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
Save the Children UK (SC), in partnership with The Center for Positive Care (CPC), supports the South
African local government (LG), Departments of Social Development (DOSD), Education (DOE) and Health
(DOH) and other NGOs in the Free State (FS) and Limpopo provinces to provide comprehensive care for
OVC. Activities include building community capacity by establishing, training and mentoring Child Care
Forums (CCFs), training home-based care (HBC) givers, helping schools to plan and implement care for
OVC and improving local, district, provincial and national coordination of OVC programming
SC's OVC program in SA began in 2003 and has been supported by PEPFAR since 2004. SC works with
LG to rapidly roll out CCFs at ward level. In FY 2006 SC and CPC assisted 40,381 OVC. FY 2008 funding
will continue to strengthen the reach, quality and long term sustainability of care provided to OVC by
expanding ward level networks of support and extending these to additional municipalities. SC actively
seeks support of government, local business and FBOs for network activities. SC activities will be
implemented in underserved areas in the FS in Thabo Mofutsanyana District, a SA presidential poverty
area, and selected rural and underserved municipalities in Fezile Dabi and Lejweleputswa Districts. In
Limpopo, SC in partnership with CPC, will provide services in Vhembe district, a designated homeland
during Apartheid. In FY 2008 services will be expanded to incorporate the needs of very young OVC, OVC
with disabilities and OVC in farming communities
The project is in line with SA's National HIV/AIDS and STI Strategic Plan, Policy Framework for OVC,
National Action Plan for OVC and SAG policies. SC is a member of the National Action Committee for
Children affected by HIV/AIDS steering committee and participates in the development of national policy
and guidelines. SC coordinates the national Caring Schools Network of organizations establishing OVC
care through schools in South Africa
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Establishing and strengthening community structures
SC and CPC, with partner NGOs, establish and strengthen ward level networks comprising of a CCF, HBC
groups, schools, local business, faith-based and other groups, which are led by the ward councilor and the
Community Development Worker (CDW) in each province. SC establishes and strengthens CCFs, which
identify OVC, ensure OVC and their caregivers access services, mobilize community support for OVC and
their caregivers, actively support community initiatives for OVC, and keep records of OVC. CCFs monitor
the well-being of OVC (taking account of needs according to age and gender) and their caregivers, and
raise issues related to service delivery for OVC with relevant local authorities through the OVC Task Team
or other coordinating structures. SC will enable schools to plan and implement programs to care for OVC
and to establish children's groups to ensure that children are actively involved in all aspects of support. In
FY 2008 SC will extend community-based care for OVC to selected, underserved municipalities of in the FS
and to additional wards in Limpopo. SC and CPC will extend the caring schools component of the program,
including support for adolescent OVC, to additional schools in all districts in which the program is
ACTIVITY 2: Human Capacity Development
SC supports human capacity development by training CCF members, school-based youth facilitators (YF)
and community stakeholders in children's rights including child participation, HIV and AIDS, identifying OVC,
supporting access to essential services, psychosocial support and home visits and child protection. HBC
groups will be trained in health care for children in AIDS-affected households, with an emphasis on very
young and adolescent OVC, and support to children that are caring for ill adults. Organizational
development and OVC program training will be given to CBOs, FBOs and partner NGOs. All ward-based
CDWs will be trained in comprehensive child wellbeing and mentored to assume leadership of a ward
network to achieve child wellbeing. Additional training for YFs, CCF and HBC members on understanding
adolescents will be incorporated into the program. This will include; how to talk to and listen to adolescents
to help them to understand the changes in their bodies and how to initiate groups and activities that they will
participate in. YFs will be trained to initiate and support peer education activities for adolescent in school
OVC. All activities will include a focus on gender and gender roles in adolescent sexuality. Clinic staff will be
offered training and support by SC in working with adolescents and responding to their health needs
ACTIVITY 3: Care Services
With SC support, CCF members will identify OVC; facilitate access to birth registration, health care
(including pediatric treatment) and HIV counseling and testing, social security grants and protection: monitor
that services are delivered; make home visits and initiate children's and caregiver's activities to enhance
psychosocial well-being and provide or arrange for food assistance, school fee waivers, uniforms and
transport to government services. Schools are capacitated to support OVC improving access to nutritional
support, recreation, play and psychosocial support for children and their caregivers (both teachers and
family caregivers); extracurricular activities that encourage children to excel in different fields and that teach
children relevant skills; clothes and uniform banks; improved safety and protection for children; the provision
of other government services at schools; and linkages with community programs that support OVC. SC will
explore the role of gender and activities will respond to the needs of young girls and boys and caregivers,
including older women. Women will actively participate in decision-making while men and youth will play an
active role in community care and support activities. SC data for specific indicators will be recorded and
analyzed by gender and monitored to ensure gender-balanced outcomes
Adolescent OVC will be referred to clinics for sexual and reproductive health services and SC with the DOH
will ensure that the clinics are responsive to adolescent OVC needs. SC will start support groups for
adolescent OVC, in conjunction with resource centers in Vhembe district. Services will include support for
peer-led activities and services from trained adult caregivers. OVC will be supported to discuss and find
solutions to their problems, access information and services, and interact socially with each other in a safe
space supervised by trained adult caregivers. SC will expand the in-school youth peer education program
using existing best practice models, such as the RADS (Radically Different Species) life skills program
developed with Rutanang, in the Free State and Vhembe. Teenage mothers will be included in support
groups for positive mothers. (May be obvious but a word on the rationale may be useful)
In addition, in FY 2008, SC will utilize PEPFAR support to respond to gaps identified through SC's internal
impact monitoring process. Support for OVC under-five years will be introduced to respond to
Activity Narrative: recommendations from research into the strengths of different programs of home and community care for
young children that SC is currently conducting. This will include support for caregivers to stimulate OVC and
ensure health and nutritional support. In addition, approaches to supporting OVC in the sparsely populated
farming communities will be initiated and piloted. SC and partners will build on existing infrastructure, such
as farm schools and mobile health services for the development of support networks for OVC. SC will work
in partnership with farmers and farm worker unions to reach OVC currently not receiving services on farms.
Services for OVC with disabilities will be a focus area in all districts. Members of all CCF groups and YFs
will be trained in community-based rehabilitation for OVC with disabilities to ensure inclusion in all OVC
programs. SC will provide support to schools to enroll children with disabilities in schools where possible in
accordance with SAG policy
ACTIVITY 4: Advocacy
SC will continue to advocate for improved service delivery to OVC. A key element will be the collation and
sharing of data on service delivery with SAG. SC will refine its database and decentralize data collection to
ward level to generate reports on the status of service provision. These will be analyzed collaboratively with
LG and Home Affairs, DOSD, DOE, and DOH to design more responsive services including child-oriented
CT. OVC Task Teams will be capacitated to monitor OVC service provision. LG will be encouraged to
include children's issues in their integrated development plans. For long term sustainability SC will lobby
DOSD to ensure that all CCF members are provided with stipends and with DOE to include YFs in
programs that receive stipends. SC will extend the reach of the CASNET program through training and
active engagement of DOE at provincial level to expand OVC care through schools in all provinces. SC will
continue to actively support the national rollout of CCFs by NACCA
ACTIVITY 5: Improved Coordination
SC will support OVC Task Teams to coordinate services for OVC including hosting meetings between
service providers and strengthening links with CCFs, other ward structures and the district level. SC will
support exchange visits and promote participation of OVC in ward and local level decision making.
Stakeholders at district and provincial levels will be encouraged and supported to form appropriate
coordination mechanisms. SC will also support NACCA to engage with the SAG's National AIDS Council,
and localgovernment bodies. SC OVCactivities will assistPEPFAR toachieve it goalof caring for 10 ml.