Health 7338 7338.08 UGM $1,011,800
Table 3.3.09:
FHI will work with the OVC partners when developing their project description documents to ensure that
they include some form of skills training for OVC, Early Childhood Development (ECD) Initiatives, and
support of continued education, screening for abuse and referral for appropriate intervention.
FHI will review project descriptions to include a strong emphasis around Prevention with Positives (PwP)
which will include Counseling and Testing, and Sexually Transmitted Infections (STI) diagnosis and
treatment for OVC. As an approach for sustainable scale up, linkages with family planning services will be
strengthened through age-appropriate referral for family planning. This will ensure that the needs of older
children affected by HIV and AIDS are addressed and teen pregnancies are prevented.
FHI will also work with the partners to develop and/or strengthen referral networks to other services in the
same locations. Strong and functional referral networks are essential for OVC to ensure that they receive
comprehensive care and that their needs are addressed.
FHI will work with the sub-partners to encourage that they reduce the caregiver to child ratio as
recommended by PEPFAR to ensure quality care and effective relationship building.
FHI will pay particular attention to partners' selection criteria when recruiting peer educators for their OVC
programs. FHI will request to see and review the selection criteria to avoid the selection of non-dedicated or
poor role models/peer educators, which can do more harm.
--------------------------
Currently, USAID/South Africa (SA) supports institutional capacity-building of indigenous organizations that
implement PEPFAR programs, including OVC focused care programs, through three competitively-selected
Umbrella Grants Mechanism partners: Pact, the Academy for Educational Development (AED), and Family
Health International (FHI). The main purposes of these UGM projects are to: (1) facilitate further scale-up of
OVC services in the short term; and (2) develop indigenous capability thereby creating a more sustainable
program. The emphasis area is local organizational capacity development. Primary target populations are
indigenous organizations, including non-governmental organizations (NGOs), faith-based organizations
(FBOs), and community-based organizations (CBOs). The current UGM with FHI will support five sub-
partners who have transitioned over from Pact and five new sub-partners. The activity described below
refers only to the USAID/SA UGM project managed by FHI.
AIDS epidemic on individuals, communities and society in South Africa. In response, the Mission has
obligated funds to many partners and sub-partners in South Africa playing valuable roles in the fight against
HIV and AIDS, including organizations that are providing comprehensive services to OVC. Through this
various SAG Departments at national and/or local (i.e., provincial and district) levels, the umbrella grant's
from USAID, National Departments of Health and Social Development (NDOH, DOSD), and representatives
from the provincial departments.
Under this UGM with FHI USAID is supporting six indigenous and international NGOs providing care and
support services to OVC in South Africa. Active in all provinces except Eastern Cape, these partners
identify and train caregivers, establish community care centers, and provide psychosocial support. These
are: Mpilonhle, NOAH, PSA-SA, Starfish, Hands at Work, and Heartbeat. Grants to OVC partners support a
range of locally-driven best practices for orphan care using a variety of models of service delivery and
working in collaboration with the South African Government's Department of Social Development. During
their partnership with PEPFAR, OVC partners will increase their reach two to three-fold. This scale-up will
require adequate financial, monitoring and evaluation, and management systems to accommodate growth
and maximize sustainability.
In FY 2008, USAID will continue to support current OVC partners through this UGM with FHI. Funds
budgeted under this narrative will support costs for administering and managing these OVC sub-partners of
FHI. Separate COP entries describe the OVC activities implemented by each sub-partner under FHI.
Activity Narrative: The umbrella mechanism will award and administer grants to partners selected through the PEPFAR APS
competitive process to implement OVC activities. These are: Mpilonhle; NOAH; PSA-SA; Starfish; Hands at
Work; and Heartbeat. This involves an array of related activities including award and administration of
grants, monitoring of grant progress, meeting reporting requirements, and grant closeout. The umbrella
mechanisms will monitor OVC partners' program implementation and adherence to financial regulations.
This involves provision of extensive technical assistance to partners on project development and
implementation, financial management, monitoring and evaluation, and reporting.
The new umbrella mechanism will support institutional capacity building of indigenous organizations,
The umbrella partners will support activities to improve the financial management, program management,
quality assurance, strategic information (M&E) and reporting, and leadership and coordination of partner
organizations implementing OVC activities.
The umbrella mechanisms will provide support to OVC partners on monitoring and evaluation, in order to
strengthen measurement of the implementation and impact of program activities, an eventual achievement
of PEPFAR goals. M&E support of OVC partners includes: measurement of program progress; provision of
feedback for accountability and quality; surveillance; and implementation of information management
systems. In addition, the umbrella mechanism will provide supportive supervision to provide guidance,
monitoring, mentoring and oversight through site visits, technical assistance, and performance evaluation.
Continuing Activity: 16089
16089 16089.08 U.S. Agency for Family Health 7338 7338.08 UGM $679,000
Estimated amount of funding that is planned for Human Capacity Development $160,521
Table 3.3.13:
Under this UGM with FHI, USAID is supporting six indigenous and international NGOs providing counseling
and testing (CT) services to communities in South Africa. Active in Gauteng, Mpumalanga, KwaZulu-Natal
and North West provinces, these partners improve the capacity of local health workers to provide quality CT
services and educate the community on the importance of CT in preventing HIV transmission and as an
entry point for treatment and care. These are: Humana, Lifeline, MCDI-SA, Mpilonhle and PSA-SA.
In FY 2008, USAID will continue to support current CT partners through this UGM with FHI. Funds budgeted
under this narrative will support costs for administering and managing these CT sub-partners of FHI.
Separate COP entries describe the CT activities implemented by each sub-partner under FHI. Institutional
capacity building of indigenous organizations is a key feature of the umbrella grant mechanism and is an
important strategy for achieving prevention, care and treatment goals of PEPFAR to ensure long-term
sustainability of programs and organizations.
The umbrella mechanism will award and administer grants to partners selected through the PEPFAR annual
program statement (APS) competitive process to implement CT activities. These are: Humana, Lifeline,
Medical Care Development International South Africa (MCDI-SA), Mpilonhle and the Project Support
Association of Southern Africa (PSA-SA). This involves an array of related activities including the awarding
and administration of grants, monitoring of grant progress, meeting reporting requirements, and grant
closeout. The umbrella mechanisms will monitor CT partners' program implementation and adherence to
financial regulations. This involves provision of extensive technical assistance to partners on project
development and implementation, financial management, monitoring, evaluation, and reporting.
defined as activities that strengthen the skills of indigenous organizations to implement HIV/AIDS programs
efficiently, with diminishing reliance on internationally-based technical assistance and support. The umbrella
partners will support activities to improve the financial management, program management, quality
assurance, strategic information, reporting, leadership and coordination of partner organizations
implementing CT activities.
FHI will work with sub-partners to develop and strengthen referral networks to ensure availability of
comprehensive health care services with special emphasis on quality sexually transmitted infection (STI)
and family planning (FP) services and provision of linkages to care and treatment for HIV-infected patients
and clients. FHI will also work with sub-partners to ensure that HIV-negative clients are linked to prevention
services. FHI will work with those sub-partners that are providing training as a service to get their training
accredited.
ACTIVITY 3: Monitoring, Evaluation and Reporting
The umbrella mechanisms will provide support to CT partners on monitoring and evaluation (M&E), in order
to strengthen measurement of the implementation and impact of program activities, an eventual
achievement of PEPFAR goals. M&E support of CT partners includes: measurement of program progress;
Activity Narrative: provision of feedback for accountability and quality; surveillance; and implementation of information
management systems. In addition, the umbrella mechanism will provide supportive supervision to provide
guidance, monitoring, mentoring and oversight through site visits, technical assistance, and performance
evaluation.
------------------------------------------
Estimated amount of funding that is planned for Human Capacity Development $91,726
Table 3.3.14:
Continuing Activity: 16090
16090 16090.08 U.S. Agency for Family Health 7338 7338.08 UGM $363,750
Table 3.3.15:
