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
CARE USA Local Links Project (CARE) provides support to orphans and vulnerable Children (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 wellbeing and protection of OVC. Local Links will expand it technical support for OVC services
to implementing partners working through CARE's LETSEMA project. This will also entail expansion into
Mpumalanga. Emphasis will be on building the capacity of local organizations to strengthen direct service
delivery to OVC and their caregivers and developing networks for linkages and referrals. Targeted
populations are OVC, people living with HIV and AIDS (PLHIV) and religious leaders.
Local Links is part of the CARE USA OVC-focused Track 1 project implemented in South Africa and Kenya.
This is the fourth year of Local Links Project, ending in March 2009 funded through Track One. CARE Local
Links 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 sensitive to the needs and rights of OVC and PLHIV. CARE
implements activities in Motheo and Thabo Mofutsanyane Districts in the Free State province, as well as
Mopane and Sekhukhune in the Limpopo province. CARE works in partnership with eleven sub-partners.
Due to increased funding from the local mission and the redirection of OVC program funding for LETSEMA,
new partners be added to scale up and reach more OVC. Scale-up will be done in consultation with the
provincial Departments of Social Development (DOSD) and Health.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Economic Strengthening - Voluntary Saving and Loans (VSL).
CARE will continue to focus on women's (caregivers) access to income and productive resources through
VSL (VSL is a group savings and internal lending model that creates a base for economic security for
vulnerable families. 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 groups as social safety net to help them cope with family stresses including death and
others related stresses) and Income Generating Activities (IGA). In addition CARE will focus on improving
the qualitative aspect of the economic empowerment component. Usually, a VSL group has at least six
members who meet monthly for saving and internal lending. VSL induces demand for IGA training, CARE
will continue to provide training and support to caregivers needing IGA training. 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. VSL groups serve as one of the
entry points to reach caregivers and OVC with other services. 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. CARE will expand the baseline and impact study two additional villages. In
addition, CARE USA will facilitate an evaluation across Local Links in Kenya and South Africa.
ACTIVITY 2: Capacity Building for Sub-Partners
CARE will continue to strengthen and improve the quality of services offered to OVC and their caregivers by
focusing on in-depth institutional and programmatic support. CARE will continue to support and build the
capacity of sub-partners to provide a range of services; this will include strengthening home-based care
support services offered to OVC and their caregivers and work on the support groups for OVC and
caregivers who are both infected and affected by HIV and AIDS. In order to improve capacity of sub-
partners to provide better services, in FY 2007, CARE appointed a Social Worker to work with sub-partners
across Limpopo Province. CARE will adapt the Hands at Work curriculum for use in training caregivers,
especially grandmother to improve their communication with adolescent OVC. Elderly caregivers
experience great difficulty in raising OVC, particularly adolescent OVC. CARE also attended the
International Child Development Program (ICDP) focusing on caregivers' communication skills with OVC.
The social worker will support partners in improving OVC access to legal documentation, state income
grants, support for staying in school, and volunteer stipends CARE with the help from an intern from CARE
USA has developed a Sexual Health Reproduction manual targeted at caregivers and OVC with one of the
sub-partners in the Free Sate Province (Mosamaria). This manual will be used to enhance the capacity of
caregivers in communicating with OVC about issues of sexual health and reproduction, and issues related
to HIV and AIDS prevention. CARE will also focus on enhancing the capacity of sub-partners to provide
support to caregivers to cope with stresses of home-based care through care of caregivers program that is
based on group debriefing, the model will also be used to strengthen support groups of the infected and
affected. Through the appointment of the Professional Nurse, CARE will strengthen the health component
within sub-partners to work with government departments at district and provincial level to ensure access to
basic health care, ART, training and mentoring of volunteers and staff to improve the clinical component of
home-based care. The nurse will also work with Early Childhood Development and Drop-in-centers in
strengthening teachers and caregivers' capacity to access basic health services, improve on nutrition, and
early identification of positive children and referral for pediatric treatment. CARE will also explore
partnerships with PEPFAR partners who have a strong focus on ECD in order to strengthen the capacity of
ECD teachers to deal with children who infected and affected by HIV and AIDS. A special focus will be on
youth programs within sub-partners to improve HIV prevention messages and peer-led youth education and
counseling using, the Harvard OVC Peer-led Education intervention program. In addition, CARE will explore
Youth Vocational Training to strengthen the livelihood and economic security of the vulnerable and
orphaned youth. In order to do this, CARE will link with partners and private sector that have strong
Vocational Training focus. CARE will use the organizational development (OD) experience and lessons
learned to replicate to sub-partners to strengthen their OD capacity. The OD support is aimed at
organizational sustainability and improved quality of services delivered to OVC and their caregivers
ACTIVITY 3: Advocacy
CARE will continue to use Participatory Educational Theatre (PET) to deal with issues of stigma and
discrimination and other OVC rights-based issues, for preventative messaging and training of youth
Activity Narrative: counselors. Cooperation with DramAidE (PEPFAR partner) will be explored to strengthen this activity.
CARE will continue to work with the mainstream and traditional church leaders to use sermons to address
issues of stigma and discrimination in their congregations and enlisting their support for HIV and AIDS
affected households. Training manual for use by the church leaders has been developed; CARE will
disseminate the manual and lessons learned about this activity to sub-partners for their adoption. In FY
2007 CARE developed an advocacy strategy that will help sub-partners identify advocacy issues as they
relate to OVC, for example, one of the partners in Free State trained caregivers on starting food gardens in
order to improve the nutrition of OVC; lack of water facilities in the area made it difficult for the caregivers to
implement the training. The strategy will help sub-partners undertake appropriate actions in order to
improve OVC services. CARE will continue to participate in the National Plan of Action through the National
Action Committee for Children affected by HIV and AIDS (NACCA) and on the NACCA sub-committee on
food security. This activity will continue through FY 2008. The CARE program is consistent with the
Department of Social Development's Plan of Action for OVC. In addition, CARE will continue liaising with
other relevant Departments in as far as influencing the improvement of OVC services, namely the
Department of Health, Agriculture and Education and participation in the police forum in Tzaneen to ensure
that the police have the appropriate response to issues of child and women abuse.
In Limpopo, CARE will contribute to the development of appropriate policies for OVC within the Provincial
Department of Social Development.
CARE activities will contribute to PEPFAR 2-7-10 goals by improving access to quality care for 10 million
people, including OVC.