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.
INTEGRATED ACTIVITY FLAG
This CARE USA Local Links Track 1 Orphans and Vulnerable Children (OVC) activity is linked to the CARE USA OVC Mission-funded PEPFAR (#7635) activity that will intensify and strengthen the Local Links OVC activity. Targets for these two activities will be combined in this COP entry.
CARE USA Local Links Project (CARE) provides support to OVC and strengthens families affected by HIV and AIDS. CARE works through South African locally-based sub-partners to stimulate and support the use of local resources (human, economic and knowledge systems) to promote the well-being and protection of OVC. Emphasis is on building the capacity of local organizations to strengthen direct service delivery to OVC and their caregivers, training and developing networks for linkages and referrals. Targeted populations are OVC, caregivers of OVC, people living with HIV (PLHIV), community leaders, community-based organizations, program managers, volunteers, and religious leaders.
Local Links is part of the CARE USA OVC-focused Track 1 project implemented in South Africa and Kenya. FY 2007 is year three of a four-year project.
CARE Local Link's activities are: Strengthening economic coping mechanisms of households caring for OVC; Strengthening the capacity of sub-partners to provide a range of innovative services to OVC and their families; and Promotion of advocacy efforts that are sensitive to the needs and rights of OVC and PLHIV.
CARE implements activities in Motheo and Thabo Mofutsyane Districts in the Free State province, as well as Mopane and Sekhukhune in the Limpopo province. CARE works in partnership with eleven sub-partners. One new sub-partner will be added in the Free State in FY 2007 and six from the Waterberg and Capricorn Districts in Limpopo province in FY 2008. Scale-up will be done in consultation with the provincial Departments of Social Development (DoSD).
ACTIVITIES AND EXPECTED RESULTS
ACTIVITY 1: Economic Strengthening - Voluntary Saving and Loans (VSL)
This activity is focused on increasing access to income and productive resources for women caring for OVC, through the VSL model and the provision of income generation training and mentoring activities. The VSL is a group savings and internal lending model that creates a base for economic security for vulnerable families. Usually, a VSL group has at least six members who meet monthly for saving and internal lending. The loans are circulated among group members based on individual emergency needs, which are usually medication, transport to health service, school fees and uniforms for children, food, etc. VSL members use the group as a social safety net to help them cope with family stresses including death. In FY 2007 CARE will provide income generation training for VSL members. The survivalist income generation training will be scaled up; and more caregivers will have access to mentorship activities. Beneficiaries needing survivalist Income Generation Activities (IGAs) training tend to be grandmothers, who are caregivers. Those needing mentorship tend to be relatively young caregivers who would like to move their IGAs beyond survivalist levels. Economic security activities are contributing to improved wellbeing of OVC and caregivers; feedback indicates that VSL members have increased ability to buy food, pay school fees, pay for health services etc. CARE will strengthen the social support function of VSL and will facilitate training for grandmothers with a particular focus on communicating and caring for adolescent OVC.
A baseline study is underway to track the impact of VSL on the well being of OVC and their caregivers.
ACTIVITY 2: Strengthening and improving quality of OVC services
CARE will continue to support sub-partners to strengthen their OVC services by improving the quality, consistency and comprehensiveness of their services through a range of delivery mechanism like home-based care, support groups for OVC and PLHIV and boy and girl scouts camps. CARE will strengthen the psychosocial care and support (PSS) provided to OVC and their families with a focus on building internal coping mechanisms of families particularly female and child headed households. CARE will work with sub-partners to support women volunteers and caregivers who deliver services to OVC and their families.
CARE will facilitate improved service quality and improve the success rate for accessing essential South African Government (SAG) services through the following activities: a) Placing salaried social workers or auxiliary social workers within specific sub-partners who will provide technical support to other sub-partners; b) Strengthened collaboration with SAG departments at district and provincial level to ensure access to basic healthcare, and pediatric treatment, PMTCT, government social security grants, support to OVC to stay in school and volunteer stipends; c) Working through Early Childhood Development centers strengthen teachers and caregivers' capacity to access basic health services, PMTCT, nutrition, and early identification of HIV-infected children under 4 years for referral for pediatric treatment; d) Improved service delivery through training and support for staff, volunteers and caregivers to provide PSS, including counseling of OVC and their caregivers; and e) Contracting specialist to train and mentor volunteers and staff to improve the clinical component of home-based care.
In FY 2007 CARE will implement a participatory organizational development (OD) process with 3 sub-partners to identify capacity gaps, provide training and on site support to build capacity and improve the quality of their services. The OD support is aimed at organizational sustainability and improved quality of services delivered to OVC and their caregivers.
ACTIVITY 3: Participatory Educational Theatre (PET)
In FY 2005 CARE conducted a situational analysis focused on identifying gaps in the services offered to OVC in Sekhukune District in Limpopo province. Based on the results, CARE initiated training on PET techniques with sub-partners and OVC, to use PET as a vehicle to raise issues of stigma and discrimination, gender inequities and social protection from abuse. PET activities will include HIV prevention messages targeted to adolescent youth. CARE will continue to mobilize mainstream and traditional church leaders to use sermons to address issues of stigma and discrimination in their congregations and encourage support to HIV-affected households. CARE will also enlist their support in ministering to children caring for chronically ill caregivers.
CARE and its sub-partners will continue to strengthen linkages and partnerships with government service delivery departments to leverage OVC essential services including access to treatment for children and their caregivers. CARE participates in the National Plan of Action for OVC through the National Committee for Children affected by HIV and AIDS (NACCA); and in the sub-committee on food security at the national DoSD level. At provincial level, CARE works closely with the DoSD district offices to identify sub-partners and partners with district offices in disseminating information on government essential services. At a local level CARE and its sub-partners participate in Child Care Forums (CCF) as an advocacy mechanism to reach more OVC in the community.
CARE activities contribute to the USG/South Africa's Five-Year strategy by supporting service delivery through local and community-based organizations and the PEPFAR goal of providing care to 10 million people affected by HIV and AIDS, including OVC.